Dietetic Community Service Program (DCSP)
Phone: 269-387-3722
Fax: 269-387-3353
Email: ghada.soliman@wmich.edu
Family and Consumer Sciences
Western Michigan University
Evaluation of DCSP Experience
If you have questions or concerns, please e-mail ghada.soliman@wmich.edu
Student Name:
Mentor Name:
Date
Circle the Following:
Freshman Sophomore
Organization
Junior
Senior
Scale: 5 – Outstanding; 4 - More than satisfactory; 3 – Satisfactory; 2 - Needs Improvement; 1 - Unsatisfactory
Not
5
4
3
2
1
Directions: Thinking about the student you have mentored this
semester, evaluate the student’s performance on the following
qualities using the scale provided. If you did not have the
opportunity to observe a characteristic during the DCSP
experience, please check the "not observed" box.
Application of Knowledge – As compared to other undergraduate
student volunteers you have mentored
A. Nutrition Content
B. Medical Nutrition Therapy
C. Food Service Management
Analytical and Problem-Solving Skills - Recognizes problems, devises
and implements plan of action
Conceptual Skills. Demonstrates good understanding of concepts
related to dietetics
Communication Skills – Clearly communicates thoughts, ideas, and
information
A. Oral presentations.
B. Written presentations
Interpersonal Communication – Builds rapport, respects differing
opinions; sets appropriate personal/professional boundaries:
A – with peers and co-workers
B – with teachers and supervisors
Leadership Potential - Is able to define goals and objectives,
communicate expectations of others to achieve desired results.
Initiative and Motivation - Seeks additional learning opportunities and
challenges; takes pride in completed work. Interested in work and
workplace
Punctuality and Reliability - Shows up when scheduled, ready to work.
Adaptability- Flexible with changes in the routine
Reaction to stress - Able to cope with stressful conditions appropriately
Perseverance – Persists in any undertaking despite of difficulties,
obstacles, or challenges
OVER, PLEASE
Observed
Dietetic Community Service Program (DCSP)
Phone: 269-387-3722
Email: ghada.soliman@wmich.edu
Fax: 269-387-3353
Scale: 5 – Outstanding; 4 - More than satisfactory; 3 – Satisfactory; 2 - Needs Improvement; 1 - Unsatisfactory
Directions: Thinking about the student you have mentored this
semester, evaluate the student’s performance on the following
qualities using the scale provided If you did not have the
opportunity to observe a characteristic during the DCSP
experience, please check the "not observed" box.
5
4
3
2
1
Not
Observed
Creativity - Generates new ideas.
Organization Skills – Applies useful strategies to organize his/her work
Works Independently – Able to perform tasks alone and /or self-starter.
Starts projects, works diligently and completes tasks.
Responsibility and Maturity- Able to plan and manage time and
resources to achieve goals. Exerts a high level of effort and perseverance
towards goal attainment.
Respect for Diversity - Recognizes, accepts and respects diversity and
individual differences.
Teamwork Skills - Has skills needed to work with others to achieve best
results
Listening Skills - Listens to understand and learn. Is able to hear
suggestions, evaluate, and apply suggestions to work.
Overall Potential as a Future Dietitian, Food, or Nutrition
Professional
Comments:
Mentor’s Signature
Date
__________________________________________________ ___________________________
Thank you for completing the evaluation and for the time you have spent with the students this past semester.
Please fax the completed evaluation to (269) 387-3353, email it to: ghada.soliman@wmich.edu or mail to:
Ghada Soliman, MD, PhD, RD
Western Michigan University
Department of Family and Consumer Sciences-5322
3222 Kohrman Hall
Kalamazoo, MI 49008-5322
Student Name: ___________________________ Date completed: ________________