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Organization Name:

Date:

Site Supervisor:

Title:

Email Address:

Phone Number:

Service-learning is defined as applying to a community the theories, concepts, and skills learned in a course. This is done in a way that provides practical service for another individual or group. Because service-learning is individualized and contextspecific, grading the student鈥檚 success in the activity may be somewhat subjective. However, there are some components that serve as useful indicators in almost all service-learning experiences. Thank you for taking the time to complete this evaluation. Your feedback will serve as an excellent learning tool for the student.

Student鈥檚 Name:

ID#

Course:

Please give a score out of 10, for each of the following components

1. Consistently arrived as scheduled and on time

2. Exhibited a friendly, interested attitude

3. Appropriately and accurately applied knowledge and skills relating to course material

4. Served with a sufficient level of independence

5. Served well in cooperation with others

6. Accepted direction and suggestions from supervisor

7. Willing to ask for and use guidance

8. Persistent to complete tasks

9. Able to cope in stressful situations

10. Met a real need at our organization

Total Evaluation Score:

Evaluator鈥檚 Signature:

Date:

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