CASA 3-Month Evaluation Form
(to be completed by Peer Coordinator and Paid Staff)
CASA Advocate: Peer Coordinator: __
Paid Staff: Case Name: __
Docket Number: Times Sheets submitted:__
Case Description:
Rating Scale: 1=Needs Improvement; 2=Fair; 3=Good; 4=Very Good; 5=Superior
Advocate Professionalism
Understands the role of CASA
Understands and complies with confidentiality
Exhibits sincere respect towards the children and all pertinent parties to the case
Understands and complies with appropriate boundaries
Interacts and communicates well with other professionals involved
Interacts and communicates well with birth parents and family members
Presents child-centered, fact-based information to the court
Handles difficult situations with ease
Comments:
Advocate Responsibility
Consistently visits assigned child(ren) at least once a month
Number of in-service hours completed to date
Makes contact with all parties in a timely manner
Keeps all scheduled appointments
Completes and submits all court reports in a timely fashion
Completes and submits all times sheets in a timely fashion
Maintains positive working relationships with all parties to the case
Makes her/his best effort to attend every court hearing
Comments:
Advocate Effectiveness
Welcomes opportunities to learn
Follows through on assignments
Willing to ask questions when in doubt
Uncovers and communicates all pertinent facts
Identifies and recommends necessary services
Pays attention to detail
Comments:
Overall Comments:
Peer Coordinator Signature:
Date:
Paid Staff Signature:
Date:
Advocate Signature:
Date:
CASA 3-Month Evaluation
(to be completed by Advocate)
Rating Scale: 1=Needs Improvement; 2=Fair; 3=Good; 4=Very Good; 5=Superior
Orientation and Training
The goals and purpose of CASA were clearly explained
Procedures to be followed were clearly explained
Training was effective and provided me with the necessary tools to be a CASA
Comments:
Peer Coordinator
Peer Coordinatorwas available to you when you had questions or needed information
Peer Coordinatormaintained a professional attitude
Peer Coordinator provided appropriate guidance and support
Comments:
Designated Paid Staff
Paid Staff were available to you when you had questions or needed information
Paid Staff maintained a professional attitude
Paid Staff provided appropriate guidance and support
Comments:
What other training opportunities would you like to see offered?
What additional tools or resources would make your work more effective or enjoyable?
What are some suggestions or goals you would offer for the CASA program?
How have the CASA continuing education sessions aided your advocacy skills?
Do you understand the implications of secondary trauma produced from working with abused and neglected children? Has CASA discussed with you how this may affect your wellbeing, or offered you support in this area?
Additional Comments: ______
Advocate Signature:
Date: