Computer scienec projet A8

822680.doc

PERFORMANCE ASSESSMENT FORM

Employee: Your_Name Department: Order/Report Care Specialist

Introduction: This assessment instrument is intended to provide the employee with feedback concerning both general and specific professional skills and competencies. You are asked to be objective and candid in your assessment and to discuss it with the intern. Assessment ratings range from 1 to 5 as follows:

1 Unsatisfactory (Never demonstrates this ability/does not meet expectations)

2 Uncomplimentary (Seldom demonstrates this ability/rarely meets expectations)

3 Fair (Sometimes demonstrates this ability/meets expectations)

4 Commendable (Usually demonstrates this ability/sometimes exceeds expectations)

5 Exceptional (Always demonstrates this ability/consistently exceeds expectations)

If any criteria are not applicable to this performance evaluation, please leave the response blank.

Please do not feel compelled to write comments in each section.

A. Ability to Learn

1. Observes and/or pays attention to others 1 2 3 X 5

2. Asks pertinent and purposeful questions 1 2 3 X 5

3. Seeks out and utilizes appropriate resources 1 2 X 4 5

4. Accepts responsibility for mistakes and learns from experiences 1 2 3 X 5

5. Open to new experiences; takes appropriate risks 1 2 3 X 5

Comments:

You could improve by asking for assistance a little more quickly. It is OK to admit you do not know how to do something

B. Reading/Writing/Computation Skills

1. Reads/comprehends/follows written materials 1 2 3 X 5

2. Communicates ideas and concepts clearly in writing 1 2 3 4 X

3. Works with mathematical procedures appropriate to the job 1 2 3 X 5

Comments:

Please keep up the good work!

C. Listening & Oral Communication Skills

1. Listens to others in an active and attentive manner 1 2 3 X 5

2. Comprehends and follows verbal instructions 1 2 3 X 5

3. Effectively participates in meetings or group settings 1 2 3 4 X

4. Demonstrates effective verbal communication skills 1 2 3 4 X

Comments:

Great!

D. Creative Thinking & Problem Solving Skills

1. Seeks to comprehend and understand the “big picture” 1 2 3 4 5

2. Breaks down complex tasks/problems into manageable pieces 1 2 3 4 5

3. Brainstorms/develops options and ideas 1 2 3 4 5

4. Respects input and ideas from other sources and people 1 2 3 4 5

5. Demonstrates an analytical capacity 1 2 3 4 5

Comments:

NA

E. Professional & Career Development Skills

1. Seeks to understand personal strengths and weaknesses 1 2 3 4 5

2. Exhibits self-motivated approach to work 1 2 3 4 5

3. Demonstrates ability to set appropriate priorities/goals 1 2 3 4 5

4. Exhibits professional behavior and attitude 1 2 3 4 5

5. Manages personal expectations consistent with work role 1 2 3 4 5

6. Shows interest in determining career direction 1 2 3 4 5

Comments:

NA

F. Interpersonal & Teamwork Skills

1. Relates to co-workers effectively 1 2 3 X 5

2. Manages and resolves conflict in an effective manner 1 2 3 X 5

3. Supports and contributes to a team atmosphere 1 2 3 X 5

4. Controls emotions in a manner appropriate for work 1 2 3 4 X

5. Demonstrates assertive but appropriate behavior 1 2 3 4 X

Comments:

Sales associates often ask that you be scheduled to work their shifts.

G. Organizational Effectiveness Skills

1. Seeks to understand and support the organization’s mission/goals 1 2 X 4 5

2. Fits in with the norms and expectations of the organization 1 2 X 4 5

3. Works within appropriate authority and decision-making channels 1 2 3 X 5

4. Demonstrates a sense of responsibility and confidentiality 1 X 3 4 5

5. Interacts effectively and appropriately with supervisor 1 2 X 4 5

Comments:

You need to improve the confidentiality of our customers. If someone tells you that they are in a difficult situation, you should not disclose what was said in the break room.

H. Basic Work Habits

1. Reports to work as scheduled 1 2 3 X 5

2. Is prompt in showing up to work and meetings 1 2 3 4 X

3. Exhibits a positive and constructive attitude 1 2 3 X 5

4. Dress and appearance are appropriate for this organization 1 2 3 X 5

Comments:

I. Character Attributes

1. Brings a sense of values and integrity to the job 1 2 3 4 X

2. Seeks to serve others even at the risk of personal inconvenience 1 2 3 X 5

3. Refrains from gossip/respects the privacy of others 1 2 3 X 5

4. Behaves in an ethical manner 1 2 3 4 X

5. Respects the diversity (religious/cultural/ethnic) of co-workers 1 2 3 4 X

Comments:

J. Open Category: Industry-Specific Skills

Are there any skills or competencies that you feel are important to the profession or career-field (represented by your organization) that have not been previously listed in this evaluation? If so, please list these skills below and assess the intern accordingly.

NA

1. 1 2 3 4 5

2. 1 2 3 4 5

3. 1 2 3 4 5

K. Overall Performance

Unsatisfactory Poor Average Good Outstanding

_X__ I have ___ I have not discussed this assessment with the employee.

Evaluator’s Signature: ___________________________________________Date: _________________

Title/Position: _______________________________________Telephone:_____________________