Coordinator Evaluation
Date
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Date
Class Number: Course Catalog
Class Number: Course Catalog
Instructor/ Coordinator
educational goals, this student is qualified for:
General Work Experience Education: supervised employment which is intended to assist students in acquiring desirable work habits, attitudes, and career awareness. The work experience need not be related to the students’ educational goals.
Student
Company/ Employer
Supervisor
Visit Date
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Cooperative Education Program
Discuss with Job supervisor
Discussed the intent and purpose of Work Experience Education:
Yes
No
Comments:
Check this box if this position is non-paid
Non-paid
Learning Objectives
(Discuss with job supervisor)
Learning Objective #1
Learning Objective #1
None
In Progress
Completed
Learning Objective #2
Learning Objective #2
None
In Progress
Completed
Learning Objective #3
Learning Objective #3
None
In Progress
Completed
Comments about Learning Objectives
General Characteristics of Student at the Workplace
(Discuss with job supervisor)
Student Interview section
Rows
Needs Improvement
Satisfactory
Superior:
Other:
Job Performance Skills
Attitude
Career Development /Potential
Effect of Education Program
Comments about General Characteristics of Student at the Workplace (discuss with job supervisor)
Student Interview
Can be conducted during supervisor interview or at a different time
Date
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Student Interview section
Rows
Needs Improvement
Satisfactory
Superior:
Other:
Cooperative Education Requirements/Hours completion
Completion of Cooperative Education Goals
Progress in Related Classes
Comments
Employer Evaluation
Student Evaluation
Total Hours
Unit of Credit
Final Grade
Coordinator Signature
Signature is already uploaded
Date
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Month
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Date
Preview PDF
Submit
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