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Student Performance Review

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					                             Engineering and Computer Science/Math




Student Performance Review
Your appraisal of the student’s performance during his/her work placement will be very helpful
to the student’s career development. Please indicate your opinions by checking the appropriate
responses and by providing additional comments and suggestions.

Section one should be completed during the first week of the student commencing his/her term
of employment. The mid-term evaluation should be completed at the end of the second month
of the work term and if practicable be available/completed prior to the work site visit. The final
evaluation section must be completed and signed prior to the completion of the work term.

Please return this form, keeping a copy for your own reference, as soon as possible. Your
assistance and interest in the Co-op Program is sincerely appreciated.



STUDENT INFORMATION:

Student #:                     Last Name:                        First Name:

Work Term #: Choose             Academic Year: Choose            Grad Year:
                  #1                                   1A

Discipline:
              (eg. Computer Science-Business Option)




Employer’s Name:

Supervisor’s Name:

Supervisor’s Telephone:                                     Email:


Both the student and the supervisor should complete this Performance Review as the work term
progresses. The review provides a record of work term expectations, accomplishments, and
constructive feedback to help the student succeed.

Please provide a short description of the work performed by the student:




1/6                                                                             Updated: 31-Mar-09
1. Expectations:
Complete during the first week of the work term.

Supervisor: Describe general goals of the Company, Department, or Group.




Supervisor: List the results expected during the work term. Provide dates if possible.




Student: State your learning objectives for this term.




Student’s Name:

Supervisor:

Supervisor’s Signature:

Date:                      ___________________________________

2/6                                                                    Updated: 31-Mar-09
2. Mid-Term Evaluation:
Complete at the end of the second month of the work term.

Supervisor: Please comment on the mid-term results of the work term.




Supervisor: Please comment on the factors affecting the completion of the student's
learning objectives.




Student Performance Factors:

                        Excellent    Very      Good      Satisfactory      Unsatisfactory
                                     Good

Technical Skills

Communication
Skills

Organizational Skills


Interpersonal Skills


Initiative



3/6                                                                     Updated: 31-Mar-09
Supervisor: Comments and suggestions.




Student: Comments and suggestions.




Student’s Name:

Supervisor:

Supervisor’s Signature:

Date:                     ___________________________________


4/6                                                         Updated: 31-Mar-09
3. Final Evaluation:
Complete before student leaves work environment.

Supervisor: Please comment on the final results of the work term.




Supervisor: Please comment on the factors affecting the completion of the student's
learning objectives.




Student Performance Factors:

                        Excellent    Very      Good      Satisfactory      Unsatisfactory
                                     Good

Technical Skills

Communication
Skills

Organizational Skills


Interpersonal Skills



Initiative

5/6                                                                     Updated: 31-Mar-09
Supervisor: Comments and suggestions.




Confidentiality: Have you discussed with the student what information is confidential
and cannot be disclosed outside your organization?           Yes          No

If employment is available would you support the return of this student:

To your area next term                           Yes             No
To another area in your organization             Yes             No

Have you reviewed the student’s work term report and received a copy of the report for
your records:                                Yes            No


                              Excellent   Very    Good      Satisfactory      Unsatisfactory
                                          Good

Final Evaluation



Student: Comments and suggestions.




Student’s Name:
                    (Print)                                 (Signature)



Supervisor:
                    (Print)                                 (Signature)



Date:              ___________________________________
6/6                                                                        Updated: 31-Mar-09

				
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