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Work Immersion PERFORMANCE EVALUATION FORM

The document is a performance evaluation form for a student in a work immersion program. It evaluates the student across several competencies, including communication, cooperation, dependability, initiative, job knowledge, and behavioral factors. For each competency, the student's supervisor rates their performance on a scale of 1 to 5 for various criteria within that competency. At the end, the supervisor calculates the student's grand total score, number of ratings, and average point score. The student and supervisor then sign the completed evaluation.

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She Real Lean
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916 views

Work Immersion PERFORMANCE EVALUATION FORM

The document is a performance evaluation form for a student in a work immersion program. It evaluates the student across several competencies, including communication, cooperation, dependability, initiative, job knowledge, and behavioral factors. For each competency, the student's supervisor rates their performance on a scale of 1 to 5 for various criteria within that competency. At the end, the supervisor calculates the student's grand total score, number of ratings, and average point score. The student and supervisor then sign the completed evaluation.

Uploaded by

She Real Lean
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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PERFORMANCE EVALUATION FORM

SHS WORK IMMERSION


Employee Name: _______ _______________________________ Grade & Section: ______________________
Office: _______________________________ Review Period: ______________________
Name of Industry Supervisor: _______________________________ Position: ______________________
PERFORMANCE COMPETENCIES
Kindly encircle the number that most objectively describe the level of his/her performance as identified under
categories on which 1 being the lowest and 5 the highest.
COMMUNICATIONS
Expresses ideas and thoughts verbally 1 2 3 4 5
Exhibits good listening and comprehension 1 2 3 4 5
Keeps others adequately informed 1 2 3 4 5
Uses appropriate communication methods 1 2 3 4 5
Present data effectively 1 2 3 4 5

COOPERATION
Establishes and maintains effective relations 1 2 3 4 5
Exhibits tact and consideration 1 2 3 4 5
Displays positive outlook and pleasant manner 1 2 3 4 5
Offers assistance and support to co-workers 1 2 3 4 5
Works cooperatively in group situations 1 2 3 4 5
Works actively to resolve conflicts 1 2 3 4 5

DEPENDABILITY
Responds to requests for service and assistance 1 2 3 4 5
Follows instructions, responds to management direction 1 2 3 4 5
Takes responsibility for own action 1 2 3 4 5
Commits to doing best job possible 1 2 3 4 5
Keeps commitments 1 2 3 4 5
Meets attendance and punctuality guidelines 1 2 3 4 5

INITIATIVE
Volunteers readily 1 2 3 4 5
Undertakes self-development activities 1 2 3 4 5
Seeks increased responsibilities 1 2 3 4 5
Takes independent actions and calculated risks 1 2 3 4 5
Looks for takes advantage of opportunities 1 2 3 4 5
Asks for help when needed 1 2 3 4 5

JOB KNOWLEDGE
Competent in required job skills and knowledge 1 2 3 4 5
Exhibits ability to learn and apply new skills 1 2 3 4 5
Keeps abreast of current developments 1 2 3 4 5
Requires minimal supervision 1 2 3 4 5
Display understanding of how job relates to others 1 2 3 4 5
Uses resources effectively 1 2 3 4 5

BEHAVIORAL FACTORS
Courtesy 1 2 3 4 5
Human Relations 1 2 3 4 5
Integrity 1 2 3 4 5
Stress Tolerance 1 2 3 4 5
Compliance to Office Rules and Regulations 1 2 3 4 5
Punctuality and Attendance 1 2 3 4 5
Grand Total (GT): _______
No. of Ratings (Constant): _______
AVERAGE POINT SCORE: _______

__________________________________________ _________________________________________________________________
Student's Signature over Printed Name Industry Supervisor's Signature over Printed Name

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