Program End Date:______________	Program Name:__________________

Today’s Date:___________________	Instructor Name:_________________

YouthARTS Post-Program Participant Skills Assessment

This page provides space for you to rate five program participants. You may need to make several copies of this page to rate all participants.

The information from this instructor rating form will be used to assess participant’s progress in a variety of areas during the program period. It is recommended that this form be filled out near the end of the program period and no later than 2 weeks after the participant’s completion of the program.

For each of the following areas, please rate the youth who participated in your group using the following scale: 1—Strongly Disagree, 2—Disagree, 3—Agree, 4—Strongly Agree. For the last three areas, indicate “Yes” or “No.” Please feel free to make any additional comments regarding any or all participants on the back of this page.

Participant Name or ID 

Youth demonstrates skills needed to produce quality work/art products.

    Strongly ------------------ Strongly

Disagree Agree

    Strongly ------------------ Strongly

Disagree Agree

    Strongly ------------------ Strongly

Disagree Agree

    Strongly ----------------- Strongly

Disagree Agree

    Strongly ----------------- Strongly

Disagree Agree

Youth actively participates in class/

sessions.

    Strongly ------------------ Strongly

Disagree Agree

    Strongly ------------------ Strongly

Disagree Agree

    Strongly ------------------ Strongly

Disagree Agree

    Strongly ----------------- Strongly

Disagree Agree

    Strongly ----------------- Strongly

Disagree Agree

Youth works on a task from beginning to end.

    Strongly ------------------ Strongly

Disagree Agree

    Strongly ------------------ Strongly

Disagree Agree

    Strongly ------------------ Strongly

Disagree Agree

    Strongly ----------------- Strongly

Disagree Agree

    Strongly ----------------- Strongly

Disagree Agree

Youth expresses anger and conflict appropriately.	    Strongly ------------------ Strongly

Disagree Agree	    Strongly ------------------ Strongly

Disagree Agree	    Strongly ------------------ Strongly

Disagree Agree

    Strongly ---------------- Strongly

Disagree Agree

    Strongly ----------------- Strongly

Disagree Agree

Youth communicates effectively with adults.

    Strongly ------------------ Strongly

Disagree Agree

    Strongly ------------------ Strongly

Disagree Agree

    Strongly ------------------ Strongly

Disagree Agree

    Strongly ----------------- Strongly

Disagree Agree

    Strongly ----------------- Strongly

Disagree Agree

Youth behaves in a cooperative way with others in the group.

    Strongly ------------------ Strongly

Disagree Agree

    Strongly ------------------ Strongly

Disagree Agree

    Strongly ------------------ Strongly

Disagree Agree

    Strongly ----------------- Strongly

Disagree Agree

    Strongly ----------------- Strongly

Disagree Agree

Youth communicates effectively with peers.

    Strongly ------------------ Strongly

Disagree Agree

    Strongly ------------------ Strongly

Disagree Agree

    Strongly ------------------ Strongly

Disagree Agree

    Strongly ----------------- Strongly

Disagree Agree

    Strongly ----------------- Strongly

Disagree Agree

Youth gained new (art) skills as a result of participating in this program.

 Yes  No

 Yes  No

 Yes  No

 Yes  No

 Yes  No

Youth received public recognition for effort or performance.

 Yes  No

 Yes  No

 Yes  No

 Yes  No

 Yes  No

Youth completed assigned projects/produced art.

 Yes  No

 Yes  No

 Yes  No

 Yes  No

 Yes  No

Program End Date:______________

rebecca schaffer

1998-09-10

Technology Coordinator

Dell Computer Corporation