CSI M&E Facilitators Report .pdf

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Monitoring and Evaluation of the Civil Society Intervention (CSI) Program
Pemantauan dan Penilaian Program Civil Society Intervention (CSI)

FACILITATORS REPORT
1. Facilitator’s Full Name:
2. Session Number:
3. Date:
____________________________________________________________________________________________________________
1. How much of the objectives in this session were achieved?
o
o
o
o
o

completely (90-100%)
mostly (60-90%)
half (40-60%)
partially (10-40%)
none (0-10%)

2. Answer on a scale of 0 to 10 (except for attendance).
0 = very low level
1 to 3 = low level
4 to 6 = moderate level
#

1.
2.
3.
4.

Student Full Names

IC no.

Attendance
(1=present
0= absent)

Leader
-ship

7 to 9= high level
Team
-work

Communi
-cation

10= very high level.

Discipline

Motivation to
complete
task

Selfesteem/
selfconfidence

Improve
-ment in
sports/
music/
human
values

Monitoring and Evaluation of the Civil Society Intervention (CSI) Program
Pemantauan dan Penilaian Program Civil Society Intervention (CSI)

5.
6.
7.
8.
9.
10
11
12
13
14
15
16
17
18
19
20

Monitoring and Evaluation of the Civil Society Intervention (CSI) Program
Pemantauan dan Penilaian Program Civil Society Intervention (CSI)

21
22
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Monitoring and Evaluation of the Civil Society Intervention (CSI) Program
Pemantauan dan Penilaian Program Civil Society Intervention (CSI)


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