Field Education Supervisor Evaluation Form

Service Learning Supervisor Evaluation Form
To the Supervisor:

Thank you for assisting us in the supervision of this student's service learning placement. Once you have completed this evaluation, a copy will be emailed to you. Please take the time to discuss your evaluation with the student.
Your Name*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
Student Name*

First NameLast Name
Faculty Advisor

Evaluation
The purpose of this form is to assist the student to determine some of his/her strengths and weaknesses and to give the College confirmation that the student has completed his/her responsibilities satisfactorily before credit is given.

You may write NA for the questions that do not apply or you are unable to answer. An honest and frank appraisal is most helpful to student development.
What evidence of empathy and compassion for people is demonstrated by the student?*
What are the student's work habits and attitudes in the placement?*
What strengths or talents were affirmed in the student?*
In what areas does the student show potential? How can the student's potential be developed?*
What problems or limitations hindered the student in the placement? What steps could be taken for improvement?*

Please enter an overall grade for the student in this placement (a minimum grade of "2" from the supervisor is a requirement to pass the SL course).*

	4 - Accomplished	3 - Proficient	2 - Developing	1 - Novice
Grade

1 - Novice: inadequate or little knowledge, weak work habits/self-centered, and marginal or inconsistent vocational skills.

2 - Developing: basic knowledge, developing work habits/awareness of others, and some basic vocational skills.

3 - Proficient: good knowledge, work habits/servant heart, and good consistent vocational skills.

4 - Accomplished: Specific thorough knowledge, strong work habits/servant leadership, and advanced practiced vocational skills.
Did you or do you plan to discuss this evaluation with the student?*

YesNo
Do we have permission to share this evaluation with the student?*

YesNo
How can Steinbach Bible College make the service learning experience better for you and the student?
Additional Comments:
Should be Empty:

Service Learning Supervisor Evaluation Form