Student Evaluation Form - Palm Bay High School

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Student Evaluation Form
Please return to Matt Conroy at PBHS in enclosed envelope or fax to 676-2891.
Date:
Student’s Name:
Internship site:
Job Title:
Grading Period:
Evaluator/Supervisor:
Rating Scale of Job Performance
5 = Excellent (A)
4 = Above Average (B)
3 = Average (C)
2 = Below Average (D)
1 = Not Acceptable (F)
Student’s internship grade will be an average of the following and constitutes
90% of final grade.
Circle One
Overall Attitude
5
4 3 2 1
Attendance
5
4 3 2 1
Punctuality
5
4 3 2 1
Quality of Work
5
4 3 2 1
Appearance
5
4 3 2 1
Dependability
5
4 3 2 1
Ability to Follow Written Instructions
5
4 3 2 1
Ability to Follow Safety Procedures
5
4 3 2 1
Initiative in Anticipating Work
5
4 3 2 1
Worked Well with Others (Team)
5
4 3 2 1
Job Tasks
____________________________
5
4 3 2 1
____________________________
5
4 3 2 1
Palm Bay High School Student Evaluation Form  ‐ Able Trust High School High Tech Program                1 
 
Student Evaluation Form
Please return to Matt Conroy at PBHS in enclosed envelope or fax to 676-2891.
Date:
Student’s Name:
Internship site:
Job Title:
Grading Period:
Evaluator/Supervisor:
Rating Scale of Job Performance
5 = Excellent (A)
4 = Above Average (B)
3 = Average (C)
2 = Below Average (D)
1 = Not Acceptable (F)
Student’s internship grade will be an average of the following and constitutes
90% of final grade.
Circle One
Overall Attitude
5
4 3 2 1
Attendance
5
4 3 2 1
Punctuality
5
4 3 2 1
Quality of Work
5
4 3 2 1
Appearance
5
4 3 2 1
Dependability
5
4 3 2 1
Ability to Follow Written Instructions
5
4 3 2 1
Ability to Follow Safety Procedures
5
4 3 2 1
Initiative in Anticipating Work
5
4 3 2 1
Worked Well with Others (Team)
5
4 3 2 1
Job Tasks
____________________________
5
4 3 2 1
____________________________
5
4 3 2 1
Palm Bay High School Student Evaluation Form  ‐ Able Trust High School High Tech Program                1 
 
Employer’s Comments:
______________________________________________________________________
______________________________________________________________________
Number of Work Hours Completed: ________________
Supervisor Signature: ___________________________ Date: ___________
Palm Bay High School Student Evaluation Form  ‐ Able Trust High School High Tech Program                2 
 

Download Student Evaluation Form - Palm Bay High School

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