Community Transition Program Work Evaluation

Student: ______School Year: ______Semester: 1 2 Work Site: ______Evaluator: ______STUDENT’S WORK SITE GOAL: ______Met_____ Unmet_____ Comments on Goal: ______Please rate the student using the following rating scale: 4=Excellent (Demonstrates the behavior consistently, with minimal need for reminders or corrections) 3=Good (Demonstrates the behavior most of the time, with some need for reminders or corrections) 2=Needs Improvement (Demonstrates the behavior inconsistently, with much need for reminders or corrections) 1=Poor (Demonstrates the behavior infrequently, with constant need for reminders or corrections)

Work Behavior Rating Comments Overall Avg. / I. Work Attitude 4= a) Shows interest & 1 2 3 4 enthusiasm b) Takes initiative (seeks 1 2 3 4 more work) c) Understands & follows 1 2 3 4 workplace policies & expectations d) Adapts well to different 1 2 3 4 situations (flexible) Overall Avg. / II. Social Skills 7= a) Accepts feedback & 1 2 3 4 corrections from supervisors & others b) Uses appropriate 1 2 3 4 language c) Shows respect for others 1 2 3 4 & property d) Gets along with co- 1 2 3 4 workers e) Keeps topics appropriate 1 2 3 4 & relevant

CTP, 2/17/15 f) Solves problems 1 2 3 4 effectively g) Works as a team player 1 2 3 4 Overall Avg. / III. Quantity/Quality of 5= Work a) Completes expected 1 2 3 4 amount of work on time b) Adapts to increases in 1 2 3 4 workload c) Makes appropriate 1 2 3 4 choices & decisions d) Recognizes & corrects 1 2 3 4 mistakes e) Produces quality work 1 2 3 4 Overall Avg. / IV. Dependability 7= a) Comes to work every day 1 2 3 4 b) Arrives on time 1 2 3 4 c) Works independently 1 2 3 4 d) Follows directions 1 2 3 4 e) Stays on task for entire 1 2 3 4 shift f) Calls in when unable to 1 2 3 4 work or running late g) Works safely 1 2 3 4 Overall Avg. / V. Self-Help Skills 5= a) Dresses appropriately 1 2 3 4 b) Uses good hygiene & 1 2 3 4 grooming skills c) Communicates effectively 1 2 3 4 d) Asks questions when 1 2 3 4 necessary e) Accesses transportation 1 2 3 4 appropriately

Total Score: /112 = %

Average Score: Total/28 =

CTP, 2/17/15