WORK-BASED LEARNING EXPERIENCE EVALUATION OF STUDENT
BY FIELD SITE SUPERVISOR
STUDENT
FIELD SITE
FIELD SITE SUPERVISOR
Instructions:
PHONE NUMBER
Circle the descriptor and/or number that best describes the student’s performance. Comments are appreciated.
* * * PLEASE DISCUSS THIS EVALUATION WITH THE STUDENT * * *
Unsatisfactory
Poor quality of work;
continually makes errors;
requires excessive
checking and rework.
0
Comments:
Unsatisfactory
Slow worker. Does very
little work; wastes time.
0
Comments:
Unsatisfactory
Often absent or tardy.
Does not report absence
or tardiness in advance.
Very undependable.
0
Comments:
Revised: 10/1/03
Marginal
Careless; inclined to
make mistakes; work
barely acceptable.
QUALITY OF WORK
Acceptable
Meets minimum
requirements of accuracy
and neatness; average
quality of work needs
normal supervision.
1
2
Marginal
Works at a slow pace.
Needs encouraging and
urging.
1
QUANTITY OF WORK
Acceptable
Works at a steady pace.
Meets minimum
requirements.
2
Marginal
Erratic in attendance and
punctuality. Seldom
reports absence or
tardiness in advance.
Not dependable.
1
ATTENDANCE
Acceptable
Occasionally absent or
tardy. Reports absence
or tardiness in advance.
2
Page 1 of 3
Commendable
Exceeds minimum
requirements of accuracy
and neatness; very few
errors; carries out
instructions well; needs
little supervision.
3
Outstanding
Consistent high degree
of accuracy and
neatness; work can be
relied upon; very little
rework; seldom needs
supervision.
4
Commendable
Works fast. Often
exceeds requirements.
3
Outstanding
Very fast and prompt
worker. Consistently
exceeds requirements.
4
Commendable
Seldom absent or tardy.
Always reports absence
or tardiness in advance.
Dependable.
Outstanding
Excellent attendance
record. Always at work
and on time. Very
dependable.
3
4
Unsatisfactory
Definite lack of
knowledge. Very little
understanding of job
duties. Needs
considerable
instructions.
0
Comments:
Marginal
Inadequate knowledge of
duties. Understanding of
job duties not sufficient.
JOB KNOWLEDGE
Acceptable
Has adequate
knowledge of duties.
Needs little additional
instruction.
Commendable
Good knowledge of
duties. Well informed.
Occasionally needs
direction.
Outstanding
Excellent understanding
of job assignments.
Requires very little
direction. Extremely
capable.
1
2
3
4
Unsatisfactory
Seems unable to learn
new tasks. Cannot
adjust from one job to
another. Resists
change.
Marginal
Learns new tasks slowly.
Has difficulty in
understanding and going
from one assignment to
another.
VERSATILITY
Acceptable
Neither slow nor fast.
Able to perform several
related tasks. Handles
new assignments with
some difficulty.
Outstanding
Very adaptable and
flexible. Masters new
tasks easily. Handles
various assignments
without difficulty.
1
2
Commendable
Catches on fast. Learns
new tasks easily.
Handles new
assignments with
minimum amount of
difficulty.
3
0
Comments:
Unsatisfactory
Never volunteers to
undertake work.
Requires constant
prodding to do work.
0
Comments:
Unsatisfactory
Does not cooperate.
Resents supervision.
Gets along poorly with
other workers.
0
Comments:
Revised: 10/1/03
INITIATIVE/SELF CONFIDENCE
Acceptable
Marginal
Commendable
Seldom
seeks
new
Needs some prodding to
Occasionally seeks new
tasks. Will accept
do work. Dislikes
tasks. Works well when
responsibilities when
responsibilities. Has
given responsibility.
necessary, but does not
very little drive.
Makes occasional
go out of way.
suggestions.
2
3
1
Marginal
Lacks interest in
assignments; shows
reluctance to cooperate.
1
WORKING RELATIONSHIPS
Acceptable
Commendable
Assumes share of work.
Is responsive and
Usually good team
cooperates well. Always
player. Cooperates with ready to do his/her share
other workers.
willingly.
2
Page 2 of 3
3
4
Outstanding
Definitely a self-starter.
Goes out of way to
accept responsibility.
4
Outstanding
Tactful and courteous.
Very effective in dealing
with co-workers. Does
full share in department.
Loyal worker.
4
Unsatisfactory
Does not follow policies
and procedures.
Creates an unsafe or
insecure environment.
0
Comments:
Unsatisfactory
Different from the
workplace norm - e.g.
clothing is dirty, wrinkled,
not appropriately fitted,
too casual, too revealing;
hair and fingernails are
unkempt.
0
Comments:
Unsatisfactory
Did not implement steps
to accomplish any of the
learning objectives
outlined in the WorkBased Learning
Experience Plan.
OBSERVANCE OF COMPANY GUIDELINES AND CODE OF CONDUCT
Acceptable
Marginal
Commendable
Usually
follows
policies
Does not consistently
Consistently follows
and procedures.
follow policies and
policies and procedures.
Cooperates in promoting
procedures. Is
Actively participates in
a safe, secure,
sometimes unsafe.
promoting a safe,
harassment-free
secure, harassment-free
environment.
environment.
2
3
1
APPEARANCE/PERSONAL HYGIENE
Acceptable
Marginal
Commendable
Acceptable,
but
not
Sometimes acceptable
Appropriately dressed for
always professional –
for the position, and
the position with clean
tends toward casual
other times
and neat clothing.
appearance, although
unsatisfactory.
neat and clean.
2
1
3
ACHIEVED LEARNING OBJECTIVES
Acceptable
Marginal
Commendable
Accomplished
two
of
the
Accomplished one of the
Accomplished all three of
learning objectives
learning objectives
the learning objectives
outlined in the Workoutlined in the Workoutlined in the WorkBased Learning
Based Learning
Based Learning
Experience Plan and
Experience Plan.
Experience Plan and
measured the results.
measured the results.
0
Comments:
1
2
3
ADDITIONAL COMMENTS:
Field Site Supervisor Signature
Date
For College Use Only
Total Score
Overall Score
Revised: 10/1/03
Comments:
Page 3 of 3
Outstanding
Always follows policies
and procedures. Takes
the initiative to promote a
safe, secure,
harassment-free
environment.
4
Outstanding
Professionally dressed.
Exceeds expectations for
the position.
4
Outstanding
Accomplished all three of
the learning objectives
outlined in the WorkBased Learning
Experience Plan,
acquired additional skills/
knowledge, and
measured the results of
each.
4