6100 Francis Lewis Blvd. Fresh Meadows, NY 11365
(P) 718-423-8810 (F) 718-224-2108
Student Class Period
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2010-2011 Christian Service Course
Dear Site Supervisor:
4th Quarter Site Supervisor Evaluation
Thank you for working 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 Mr. Vogelson by
th
Thank You for your time,
Mr. William Vogelson III
Service Instructor
Student’s Name: __________________________________________________
Agency: _________________________________________________________
According to your records what is the TOTAL number of hours served by this student from
3/28/11 to 6/12/11- ? This evaluation is due 6/6/11 so if the student will serve any time between 6/6/11 and 6/12/11, please credit them the hours.
________________________________ hours
Please evaluate this volunteer by checking off the appropriate box.
Responsibility
Cooperation
Attitude
Punctuality
Excellent Very Good Good Average Fair Comments
Attendance
Please use this space or the back of the page to further comment on the contribution of this volunteer.
__________________________________________________________________________________________
Supervisor’s Signature ______________________________________________________ Date_________________________