Cooperative Education / Internship Program STUDENT RATING OF EMPLOYER Student Name ___________________________________________________________________________ Name of Company or Organization: __________________________________________________________ Address: _______________________________________________________________________________ Immediate Supervisor: _______________________________________ Phone: _____________________ Employer Rating On a scale of 1-5, where 1 is lowest and 5 is highest; please indicate your thoughts on the cooperative education assignment you just completed. 1. The assignment allowed me to apply classroom knowledge to actual practice 1 2 3 4 5 2. I feel this assignment helped me to meet my academic learning objectives 1 2 3 4 5 3. I was able to test my career interests 1 2 3 4 5 4. I explored a variety of tasks by movement through a number of different assignments 1 2 3 4 5 5. I was able to accept increasing challenge and responsibility 1 2 3 4 5 6. I had fringe benefits comparable to full-time employees 1 2 3 4 5 7. I feel that top management supported the Cooperative Education Program 1 2 3 4 5 8. I worked under an effective and responsible immediate supervisor 1 2 3 4 5 9. I would recommend this Co-op assignment to other students 1 2 3 4 5 10. I would like to continue with this co-op assignment for another semester 1 2 3 4 5 Comments: _________________________________________ Student Signature _______________________________ Date RSCC is a Tennessee Board of Regents institution. RSCC is an AA/EEO institution. RSCC Pub. #96-046 11-08