Community Service Referral Page 3
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1
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3Brian Chetney
Dawn Metott
County Coordinator
City Coordinator
Phone: 315-349-3401
Phone: 315-349-3575
Fax: 315-349-3231
Fax: 315-349-3231
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Evaluation: Please rate each question based on your knowledge and experience with this individual. (1=
no, 2=somewhat, 3= yes) please circle the number that best fits your response to each question.
1. Did they show up when they were scheduled?
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3
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2. Did they call if they were unable to come when
scheduled?
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3. Where they willing to help work on projects?
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4. Did they act appropriately during their service time?
5. Were they respectful to you?
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6. Were they willing to do any project assigned to them?
7. Did they take an interest in the activities and services you
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provide to the community?
8. Would you allow this person to volunteer with your
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agency again?
Please feel free to provide any comments in the space provided below.
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Parent category: Miscellaneous