Learning+Mentor+Report

Work-Based Learning Evaluation Report Trainee  Supervisor/Mentor Job Title  Agency **__ Directions __** : Evaluate the personal qualities below for your trainee. Score the student by using the numerical key below to mark the appropriate space. __List the specific job tasks that are performed by the student each grading period__. Rate the student’s performance using the numerical key below. Your report will be used in determining a grade and for counseling the trainee. Careful attention should be given so as to present a true picture of your trainee’s work and progress each grading period. ** Personal Qualities/Job Tasks Key:  ** Excellent (9-10) Good (6-8) Fair (3-5) Poor (1-2) Unacceptable (0)
 * **  Rating of Trainee for Year __________ - __________   **  ||

** Personal Qualities **
|||||||||||| **  Grading Period  **  ||
 * ^  ||  **   1   **  ||  **   2   **  ||  **   3   **  ||  **   4   **  ||  **   5   **  ||  **   6   **  ||
 * ** Attendance:  **   ||   Present and on time    ||     ||     ||     ||     ||     ||     ||
 * ^  ||   Begins work promptly   ||     ||     ||     ||     ||     ||     ||
 * ** Appearance:  ** Clean, neat appearance, poise, orderly   ||   ||   ||   ||   ||   ||     ||
 * ** Dependability:  ** Able to work with little supervision, follows instructions, consistent    ||   ||   ||   ||   ||   ||     ||
 * ** Leadership:  ** Aggressive, eager to learn, resourceful, good judgment, able to inspire others   ||   ||   ||   ||   ||   ||     ||
 * ** Thoroughness:  ** Accurate, careful, completes work   ||   ||   ||   ||   ||   ||     ||
 * ** Ability To Get Along With Others:  ** Tactful, friendly, cooperative   ||   ||   ||   ||   ||   ||     ||
 * ** Social Habits:  ** Good attitude, self-control, honesty   ||   ||   ||   ||   ||   ||     ||
 * ** Willingness to Work:  ** Works overtime, performs extras    ||   ||   ||   ||   ||   ||     ||
 * ==== ** Progressive Job Tasks  ** ====

// (List specific job tasks performed from Training Plan. // )
|||||||||||| **   Grading Period   **  || Evaluator’s Signature: ____________________________________ Date: _________________________________
 * ^  ||  **   1   **  ||  **   2   **  ||  **   3   **  ||  **   4   **  ||  **   5   **  ||  **   6   **  ||
 * ** TOTAL  ** (**// Personal //**// ** Qualities + Job Tasks) ** //   ||   ||   ||   ||   ||   ||   ||
 * **  Average: Total ÷Total Possible Points   ** ||   ||   ||   ||   ||   ||   ||
 * ** TOTAL  ** (**// Personal //**// ** Qualities + Job Tasks) ** //   ||   ||   ||   ||   ||   ||   ||
 * **  Average: Total ÷Total Possible Points   ** ||   ||   ||   ||   ||   ||   ||
 * ** TOTAL  ** (**// Personal //**// ** Qualities + Job Tasks) ** //   ||   ||   ||   ||   ||   ||   ||
 * **  Average: Total ÷Total Possible Points   ** ||   ||   ||   ||   ||   ||   ||
 * ** TOTAL  ** (**// Personal //**// ** Qualities + Job Tasks) ** //   ||   ||   ||   ||   ||   ||   ||
 * **  Average: Total ÷Total Possible Points   ** ||   ||   ||   ||   ||   ||   ||
 * ** TOTAL  ** (**// Personal //**// ** Qualities + Job Tasks) ** //   ||   ||   ||   ||   ||   ||   ||
 * **  Average: Total ÷Total Possible Points   ** ||   ||   ||   ||   ||   ||   ||
 * ** TOTAL  ** (**// Personal //**// ** Qualities + Job Tasks) ** //   ||   ||   ||   ||   ||   ||   ||
 * **  Average: Total ÷Total Possible Points   ** ||   ||   ||   ||   ||   ||   ||