Applied Learning Program - Student Evaluation Form - University of North America

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Tysons Corner Campus
8618 Westwood Center Drive, Suite 100
Vienna, Virginia. 221 82
Tel: (571) 633-9651
Fax: (703) 890-3372
careerservices.uona.edu
APPLIED LEARNING PROGRAM - STUDENT EVALUATION FORM
Student Name:
__________________________________________
Student ID:
__________________________________________
Company Name:
__________________________________________
Year: _______________
Circle Term:
Winter
Spring
Summer
Fall
The appraisal process is an integral part of the student’s personal, academic and professional development. Thank
you for taking the time to assess the job performance and provide constructive criticism to the student. It is very
much appreciated.
PART 1 - SPECIFIC PERFORMANCE MEASUREMENTS
Poor
Below
Fully
Above
Excellent
Average Satis-
Average
factory
1
2
3
4
5
1. Personal Initiative
2. Planning & Organizing Skills
3. Goal Setting
4. Quality of work completed
5. Quantity of work completed
6. Prior Learning Integration
7. Personal Judgment
8. Problem Solving Skills
9. Dependability
10. Interpersonal Skills
11. Response to Supervision
12. Written Communication Skills
13. Oral Communication Skills
14. Leadership Skills
15. Adaptation to Corporate Culture
PART 2 – PERFORMANCE COMMENTARY
1.
Has the employee satisfied the job objectives established for the term?
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
2.
Identify the strengths of the employee.
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
3.
Identify those areas the employee needs to improve.
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
1
Tysons Corner Campus
8618 Westwood Center Drive, Suite 100
Vienna, Virginia. 221 82
Tel: (571) 633-9651
Fax: (703) 890-3372
careerservices.uona.edu
APPLIED LEARNING PROGRAM - STUDENT EVALUATION FORM
Student Name:
__________________________________________
Student ID:
__________________________________________
Company Name:
__________________________________________
Year: _______________
Circle Term:
Winter
Spring
Summer
Fall
The appraisal process is an integral part of the student’s personal, academic and professional development. Thank
you for taking the time to assess the job performance and provide constructive criticism to the student. It is very
much appreciated.
PART 1 - SPECIFIC PERFORMANCE MEASUREMENTS
Poor
Below
Fully
Above
Excellent
Average Satis-
Average
factory
1
2
3
4
5
1. Personal Initiative
2. Planning & Organizing Skills
3. Goal Setting
4. Quality of work completed
5. Quantity of work completed
6. Prior Learning Integration
7. Personal Judgment
8. Problem Solving Skills
9. Dependability
10. Interpersonal Skills
11. Response to Supervision
12. Written Communication Skills
13. Oral Communication Skills
14. Leadership Skills
15. Adaptation to Corporate Culture
PART 2 – PERFORMANCE COMMENTARY
1.
Has the employee satisfied the job objectives established for the term?
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
2.
Identify the strengths of the employee.
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
3.
Identify those areas the employee needs to improve.
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
1
4.
Are there any other concerns or issues that you believe need to be clarified?
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
PART 3 – OVERALL PERFORMANCE
Met or exceeded expectations.
Did not meet expectations (see below).
PART 4 – SIGNATURES
Company Name:
_______________________________________________
Contact Name:
_______________________________________________
Company Address:
_______________________________________________
Phone number:
_______________________________________________
Student Name (Print):
________________________________________
Student Signature & Date:
________________________________________
Supervisor Name (Print):
________________________________________
Supervisor Signature & Date:
________________________________________
NOTE:
1. If, for whatever reason, the student did NOT meet expectations, please contact Director of Applied
Learning immediately.
2. Please send the original evaluation to the Director of Applied Learning at the University of North America;
retain a copy for your records and give the student a copy.
2

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