Ascend Employee Evaluation Form 08
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Ascend
Good Kids With Bad Behaviors!! Employee Evaluation Form Name:
SSN:
Date of Hire:
Date of Review
Supervisor:
Date of Last Review
1= Unsatisfactory 3= Satisfactory 5= Significantly exceeds expectations
Rating System 2= Needs Improvement 4= Exceeds expectations
1.
Quality of Employee’s Clinical/Life Skills work
2.
Comments____________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________
3.
Exercise of good judgment and Assessment
4.
Comments____________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________
5.
Attendance
6.
Comments____________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________
7.
Attention to company policies and procedures
12641 South Vincennes Blue Island, Illinois 60406
(708) 597-3065 (866) 883 9952 fax
[email protected]
www.Ascend.nu
Ascend
Good Kids With Bad Behaviors!! 8.
Comments____________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________
9.
Taking initiative to achieve goals and complete assignments
10.
Comments____________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________
11.
Responsiveness to changing work requirements
12.
Comments____________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________
13.
Work ethic
14.
Comments____________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________
15.
Overall performance rating
16.
Comments____________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________
Relationship with Clinical Supervisor
12641 South Vincennes Blue Island, Illinois 60406
(708) 597-3065 (866) 883 9952 fax
[email protected]
www.Ascend.nu
Ascend
Good Kids With Bad Behaviors!! ________________________________________________________________________________ ________________________________________________________________________________ ______________________________________ Areas of Strength: ______________________________________________________________________________ Areas of Improvement: ______________________________________________________________________________ Date: Supervisor’s Signature Employee’s Comments: ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ___________________________________________________
Date: Employee’s Signature
12641 South Vincennes Blue Island, Illinois 60406
(708) 597-3065 (866) 883 9952 fax
[email protected]
www.Ascend.nu
Ascend
Good Kids With Bad Behaviors!! Appendix 1: Establishment of Objectives for the coming year With reference to the position responsibilities, listed below the goals, objectives, projects, and/or special assignments which should be continued and/or completed in the coming year. It is understood that the goals, objectives, etc are subject to adjustment or changes as situations and priorities change. Attach a copy to the employee evaluation. Goals Objectives/ Major duties/ Projects/ Special Assignments 1.___________________________________________________________________________ 2.___________________________________________________________________________ 3.___________________________________________________________________________ Executive Directors Signature___________________________________ Date: ______ Employee Signature: ___________________________________________ Date: ______
12641 South Vincennes Blue Island, Illinois 60406
(708) 597-3065 (866) 883 9952 fax
[email protected]
www.Ascend.nu
Good Kids With Bad Behaviors!! Employee Evaluation Form Name:
SSN:
Date of Hire:
Date of Review
Supervisor:
Date of Last Review
1= Unsatisfactory 3= Satisfactory 5= Significantly exceeds expectations
Rating System 2= Needs Improvement 4= Exceeds expectations
1.
Quality of Employee’s Clinical/Life Skills work
2.
Comments____________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________
3.
Exercise of good judgment and Assessment
4.
Comments____________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________
5.
Attendance
6.
Comments____________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________
7.
Attention to company policies and procedures
12641 South Vincennes Blue Island, Illinois 60406
(708) 597-3065 (866) 883 9952 fax
[email protected]
www.Ascend.nu
Ascend
Good Kids With Bad Behaviors!! 8.
Comments____________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________
9.
Taking initiative to achieve goals and complete assignments
10.
Comments____________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________
11.
Responsiveness to changing work requirements
12.
Comments____________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________
13.
Work ethic
14.
Comments____________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________
15.
Overall performance rating
16.
Comments____________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________
Relationship with Clinical Supervisor
12641 South Vincennes Blue Island, Illinois 60406
(708) 597-3065 (866) 883 9952 fax
[email protected]
www.Ascend.nu
Ascend
Good Kids With Bad Behaviors!! ________________________________________________________________________________ ________________________________________________________________________________ ______________________________________ Areas of Strength: ______________________________________________________________________________ Areas of Improvement: ______________________________________________________________________________ Date: Supervisor’s Signature Employee’s Comments: ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ___________________________________________________
Date: Employee’s Signature
12641 South Vincennes Blue Island, Illinois 60406
(708) 597-3065 (866) 883 9952 fax
[email protected]
www.Ascend.nu
Ascend
Good Kids With Bad Behaviors!! Appendix 1: Establishment of Objectives for the coming year With reference to the position responsibilities, listed below the goals, objectives, projects, and/or special assignments which should be continued and/or completed in the coming year. It is understood that the goals, objectives, etc are subject to adjustment or changes as situations and priorities change. Attach a copy to the employee evaluation. Goals Objectives/ Major duties/ Projects/ Special Assignments 1.___________________________________________________________________________ 2.___________________________________________________________________________ 3.___________________________________________________________________________ Executive Directors Signature___________________________________ Date: ______ Employee Signature: ___________________________________________ Date: ______
12641 South Vincennes Blue Island, Illinois 60406
(708) 597-3065 (866) 883 9952 fax
[email protected]
www.Ascend.nu
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