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Ascend

Good Kids With Bad Behaviors!!

Employee Evaluation Form

Name: SSN:

Date of Hire: Date of Review

Supervisor: Date of Last Review

Rating System
1= Unsatisfactory 2= Needs Improvement
3= Satisfactory 4= Exceeds expectations
5= Significantly exceeds expectations
1. Quality of Employee’s Clinical/Life Skills work
2. Comments____________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

3. Exercise of good judgment and Assessment


4. Comments____________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

5. Attendance
6. Comments____________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
7. Attention to company policies and procedures

12641 South Vincennes (708) 597-3065


Blue Island, Illinois 60406 (866) 883 9952 fax

Good.Kids@Hotmail.com www.Ascend.nu
Ascend
Good Kids With Bad Behaviors!!

8. Comments____________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
9. Taking initiative to achieve goals and complete assignments
10. Comments____________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
11. Responsiveness to changing work requirements
12. Comments____________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
13. Work ethic
14. Comments____________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
15. Overall performance rating
16. Comments____________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Relationship with Clinical Supervisor

12641 South Vincennes (708) 597-3065


Blue Island, Illinois 60406 (866) 883 9952 fax

Good.Kids@Hotmail.com www.Ascend.nu
Ascend
Good Kids With Bad Behaviors!!

________________________________________________________________________________
________________________________________________________________________________
______________________________________

Areas of Strength:

______________________________________________________________________________

Areas of Improvement:

______________________________________________________________________________

Date:
Supervisor’s Signature

Employee’s Comments:

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

___________________________________________________

Date:
Employee’s Signature

12641 South Vincennes (708) 597-3065


Blue Island, Illinois 60406 (866) 883 9952 fax

Good.Kids@Hotmail.com www.Ascend.nu
Ascend
Good Kids With Bad Behaviors!!

Appendix 1: Establishment of Objectives for the


coming year

With reference to the position responsibilities, listed below the goals,


objectives, projects, and/or special assignments which should be continued
and/or completed in the coming year. It is understood that the goals,
objectives, etc are subject to adjustment or changes as situations and priorities
change. Attach a copy to the employee evaluation.

Goals Objectives/ Major duties/ Projects/ Special Assignments

1.___________________________________________________________________________

2.___________________________________________________________________________

3.___________________________________________________________________________

Executive Directors Signature___________________________________ Date: ______

Employee Signature: ___________________________________________ Date: ______

12641 South Vincennes (708) 597-3065


Blue Island, Illinois 60406 (866) 883 9952 fax

Good.Kids@Hotmail.com www.Ascend.nu

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