Professional Documents
Culture Documents
STUDENT INFORMATION
VOLUNTEER EXPERIENCE
Name:
Organization:
________________________
Phone:
________________________
School:
Supervisor:
________________________
Address
Dates:
________________________
# of Hours:
________________________
604-531-9186
Duties:
________________________
604-531-1727
(Use back if
need be)
________________________
Phone:
_____________________________
Fax:
Please evaluate yourself using the following four-point scale.
4: Outstanding
3: Good
2: Fair
1: Needs Improvement
NA: Not Applicable
PERSONAL & SOCIAL APTITUDES
Cooperative
2 1 NA
Reliable
2 1 NA
2 1 NA
2 1 NA
2 1 NA
2 1 NA
Respectful of others
2 1 NA
2 1 NA
Appropriately groomed
2 1 NA
2 1 NA
2 1 NA
2 1 NA
2 1 NA
2 1 NA
2 1 NA
Punctual
2 1 NA
Attends regularly
2 1 NA
COMMUNICATION SKILLS
2 1 NA
_____________________________________________
Speaks clearly
2 1 NA
_____________________________________________
Listens well
2 1 NA
_____________________________________________
2 1 NA
2 1 NA
_____________________________________________
_____________________________________________
_____________________________________________
FINAL SELF-ASSESSMENT
Overall volunteer experience