It is recommended that this form be used monthly during the Permits probationary period and then semi-annually thereafter. This form should always be completed when a Permit is laid off or fired.

Instructions: Please evaluate the below named Permit as fairly and honestly as you can. Rate all ten (10) factors listed below. Please consider each category independently. Rate each factor on a scale from 1 to 5 by writing the appropriate number in the ‘RATING’ column. The JATC/Examining Board appreciates your conscientious effort and input

Permit Evaluation

Permit Name(Required)
Evaluation Period(Required)
Evaluator Name(Required)


Evaluator Name(Required)
Days/ weeks/ months