Evaluation
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Student's Name
Student's Class
Student's Major/Minor
Term /
Placement
Employer
Employer Location
Student's Assignment/Title
Work period
Supervisor
Title
Supervisor's Phone #
Instructions: Please evaluate this student comparing him/her with students of comparable academic level, with other personnel assigned the same or similarly classified jobs, or with individual standards.
1. RELATIONS WITH OTHERS 2. ABILITY TO LEARN
Exceptionally well-accepted
Works well with others
Gets along satisfactorily
Has some difficulty working with others
Works very poorly with others
 Learns very quickly
Learns readily
Average in learning
Rather slow to learn
Very slow to learn
3. JUDGMENT 4. ATTITUDE - APPLICATION TO WORK
Exceptionally mature
Above average in making decisions
Usually makes the right decision
Often uses poor judgment
Consistently uses bad judgment
 Outstanding in enthusiasm
Very interested and industrious
Average in diligence and interest
Somewhat indifferent
Definitely not interested
5. QUALITY OF WORK 6. DEPENDABILITY
Excellent
Very Good
Average
Below average
Very poor
 Completely dependable
Above average in dependability
Usually dependable
Sometimes neglectful or careless
Unreliable
7. ATTENDANCE 8. PUNCTUALITY
Regular
Irregular
 Regular
Irregular
9. ACHIEVEMENT OF
LEARNING OBJECTIVES 		10. OVERALL PERFORMANCE
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Excellent
Very Good
Average
Below Average
Very Poor
Outstanding
Very good
Average
Marginal
Unsatisfactory
11. What were this student's major strengths and assets?
12. How might this student improve (improved) his/her on-the-job performance? (i.e. additional courses, skills or further experience, etc.)
13. What particular skill(s) and knowledge did the student acquire during this work assignment?
Has this report been discussed with the student?


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