Big Brothers Big Sisters of Rock Walworth and Jefferson Counties

Volunteer Program Outcome Evaluation

Volunteer's Name:

Length of Match:

Date Completed:

Mentoring Program:

Community Based Lunch Buddies

Match County:

Rock Walworth Jefferson

Parent's Name:

Little's Name:

Little's Age:

Gender:

Male Female

Ethnicity:

We would like you to describe any changes you've observed in the below areas over the past year. It's okay to indicate "don't know" if you have no knowledge about change in a given area.

Click on the ? by each question to see the definitions for that question. Please keep in mind the definitions are offered to clarify the items on the POE assessment forms. These items are somewhat general. Individuals report on their own specific observations within the general meaning of these definitions.

Use the space below for any aditional comments you may have. Thank You!

Aditional Information: