Inclusion For All™

Dedicated to including ALL people with special needs™

The complete resource to help parents and professionals include ALL kids in summer camp

3 week 4 week 6 week 8 week

Staff Name___________________________________________________________ CamperName________________________________________________________

Scale

1= poor 2= adequate 3 = good 4 = great 5 = excellent

1. Integrating camper into group:

1 2 3 4 5

2. Establishing personal relationship with camper (working with camper to understand needs and behaviors):

1 2 3 4 5

3. Encouraging campers participation in group activities:

1 2 3 4 5

4. Providing complete supervision of camper during all activities (swimming, bus, games, etc….)

1 2 3 4 5

5. Job performances (punctuality, attendance, attitude, etc….)

1 2 3 4 5

6. Willingness to accept suggestions from all camp supervisors and make positive changes:

1 2 3 4 5

7. Interacts appropriately with camp staff:

1 2 3 4 5

Observations:

________________________________________________________________________________________________________________________

__________________________________________

Camp Directors Signature Date

__________________________________________

Counselors Signature Date

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