S A M P L E | E VA L UAT I O N I
EMPLOYER’S EVALUATION OF APPRENTICE
CHARLOTTE-MECKLENBURG SCHOOLS
Grading Period ____ (Insert Dates)
Please return to CMS Apprenticeship Coordinator by Month Day, 200__
Name of Apprentice:
Position:
Company:
Evaluator:
Completing this evaluation will assist the Apprenticeship Coordinator in helping the student to be an effective employee.
The work experience provided is part of the school’s instructional program. Your rating is used in determining the final
grade for this student. Please attach additional comments or a copy of your company evaluation if you think it necessary
to give an accurate picture of this apprentice’s performance.
EVALUATION SCALE
Well Above Standard (93 – 100)
At Standard (77 – 84)
Above Standard (85 – 92)
Below Standard (70 – 76)
Unsatisfactory (Below 70)
Designate the apprentice’s grade for each item by indicating a number score based on the scale above.
Please complete this evaluation based on how well the apprentice meets company expectations concerning:
SCORE
94
EXAMPLE: Attendance (Where student is in the “A” range, but has room for improvement)
1.
Attendance
2.
Punctuality
3.
Initiative
4.
Producing quality work
5.
6.
Learning job skills as listed in the NC Department of Labor work process
Good housekeeping / Safety
7.
Attitude
8.
Dependability
9.
Adaptability/flexibility
10.
Using good judgment
11.
Effective communication skills
12.
Cooperation
13.
Honesty/Integrity
14.
Getting along with others
15.
Personal Appearance
Overall rating of apprentice (Circle one)
A
B
C
D
F
Evaluator’s Comments
Evaluator’s Signature
Evaluator’s Title
Date
SECTION II
41
42
SECTION II
Signature of
Evaluator:
B
C
D
Work Habits & Personality Traits
Maintains positive attitude
Fosters positive working relationships
Uses feedback constructively
Follows company policies
Produces quality work
B
C
D
20___
1
2
3
4
5
6
7
8
9
Apprentice’s Signature:
Date:
Supervisor’s Signature:
Hourly Wage:
Month
Totals
Accum
Hours
Date:
Total Wages for
Month:
10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Day of the Month
The above is a true representation of time spent in the types of on-the-job training as shown. At the end of the month,
the apprentice and his supervisor will sign this report, verifying the hours spent in each area and the wages. Please
return this report to the school or apprenticeship coordinator.
Total Hours
10.
9. Mobile Hydraulic Systems
Inspection
8. Preventive Maintenance
7. Heating & Air Conditioning
6. Electrical/Electronic Systems
5. Brakes
4. Suspension and Steering
3. Drive Train
2. Diesel Engines
1. Safety
On-the-Job Training
(Work Process)
INSTRUCTIONS: The apprentice will enter the hours spent working in each aspect of the training plan in the column relating to the day of the month.
North Carolina Department of Labor Apprenticeship Training Record for Heavy Equipment/Heavy Truck Technician
A
A
Month:
Note: Using chart below, please rate the students as accurately as possible by placing a check in the appropriate column.
A = Excellent
B = Good
C = Fair
D = Poor
Work Habits & Personality Traits
Reports to work promptly/good attendance
Demonstrates honesty/integrity
Maintains interest and enthusiasm
Demonstrates dependability
Demonstrates initiative
Comments:
Fax:
Employer:
Phone:
School:
Employer’s Evaluation of High School Apprentice
Apprentice’s Name:
S A M P L E | E VA L UAT I O N I I