EVALUATION OF FIELDWORKER FORM
Name
of Fieldworker: ________________________________________ Date:
____________________
Name
of Site Supervisor: _______________________________________________________________
Name
of Fieldwork Site:
_______________________________________________________________
The
Site Supervisor should complete this form and discuss the evaluation in a
face-to-face meeting with the fieldworker towards the end of the semester. The Evaluation should be given to the Faculty
Supervisor before at the completion of the fieldwork. This form is an important source of
information for the assigning grades (Pass or No Credit).
Please
rate the fieldworker on each item according to the following scale. Add
comments in the space below.
Very Dissatisfied 1 2 3 4 5 Very
Satisfied
Use “NA” if the item is Not Applicable.
The
fieldworker:
_____1.
is on time for work.
_____2.
completes the daily/weekly required working hours.
_____3.
manages time effectively.
_____4.
demonstrates satisfactory writing skills.
_____5.
demonstrates satisfactory verbal communication skills.
_____6.
displays initiative and a positive work ethic.
_____7.
possesses satisfactory computer/technological skills.
_____8.
demonstrates professional and ethical conduct.
_____9.
is receptive to guidance and feedback from
supervisors.
_____10.
successfully implements suggestions from supervisors/superiors.
_____11.
demonstrates an appropriate level of emotional maturity.
_____12.
relates well to co-workers or staff.
_____13.
displays respect and consideration towards the clients or research
participants.
_____14.
is sensitive to clients’ cultural differences.
_____15.
maintains confidentiality of clients/research participants and the
organization.
_____16.
conducts effective presentations.
_____17.
is able to grasp the theoretical basis of the work.
_____18.
is able to apply new information to fieldwork.
_____19.
seems well-prepared for the required work. (Continued on
next page.)
_____20.
informs supervisor of and makes arrangements for
absences.
21.
In your opinion does the fieldworker deserve a passing grade? Circle one: YES NO
22.
Did the fieldworker complete the required hours? Circle one: YES NO
23.
Please use the space below to share comments on the fieldworker’s
strengths/areas in need of improvement.
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Site
Supervisor’s Signature:
_______________________________________________________________________
Fieldworker’s
Signature:
__________________________________________________________________________