Service-Learning Agency Evaluation of Student

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Service-Learning Agency Evaluation of Student - REQUIRED
To be completed by the Agency/Organization/Individual who supervised the student:
Student’s name ID #
RSC Professor’s name
Supervisor’s name
Agency/Organization
On a scale of 0-5 (“5” representing the highest approval rating) please rate the service-learning student in the areas listed below by placing an “X” in the appropriate box
Additional Comments
Date ___________________________ Signature
Agency: Please complete as soon as possible to aid student for semester completion requirements Students should return forms to Cindy Brown, Social Sciences, SS 136-C, Rose State College, 6420 S.E. 15th St., Midwest City, OK 73110, FAX 736-0324, email cabrown@rose.edu
Performance Evaluations 0 1 2 3 4 5 N/A Attendance/Punctuality
Attitude
Quality of Work/ Productivity
Creative/Initiative
Social Skills
Overall Performance