Supervisor Assessment – H&HS Mentoring

In order to gain as much information as possible on this candidate, we would appreciate your honest assessment of their work performance and their potential to succeed in the Mentoring Program. Please provide the following information to determine eligibility of the applicant:

* Indicates a required field

H&HS Team Member Name*

First Last

I am currently the immediate supervisor of the above listed H&HS Team Member.

How long has the candidate worked directly for you?*

Hire date as career Team Member in H&HS*

Payroll Classification*

Appointment Percentage*

Is employee in good standing (not involved in a current disciplinary action/measure)?*

Yes
No

Most Recent Evaluation Rating*

If selected, do you approve of his/her participation in the program during September – June, which includes: 1) orientation and two-day retreat, 2) monthly three-hour workshops, 3) monthly one-hour meetings with mentor, 4) program graduation?*

Yes
No

Would you recommend this candidate for the Mentoring Program?*

Highly Recommend
You recommend enthusiastically and without reservations. The employee consistently demonstrates a high level of self-motivation, initiative, and teamwork. The employee has an exemplary attendance record and demonstrates a willingness and the ability to complete tasks on time and correctly.
Recommend
You recommend. The employee demonstrates qualities such as self-motivation, initiative and/or teamwork. The employee has a good attendance record and demonstrates a willingness and ability to complete tasks correctly and on time.
Recommend with Reservations
The candidate shows potential in their attitude, abilities, and initiative, however does not consistently demonstrate qualities that would make them a strong candidate. In your explanation, please discuss specifics below.
Would Not Recommend
The candidate does not demonstrate the attitude, ability, or initiative that would make them successful in this endeveour.

Recommendation notes/explanation:

Are you aware of any specific career/development goals of the applicant and what they are working on to achieve these goals?

Signature*

Checking this box and entering my name and date in the following fields serves as my signature.

Name*

First Last

Date*