Job Evaluation

Student:____________________________ Date:_________________________

Job Site:____________________________ Job Coach:_____________________

***Student Section***

Is this an If no, what Have you

acceptable improvements can improved
Job Skill rate for a you make? since your Comments:
hired last
employee? evaluation?
Appearance
 Hygiene Y/N Y/N
 Clean Clothes
 Bring Uniform
Punctuality
 Get on Bus
 Getting to Y/N Y/N
Designated Areas
 Switching Job Tasks
 Attending Work
Quality
 Complete Job Tasks
 Attention to Detail Y/N Y/N
 Safety
 Pace of Work
 Follow Directions
Attitude
 Pleasant/Happy
 Accept Comments Y/N Y/N
 Greet Co-workers
and customers
 Appropriate
Behavior
Independence
 Ask for help when
needed Y/N Y/N
 Little supervision
 Moves between job
tasks
Personal Goal

Y/N Y/N
 ***Job Coach Section***

Is this an If no, what Have they

acceptable improvements can improved
Job Skill rate for a be made? since your Comments:
hired last (Level of Assistance)
employee? evaluation?
Appearance Y/N Y/N
 Hygiene
 Clean Clothes Match w/ Match w/
 Bring Uniform Student Student
Y/N Y/N
Punctuality
 Get on Bus Y/N Y/N
 Getting to
Designated Areas Match w/ Match w/
 Switching Job Tasks Student Student
 Attending Work Y/N Y/N
Quality
 Complete Job Tasks Y/N Y/N
 Attention to Detail
 Safety Match w/ Match w/
 Pace of Work Student Student
 Follow Directions Y/N Y/N
Attitude
 Pleasant/Happy Y/N Y/N
 Accept Comments
 Greet Co-workers Match w/ Match w/
and customers Student Student
 Appropriate Y/N Y/N
Behavior
Independence
 Ask for help when Y/N Y/N
needed
 Little supervision Match w/ Match w/
 Moves between job Student Student
tasks Y/N Y/N
Personal Goal
Y/N Y/N

Match w/ Match w/
Student Student
Y/N Y/N

DATA TOTALS:

Total “yes” for acceptable level:___________( %) Total “yes” for improvement__________( %)

Total matches for acceptable level:_________( %) Total matches for improvement:_______( %)