Center for Civic Engagement and Leadership

Community Based Learning Programs
Agency Evaluation of Student

Community Partner Supervisor:

Thank you for your dedication to the Community Based Learning Programs at St. Lawrence University.  In an effort to successfully serve our Community Partners, we would greatly appreciate your cooperation in completing this evaluation form.  Please complete and submit a separate form for each student placed within your agency by the deadline indicated in your letter/email.   We welcome any additional information you can provide to help strengthen this partnership.

Agency Supervisor Name (required):

Agency: (required):

Student Name (required):

Semester Placed:

Year Placed:

The Student Course/Class associated with placement:

The Professor associated with Course/Class:

Please evaluate the student's performance during his/her placement with your agency:

DEPENDABILITY

1) Please rate the reliability of the student (arrived promptly on scheduled days):

Comments:

2) Please rate the ability of the student to notify the agency when he/she could not attend scheduled placement and made up hours:

Comments:

PERSONAL CHARACTERISTICS/SKILLS:

3) Please rate the ability of the student to adapt to the agency environment:

Comments:

4) Please rate the OVERALL attitude of the student:

Comments:

5) Please rate the ability of the student to be resourceful:

Comments:

6) Please rate the willingness of the student to take initiative:

Comments:

7) Please rate the ability of the student to follow directions/instructions:

Comments:

8) Please rate the ability of the student to demonstrate patience:

Comments:

PROFESSIONALISM:

9) Please rate the ability of the student to cooperate with peers, support staff and clients/guests:

Comments:

10) Please rate the ability of the student to accept and utilize criticism:

Comments:

11) Please rate the OVERALL performance of the student at your agency:

Comments:

 
Please answer the following questions:

12) What specific projects/tasks were completed by the student during his/her placement with your agency?

Additional Comments: Please let us know if there are any additional comments you have in reference to this experience. Your feedback is greatly appreciated and helps us plan for future programs