Program Start Date:_____________	Program Name:____________________

Today’s Date:___________________	Instructor Name:___________________

YouthARTS Pre-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 as close to the beginning of the program as possible. However, in order to ensure that an accurate rating of each participant is obtained, allow yourself up to 3 weeks to become comfortable with the participants and your ability to rate each participant in the areas listed below.

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.

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

Program Start Date:_____________

rebecca schaffer

1998-09-10

Technology Coordinator

Dell Computer Corporation