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Service Request
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Contact
Services
Rates
Testimonials
Employee Area
Evaluation
Employee Self Evaluation Form
Please fill out this form to the best of your ability. We appreciate your cander :)
Name
*
First Name
Last Name
Email
*
Position(s)
*
Supervisor's Name
*
Availability
*
What hours are you available to work?
Full Time Hours
Part Time Hours
Casual Hours
Goal Setting
What is something you feel you need to improve upon?
Please answer the following questions using this scale
*
1) My performance does not meet work requirements 2) My performance does not fully meet work requirements 3) My performance meets basic work requirements most of the time 4) My performance fully meets work requirements 5) My performance consistently exceeds work requirements
I understand this scale
Specific Job Functions and Competancies
I maintain a professional appearance (Casual Friday)
*
1
2
3
4
5
I work well with others
*
1
2
3
4
5
I follow guidelines set by my supervisor(s)
*
1
2
3
4
5
I maintain professional boundaries
*
1
2
3
4
5
I contact all parties involved prior to drive
*
1
2
3
4
5
My contact notes are completed in a timely manner
*
1
2
3
4
5
My notes comply with all company guidelines (2021)
*
1
2
3
4
5
My notes are sufficiently detailed
*
1
2
3
4
5
I proof read all notes for spelling and grammar
*
1
2
3
4
5
Vehicle Safety
My vehicle is mechanically maintained and serviced regularly
*
Yes
No
I carry all the necessary supplies and equipment in my vehicle
*
Yes
No
Organizational Responsibilities
I have knowledge of and adhere to all policies and procedures of the organization pertaining to my job duties
*
1
2
3
4
5
I respect the rights of Persons Served
*
1
2
3
4
5
I am on time for all appointments, drives and work shifts
*
1
2
3
4
5
I complete all required training on time
*
1
2
3
4
5
I Ensure that all administrative and/or personal records pertaining to my job duties are maintained in a clear, complete, accurate and legible manner
*
1
2
3
4
5
Thank you!
