1. 12/27/2015 Public School Partnership- VISTA Member Evaluation
https://docs.google.com/forms/d/1NSf70lJOXEncPXJ-kej8UzZRybpuSm0265Qg1w76l38/edit 1/6
Public School Partnership­ VISTA Member
Evaluation
This form is to be completed by the site supervisor ONLY. Please complete the evaluation on
your own and be honest.
* Required
1. Your name *
2. Your site *
Mark only one oval.
Box Elder Middle
Bridger Elementary
Cache High
CCE
Cedar Ridge Middle
CLASS
FIRC
Fremont High School
Mountain Crest High School
PSP Office
Sky View High School
Sound Beginnings
South Cache 8­9
Willow Valley Middle
Wilson Elementary
Title VII
Youth Serve

2. 12/27/2015 Public School Partnership- VISTA Member Evaluation
https://docs.google.com/forms/d/1NSf70lJOXEncPXJ-kej8UzZRybpuSm0265Qg1w76l38/edit 2/6
3. Name of the PSP VISTA member you are evaluating *
Mark only one oval.
Gracie Botello
Cameron Brewer
Melanie Chambers
Jeremy Deal
Jasmine Despain
Michelle Dove
Shonna Ferree
Laura Higgins
Jennie Hymas
Jason Jensen
Lynda Jensen
Amanda Johnston
Jaclyn LeBlond
Rebecca Miller
Beverly Pickup
Shayley Warner
Dawna Webb
Angelina Whitehorse
Jon Wilkey
Megan Williams
Angela Wood
Melissa Yardley
Ciara Marshall
Job Satisfaction Review
4. I feel that the VISTA member knows his/her goals and responsibilities. *
Mark only one oval.
1 2 3 4 5
Strongly Disagree Strongly Agree

3. 12/27/2015 Public School Partnership- VISTA Member Evaluation
https://docs.google.com/forms/d/1NSf70lJOXEncPXJ-kej8UzZRybpuSm0265Qg1w76l38/edit 3/6
5. I feel that the VISTA member is making a meaningful contribution to our site's goals. *
Mark only one oval.
1 2 3 4 5
Strongly Disagree Strongly Agree
6. I feel that the VISTA member is comfortable with the amount of work which is required
of him/her. *
Mark only one oval.
1 2 3 4 5
Strongly Disagree Strongly Agree
7. I feel that the VISTA member's workspace at our site enables productivity. *
Mark only one oval.
1 2 3 4 5
Strongly Disagree Strongly Agree
8. The VISTA member adjusts well to sudden changes that sometimes occur throughout
the day at our site. *
Mark only one oval.
1 2 3 4 5
Strongly Disagree Strongly Agree
9. I feel that the VISTA member is comfortable with approaching other staff members with
questions. *
Mark only one oval.
1 2 3 4 5
Strongly Disagree Strongly Agree
10. I feel that the VISTA member enjoys working with other staff members at our site. *
Mark only one oval.
1 2 3 4 5
Strongly Disagree Strongly Agree

4. 12/27/2015 Public School Partnership- VISTA Member Evaluation
https://docs.google.com/forms/d/1NSf70lJOXEncPXJ-kej8UzZRybpuSm0265Qg1w76l38/edit 4/6
11. I feel that the VISTA member is generally satisfied with her/his job. *
Mark only one oval.
1 2 3 4 5
Strongly Disagree Strongly Agree
Job Performance Review
12. The VISTA member is producing high quality work. *
Mark only one oval.
1 2 3 4 5
Strongly Disagree Strongly Agree
13. The VISTA member completes tasks in a timely manner. *
Mark only one oval.
1 2 3 4 5
Strongly Disagree Strongly Agree
14. The VISTA member collaborates on a regular basis with staff members at our site. *
Mark only one oval.
1 2 3 4 5
Strongly Disagree Strongly Agree
15. The VISTA member is free from personal distractions while working at our site. *
Includes personal social media, texts/calls, visits, etc.
Mark only one oval.
1 2 3 4 5
Strongly Disagree Strongly Agree
16. The VISTA member is proactive in seeking projects to work on throughout the day. *
Mark only one oval.
1 2 3 4 5
Strongly Disagree Strongly Agree

5. 12/27/2015 Public School Partnership- VISTA Member Evaluation
https://docs.google.com/forms/d/1NSf70lJOXEncPXJ-kej8UzZRybpuSm0265Qg1w76l38/edit 5/6
17. The VISTA member's overall performance is excellent *
Mark only one oval.
1 2 3 4 5
Strongly Disagree Strongly Agree
Short Response Questions
18. What skills and qualities does the VISTA member have that you are pleased with? *
19. Please list any projects managed by the VISTA member that you are particularly
pleased with. *
20. In what ways could the VISTA member improve their performance at your site? *
21. Additional thoughts or comments.

6. 12/27/2015 Public School Partnership- VISTA Member Evaluation
https://docs.google.com/forms/d/1NSf70lJOXEncPXJ-kej8UzZRybpuSm0265Qg1w76l38/edit 6/6
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