Nov 2014 CLL Nursing Scholarship Manager's Evaluation

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Thursday, October 9, 2014 is the DEADLINE for the November 2014 awarded Ruth Castellano and Edward J. Stiften nursing scholarships.

Managers: Complete this online evaluation. Make sure to put the nurse's name on the application.

THERE IS MORE THAN ONE PAGE: Click next at the bottom of the first page, then complete the remainder of the evaluation. Please remember to save the document when complete.

Please call Linda Dodd Lisinski at 314-362-0982 with questions.

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* 1. LAST NAME of CLL Nursing Scholarship applicant.

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* 2. FIRST NAME and Middle Initial of CLL Nursing Scholarship applicant.

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* 3. Manager: Place a check mark where this applicant
ranks among their workplace peers in clinical skills.

	Low Performer	Bottom 25 percentile	50th percentile	75th percentile	Top Performer
Your rating of the employees overall performance:	Your rating of the employees overall performance: Low Performer	Your rating of the employees overall performance: Bottom 25 percentile	Your rating of the employees overall performance: 50th percentile	Your rating of the employees overall performance: 75th percentile	Your rating of the employees overall performance: Top Performer

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* 4. Please enter your FIRST name, LAST name, and PHONE number here.

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* 5. Is corrective action in effect for this employee?

Yes

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* 6. Use this question to share with the selection team how well you know this applicant in the workplace.

	Very well	Fairly well	Minimally	Not at all
How well do you know the applicant?	How well do you know the applicant? Very well	How well do you know the applicant? Fairly well	How well do you know the applicant? Minimally	How well do you know the applicant? Not at all

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* 7. How long have you known the applicant? Select one answer.

Less than one year

1-2 years

2-3 years

3-4 years

4-5 years

5-6 years

6-7 years

7-8 years

8-9 years

9-10 years

10 or more years

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* 8. Please rate the applicant’s achievement and potential by checking the appropriate spaces below.

	Exceptional	Above Average	Average	Below Average	Not able to respond
Decision-making ability	Decision-making ability Exceptional	Decision-making ability Above Average	Decision-making ability Average	Decision-making ability Below Average	Decision-making ability Not able to respond
Organizational skills	Organizational skills Exceptional	Organizational skills Above Average	Organizational skills Average	Organizational skills Below Average	Organizational skills Not able to respond
Written Communication skills	Written Communication skills Exceptional	Written Communication skills Above Average	Written Communication skills Average	Written Communication skills Below Average	Written Communication skills Not able to respond
Oral Communication skills	Oral Communication skills Exceptional	Oral Communication skills Above Average	Oral Communication skills Average	Oral Communication skills Below Average	Oral Communication skills Not able to respond
Adaptability to stress	Adaptability to stress Exceptional	Adaptability to stress Above Average	Adaptability to stress Average	Adaptability to stress Below Average	Adaptability to stress Not able to respond
Positive attitude	Positive attitude Exceptional	Positive attitude Above Average	Positive attitude Average	Positive attitude Below Average	Positive attitude Not able to respond
Integrity	Integrity Exceptional	Integrity Above Average	Integrity Average	Integrity Below Average	Integrity Not able to respond
Interpersonal sensitivity	Interpersonal sensitivity Exceptional	Interpersonal sensitivity Above Average	Interpersonal sensitivity Average	Interpersonal sensitivity Below Average	Interpersonal sensitivity Not able to respond
Leadership ability	Leadership ability Exceptional	Leadership ability Above Average	Leadership ability Average	Leadership ability Below Average	Leadership ability Not able to respond
Ability to commit to a goal	Ability to commit to a goal Exceptional	Ability to commit to a goal Above Average	Ability to commit to a goal Average	Ability to commit to a goal Below Average	Ability to commit to a goal Not able to respond

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* 9. Please select your recommendation for this candidate.

MORE QUESTIONS on the next page. Please click NEXT.

	Highly Recommend	Recommend	Do not recommend
My rating of this applicant is:	My rating of this applicant is: Highly Recommend	My rating of this applicant is: Recommend	My rating of this applicant is: Do not recommend

Question Title

* 1. LAST NAME of CLL Nursing Scholarship applicant.

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* 2. FIRST NAME and Middle Initial of CLL Nursing Scholarship applicant.

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* 3. Manager: Place a check mark where this applicant ranks among their workplace peers in clinical skills.

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* 4. Please enter your FIRST name, LAST name, and PHONE number here.

Question Title

* 5. Is corrective action in effect for this employee?

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* 6. Use this question to share with the selection team how well you know this applicant in the workplace.

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* 7. How long have you known the applicant? Select one answer.

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* 8. Please rate the applicant’s achievement and potential by checking the appropriate spaces below.

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* 9. Please select your recommendation for this candidate. MORE QUESTIONS on the next page. Please click NEXT.

* 3. Manager: Place a check mark where this applicant
ranks among their workplace peers in clinical skills.

* 9. Please select your recommendation for this candidate.

MORE QUESTIONS on the next page. Please click NEXT.