Prior Experience Evaluation

Please answer the following questions

Required fields are marked with an asterisk (*)

1. Was the student dependable, counted on to be there and complete responsibilities? Describe. *

Applicant Name *

Organization *

Supervisor's Name *

Supervisor Phone Number *	() -

Supervisor Email address



2. What was the applicant's attitude towards their responsibilties? *


3. Describe how the applicant was or was not teachable? *


4. How was the applicant's quality of work? *


5. What was the applicant's relationship with you as the supervisor? *


6. Describe the applicant's relationship with the people they were serving? *


7. What areas of gifting did you see in the applicant? *


8. What areas were challenging for the applicant? *


9. Describe the specific areas you would like to encourage the applicant to grow in. *


10. What growth have you observed? *

11. What do you see as the applicant's main contributions to your organization? *


12. Other Comments.

I have read the applicant's reflection and verify the content. *
	Yes No

Date Completed *