NORTHAMPTON
COMMUNITY COLLEGE
AGENCY EVALUATION
Northampton Community College is interested in the efforts of our service learning students. In order to better serve both our students and our community, we need to assess the impact of our students on an individual basis. Please take a moment to complete this evaluation.
*Please return to: Debra Bohr, Service Learning Administrator, Northampton Community College. 3835 Green Pond Rd. Bethlehem, PA 18020. Thank you!
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DATE: _________________________________________________________________
AGENCY NAME: _______________________________________________________
ADDRESS: _____________________________________________________________
SITE SUPERVISOR: ________________________TITLE:______________________
STUDENT’S NAME: ____________________________________________________
NUMBER OF SERVICE LEARNING HOURS:______________________________
Please circle the response that best reflects your sentiments:
(1=rarely and 6=always)
- The service learner is punctual.
Rarely 1 2 3 4 5 6 Always
- The service learner is considerate and polite.
Rarely 1 2 3 4 5 6 Always
- The service learner is reliable, consistent and accomplishes assigned tasks.
Rarely 1 2 3 4 5 6 Always
- The service learner’s contribution to your agency was:
Of little importance 1 2 3 4 Of great importance
- Please describe the activities the service learner was engaged in:
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