Check in three times during the service term

This form is used at three points during the service term: at quarter, at midterm, and at the end of the term. Use this form in two different ways:

• Rate members' performance on different criteria
• Suggest future development and growth

This sample member evaluation was created by Illinois Public Health (Springfield, IL), an AmeriCorps*State program that supports health and community preparedness projects and conducts community outreach across the state.