1. V2IcoLLEaEo,ENGINEERING
UNIVERSITY OF WISCONSIN iADlSON Cooperative Education & Internship Program
Supervisor’s Evaluation of Student Performance
1. Please have a person who has daily supervisory contact with the student complete this evaluation. If
preferred, you may substitute your organization’s standard evaluation.
2. Please discuss this evaluation with the student. The experience is an important learning opportunity.
The evaluation’s goal is to help the student grow both personally and professionally.
3. Fax to 608.262.7262, Any questions, please call John Archambault at 608.262.5691.
4. Receipt of evaluation is required for student to receive course grade.
Student: Major:________________
Employing Organization Pay Rate: JY. Sc2Ji,i
Supervisor: c]i -
2. Area(s) where student 9eeds to improve:
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SlrwrviSor’s E-mail: . 4cn.Li., i4& co.i
Performance Evaluation Exceeds Expectations Meets Expectations Below Expectations
Attendance
(punctuality, reliable,)
Productivity
(volume, promptness)
Quality of Work
(accuracy, thoroughness, neatness)
Initiative
(self-starter; resourceful)
Dependability
(organized, trustworthy)
Attitude
(enthusiasm, curiosity, desire to learn)
Interpersonal Relations
(cooperative, courteous, friendly)
Judgment
(decision making)
Overall Performance
‘%
1. Areaçs) were student ecels: SJ_44 2sP’f... 4y/4M 5, 9
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2. Supervisor’s Evaluation of Student’s Academic Preparation
Please evaluate the student’s academic preparation for his/her cooperative education or summer intrnship
assignment using the ABET (Accreditation Board for Engineering and Technology — www.abet.org) outcomes
and assessment criterion. Academic department chairs receive summaries of responses. Provide specific
comments or observations directly below the criterion.
E E — Exceeds Expectations M E — Meets Expectations B E — Below Expectations NA — Cannot Rate
Ability to apply knowledge of mathematics, sciences, and engineering E E C... -M’E B E NA
Ability to design and conduct experiments, analyze and interpret data E E M E B E
Ability to design a system, component, or process to meet desired needs E E E B E NA
Ability to function on multi-disciplinary teams —. M E B E NA
Ability to identify, formulate and solve engineering problems )dl E B E NA
Understanding of professional and ethical responsibility E M E B E NA
Ability to communicate effectively -through interpersonal skills M E B E NA
-through formal presentations E E M E B E
-through technical writing E E( )A E B E TiA
Broad education necessary to understand the impact of engineering solutions E i.— E B E NA
in a global and societal context
Knowledge of contemporary issues E E - M E B E FJ
Ability to use the techniques, skills, and modern engineering tools E F4 E B E NA
necessary for engineering practice ‘— —
Recognition of the need for, and an ability to engage in life-long learning E E M> B E NA
Comments/Obse ations:
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Does it appear that this student’s academic pr gram is or nted the articular needs of your organization?
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What if any, clanges would you like to se imemented in the curricuIum?
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This report has been discussed with the student. ,YES 0 NO
Student comments: (c
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Student Signature . -
Date — — (.5Signature verifies studentiw, but 4es not denote agreement.
Is this the student’s final work term with your organization? 0 YES ‘NO
If Yes, have you offered full-time employment after graduation? 0 YES
Supervisor Signature Date____________________
Please fax to Engineering Career Services - 608.262.7262 6102