Student Self-Evaluation Of Volunteer / Work Experience Form - Oak Bay High School
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1
2STUDENT SELF-EVALUATION OF VOLUNTEER / WORK EXPERIENCE
From:
_______
Student:
To:
______
Program: Graduation Transition Plan
Total Hours:
Please rate yourself by circling the number which
best describes your performance for each of the
Placement:
criteria.
Job Description:
4
Outstanding
3
Good
2
Fair
1
Needs improvement
N/A (not applicable)
GENERAL WORK SKILLS YOU HAVE DEVELOPED
Personal and Social Aptitudes
Reflect on specific work skills you learned
and on your quality of work performance
during your Volunteer/Work Experience.
Acceptance of constructive criticism
4
3
2
1
NA
Appearance
4
3
2
1
NA
Punctuality
4
3
2
1
NA
Attendance
4
3
2
1
NA
Courtesy (with public & workers)
4
3
2
1
NA
Dependability and responsibility
4
3
2
1
NA
Work Qualities and Habits
Effort
4
3
2
1
NA
(initiative, eagerness, effectiveness)
What have you learned from this experience
Dexterity
4
3
2
1
NA
that you can/will apply in the future?
(speed, accuracy, organization)
Follow through
4
3
2
1
NA
(completing tasks, projects)
Communication Skills
Verbal (speaking clearly)
4
3
2
1
NA
Listening (able to follow directions)
4
3
2
1
NA
Questioning
4
3
2
1
NA
(asking appropriate questions)
Non-verbal
(eye contact, body language)
4
3
2
1
NA
Student Signature:
Written
4
3
2
1
NA
Transition Advisor Signature: _______
(writing clearly, concisely, & legibly)
Date:
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