CW/CE Evaluation Form

IBEW Local Union No. 43 - 4568 Waterhouse Road - Clay, NY 13041 - Phone: (315) 422-0435

CW/CEs Name *
Date Date * / MM / DD YYYY
Level *
Membership Development Rep *
Employer *
Date Hired Date Hired * / MM / DD YYYY
EVALUATION
Text *
Overall Rating of Construction Wireman/Construction ElectricianMultiple Choice *

Overall Rating of Construction Wireman/Construction ElectricianMultiple Choice Excellent Good Poor
Initiative/Attitude *

Initiative/Attitude Excellent Good Poor
Initiative Comments *
Attendance/Tardiness *

Attendance/Tardiness Excellent Good Poor
Attendance Comments *
Mechanical/Aptitude *

Mechanical/Aptitude Excellent Good Poor
Attendance Comments *
Responsibility *

Responsibility Excellent Good Poor
Responsibility Comments *
Responsibility *

Responsibility Excellent Good Poor
Accuracy Comments *
Safe Practices *

Safe Practices Excellent Good Poor
Safe Practices Comments *
Use of Working Time *

Use of Working Time Excellent Good Poor
Use of Working Time Comments *
Appearance *

Appearance Excellent Good Poor
Appearance Comments *
Proper Tools *

Proper Tools Excellent Good Poor
Proper Tools Comments *
Detailed comments *
Form will be delivered to the Membership Development Representative you selected above.
Signed: *
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