Schlarman High School
A Catholic High School of the Diocese of Peoria

Faith Alive GOLD PROJECT Verification

Dear Supervisor:
We would appreciate your help with our program by asking you to evaluate our students work performance, completion of hours, and Christian attitude of service.  This helps us deepen our commitment to you and your great help as well as our student's growth serving the common good of society.

Student Information

Student Name:

Name of Agency


Short Description of Service Project:

The number of hours actually completed & beginning and ending Dates

to

Evaluation / Assessment

Please give a general evaluation of student participation.  Using the pull-down boxes, select the option that best describes your assessment.  The following options are available.

  1. Cooperation with Supervisor / Followed established guidelines.

  1. Followed through on project / Trustworthy / Dependable.

  1. Worked well with others:  co-workers and those served

  1. Displayed a Christian / positive attitude

  1. Took initiative /Exceeded supervisors expectations

  1. Attendance was followed as agreed upon for the project

  1. Appropriate attitude and behavior for setting of project
    2.

Please add any additional comments below:

Submitting Your Verification/Evaluation

Thank you for your feed back and for supporting Faith Alive.  Before submitting your Evaluation, please complete the following section. Your Verification/Evaluation will be acknowledged via e-mail to the address you  provide below. 

Supervisor Name:

Date:

Your E-Mail Address: