Child Welfare Employee BSW/MSW Scholars Tuition Assistance Program

Supervisor/Team Leader or Team Coordinator Reference

This Employee BSW/MSW Scholar Candidate has applied for the CWS Tuition Assistance Program in order to advance their knowledge and career with DSS.

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* 1. Candidate's Name

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* 2. How long have you known the applicant?

Years

Months

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* 3. Please rate the candidate's abilities in each of the following areas:

	Never Observed (0)	Development Needed (1)	Emerging Skills (2)	Meets Expectations (3)	Exceeds Expectations (3)
Engages others with cultural humility.	Engages others with cultural humility. Never Observed (0)	Engages others with cultural humility. Development Needed (1)	Engages others with cultural humility. Emerging Skills (2)	Engages others with cultural humility. Meets Expectations (3)	Engages others with cultural humility. Exceeds Expectations (3)
Demonstrates Self Awareness.	Demonstrates Self Awareness. Never Observed (0)	Demonstrates Self Awareness. Development Needed (1)	Demonstrates Self Awareness. Emerging Skills (2)	Demonstrates Self Awareness. Meets Expectations (3)	Demonstrates Self Awareness. Exceeds Expectations (3)
Manages emotions in high stress situations.	Manages emotions in high stress situations. Never Observed (0)	Manages emotions in high stress situations. Development Needed (1)	Manages emotions in high stress situations. Emerging Skills (2)	Manages emotions in high stress situations. Meets Expectations (3)	Manages emotions in high stress situations. Exceeds Expectations (3)
Demonstrates effective oral communication skills.	Demonstrates effective oral communication skills. Never Observed (0)	Demonstrates effective oral communication skills. Development Needed (1)	Demonstrates effective oral communication skills. Emerging Skills (2)	Demonstrates effective oral communication skills. Meets Expectations (3)	Demonstrates effective oral communication skills. Exceeds Expectations (3)
Manages time and tasks effectively.	Manages time and tasks effectively. Never Observed (0)	Manages time and tasks effectively. Development Needed (1)	Manages time and tasks effectively. Emerging Skills (2)	Manages time and tasks effectively. Meets Expectations (3)	Manages time and tasks effectively. Exceeds Expectations (3)
Demonstrates effective written communication skills.	Demonstrates effective written communication skills. Never Observed (0)	Demonstrates effective written communication skills. Development Needed (1)	Demonstrates effective written communication skills. Emerging Skills (2)	Demonstrates effective written communication skills. Meets Expectations (3)	Demonstrates effective written communication skills. Exceeds Expectations (3)

Please provide additional information.

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* 4. Describe the candidate's strengths.

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* 5. Describe the candidate's opportunities for growth.

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* 6. Recommendation (please select one option)

I recommend the candidate without reservation.

I recommend the candidate with reservation. (use comments box to explain)

I do not recommend the candidate. (use comments box to explain)

Comments

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* 7. Team Leader/Coordinator Name

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* 8. Email

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* 9. Phone Number