WORK PLACEMENT EVALUATION REPORT

Date :

Name
Company name
Address + Telephone
Position
Work placement counsellor
Job coach
Period
Work placement days

OPERATIONS

Transmission of building permits / associated operations to the archive, including data entry, moving archive folders to and from the archive
1 = good / 2 = more than adequate / 3 = adequate / 4 = point of particular attention / 5 = point of learning

QUALITY

/ 1 / 2 / 3 / 4 / 5 /

QUALITY

Good quality production / X / Poor quality production
Checks own work / X / Does not check own work
Notices mistakes / X / Does not notice mistakes

INDEPENDENCE

/ 1 / 2 / 3 / 4 / 5 /

INDEPENDENCE

Can operate independently / X / Cannot operate independently
Does not need to be checked[1] / X / Needs to be checked
Need not be supervised / X / Definitely needs to be supervised
Feels responsible for the work / X / Does not feel responsible for the work
Solves problems independently / X / Does not solve problems independently

PACE

/ 1 / 2 / 3 / 4 / 5 /

PACE

Works quickly / X / Works slowly
Has steady pace / X / Has irregular pace
Can cope with pressure at this pace[2] / X / Cannot cope with pressure at this pace

COOPERATION

/ 1 / 2 / 3 / 4 / 5 /

COOPERATION

Able to cooperate / X / Not able to cooperate
Makes contact with colleagues / X / Does not make contact with colleagues
Is helpful / X / Is not helpful
Asks for help / X / Does not ask for help
Able to deal with criticism[3] / X / Cannot cope with criticism
Follows up agreements / X / Does not follow up agreements

INITIATIVE

/ 1 / 2 / 3 / 4 / 5 /

INITIATIVE

Starts at own initiative / X / Does not start at own initiative
Sees that work needs doing[4] / X / Does not see work that needs doing
Does not sit and wait at the end of a task / X / Sits and waits at the end of a task
Asks for work / X / Does not ask for work

MOTIVATION

/ 1 / 2 / 3 / 4 / 5 /

MOTIVATION

Is motivated for this work / X / Is not motivated for this work

FLEXIBILITY

/ 1 / 2 / 3 / 4 / 5 /

FLEXIBILITY

Switches to other work quite easily /

X

/ Difficulty switching to other work
Can manage intermediate tasks / X / Cannot cope with intermediate tasks

APPEARANCE

/ 1 / 2 / 3 / 4 / 5 /

APPEARANCE

Looks smart and well groomed[5] / X / Does not look smart or well groomed
Reacts correctly / X / Does not react correctly
Is cheerful / X / Looks solemn

DEXTERITY

/ 1 / 2 / 3 / 4 / 5 /

DEXTERITY

Has good motor skills /

X

/ Has poor motor skills
Has good coarse motor skills / X / Has poor coarse motor skills
Has good fine motor skills / X / Has poor fine motor skills
Knows how to handle strength / X / Does not know how to handle strength
Operates machines safely/skilfully / X / Does not operate machines safely/skilfully
Uses tools safely/skilfully / X / Does not use tools safely/skilfully
Operates computer safety/skilfully / Does not operate computer safely/skilfully
Solves problems[6] / X / Does not solve problems

DISCIPLINE

/ 1 / 2 / 3 / 4 / 5 /

DISCIPLINE

Arrives on time / X / Does not arrive on time
Observes break times / X / Does not observe break times
Does not need additional breaks / X / Needs additional breaks
Observes company rules / X / Does not observe company rules
Is neat and organised / X / Is chaotic and untidy
Is accurate[7] / X / Is inaccurate

STRUCTURE

/ 1 / 2 / 3 / 4 / 5 /

STRUCTURE

Does not need time structure /

X

/ Needs time structure
Does not need location structure / X / Needs location structure
Does not need task structure / X / Needs task structure
Does not need social interaction structure / X / Needs social interaction structure

STRESS LEVELS

/ 1 / 2 / 3 / 4 / 5 /

STRESS LEVELS

Able to continue after disappointments / X / Cannot continue after disappointments
Remains calm in difficult situations / X / Becomes restless in difficult situations
Does not suffer from mood swings / X / Subject to frequent mood changes
Able to cope with changes / X / Reacts badly to change

CONCENTRATION

/ 1 / 2 / 3 / 4 / 5 /

CONCENTRATION

Able to concentrate /

X

/ Not able to concentrate
Retains concentration during routine tasks / X / Is easily distracted during routine tasks

ABILITY TO LEARN

/ 1 / 2 / 3 / 4 / 5 /

ABILITY TO LEARN

Learns easily / X / Has difficulty learning
Eager to learn / X / Does not like learning
Has insight into task / X / Does not have insight into task
Good memory / X / Poor memory
Does not need specific means of support / X / Needs specific means of support such as………………………………….

INSTRUCTIONS

/ 1 / 2 / 3 / 4 / 5 /

INSTRUCTIONS

One off explanation / X / Repeated explanations
Oral / X / Visualisation
Estimated wage/salary indication by employer (n/a)
 10%  20%  30%  40%  50%  60%  70%  80%
1 / 2 / 3 / 4 / 5
QUALITY / X / QUALITY
INDEPENDENCE / X / INDEPENDENCE
PACE / X / PACE
COOPERATION / X / COOPERATION
INITIATIVE / X / INITIATIVE
MOTIVATION / X / MOTIVATION
FLEXIBILITY / X / FLEXIBILITY
APPEARANCE / X / APPEARANCE
DEXTERITY / X / DEXTERITY
DISCIPLINE / X / DISCIPLINE
STRUCTURE / X / STRUCTURE
STRESS LEVELS / X / STRESS LEVELS
CONCENTRATION / X / CONCENTRATION
ABILITY TO LEARN / X / ABILITY TO LEARN
INSTRUCTIONS / X / INSTRUCTIONS

PRESENT during evaluation:

Employer/Client/Jobcoach

POINTS OF LEARNING FOR NEXT PERIOD:

Practical:
Computer skills (Word /Excel/ etc.)
Personal:
Taking initiative after consultation

AGREEMENTS

Work placement objective

To look at the extent to which, and with which components, the client is able to carry out the tasks of a junior archivist. This could be the basis for further training.
To this end the tasks will be extended in due course. Tasks that may be added include: post room operations, material support (archive), data input in computer.
Working times
From January the client is working 2 days again from 8.00 to 16.30 hrs.
Job coach
Job coach visits company once every three weeks.
Contract
Work placement contract runs until 1 June 2004, progress evaluation to take place in May.

1

[1]Depending on mood.

[2] Depending on mood.

[3]Is extreme perfectionist, not open to feedback

[4]Does not tackle work independently/ stimulate learning point own initiative by consultation

[5]Depending on mood

[6] Client can think of solution for a problem by consultation

[7]Condition for this type of work