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Initiative: Initiative: Initiative: consider ability to act or begin work without supervision: Initiative: consider ability to act or begin

gin work without supervision:


Judgment: Judgment: Judgment: Consider ability to make appropriate decisions regarding work Judgment: Consider ability to make appropriate decisions regarding work
Ability to Accept Supervision: Ability to Accept Supervision: Ability to Accept Supervision: Ability to Accept Supervision: Consider ability to work with others and relationship with supervisors
Attitude: Attitude: Attitude: Consider how his/her behavior reflects a positive image about the job Attitude: Consider how his/her behavior reflects a positive image about the job
Attendance: Consider Attendance: Consider Attendance: Consider faithfulness in coming to work and conforming to schedule Attendance: Consider faithfulness in coming to work and conforming to schedule
Job Knowledge: Job Knowledge: Job Knowledge: Job Knowledge: Consider how much the student knows about his job given the amount of time on the job and training.
, and general efficiency Quality of Work: Consider Quality of Work: Consider neatness, accuracy Quality of Work: Consider neatness, accuracy, and general efficiency Quality of Work: Consider neatness, accuracy, and general efficiency
Quantity of Work: Quantity of Work: Quantity of Work: Consider the amount of work produced and promptness of completion Quantity of Work: Consider the amount of work produced and promptness of completion
Cooperation: Cooperation: Cooperation: Consider ability to work with and get along with co-workers Cooperation: Consider ability to work with and get along with co-workers
Please Check the box that best describe the students work Please return by: _______________________
Employer Evaluation of Student Learner
: ________________ Student Name: _______________________ Teacher Name: _________________________________ Date
Worksite: ______________________________
Initiative: consider ability to act or begin work without supervision: consider ability to act or begin work without supervision: consider ability to act or begin work without supervision:
Plans order of work well, self-starter,
requires little supervision
Does regular work voluntarily and
promptly, needs help if not routine
Usually does routine work, tries to
get by with minimum effort
Relies on other much of the time,
not a self starter
Always wants needs to be told what to
do, needs help to get started
Judgment: Consider ability to make appropriate decisions regarding work Consider ability to make appropriate decisions regarding work Consider ability to make appropriate decisions regarding work
Uses good judgment, decision
acceptable, seeks help if needed
Judgment dependable on routine
matters, refers others to supervisor
Dependable on routine tasks,
needs help on if out of the ordinary.
Jumps to conclusions, makes
decisions that should be referred
Poor sense of value: likely to make
poor decision or none
Ability to Accept Supervision: Consider ability to work with others and relationship with supervisors Consider ability to work with others and relationship with supervisors Consider ability to work with others and relationship with supervisors Consider ability to work with others and relationship with supervisors
Accepts supervision well, has positive
relationship with supervisor
Accepts supervision, responds to
directions willingly, accepts criticism
Usually accepts supervision, but
needs careful treatment if corrected
Tends to do work their own way,
difficult to supervise
Frequently unable to accept
supervision, reacts negatively.
Attitude: Consider how his/her behavior reflects a positive image about the job Consider how his/her behavior reflects a positive image about the job Consider how his/her behavior reflects a positive image about the job
Has positive attitude, seems to enjoy
work responsibilities
Has a acceptable attitude is a willing
worker
acceptable attitude, periodically
grumbles about job
Seems dissatisfied with job, makes
little effort to hide feelings
Attitude poor, work is careless, and
lacks honest effort
Attendance: Consider faithfulness in coming to work and conforming to schedule faithfulness in coming to work and conforming to schedule faithfulness in coming to work and conforming to schedule
Attendance is excellent Very prompt; regular in attendance,
rarely absent or late
Usually present and on time for
work
Lax in attendance and or reporting
to work on time
Often absent and or frequently late
Job Knowledge: Consider how much the student knows about his job given the amount of time on the job and training. Consider how much the student knows about his job given the amount of time on the job and training. Consider how much the student knows about his job given the amount of time on the job and training. Consider how much the student knows about his job given the amount of time on the job and training.
Thoroughly understands own job and
learns new task easily
Has a good understanding of own
job and tasks assigned
Understands most parts of job:
occasionally still needs assistance.
Understands some parts needs
more than occasional instruction
Has limited knowledge of job,
continually needs help or instruction
Quality of Work: Consider neatness, accuracy neatness, accuracy, and general efficiency , and general efficiency
Above average in quality; accurate
worker; seldom makes mistakes
Work is satisfactory and done
correctly
Able to meet minimum standards;
but occasionally does not.
Sometimes meets standards, more
than occasionally does not.
Well below minimum standards; makes
errors, needs frequent checking
Quantity of Work: Consider the amount of work produced and promptness of completion Consider the amount of work produced and promptness of completion Consider the amount of work produced and promptness of completion
Well below minimum standards; works
very slowly and/or waste time
Work output is satisfactory Able to meet standards does not
always give a consistent effort.
Below minimum standards; paces
self poorly or inefficient use of time
Well below minimum standards; works
very slowly and/or waste time
Cooperation: Consider ability to work with and get along with co-workers Consider ability to work with and get along with co-workers Consider ability to work with and get along with co-workers
Cooperates well, helpful, co-workers
like to work with student
Cooperates in a satisfactory manner Usually cooperates but may be
difficult to work with at times
Reluctant to cooperate, does not
mix well, difficult to work with
Causes friction inclined to be
quarrelsome
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Student Name: _______________________
Worksite: ______________________________ Please answer at the end of the student's work rotation with your business:
Would you hire the student if there was an opening in your company? Yes _____ No _____ If no, what are the primary barriers to employment?
_____ Lack of basic work skills _____ Requires too much support or supervision _____ Poor work quality
_____ Lack of needed social skills _____ Lack of emotional maturity _____ Work productivity issues

Employer Evaluation of Student Learner
: ________________ Teacher Name: _________________________________ Date
Teacher Summary and Input
Initiative Judgment Accept Supervision Attitude Attendance Job Knowledge Quality Quantity Cooperation
Last Current Last Current Last Current Last Current Last Current Last Current Last Current Last Current Last Current
Total Score
Is the student being subsidized by employer? (Check Yes to all the statements below apply)
Last
Consider if these factors apply when this student is compared with other students of similar age and experience
1.Is extra training require for student to learn new tasks?
Current
2.Does the student work at a slower rate?
3.Do they produce less work?
4.Is extra supervision required?
Grading Scale
5.Is adaptive equipment or workplace modifications required?
38+ A
33-37 B
6.Is the student difficult to work with unable to work with others?
27-32 C
22-26 D 7.Does the student require special treatment or is difficult to supervise?
21- E
8.Are the students work activities limited or reduced form what other in a similar position would do?
Additional Comments

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