WORK BASED LEARNING FIELD EXPERIENCE STUDENT EVALUATION Name________________________________ Due: Business _____________________________ Position______________________ Evaluation Period: (9 week grading period) Circle one: 5 (excellent) 4 (above average) 3 (average) 2 (below average) 1 (needs improvement) Appearance: (dresses appropriately for the job, comes to work well groomed, etc.) 1 2 3 4 5 Attitude: (reacts well toward supervisor, assigned tasks, other employees and/or customers) 1 2 3 4 5 Dependability: (stays on task, gets job done on time, is reliable, etc) 1 2 3 4 5 Initiative: (recognizes work to be done and does without supervision) 1 2 3 4 5 Teamwork: (works well with supervisor, willing to work with or assist others) 1 2 3 4 5 Customer Relations: (Provides quality service and creates positive image for business) 1 2 3 4 5 Follows directions: (student follows written and/or verbal direction) 1 2 3 4 5 Quality of work: (student is accurate and produces good quality work) 1 2 3 4 5 Overall evaluation: (consider total performance on the job, circle one) 1 2 3 4 5 Total ____________ Comments: If you were going to give this student/worker a letter grade Points/Grading Scale What would it be: A B C D F 40-45 A ___________________________________________ 36-39 B ___________________________________________ ____________________________________________________ ____________________________________________________ 31-35 C 27-30 D 0-26 F Grading System: Employer Evaluation 60% Weekly Report 15% Pay Stubs/Time Sheet 15% Nine Weeks Report 10 % Days absent:_______ Days tardy: _______ Rated by:___________________________________________________Date:_______________ (Supervisors’ signature) Reviewed with Student: _______________________________________ Date:_______________ (Student’s signature) FOR OFFICE USE ONLY School: ______________________________________ Internship Program: ____________________________
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