Work Based Learning Field Experience Student Evaluation Form

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: ____________________________