Date of Assessment Completion

May we share the results of this assessment with the work-based learning participant? Yes No

Participant First Name

Participant Last Name

Participant’s Job Title

Supervisor’s Place of Employment

Supervisor First Name

Supervisor Last Name

Supervisor’s Job Title

What strengths did you notice in the participant?

What areas would you recommend improvement in?

Other Comments

Would you recommend hosting a YES Career Pathways participant to other organizations? Yes No

Do you have any comments to share with other organizations that are interested in a partnership with YES?

Do you have any recommendations to improve or enhance the YES Career Pathways program?

THANK YOU FOR YOUR ASSESSMENT SUBMISSION!

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