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Name: ______________________________________________
Age: ____________________________________________________
Birthday: _____________________________________________
Grade: _________________________________________________
Teacher (1): ___________________________________________
Teacher (2): ___________________________________________
Teacher (3): ____________________________________________
Job Title:
________________________________________________

Job Supervisor (1):


_____________________________________

Job Supervisor (2): _____________________________________

I agree that I will take my job seriously. This means that I will always do these things when I come in
to work:

____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________

Special charts will help me to evaluate myself and also be evaluated by my teachers and/or
supervisors on the tasks mentioned above.

________________________
Student

_________________________
teacher

_________________________
Supervisor

Student Evaluation Form

Please evaluate the students performance and progress. This can completed by
supervisor and/or teachers.
Student Name:
_________________________________
Job Title:
_______________________________
Date:

Supervisor/TeacherInitial:

HowdidIdo?

GreatJustNeedtoIdidnt
OkayImprovedoit

Self-Evaluation Form

Please fill in the date, the task that you are evaluating, and just one bubble for each!
Name:
_________________________________
Job Title:
_______________________________
Supervisor:
_____________________________
Date:

DailyTasks:

HowdidIdo?

GreatJustNeedtoIdidnt
OkayImprovedoit

Created by:

Mr. Stephen Torres-Esquer

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