APPRENTICE__________________________________________

PERIOD	EMPLOYER
LAST DAY OF REPORT PERIOD		___/___/_____PROJECT__________________________________
INDICATE HOURS WORKED IN EACH CATEGORY BELOW (IF ZERO LEAVE BLANK)
CABLE TRAY				CIRCLE THE NUMBER WHICH
FIBER/DATA CABLING				BEST DESCRIBES THIS
FIRE ALARM/SECURITY				APPRENTICE
FLOOR DUCT				1=EXCELLENT
INSTALL WIRE/CABLE				3=AVERAGE
LAYOUT/PRINTREADING				2=GOOD
LIGHTING SYSTEMS				4=NEEDS IMPROVEMENT
MATERIAL HANDLING/PRE-FAB				5=UNSATISFACTORY
MOTOR CONTROL CIRCUITS
PLC/INSTRUMENTATION				ATTENDANCE:
RIGID/IMC				1 2 3 4 5
SERVICE INSTALLATION				SAFETY:
SOUND/COMMUNICATION				1 2 3 4 5
TESTING/TROUBLESHOOTING				INITIATIVE:
THINWALL(EMT)				1 2 3 4 5
TRANSFORMER INSTALL				APPEARANCE:
UNDERGROUND				1 2 3 4 5
WIRING DEVICES				COMMUNICATION SKILLS:
				1 2 3 4 5
HOURS WORKED THIS PERIOD				MECHANICAL ABILITY
				1 2 3 4 5
HOURS WORKED TO DATE				ATTITUDE:
				1 2 3 4 5
PERIOD 1	0-1000			WORK QUALITY:
PERIOD 2	1001-2000			1 2 3 4 5
PERIOD 3	2001-3500			RESPONSIBILITY:
PERIOD 4	3501-5000			1 2 3 4 5
PERIOD 5	5001-6500			USE OF TIME:
PERIOD 6	6501-8000			1 2 3 4 5
FOREMAN/JOURNEYMAN COMMENTS:
HAS THIS REPORT BEEN DISCUSSED WITH THE APPRENTICE? YES NO
APPRENTICE SIGNATURE/DATE			FOREMAN/JOURNEYMAN SIGNATURE/DATE
EMPLOYER SIGNATURE