FYS Peer Facilitator Evaluation Form – Spring 2017 Semester—Due 5/10/17

Student Name: Student ID Number:Date Submitted:

Course Name:Faculty Name: Hours per week:

Self-Reflection:

  1. What was your greatest contribution to your FYS Coursethis past semester? Did you reach your personal or professional goals for the semester?
  2. What were the greatest challenges/struggles you encountered this semester? How did you work to address these challenges?
  3. List structures for support (Focus Group meetings, Faculty, trainings) that have helped you to address challenges and to what degree they enhanced your ability to be an effective member of your leadership team.
  4. What are your goals for the upcoming semester? What additional support (if any) might help you to reach these goals?
  5. What suggestions do you have to improve the work/effectiveness of your Peer Facilitator experience? Changes to structure, classroom engagement, communication with Faculty? Others?

Evaluation with Faculty:

Checkthe appropriate box to reflect on your work this past semester: Evaluation Standards
E = Excels; A = Attained; D = Developing; N = Needs more training;
NA = Not Applicable / E A D N NA Coordinator Comments
Quality of Service: Ability to complete satisfactory workand follow program guidelines and best practices
Quantity of Service: Volume of PF work done in specified time following program standards(see time log)
Comprehension: Knowledge of Class facilitation – familiarity with procedures of facilitation, student mentorship, organization
Reliability/Dependability:Timely completion, ability to get things done, conscientiousness, attendance in meetings is punctual and consistent
Attitude: Degree of enthusiasm and willingness to complete tasks
Judgment: Ability to seek sufficient information and help when appropriate
Professionalism: Conduct, demeanor, participation
Cooperation: Ability to be a team player
Initiative: Ability to work independently, self-motivated
Leadership: Ability to mentor, provide motivation and recognize potential of others
Overview: Considering all attributes, rate your total performance

Other Comments, Questions, and Concerns:

  1. What can FYS staff do to betterassist/supportyou and/or yourfaculty?
  2. Other comments:
  3. Attachments: Please attach anything related to information provided above (e.g. photos, articles in newspapers or journals, agency newsletters, letters of support or appreciation, etc.).

I, certify I have discussed this evaluation with my Faculty Supervisor and this evaluation is accurate, factual, and verifiable to the best of my knowledge.

PeerFacilitator signature:

I,, certify I have seen and discussed this evaluation with my PeerFacilitator and I may attach written comments about the evaluation.

Faculty Mentor signature:

Please scan this signed evaluation (include attachments) and send to:FYS Program Coordinator , or submit hard copy to Bury Room 305.