Southeastern New England Region
USPC
WORK STUDY PROGRAM
DC
Evaluation Form
Please
return this form within 1 or 2 weeks following your activity to:
Debbie
Stewart
60
Warren St.
Plainville,
MA 02762
Phone & Fax: (508) 695-3904 E-Mail:
dstewart@jpstewart.com
Candidate
Name:
Activity:
Date:
Number
of Hours Worked:
I
found this candidate to be:
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Great |
Good |
Needs
Work |
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Informed |
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Knowledgeable |
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Responsible |
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Works
Well with Adults |
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Works
Well with Children |
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I would / would not
recommend this candidate again.
(Circle one)
Please put any additional comments on the back of this form.
DC: Pony
Club: