Your First Name: Last Name:
Student’s First Name: Last Name:
Date of Meeting: Members Present:
RD/Dir Name:
Is student meeting with an accountability partner on a weekly basis?
Yes No
Does the student have a GPA of 2.5 or above?
As a team, what is your recommendation for the student:
Explanation:
By typing in your initials below, you indicate that you have gone over the above evaluation with the student.
Initials:
Fedback: Please identify how the leadership program can better meet your expectations.
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