DEMONSTRATED ATTITUDE AND COMMITMENT TO WORK

NAME:_______________________________________________________________________ AGE: __________ SALARY:___________

PRESENT POSITION:______________________ ______________________________________DIVISION/OFFICE:__________________
CONSIDERED TO THE POSITION OF:__________________________________________________________________________________

INSTRUCTIONS

This refers to the applicant’s attitude towards work and how committed he/she is in carrying-out responsibilities that can influence his/her
co-employees. Does he/she has positive work values and has shown demonstrated attitudes in the accomplishment of the tasks/assignments given
by his/her immediate supervisor.

As the supervisor, you are to rate him/her on the following factors:

FACTORS 5 4 3 2 1 RATE
Learns rapidly as Short period for Normal ability Slow learner Reluctant to change
1.ADAPTABILITY well as adjusts mental adjustment routine worker and does not
Adaptability to learn and and grasps and willing to recall
meet changed situation changes quickly change instructions

2. PERSONAL Orderly, Workplace and Occasional Warned Looks often dirty and
APPEARANCE AND systematic, and self almost always warning about repeatedly on disorderly including
WORKSITE extremely neat clean and very orderliness and cleanliness and the workplace
ORDERLINESS worker orderly cleanliness orderliness
Compliance with
orderliness and cleanliness
Never absent nor Seldom tardy and Utilizes work Show no Frequently absent
3.ATTENDANCE late for work absent – if only and break concern on lost and/or tardy
Observation of work needed period efficiently time
schedules

No checking Follows Follows Repeated Continuous checking

4.DEPENDABILITY Works necessary and instructions very instructions but checking and follow-up
conscientiously according dependable well requires
to instruction minimal
checking
5. INDUSTRIOUSNESS Excellent in Ensures optimum Meets work Meets deadlines Does not meet
Demonstrates handling multiple results schedules and for single deadlines always
concentration assignments deadlines assignment only

Reliably Good decision Fair decision- Decisions Cannot decide at all

6. INITIATIVE Thinks independent and actions with no routine worker require constant and always
constructively and thinking acts supervision but requires supervision dependent on
originates action. constructively required little supervision supervision

Good team Cooperative and Reasonable but Difficult to get Disagreeable and
7. JOB ATTITUDE AND worker and well linked with limited along with uncooperative
DEMEANOR Ability and respected by cooperation
willingness to cooperate peers
and get along with others in
carrying out demands

8. PERSONALITY, Excellent team Creates and Usually Does not

COURTESY AND PUBLIC worker with maintain favorable suggested as welcome Unapproachable
RELATIONS Maintain winning impression of part of a team healthy criticism
wholesome interpersonal personality himself and/or as
relationships with people teamwork
inside and outside the
organization.
Exceptional Bright future Can lead and Slow Cannot lead and
9. POTENTIALITY possibilities growth teach others development teach peers
Potential ability to lead and gradually ahead
teach others
Exceptionally Rejects and/or Meets the Requires petty Unacceptable
10. QUALITY Performance high quality error rare quality revision presentation
in meeting quality standard expected job

TOTAL > > >_____________

_____________________________________
Rater’s Name and Signature
_____________________________________
Position Title/Designation

_____________________
Date