Sample Forms: VI. Evaluation

Disclaimer. These forms are only samples, are not endorsed or approved by the Corporation for National and Community Service or the Resource Center, and have not been reviewed for compliance with program or funding regulations.

A. Evaluation Criteria

  • VIA1.PDF List of member evaluation criteria

B. Member Evaluation (by supervisor)

  • VIB1.PDF AmeriCorps member mid-year evaluation form
  • VIB2.PDF AmeriCorps member evaluation form
  • VIB3.PDF AmeriCorps member end-of-term performance review
  • VIB4.PDF Final evaluation of member by program staff

C. Self-Evaluation (for members or volunteers)

  • VIC1.PDF AmeriCorps member mid-year self-evaluation form
  • VIC2.PDF AmeriCorps member self-assessment survey
  • VIC3.PDF AmeriCorps member self-evaluation form
  • VIC4.PDF AmeriCorps member evaluation of placement site
  • VIC5.PDF Foster Grandparent Program Volunteer Impact Scale
  • VIC6.PDF Retired & Senior Volunteer Program Volunteer Impact Scale
  • VIC7.PDF Senior Companion Program Volunteer Impact Scale
  • VIC8.PDF FGP Performance Assessment [for self, supervisor, project director]
  • VIC9.PDF National Service Knowledge Assessment
  • VIC10.PDF National Service Knowledge Assessment Answer Sheet
  • VIC11.PDF National Service Knowledge Assessment Intro. and Rationale
  • VIC12.PDF Mid-term performance review (AmeriCorps member and supervisor)

D. Site/Program

  • VID1.PDF Service site evaluation of AmeriCorps program and members
  • VID2.PDF Site supervisor check-up for AmeriCorps
  • VID3.PDF Foster Grandparent Program Performance Assessment
  • VID4.PDF National service program planning/evaluation calendar

E. Training Evaluation and Assessment

  • VIE1.PDF Generic training evaluation survey
  • VIE2.PDF Year-end member training evaluation
  • VIE3.PDF Post-orientation questionnaire to assess member knowledge
  • VIE4.PDF Generic training session evaluation for members and staff
  • VIE5.PDF Organizational assessment
  • VIE6.PDF Participant pre-training and post-training questionnaire
  • VIE7.PDF Civic leadership development AmeriCorps member survey

F. Tutor

G. Boards and Advisory Councils

  • VIG1.PDF Advisory Council Self-Assessment
  • VIG2.PDF Project Director Self-Assessment on Working with Advisory Council

H. Organizational Readiness

  • VIH1.PDF Organizational Readiness Assessment for Health Literacy Foundation
  • VIH2.PDF Organizational Readiness for Potential AmeriCorps State Applicants
  • VIH3.DOC Organizational Readiness for Recruiting Members with Disabilities