North Clackamas School District Work Experience Program Employer Evaluation Agreement/Sabin Schellenberg Land Lab Student Name:____________________________ Student ID #___________________ High School: CHS, MHS, RPHS, CWA Date of Evaluation:_________________________ (circle one) Supervisor Completing Evaluation:_______________________________ Students Workers will be evaluated at the end of the summer and on a quarterly basis during the school year. 1 – Significantly below expectations 2– Slightly below expectations 3– Meets expectations 4 – Exceeds expectations Professional Communication Displays appropriate verbal, non-verbal and listening skills on the job, telephone and social media. Knows and uses industry-appropriate vocabulary & terms. Refrains from profanity. Listens using active listening skills (eye contact, rephrasing, etc). Shares knowledge with others effectively through verbal description and demonstration. Reads technical/instructional materials for information and applies it to specific tasks. Accurately and legibly writes documentation in the Land Lab Journal and Medical Log. Regularly uses AET to document Technical Skills. Comment: 1 1 1 1 1 1 2 2 2 2 2 2 3 3 3 3 3 3 4 4 4 4 4 4 Productivity Completes work on time, looks for work to do, follows rules, directions and procedures, keeps work area neat & clean. Completes work on time and as required. Takes initiative to find additional tasks when done. Plans, organizes, and completes projects and assigned tasks on time, meeting agreed upon standards of quality. Avoids distractions. Efficient with work time and resources, finds better ways to accomplish tasks. Maintains regular attendance. Ready to work on time. Leaves on time. Comment: 1 1 2 2 3 4 3 4 1 1 2 2 3 4 3 4 Teamwork Works well with others, cooperates with supervisor, has a positive attitude, seeks to understand the view of others. Actively participates and contributes to team tasks; fulfills assigned role. Works well with others, respects differences, cooperates, does not cause conflict. Communicates well in group settings through active listening, taking turns, and contributing to team discussions. Comment: 1 1 1 2 2 2 3 3 3 4 4 4 Safety Follows industry-specific safety policies, practices and procedures. Follows personal, mechanical, chemical and/or environmental safety guidelines. Uses tools and equipment properly. Utilizes Personal Protective Equipment (PPE). Recognizes, responds to and/or reports unsafe equipment, conditions and practices. Maintains work areas that are clean and free from hazards. Comment: 1 1 1 1 2 2 2 2 3 3 3 3 4 4 4 4 1 1 2 2 3 3 4 4 Attitude Demonstrates a positive disposition, self-confidence and pride in self, program and work. Displays a welcoming, friendly and upbeat demeanor. Does their best, produces quality work. North Clackamas School District 6/23/16 Comment: Problem Solving Recognizes problems, analyzes alternatives, applies decision-making skills, develops and carries out a plan of action. Uses a problem-solving process by making a plan and using it to solve the problem. Researches solutions by seeking, finding and using multiple sources of relevant information. Demonstrates creativity by developing unique, inventive ways to solve problems, gets approval from a supervisor. Shows persistence by not giving up, but sticking to the task and working harder even when roadblocks frustrate the effort. Comment: 1 1 1 2 2 2 3 3 3 4 4 4 1 2 3 4 1 1 1 1 2 2 2 2 3 3 3 3 4 4 4 4 Attendance Attends work, starts and ends on time and makes arrangements for exceptions. Attends 95% or more of scheduled work shifts (excused and unexcused). Tardy for work no more than 3 times (excused and unexcused) during an evaluation period. Notifies Site Supervisor in advance of any absences or late arrival. Dressed appropriately, checks job board and is clocked in at the start time of shift. Comment: Respect Respect toward people: demonstrate care, value and courtesy for other people. Demonstrate positive attitude and behavior across differences. Respect toward animals: Demonstrate humane care of animals through feeding, watering, sheltering and handling. Respect toward things: use and maintain equipment and workplace properly. Treats everyone like they are the most important person. Refrains from harassment of any kind. Animals are well attended under their care. Practices active listening; speaks when appropriate. Uses personal and social technology in the right place, time and manner. Properly uses equipment and keeps workspaces clean and neat. Comment: 1 1 1 1 1 1 2 2 2 2 2 2 3 3 3 3 3 3 4 4 4 4 4 4 1 1 2 2 3 3 4 4 1 1 1 1 1 1 2 2 2 2 2 2 3 3 3 3 3 3 4 4 4 4 4 4 Appearance Dresses appropriately for the workplace. Displays cleanliness, good hygiene and appropriate grooming. Wears clothing suitable for the job, task and environment. Follows Land Lab dress code. Comment: Character Displays integrity, honesty, dependability and self-discipline. Takes responsibility for own actions. Is truthful, even if it hurts to do so. Maintains appropriate interpersonal relationships in the workplace. Refrains from taking things that belong to others or the workplace. Reports broken or damaged equipment or sick animals immediately. Takes notice of facility needs and initiates solutions. North Clackamas School District 6/23/16 Comment: Additional Comments: Recommendation: Continued Employment Continued Employment with the following goal during the next evaluation period:________________________________ Termination of Employment North Clackamas School District 6/23/16