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Evaluation of Student Job Performance
ATHS Work Experience Program
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Student Name *
Student Job Title and Job Description *
Dates of Employment (Month/Year) *
Company/Business Name *
Name & Title of Supervisor *
Supervisor Phone Number *
Supervisor Email Address *
Supervisor:  Please indicate a rating at the appropriate level for each question. *
1 - Low
2
3
4
5 - High
Not Applicable
Enthusiastic and shows initiative
Attitude toward job
Responds appropriately to challenges
Supervisor:  Please indicate a rating at the appropriate level for each question. *
1 - Low
2
3
4
5 - High
Not Applicable
Dependable, completes all work
Does more than expected, takes initiative
Takes pride in work
Consistently makes mature decisions
Supervisor:  Please indicate a rating at the appropriate level for each question. *
1 - Low
2
3
4
5 - High
Not Applicable
Speaks and performs professionally
Relationships with customers
Relationships with fellow employees
Relationships with management
Communication skills
Supervisor:  Please indicate a rating at the appropriate level for each question. *
1 - Low
2
3
4
5 - High
Not Applicable
Seeks to gain maximum from experience
Job skills high in quality and quantity
Attendance is regular
Always on time or early
Professional appearance
Please add comments or observations about this student's work. *
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