UNITED WAY OF CALVERT COUNTY

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United Way Volunteer Resource Center
Evaluation Form

Users can submit this page online by clicking the submit button found at the end of the form,
print and fax, or print and mail the form. Upon receipt of completed form, the United Way will contact you with further details. If you have not received a response in 5 business days, please call our office.

Phone: 410-286-0100
Fax: 410-535-8987
Postal: P.O. Box 560 Prince Frederick, Maryland 20678

Thank you for participating in the 12th Annual Day of Caring. By completing this survey you will help us make improvements to future DOC events.

General Information
Business You Represent:
Agency Where You Volunteered:
Please Rate The Following:
Orientation At The Agency:	Interaction With Agency Clients:
Agency Preparation For Your Visit:	Did You Feel Welcomed At The Agency:
Overall How Would You Rate DOC:
What Was The Most Satisfying Part Of Your DOC Experience?:
What Was The least Satisfying Part Of Your DOC Experience?:
In One Memorable Quote, How Would You Describe Your Experience:
May We Use Your Comments In United Way Publications: Yes: No:
If Yes, Sign Here:
Would you be interested in future volunteer experiences at this agency or any other? Yes: No:
Would you be interested in participating in United Way Day of Caring next year? Yes: No:
If Yes, Please Provide Your Information Below - Click on the Print button below & Fax
Name:
Address:	We never release your personal data.
City/State/Zip:	/ /
Phone:
Email:

If you selected Yes to 2008 Participation, Print & Fax this page