* Your Name:

* Your E-mail:

* School:

* JA Program:

* Company:

* Teacher:

* Grade:

How Many semeseters have you participated with JA:

Total Years

Program cooridination and follow through

Demonstrates active involvement and leadership

Provides assistance when needed

Supports lessons with follow up activities and review

Comments

Students participate in class activities

Students are courteous and cooperative

comments

Appropriate for grade level

Adequate quantity of materials

Holds attention of students

Activities allow for creativity and imagination

Materials are sensitive to special needs, minorities, ethnic groups, etc.

Comments:

Explanation of the role of volunteer

Explaination of the role of teacher

Explanation of student characteristics

Familiarization with materials

General level of preparation

Comments:

Please select from the drop down which best describes how often each of the statements is true of our staffs' performance:

Keeps you informed

Is a good listener

Delivers top quality customer service in a timely, efficient manner

keeps commitments & promises

Comments:

Would you be interested in volunteering in another JA class THIS year

* Would you be interested in volunteering again next year?

Preferences:

School:

Teacher:

Additonally, I recommend contacting the following person(s) about possible volunteering or using JA programs in the classroom:

Name:

School:

Phone:

Address:

E-mail:

Program:

Grade:

Name:

School:

Phone:

Address:

E-mail:

Program:

Grade:

Name:

Company:

Phone:

Address:

E-mail:

Program:

Grade:

Name:

Company:

Phone:

Address:

E-mail:

Program:

Grade:

* May we release your comments as a testimonial?