Community Service Supervisor Evaluation Form
Participant Information
Name of Participant:
Dates of Service:
Total Hours Completed:
Service Site/Organization:
Supervisor Information
Supervisor Name:
Supervisor Contact Information:
Evaluation
Attendance & Punctuality:
Excellent
Good
Average
Needs Improvement
Work Performance:
Excellent
Good
Average
Needs Improvement
Communication Skills:
Excellent
Good
Average
Needs Improvement
Attitude & Initiative:
Excellent
Good
Average
Needs Improvement
Teamwork & Cooperation:
Excellent
Good
Average
Needs Improvement
Dependability:
Excellent
Good
Average
Needs Improvement
Comments
Additional Comments or Observations:
Would you recommend this participant for future community service opportunities? Please explain.
Supervisor Signature
Supervisor Signature:
Date: