Fillable Student Health Center Clerical Assistant Self Evaluation Form printable pdf download

Student Health Center Clerical Assistant Self Evaluation Form

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Name_______________________________________________ Date______________

Student Health Center Clerical Assistant

Self Evaluation Form

Evaluate your work experience this year at the Student Health Center as a Clerical

Assistant. Rate each category listed below using a scale between 0 and 5.

0 = Held no personal value as a work experience, no personal growth, not applicable to

present career goals

1 = Held minimal value as a work experience, no significant personal growth, probably

not applicable to present career goals

2 = Held a small value as a work experience, small amount of personal growth, vague

applicability to present career goals

3 = Held moderate value as a work experience; moderate, but significant personal

growth; experience applicable to present career goals

4 = Held substantial value as a work experience, considerable personal growth,

substantial applicability to present career goals

5 = Held remarkable value as a work experience, outstanding contribution to personal

growth, unequivocal applicability to present career goals

Transferable skills (skills you will be able to utilize in your future career)

_____Communication skills (with patients, staff members, or other student workers)

_____Interpersonal skills (with patients, staff members, or other student workers)

_____Team work (working well with others to accomplish goals and tasks of clinic)

_____Accountability (arriving to work on time, fulfilling job responsibilities as assigned)

_____Phone etiquette (with patients, other offices, and Truman faculty/staff members)

_____Attained experience about a clinic setting through this position

_____Attitude (remaining positive, open to new ideas, eager to learn new skills)

_____Work ethic (not superimposing personal belief system on others, an accountable

and dependable team member, makes patient needs a priority concern)

_____Job performance (working within scope of training, working efficiently,

completing tasks as assigned, following job description)

_____Attire (paying attention to professional appearance, following Health Center dress

code for student workers)

_____Professionalism (cohesive representation of all evaluated categories)

Created by Christina Davis, Revised 08-2007 CD

Student Health Center Clerical Assistant Self Evaluation Form

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