Page 1

VALENCIA COMMUNITY COLLEGE R&R EDS AGENCY COMMUNITY SERVICE FORM (TO BE MAILED BY AGENCY) DATE: ________________________

NAME: ________________________________________________ PHONE#: (_____)___________________ (Organization) ADDRESS ________________________________________________________________________________ (Street) (City/State) (Zip) VOLUNTEER NAME: ________________________________________ TOTAL HOURS: _______________ SUPERVISOR: ______________________________ DATE: (Start)______________ (End)_______________

(Please complete the evaluation below by checking the appropriate boxes) AREAS

EXCELLENT

GOOD

AVEREAGE

FAIR

POOR

SUPPORT & SERVICE PROVIDED BY THIS OFFICE

(

)

(

)

(

)

(

)

(

)

(

)

(

)

(

)

(

)

(

)

(

)

(

)

(

)

(

)

(

)

(

)

(

)

(

)

(

)

(

)

VOLUNTEER’S ATTENDANCE & TIMELESSNESS VOLUNTEER’S OVER-ALL RESPONSIBLENESS VOLUNTEER’S OVER-ALL PERFROMANCE

COMMENTS:_______________________________________________________________________________________________

OFFICIAL USE ONLY: DATE:_____________

CREDIT ASSIGNED:___________________ APPROVED:____________________________________

COMMENTS:________________________________________________________________________________________________

/CommunityServiceEvaluation-Organization  

http://valenciacollege.edu/bridges/documents/CommunityServiceEvaluation-Organization.pdf

Read more
Read more
Similar to
Popular now
Just for you