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Service Hours
Bethlehem Catholic High School
2133 Madison Avenue Bethlehem, PA 18017
Phone: 610.866.0791
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BETHLEHEM CATHOLIC HIGH SCHOOL
IN SERVICE TO OTHERS Student: __________________________________________________Date:________________ Place of Service: ________________________________________________________________ Supervisor’s Name:______________________________________________________________ You are asked to evaluate the above named student in the categories which follow using the listed evaluating system.
5--Excellent 4--Very Fine 3--Expected 2--Below expectations 1--Poor 0--Unsatisfactory
_____ Ability to work with others
_____ Appearance
_____ Attendance
_____ Communication Skills
_____ Cooperation
_____ Independence
_____ Initiative
_____ Personal Responsibility
_____ Punctuality
_____ Sensitivity
_____ Willingness to learn
Please comment on any outstanding accomplishments and/or concerns.
With many thanks for your own efforts in this work of charity. Kindly return this form to the student or to the address below.
Freshman Sophomore Junior Senior
(circle one)
Theology Teacher
Bethlehem Catholic High School
2133 Madison Avenue
Bethlehem, PA 18017
Last Modified on July 7, 2009
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