Student Class Period St. Francis Preparatory School ________________ 6100 Francis Lewis Blvd. Fresh Meadows, NY 11365 (P) 718-423-8810 (F) 718-224-2108 3rd 2013-2014 Christian Service Course Quarter Site Supervisor Evaluation Dear Site Supervisor: Thank you for continuing to work with this student volunteer in your program. Your evaluation will be heavily considered in the determination of his/her quarterly grade. Completed evaluations may be returned to the student who needs to return it to class by Friday March 28, 2014 Thank You for your time, Mr. S. Sempowich and Mrs. S. Vivona Service Instructor Service Instructor Student’s Name: __________________________________________________ Agency: _________________________________________________________ According to your records what is the TOTAL number of hours served by this student from 1/24/14 – 3/28/14? This evaluation is due 3/28 so if the student will serve any time between when you complete this form and 3/28, please credit them those hours in advance. ________________________________ hours Please evaluate this volunteer by checking off the appropriate box. Excellent Very Good Good Average Fair Comments Responsibility Cooperation Attitude Punctuality Attendance Please use this space or the back of the page to further comment on the contribution of this volunteer. __________________________________________________________________________________________ Supervisor’s Signature ______________________________________________________ Date_________________________