Oxley College Leadership and Service Feedback Form
Your feedback will be an important part of shaping our school leaders.
Name of the student about whom you are providing feedback:
Name of activity:
*
Role of person providing the feedback:
Please Select
Supervisory
Adult Observer
Activity Participant
Peer
Approximately what date did the activity commence?
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Day
-
Month
Year
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What was the pattern of attendance? (e.g. 15mins every day for 2 months or 2hrs weekly on Wednesday afternoons)
Please rate the following aspects of the student's leadership performance and abilities:
Rows
Area of Difficulty
Requires Support to Achieve Acceptable Level
Developing Consistency
Strong
Excellent
Punctuality
Dress and personal presentation
Demonstration of initiative
Responsiveness to those being led
Positive demeanour
Ability to act on instructions
Ability to see a task through to completion
Composure
Appropriateness of speaking tone
Level of formality
Adherance to confidentiality
Discretion in regard to sensitive information
Ability to collaborate with a team or partner
Empowerment and support of others
Humility
Self control
Responsiveness to direction
Please describe the particular student strengths that this student brought to the role (A response to this question is OPTIONAL. If you are reporting on many students, we understand you may not have time):
What advice could you offer the student to further develop his/her leadership? (A response to this question is OPTIONAL. If you are reporting on many students, we understand you may not have time)
Please add any other comments you would like to make (A response to this question is OPTIONAL. If you are reporting on many students, we understand you may not have time):
Your Name:
Your E-mail Address
Contact Phone Number
-
Area Code
Phone Number
Thank you for completing our survey.
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