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ST. JOHN CANADA INSTRUCTIONS
2-9-2ap8
Sample
ST. JOHN AMBULANCE
Volunteer Performance
Appraisal Form
INSTRUCTIONS
This form is to be used for appraisal of all volunteers.
The position description of the volunteer is to be used as an evaluation tool.
Comments must accompany any Exceeds Requirements or Unsatisfactory rating.
When completed, this form is forwarded to the Director of Volunteer Support.
PERFORMANCE AREAS
If additional space is required, please attach sheet.
1. Knowledge of position and application. Possesses the information concerning duties,
responsibilities and first-aid skills to perform assignments competently.
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q Exceeds Requirements
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q Meets Requirements
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q Does Not Meet Requirements
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q Unsatisfactory
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| Provide examples:
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2. Planning and organization. Plans work to meet Divisional goals; appropriate
organization of work and utilization of time and resources to ensure goals are met.
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q Exceeds Requirements
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q Meets Requirements
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q Does Not Meet Requirements
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q Unsatisfactory
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| Provide examples:
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3. Initiative. Suggests and/or takes appropriate action independently,
self-starter, enthusiastic performance with minimum instruction/supervision.
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q Exceeds Requirements
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q Meets Requirements
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q Does Not Meet Requirements
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q Unsatisfactory
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| Provide examples:
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4. Team player. Co-operating and working with others to meet goals both
within and beyond one’s area of responsibility; promoting unity and trust with all
members and volunteers.
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q Exceeds Requirements
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q Meets Requirements
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q Does Not Meet Requirements
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q Unsatisfactory
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| Provide examples:
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5. Adaptability/Flexibility. Demonstrates willingness and ability to accept and apply new
methods and techniques to performance of work. Is able to effectively deal with people and
events; adapts to change; judgement and decision-making remain intact under stress.
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q Exceeds Requirements
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q Meets Requirements
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q Does Not Meet Requirements
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q Unsatisfactory
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| Provide examples:
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6. Interpersonal Skills. Ability to positively relate to all levels of staff,
volunteers and general public. Demonstrates sensitivity in interactions; reacts to
non-verbal feedback and responds appropriately; understands sensitive issues, acts
accordingly; effective with both individuals and groups.
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q Exceeds Requirements
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q Meets Requirements
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q Does Not Meet Requirements
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q Unsatisfactory
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| Provide examples:
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7. Quality of work. Overall quality of work performed. Maintains high standards,
takes pride in volunteering.
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q Exceeds Requirements
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q Meets Requirements
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q Does Not Meet Requirements
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q Unsatisfactory
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| Provide examples:
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8. Judgement. Formation of a sound opinion by careful study of available
facts and options.
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q Exceeds Requirements
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q Meets Requirements
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q Does Not Meet Requirements
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q Unsatisfactory
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| Provide examples:
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9. Development of volunteers/Leadership. Develops the skills and competence of volunteers
through coaching, training and development activities. Demonstrates ability to instil
enthusiasm, loyalty and commitment in volunteers. Provides effective direction and
support.
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q Exceeds Requirements
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q Meets Requirements
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q Does Not Meet Requirements
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q Unsatisfactory
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| Provide examples:
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10. Communication (verbal & written). Clearly expresses ideas and concepts; encourages two-way
conversations; gives effective presentations (when required); effective listening skills;
consistently shares information.
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q Exceeds Requirements
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q Meets Requirements
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q Does Not Meet Requirements
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q Unsatisfactory
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| Provide examples:
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11. Attendance/Participation. Regularly attends and participates at Divisional meetings.
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q Exceeds Requirements
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q Meets Requirements
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q Does Not Meet Requirements
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q Unsatisfactory
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| Provide examples:
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12. Other.
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N/A
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YES
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NO
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Comments
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Has completed First Aid Certification Level(s)
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q
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q
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Has attended orientation
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q
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q
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Has attended an organized leadership course
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q
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q
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q
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Has successfully conducted a divisional meeting
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q
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q
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q
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Has worked with cadets on community service
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q
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q
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q
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Has participated in program planning
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q
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q
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q
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Has oriented new members
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q
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q
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q
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Has assisted with record keeping
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q
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q
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q
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Has supervised community service coverage
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q
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q
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q
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q
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q
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q
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q
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q
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q
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q
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q
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q
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Reviewer’s comments
Volunteer’s comments
Recommendations
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q Continue volunteer work
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q To be re-appraised
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Date:
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q Transfer
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To:
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q Dismiss
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Date:
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| Signature of reviewer |
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Date |
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This evaluation has been discussed with me
and a copy has been given to me.
| Volunteer’s signature |
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Date |
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| Signature of reviewer |
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