RAJE Weekly Evaluation Form

WEEKLY EVALUATION FORM

Questions marked with a * are required.

*1.	First Name

*2.	Last Name

*3.	Date of Session

Session 1 (3:30-4:30)

*4.	Evaluation

*5.	Additional Comments

Session 2 (4:30-5:30)

*6.	Evaluation

*7.	Additional Comments

Session 3 (6:00-7:00pm)

*8.

Hebrew, Mentor or Class Session

Hebrew

Mentor

Class Session

*9.	Evaluation

10.	Additional Comments

Session 4 (7:00-8:00pm)

*11.

Hebrew, Mentor or Class Session

Hebrew

Mentor

Class Session

*12.	Evaluation

13.	Additional Comments

14.

Any questions that were left unanswered?

Yes

No

15.

Would you like to be contacted to discuss these questions?

Yes

No

16.	If yes, please list contact information.