Work Evaluation Form
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1Work Evaluation Form
Thank you for taking the time to complete this important form. Please share this evaluation with the student.
It is important that both the supervisor AND the student sign this evaluation form.
Student
Organization
Supervisor
Phone
Evaluation Period
___/___/___ To: ___/___/___
Hours Spent in Program
USING CAREFUL JUDGEMENT, CHECK THE ONE PHRASE IN EACH BLOCK THAT IS TYPICAL.
Attitude Toward Work
Human Relations Skills
o Takes an enthusiastic interest in work; is highly
o Extremely poised, courteous, and tactful
o Usually poised, courteous, and tactful
motivated to learn
o Shows interest in work and has a desire to learn
o Sometimes poised, courteous, and tactful
o Has a moderate interest in work
o Needs to improve human relations skills
o Shows little interest or enthusiasm for work
Attendance and Punctuality
Quality & Quantity of Work
o Never absent or late without good cause
o Quality and quantity of work is superior
o Seldom absent or late without good cause
o Quality and quantity of work exceeds
o Occasionally absent or late
expectations
o Frequently absent or late
o Quality and quantity of work meets expectations
o Quality and quantity of work does NOT meet
expectations
Ability to Follow Instructions
Productive Team Member
o Uses the initiative in interpreting and following
o Always demonstrates leadership skills and
instructions
contributes to the success of the team
o Usually follows instructions and/or takes
o Always contributes to the success of the team
o Frequently contributes to the success of the team
direction
o Follows instructions and/or takes direction with
o Seldom contributes to the success of the team
some difficulty
o Needs repeated detailed instructions
Thank you for your participation in the program.
Student Signature_________________________________________Date________________
Employer Signature________________________________________Date________________
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Parent category: Business