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Student Worker Performance Evaluation

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Cal Poly Pomona

Student Worker Performance Evaluation

Employee Information

Date of Evaluation:

Next Evaluation:

Student Name:

Job Title/Position:

Department Name:

Date Hired:

Hours Per Week:

Current Hourly Rate:

*Cumulative Hours Worked:

Attach a copy of Job Description (optional)

2 = Below

5 = Outstanding

4 = Above Standard

3 = Standard

Not Applicable

Standard/Unsatisfactory

Punctuality/Attendance

Comments

Customer Service

Comments

Dependability

Comments

Quality of Work

Comments

Quantity of Work

Comments

Attitude

Comments

Demonstrates Initiative

Comments

…………………

Works well with others

Comments

Flexibility

Comments

Appropriate Appearance

Comments

Other

Evaluation

ADDITIONAL COMMENTS

Would you re-employ this student? Yes

Verification of Review

By signing this form, you confirm that you have discussed this review in detail with your supervisor. Signing this form does not signify that you agree with

this evaluation. The student worker understands that he/she may submit, in writing, his/her comments to the supervisor within five (5) working days of

the signature date.

Employee Signature

Date

HEERA Manager Signature

Date

*Note to employer: Student workers are eligible for step increase after 325 hours of satisfactory on-the-job performance.