(SAMPLE) Work-Based Learning Evaluation Report Trainee Supervisor/Mentor Job Title Agency Directions: Evaluate the personal qualities below for your trainee. Rate the performance by using the numerical key below to mark the student’s appropriate space. List the specific job tasks that are performed by the student each grading period. Your report will be used in determining a grade and for counseling the trainee. Careful attention should be given so as to present a true picture of your work and progress each grading period. trainee’s Essential Skills/Job Tasks Key: Excellent (9-10) Good (6-8) Fair (3-5) Poor (1-2) Unacceptable (0) Rating of Trainee for Year __________ - __________ Grading Period 1 2 3 4 5 6 Essential Skills Attendance: Attendance: Present and on time, begins work promptly Appearance: Work dress, grooming, lean, and general appearance, etc. Dependability: Able to work with little supervision, follows instructions, consistent, etc. Leadership: Initiative, eager to learn, resourceful, good judgment, able to inspire others, etc. Thoroughness: Accurate, careful, completes work, etc. Ability To Get Along With Others: Tactful, friendly, cooperative, etc. Transferable Job Skills: Good attitude, self-control, honesty, etc. Work Ethics: Works overtime, performs extras, etc. Grading Period Progressive Job Tasks 1 2 3 4 5 6 (List specific job tasks performed from Training Plan.) TOTAL (Personal Qualities + Job Tasks) Average: Total ÷Total Possible Points Date: _________________________________ Evaluator’s Signature: ____________________________________
(SAMPLE) Work-Based Learning Evaluation Report Trainee Supervisor/Mentor Job Title Agency Directions: Evaluate the personal qualities below for your trainee. Rate the student’s performance by using the numerical key below to mark the appropriate space. List the specific job tasks that are performed by the student each grading period. Your report will be used in determining a grade and for counseling the trainee. Careful attention should be given so as to present a true picture of your trainee’s work and progress each grading period. Essential Skills/Job Tasks Key: Excellent (9-10) Good (6-8) Fair (3-5) Poor (1-2) Unacceptable (0) Rating of Trainee for Year __________ - __________ Essential Skills Grading Period 1 2 3 4 5 6 Attendance: Attendance: Present and on time, begins work promptly Appearance: Work dress, grooming, lean, and general appearance, etc. Dependability: Able to work with little supervision, follows instructions, consistent, etc. Leadership: Initiative, eager to learn, resourceful, good judgment, able to inspire others, etc. Thoroughness: Accurate, careful, completes work, etc. Ability To Get Along With Others: Tactful, friendly, cooperative, etc. Transferable Job Skills: Good attitude, self-control, honesty, etc. Work Ethics: Works overtime, performs extras, etc. Progressive Job Tasks (List specific job tasks performed from Training Plan.) Grading Period 1 2 3 4 5 6 TOTAL (Personal Qualities + Job Tasks) Average: Total ÷Total Possible Points Evaluator’s Signature: ____________________________________ Date: _________________________________
W-B-L%20MANUAL.docx