MID - WORK - TERM
CO-OP STUDENT PERFORMANCE
EVALUATION
SUPERVISOR
Please complete this form and review it with your Co-op Student.
Forward a copy of the completed student & employer evaluation forms
to the co-op office.
Student Name:
Employer:
This ACo-op Student Performance Evaluation@ form contains dimensions of job performance and
corresponding descriptions. Consider your student=s current level of performance on each
dimension. Please indicate how well you believe your student is currently performing on each
dimension by placing a check mark in the appropriate box. The scale is defined as follows:
REQUIRES IMPROVEMENT - Fails to meet standards or meets them only in part. Performance is below
expectation. There is a need for improvement.
MEETS EXPECTATIONS - Meets the standards of the position in a completely satisfactory way.
Performance on the whole averages out to what is expected.
EXCEEDS EXPECTATIONS - Meets all standards established for the position and in many instances
exceeds them. Performance is clearly better than average.
N/A - not applicable
If you believe a dimension of job performance does not apply to the student=s current employment
situation please place a check mark in the box titled N/A. A comment section has been included so
you may provide a brief explanation of the ranking.
It is possible that you and your student may perceive his or her performance differently. Therefore,
please discuss this evaluation with your student before you forward the completed form to the co-op
office.
Dimensions of Job Performance
1
Accuracy - the correctness of
work duties performed
Requires
Improveme
nt
Meets
Expectation
s
Exceeds
Expectation
s
N/A
Requires
Improveme
nt
Meets
Expectation
s
Exceeds
Expectation
s
N/A
Requires
Improveme
nt
Meets
Expectation
s
Exceeds
Expectation
s
N/A
Comments:
2
Adaptability - a positive attitude
toward change and the ability to
change easily to fit different
conditions
Comments:
3
Assertiveness - the ability to
express ideas and thoughts
directly and honestly without
offending or being inconsiderate
to the other party

assertive behaviour is in
contrast to passive and
aggressive behaviour
Comments:
2
Dimensions of Job Performance
4
Communication
(a)
oral - effective speaking
and listening
Requires
Improveme
nt
Meets
Expectation
s
Exceeds
Expectation
s
N/A
(b)
Requires
Improveme
nt
Meets
Expectation
s
Exceeds
Expectation
s
N/A
Requires
Improveme
nt
Meets
Expectation
s
Exceeds
Expectation
s
N/A
Requires
Improveme
nt
Meets
Expectation
s
Exceeds
Expectation
s
N/A
Requires
Improveme
nt
Meets
Expectation
s
Exceeds
Expectation
s
N/A
written - effective reading
and writing
Comments:
5
Computer literacy - the ability to
effectively use the computer
systems available in the
workplace
Comments:
6
Creativeness - the ability to
identify and suggest new ideas to
get the job done
Comments:
7
Interpersonal Skills - the ability
to get along with and help others

the ability to recognize and
respect people=s diversity
and individual differences
Comments:
3
Dimensions of Job Performance
8
Pro-activity - the ability to
perceive and carry out required
tasks without supervision

Requires
Improveme
nt
Meets
Expectation
s
Exceeds
Expectation
s
N/A
Requires
Improveme
nt
Meets
Expectation
s
Exceeds
Expectation
s
N/A
Requires
Improveme
nt
Meets
Expectation
s
Exceeds
Expectation
s
N/A
Requires
Improveme
nt
Meets
Expectation
s
Exceeds
Expectation
s
N/A
Requires
Improveme
nt
Meets
Expectation
s
Exceeds
Expectation
s
N/A
the ability to see the
Awhole picture@ and to
anticipate the
organization=s needs
Comments:
9
Productivity - the ability to
produce the desired results
Comments:
10
Reasoning - the ability to think
critically and logically to evaluate
situations, solve problems and
make decisions
Comments:
11
Responsibility - the
accountability for actions taken
Comments:
12
Self Confidence - the belief in
ones own ability, power and
judgement
Comments:
4
Dimensions of Job Performance
13
Teamwork - the ability to
understand and work within the
culture of the group

the ability to plan and
make decisions with others
& support the outcomes
Requires
Improveme
nt
Meets
Expectation
s
Exceeds
Expectation
s
N/A
Requires
Improveme
nt
Meets
Expectation
s
Exceeds
Expectation
s
N/A
Requires
Improveme
nt
Meets
Expectation
s
Exceeds
Expectation
s
N/A
Comments:
14
Time management - the ability to
manage time effectively so as to
complete assigned tasks and meet
deadlines
Comments:
15
Work Interest - responsibilities
are performed with diligence and
enthusiasm

fosters a positive attitude
among co-workers
Comments:
Attendance


Meets organization standards
Does not meet organization standards
5
Additional Comments:
Signature of Employer
Date
Signature of Student
Signature of Co-op Coordinator
Date
Date
6