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School of Radiologic Technology - Regional West Medical Center

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Excellent<br />

Above<br />

Average<br />

Average<br />

Below<br />

Average<br />

Poor<br />

Not Able To<br />

Evaluate<br />

Ability to relate to others:<br />

Dependability:<br />

Cooperation:<br />

Pr<strong>of</strong>essional courtesy:<br />

Accuracy <strong>of</strong> thought or action:<br />

Emotional control:<br />

Personal motivation:<br />

Work ethics:<br />

Critical thinking/problem solving:<br />

Pr<strong>of</strong>essional dress/behavior:<br />

Attendance/punctuality:<br />

Respect for authority/colleagues:<br />

Follows through:<br />

Learns from mistakes:<br />

Interpersonal skills:<br />

Academic potential:<br />

Leadership:<br />

Motivation:<br />

Written communication skills:<br />

Oral communication skills:<br />

Mathematic and computer skills:<br />

Sense <strong>of</strong> responsibility:<br />

Ability to work with people:<br />

Organizational ability:<br />

Ability to adapt to new situations:<br />

Ability to work independently:<br />

Overall evaluation:<br />

Reference form (page 2 <strong>of</strong> 3)<br />

68

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