"Supervisor's Weekly Report Form - Community Based Assessment - Example" - Nevada

Supervisor's Weekly Report Form - Community Based Assessment - Example is a legal document that was released by the Nevada Department of Employment, Training and Rehabilitation - a government authority operating within Nevada.

Form Details:

  • Released on June 1, 2014;
  • The latest edition currently provided by the Nevada Department of Employment, Training and Rehabilitation;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Nevada Department of Employment, Training and Rehabilitation.

ADVERTISEMENT
ADVERTISEMENT

Download "Supervisor's Weekly Report Form - Community Based Assessment - Example" - Nevada

1071 times
Rate (4.7 / 5) 64 votes
Community Based Assessment – Supervisor’s Weekly Report: Example #1
Participant
Week of:
Work Site:
Job Title:
Attendance:
Attended per work schedule: Yes
No
Called/Excused, if absent:
Yes
No
N/A
Comments: ______________________________________________________________________
Punctuality:
Arrived at work on time every day:
Yes
No
Returned from lunch/breaks on time: Yes
No
Comments: ______________________________________________________________________
Appearance /Grooming / Hygiene:
Exceeded Expectations
Met Expectations
Below Expectations
Comments: ______________________________________________________________________
Learning of Duties / Ability to Focus on Work / Level of Supervision Needed:
Exceeded Expectations
Met Expectations
Below Expectations
Comments: ______________________________________________________________________
Cooperation / Following Rules & Instructions:
Exceeded Expectations
Met Expectations
Below Expectations
Comments: ______________________________________________________________________
Working Relationships (e.g., interactions with others, helpfulness, positive attitude, teamwork):
Exceeded Expectations
Met Expectations
Below Expectations
Comments: ______________________________________________________________________
Work Quality:
Exceeded Expectations
Met Expectations
Below Expectations
Comments: ______________________________________________________________________
Work Production (Quantity):
Exceeded Expectations
Met Expectations
Below Expectations
Comments: ______________________________________________________________________
Other (Specify):________________________________________________________________
______________________________________________________________________________
________________________
______________________
_________________________
Job Developer Signature/Date
Supervisor Signature/Date
Participant Signature/Date
6-1-14
Community Based Assessment – Supervisor’s Weekly Report: Example #1
Participant
Week of:
Work Site:
Job Title:
Attendance:
Attended per work schedule: Yes
No
Called/Excused, if absent:
Yes
No
N/A
Comments: ______________________________________________________________________
Punctuality:
Arrived at work on time every day:
Yes
No
Returned from lunch/breaks on time: Yes
No
Comments: ______________________________________________________________________
Appearance /Grooming / Hygiene:
Exceeded Expectations
Met Expectations
Below Expectations
Comments: ______________________________________________________________________
Learning of Duties / Ability to Focus on Work / Level of Supervision Needed:
Exceeded Expectations
Met Expectations
Below Expectations
Comments: ______________________________________________________________________
Cooperation / Following Rules & Instructions:
Exceeded Expectations
Met Expectations
Below Expectations
Comments: ______________________________________________________________________
Working Relationships (e.g., interactions with others, helpfulness, positive attitude, teamwork):
Exceeded Expectations
Met Expectations
Below Expectations
Comments: ______________________________________________________________________
Work Quality:
Exceeded Expectations
Met Expectations
Below Expectations
Comments: ______________________________________________________________________
Work Production (Quantity):
Exceeded Expectations
Met Expectations
Below Expectations
Comments: ______________________________________________________________________
Other (Specify):________________________________________________________________
______________________________________________________________________________
________________________
______________________
_________________________
Job Developer Signature/Date
Supervisor Signature/Date
Participant Signature/Date
6-1-14
Community Based Assessment – Supervisor’s Weekly Report Example #2
Participant Name _________________________________________________ Case #:_______________
Work Site ____________________________________________
Job Title:_________________________
KEY:
Unacceptable+1 Needs Improvement=2 Average=3 Above Average=4 Outstanding=5
FOR THE WEEK OF:
COMMENTS SECTION
RATING
1. ATTENDANCE
2. PUNCTUALITY
3. GROOMING/HYGIENE
Participant dresses appropriately for job
Hair is groomed neatly and appropriately
Beard/Moustache trimmed neatly
Demonstrates good hygiene
4. FOLLOWING DIRECTIONS
Instructions are followed correctly
Asks questions if necessary
5. QUALITY OF WORK
Completes work neatly and accurately
Errors are corrected
6. WORK QUANTITY
All assigned work completed within time frame
Quantity of work complete according to instructions given
Works to increase productivity
7. DEPENDABILITY
Initiative demonstrated in completing a task
If minimal instructions were given, participant uses good
judgment in
completing a task
Work assignments completed without constant supervision
8. WORKING RELATIONSHIPS
Gives help to co-workers, if requested or needed
Readily asks for help from co-workers
Shows a positive attitude when working with co-workers
9. WORK BEHAVIOR
Participant exhibits a positive attitude about work
Cooperative, friendly, readily accepts work and willing to listen
to new ideas
10. FOLLOWING RULES OF THE WORKPLACE
Participant is aware of and follows rules of the workplace
Complies with all safety regulations
11. ACCEPTING OF SUPERVISION
Given feedback from supervisor, the participant listens to seek
clarification.
12: PROBLEM SOLVING
Uses systematic approach to solving problems (Steps: identify
problem, conflict areas, options for resolution, selecting the
best option.)
Has ability to multi-task
_________________________
____________________________
______________________
Job Developer Signature/Date
Supervisor/Rater Signature/Date
Participant Signature/Date
6-1-14
Page of 2