Staff Evaluation
2021
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Staff Name
*
First Name
Last Name
Evaluation completed by
First Name
Last Name
Evaluator's position in the company
*
SELECT ONE
CEO / DIRECTOR
ADMIN MANAGER
Ability to provide safety for all youth in care?
*
1
2
3
4
5
6
7
8
9
10
POOR
EXCELLENT
1 is POOR, 10 is EXCELLENT
Administration Skills and Performance?
*
1
2
3
4
5
6
7
8
9
10
POOR
EXCELLENT
1 is POOR, 10 is EXCELLENT
Driving Company Vehicle Performance?
*
1
2
3
4
5
6
7
8
9
10
POOR
EXCELLENT
1 is POOR, 10 is EXCELLENT
Interaction with the youth in care?
*
1
2
3
4
5
6
7
8
9
10
POOR
EXCELLENT
1 is POOR, 10 is EXCELLENT
Ability to show up to work on time?
*
1
2
3
4
5
6
7
8
9
10
POOR
EXCELLENT
1 is POOR, 10 is EXCELLENT
Communication with agency issues effectively?
*
1
2
3
4
5
6
7
8
9
10
POOR
EXCELLENT
1 is POOR, 10 is EXCELLENT
Has employee had any investigations him/her?
*
Yes
No
Has employee performed duties according to the agency Policy & Procedures?
*
Yes
No
Has employee completed 24 hours of DCS required Direct Care Staff Training?
*
Yes
No
Staff Evaluation Notes
Performance Measurable Goals For Staff
Employee Strengths
Staff Feedback
Employee's Email
*
Employee@brothersandkeepers.com
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