1. LIEGE ENGINEERING
VERSfl WISCONSIN DSON
Cooperative Education & Internship Program
Supervisor’s Evaluation of Student Performance
I 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:
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Supervisor: .sL5Ac7 J’,/€?40’7
1. Area(s) where student excels:r ,;
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2. Area(s) where student needs to iinprove:________________
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Pay Rate:,4.
Supervisor’s E-maij i 4ifliO (.rj.t,.Cc)i47
Performance Evaluation Exceeds Expectations Meets Expectations Below Expectations
Attendance
(punctuality, reliable)
Productivity
(volume, promptness)
Quality of Work
(accuracy, thoroughness, neatness)
Initiative
(self-starte, resourceful)
Dependability
(organized, trustworthy)
Attitude
(enthusiasm, curiosity, desire to learn)
Interpersonal Relations
(cooperative, courteous, friendly)
Judgment
(decision making)
Overall Performance
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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 internship
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 (. ..M E B E
Ability to design and conduct experiments, analyze and interpret data E E M E B E :N,—’
Ability to design a system, component, or process to meet desired needs E..( E B E NA
Ability to function on multi-disciplinary teams B E NA
Ability to identify, formulate and solve engineering problems E E B E NA
Understanding of professional and ethical responsibility E E— B E NA
Ability to communicate effectively -through interpersonal skills i M E B E NA
-through formal presentations E E MI B E NA
-through technical writing E E’< E B E NA
Broad education necessary to understand the impact of engineering solutions E E B E NA
in a global and societal context
Knowledge of contemporary issues E E B E NA
Ability to use the techniques, skills, and modern engineering tools E E 41 E B E NA
necessary for engineering practice ‘
Recognition of the need for, and an ability to engagejn life-long learning E E B E NA
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Comments/Observations: 3j’ ,4 ,,L £i€-.
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Does it apper that t acdeic program is orienti to the particular needs of your o77tio,7,tud
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What if any, canaes would you like to s e irn,plemented in the currulum?
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This report has been discussed with the student. YES 0 NO
Student comments: a1j,i has beeAJ g tw’4 1I!L.q
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Student Signature________________________________________ L_Ij p —
Signature verifies student review, but does not denote agreement.
Is this the student’s final work term with your organization? YES 0 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 6/02