Employer Co-op Placement Evaluation
Student: _________________________
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NEEDS
IMPROVEMENT
SUCCESSFUL
Knowledge Base
1. Knowledge is at or
above expected level and
is able to function well
with assigned tasks.
1. Knowledge is sufficient to
perform assigned tasks
1. Knowledge level is
borderline.
1. Has insufficient
knowledge to perform
assigned tasks.
2. Is able to apply theory
to practice independently
and/or with minimal
guidance.
2. Needs periodic guidance
to apply theory to practice.
(1 to 2 prompts).
2. Inconsistently applies
theory to practice
(requires more than 2
reminders).
2. Is unable to apply theory
to practice.
100
Skill Level
80
70
60
50
40
30
20
10
0
1. Needs periodic
guidance/assistance to
complete assigned task (1
to 2 prompts).
1. Needs frequent
guidance/assistance to
complete assigned tasks
(more than 2 reminders).
1. Performs work randomly
and ineffectively without
organization.
2. Is able to organize
multiple tasks
independently, with
minimal guidance.
2. Is able to organize
multiple tasks with periodic
guidance (1 to 2 prompts).
2. Requires frequent
guidance to organize
tasks (more than 2
reminders).
2. Is unable to organize
multiple tasks.
90
80
Communicates
information clearly and
concisely with peers,
supervisors, and clients.
100
Written
Communication/
Documentation
90
1. Consistently completes
assigned tasks in a timely
manner.
100
Interpersonal
Communication
UNSATISFACTORY
90
80
Accurately and
independently
documents and/or
reports on assigned tasks
in a timely and sufficient
manner.
100
90
80
70
60
50
Needs periodic guidance to
communicate information
clearly (1 to 2 prompts).
70
60
50
Needs periodic guidance to
accurately document and/or
report on work done, in a
timely and sufficient manner
(1 to 2 reminders).
70
60
50
40
30
20
Requires frequent
guidance to
communicate information
clearly (more then 2
reminders).
40
30
20
Needs frequent
guidance/assistance to
complete accurate
reporting /
documentation in a
timely manner (more
than 2 reminders).
40
30
20
10
0
Is unable to communicate
information clearly.
10
0
Does not document and /or
report on work done.
10
0
Comments:
Work Practicum Evaluation
SUCCESSFUL
Professional
Behaviours /
Attitude
NEEDS
IMPROVEMENT
UNSATISFACTORY
1. Always reports to work
on time.
1. Notifies appropriately
when late or absent.
1. Late or absent
without notification (1 or
2 incidents).
1. Late or absent without
notification (more than 2
incidents).
2. Dresses appropriately
for workplace and is well
groomed.
2. Needs periodic guidance
to dress or groom
appropriately for the
workplace (1or 2
reminders).
2 Requires frequent
guidance to dress or
groom appropriately for
the workplace (more
than 2 reminders)
2. Does not dress or groom
appropriately for workplace.
100
90
80
70
60
50
40
30
20
10
Comments:
0
Unspecified Behaviours
This space is provided for the recording of other behaviours not “fitting” in any of the above categories. It is here that supervisors can also document
“hunches, thoughts or ideas” about a student’s performance, manner or comportment that should not be lost.
If a position were available in the future, would you consider this student for it? Yes _____ No ______
Total number of Co-op Work Placement hours:_________
Supervisor’s Signature: __________________________________
Date: _______________________
Note: Copies of this document and further information can be found at: www.coopworkplacement.ca
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