Individual Development Plan Form Page 2

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IMPROVEMENT
Demonstrates adequate performance in most areas, but needs improvement in one or more aspects critical
NEEDED (I)
to the position; the quality and quantity of work and initiative MEETS SOME requirements
Rarely takes initiative to go above and beyond minimum expectations
UNSATISFACTORY
Performs responsibilities in an unsatisfactory manner; the quality and quantity of work and initiative DOES NOT
(U)
MEET requirements for the job.
Goals are consistently unmet or quality of output is unacceptable.
Immediate and corrective action is required.
SECTION 2: Core Competencies
Supervisor
Core Skills: Policy and Procedures
Self Assessment
Trainings
Goals
Assessment
Competency 1: Ensures for the health and safety of participants 
BASELINE 
Prepares the program space to be free of foreseeable hazards 
Intervenes when potentially unsafe situations occur 
Can perform basic first aid 
Is aware of participants’ health and medical needs as 
appropriate, and adjusts activities as needed 
Competency 2: Follows safety and emergency procedures BASELINE 
.
Can summarize legal responsibilities for reporting requirements 
for reporting child abuse or when a person may do harm to him 
or herself or another 
Understands when it is appropriate to inform and involve 
supervisor 
Can implement key aspects of site safety plan 
Knows health and safety procedures and can share them with 
other staff, youth, and families 
 
Competency 3: Maintains accurate program records and follows 
reporting procedures BASELINE 
Keeps accurate program attendance 
Follows procedure for reporting incidents, as required by the 
program policies (e.g., accidents, criminal activity, serious 
violation of program rules, etc.) 
 
60

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