OUR LADY of MALIBU SCHOOL

3625 South Winter Canyon Road

Malibu, CA 90265

310-456-8071 310-456-7767 Fax

TO: Agency Supervisor

FROM: Student Volunteer

Please evaluate the service I have performed. My grade will depend on your remarks about my performance.

Student Name:

Agency Name:

Supervisor Name:

What were the duties assigned to the volunteer?

Was the volunteer on time? Dressed appropriately?

How many hours did he/she work? Appropriate behavior?

Would you want the same volunteer again if he/she offered?

Please rate the overall performance by circling one number below:

Excellent 5 4 3 2 1 0 Unsatisfactory

Comments:

Your Signature Date:

Thank you for taking the time to fill out this evaluation and return it!