What accomplishments has the facilitator experienced during this past year in facilitating his/her support group? __________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ What aspects of the support group and/or facilitation might be goals for growth and development for next year? _______________________________________________________________________________ _______________________________________________________________________________ What other LFA volunteer activities has the facilitator been involved in? _______________________________________________________________________________ _______________________________________________________________________________ What additional direction, consultation, or programmatic support does the facilitator wish the LFA or LFA Chapter would provide to aide in the group’s success? _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ What specific topics or areas of professional growth would the facilitator like covered in potential future facilitator refresher courses? _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ Additional Comments: _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________
Name and Location of Support Group:
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Facilitator Name: ___________________ Facilitator Signature: ________________ Date: ______ Supervisor Name: ___________________ Supervisor Signature: ______________ Date:_______
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