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Supervisor's Information
Full Name
Email Address
Student Coordinator's Information
(optional, if you would like them to receive a copy)
Full Name
Work Email Address
Student Employee's Information
Full Name
Position Title
Reliability
Was the employee flexible and helpful to staff members? Was the employee dependable?
Please rate the employee's reliability on a scale of 1-4
(1) unacceptable, (2) needs improvement, (3) meets expectations, (4) exceeds expectations
1
2
3
4
Knowledge
Did the employee have knowledge of job responsibilities and tasks? Did the employee ask questions when needed? What tasks can the employee improve on or needs to be re-trained on?
Please rate the employee's knowledge on a scale of 1-4
(1) unacceptable, (2) needs improvement, (3) meets expectations, (4) exceeds expectations
1
2
3
4
Initiative
Did the employee take initiative to start and complete projects or work on their own?
Please rate the employee's initiative on a scale of 1-4
(1) unacceptable, (2) needs improvement, (3) meets expectations, (4) exceeds expectations
1
2
3
4
Decision Making
Did the employee have good decision-making abilities? Did they make good judgements? Can the employee make decisions on their own? Did the employee maintain confidentiality as needed?
Please rate the employee's decision making abilities on a scale of 1-4
(1) unacceptable, (2) needs improvement, (3) meets expectations, (4) exceeds expectations
1
2
3
4
Attitude
What type of attitude did the employee bring to the staff?
Please rate the employee's attitude on a scale of 1-4
(1) unacceptable, (2) needs improvement, (3) meets expectations, (4) exceeds expectations
1
2
3
4
Communication
Did the employee communicate well verbally and in written form? Did the employee communicate with their supervisor, staff and customers as frequently as it was needed? Did the employee listen well and was receptive to constructive criticism?
Please rate the employee's communication on a scale of 1-4
(1) unacceptable, (2) needs improvement, (3) meets expectations, (4) exceeds expectations
1
2
3
4
Notables
Examples of positive work or disciplinary documentation
Diversity & Inclusion Event(s)
Did the employee attend two diversity & inclusion events this year? Please explain how the requirement was fulfilled.
Note:
Students who were hired midway through the year only need to attend one event. Students hired midway through the spring semester do not need to attend an event.
Volunteer Service Hours
Did the employee complete two service hours this year? Please explain how the requirement was fulfilled.
Note:
Students who were hired midway through the year only need to complete one hour of service. Students hired midway through the spring semester do not need to perform any service.
Looking Ahead
What are position-related goals for the upcoming semester?
Do you agree that the employee's performance has been satisfactory, and do you recommend that they receive a merit raise?
Yes
No
This form was completed by
Once you hit submit, you will receive a copy of this form in the email you indicated above. Please retain a copy and review with your student employee.
Ensure the form is signed and dated by both the full-time supervisor and the employee upon completion.
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