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Student Intern Agency Evaluation Form 2022-2023
Student Intern must submit this form before their Agency Supervisor can verify the students hours for payment. SAF Program Director will contact the Agency Supervisor directly for verification.
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* Indicates required question
Email
*
Your email
First name
*
Your answer
Last Name
*
Your answer
Agency Name
*
Your answer
Supervisor name
*
Your answer
What was the purpose of the agency you volunteered at?
*
Your answer
What was your role & responsibilities at the agency?
*
Your answer
Rate Supervision and training received
*
Very Good
Average - good enough
Needs Improvement
Supervision
Training
Very Good
Average - good enough
Needs Improvement
Supervision
Training
Would you recommend this Agency to another student?
*
Yes
No
Other:
Why or why not would you recommend this agency
Your answer
A copy of your responses will be emailed to the address you provided.
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