Evaluation Form (Midterm)
Name of Student:
Section:
Name of Supervising Personnel:
  Excellent
ATTENDANCE  Excellent
(30 pts)
Student was present all the
time.
PUNCTUALITY  Excellent
(20 pts)
Student was always on time
and often arrived early.  time or early for the
LEVEL OF Excellent
ENGAGEMENT (30 pts)
AND BEHAVIOR 
Student was fully engaged
and actively involved during
her apostolate activity. They
also worked cooperatively and
well with all of their peers.  participated in work with
PREPARATION  Excellent
(20 pts)
Student is always prepared
for the immersion activity
with necessary materials.
Student has also sought
additional help if necessary. 
Comments/Remarks:
Supervising Personnel/Evaluator
Name of Parish Priest:
Parish Address:
Good Fair Poor TOTAL
Good Fair Poor
(25 pts) (20 pts) (10 pts or no point)
Student was absent for Student was absent for 2 Student was absent for more
1 meeting but provided immersion activities but, than 2 meetings of in-
instructor with a provided instructor with campus immersion and/or
reasonable excuse. reasonable excuses. did not provide instructor
with reasonable excuses.
Good Fair Poor
(15 pts) (10 pts) (5 pts)
Student was usually on Student was sometimes on Student was rarely on time
time (was tardy 3 times), or early (was tardy 4 or more
immersion activity (was and rarely arrived early.  times).
tardy to the Parish only
1 or 2 times). 
Good Fair Poor
(25 pts) (10 pts) (5 pts)
Student often Student sometimes Student rarely participated in
participated freely in the participated in the the apostolate activity.
activities, asked apostolate without being Interaction with peers was
questions, and prompted but was reluctant minimal. 
to join in discussions/work
peers cooperatively.  with peers and personnel. 
Good Fair Poor
(15 pts) (10 pts) (5 pts)
Student is usually Student is sometimes Student is almost always
prepared for the prepared with the required unprepared for the
immersion activity with materials. apostolate
necessary materials.
TOTAL