UAMS Nursing Recognition Program

Applicant – Resource Mentor Evaluation

Employee Information

 

Name of Applicant:

 

 

 

 

Date:

 

 

 

 

 

Review Guidelines

Complete this peer review, using the following scale:     

 NA = Not Applicable  1 = Unacceptable   2 = Needs Improvement  3 = Meets Expectations   4 = Exceeds Expectations

  5 = Outstanding

 

 

*Please provide written comments for scores of “1”, “4”, or “5”

Evaluation

 

 

*(5) = Outstanding

*(4) = Exceeds Expectations

(3) = Meets Expectations

(2) = Needs

Improvement

*(1) = Unacceptable

Demonstrates Required Job Skills And Knowledge

 

Has The Ability To Learn And Use New Skills

 

Uses Resources Available In An Effective Manner

 

Responds Effectively To Assigned Responsibilities

 

Meets Attendance Requirements

 

Listens To Direction From Resource Team Leader

 

Takes Responsibility For Actions

 

Honors Commitments

 

Demonstrates Problem Solving Skills

 

Offers Constructive Suggestions For Improvement

 

Generates Creative Ideas And Solutions

 

Meets Challenges Head On

 

Demonstrates Innovative Thinking

 

 

 

 

 

 

 

 

 

Additional Comments for scores of “1”, “4” and/or “5”:
           

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature                                                                                             Date