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Home arrow Volunteer Big Brother Big Sister arrow Outreach Report

Outreach Report

required field = Required

Activity Information

Name of Child
required field		 Name of Volunteer
required field		 Date of Activity
required field
Activity Description
required field
Total Time Spent
Money Spent

 

Evaluation

Please rank the following categories below from 1 (BEST) to 5 (WORST).

CATEGORY RANK COMMENTS
Attitude

Behavior
Relationship with Big
Receptive to Activity
Interactions with Family
Quality of Activity

 

General Comments and/or Special Problems


Have social worker contact me?  Yes No

 
 

Bellefaire JCB
Bellefaire JCB

Bellefaire JCB • 22001 Fairmount Boulevard • Shaker Heights, OH 44118 • Phone: 216 932-2800 • All Rights Reserved • Copyright ©2008

Bellefaire JCB

Give to Friends!

Download your copy of the Summer/Fall 2009 Newsletter. Click here.
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