Work-Based Learning/Internship Program s1

Training Plan / Evaluation page 2

Business & Industry Skills Achievement Level Comments 1. Has not reached this training area 2. Needs more training at school HVAC/Welding 3. Needs more training at the work site 4. Mastered skill Workplace Safety N/A 1 2 3 4

Use of Hand Tools N/A 1 2 3 4

Threaded Piping N/A 1 2 3 4

Light Maintenance/Filter N/A 1 2 3 4 Change

Soldering N/A 1 2 3 4

N/A 1 2 3 4

Soft Skills - (By program as determined by instructor from Employability Profile)

Speaks clearly & courteously to customers, co-workers, supervisors & 1 2 3 4 professionals. Actively listens to customers, co-workers and supervisors without 1 2 3 4 interrupting.

Asks for supervisory approval when appropriate. 1 2 3 4

Makes work-related decisions using sound judgment. 1 2 3 4

Arrives to work on time or calls in advance with an acceptable reason 1 2 3 4 for being late.

Does not miss scheduled work without calling in advance. 1 2 3 4

Communicates responsibly thoughts, feelings and ideas regarding work policies and procedures with 1 2 3 4 supervisor.

______NON-DISCRIMINATION NOTICE FOR STUDENTS AND PROSPECTIVE STUDENTS: Questar III does not discriminate on the basis of actual or perceived race, color, national origin, sex, disability, age, weight, ethnic group, religion, religious practice, sexual orientation, gender identity or expression, or other characteristic protected by federal or state law in its programs and activities, including but not limited to admission, access to and participation in educational programs, course offerings and student activities. Questar III provides equal access to the Boy Scouts of America and other designated youth groups. The following persons at Questar III have been designated to handle inquiries regarding Questar III’s non-discrimination policies and the application of regulations prohibiting discrimination:

TITLE IX COMPLIANCE OFFICER – QUESTAR III BOCES, 10 Empire State Blvd., Castleton, NY 12033 | 518-477-8771 504 COMPLIANCE OFFICER – QUESTAR III BOCES, 10 Empire State Blvd., Castleton, NY 12033 | 518-477-8771 SCHOOL ATTORNEY – QUESTAR III BOCES, 10 Empire State Blvd., Castleton, NY 12033 | 518-477-8771 Inquiries may be submitted by email to: [email protected].

For further information on notice of non-discrimination, or to inquire regarding the application of regulations prohibiting discrimination, contact the U.S. Department of Education, Office for Civil Rights.

Work-Based Learning Programs, Rev. 8/28/17 D-4