200 University Avenue West

Waterloo, ON, Canada N2L 3G1

Telephone: 519-888-4026
Fax: 519-746-4103
ceca.uwaterloo.ca

Student Performance Evaluation

Student
Student ID Number
Company

Term:Jan.-AprilMay-Aug.Sept.-Dec.Year

The evaluation process is instrumental to a students personal and career development. Students appreciate an a
ssessment
of job performance and welcome constructive feedback. Thank you for taking the time to complete this evaluation and
discussing it with your student.

SUPERVISORS GUIDELINES FOR COMPLETION

Overall expectations and goals

END OF TERM EVALUATION

The end-of-term performance evaluation allows the supervisor
and student to fulfill the evaluation process. The return of this
completed evaluation form is required for the student to receive
credit for the work term. Please fill out this form near the end of
the students work term, and:

Students work performance

Discuss the evaluation process with your student.

Training or mentoring

Review:
Strengths/areas for development
Subsequent employment

MID-TERM REVIEW (Informal)

Please conduct a mid-term review with your student to assist
in their progress during the work term. Using this form as a
guideline, the mid-point discussion is an opportunity for the
supervisor and student to discuss topics such as:

Provide the student with an opportunity to complete the

Students Comments section.
Make one copy of the completed evaluation for the student, one
copy for your records and return the original to the University.

Thank you for your interest in our students and for participating in preparing them
to meet the challenges of the world outside the classroom.

Students Job Title:

Briefly describe the students activities and responsibilities below:

Interest in Work

High interest.
More than average
Satisfactory amount of
Little interest or
Not applicable/
Very enthusiastic. amount of interest and interest and enthusiasm. enthusiasm shown. not evaluated.
Takes pride in doing enthusiasm.
work well.

Initiative
Self-starter. Asks for
Displays initiative
Acts voluntarily in
Lacks initiative. Must
Not applicable/
additional work. consistently. routine situations. be told frequently what not evaluated.
to do.

Planning and Organizing

Does an outstanding
Plans and organizes
Does average amount
Fails to plan and
Not applicable/
job of planning and work and time effectively. of planning and organize work not evaluated.
organizing work and organizing. and time effectively.
time.

Setting Goals

Developed goals for the work

term early and made excellent
progress in working towards
them; referred back to goals
and evaluated progress at
various points during the term.

Developed goals for the

Showed minimal effort early
No evidence that the student
Not applicable/
work term early and in the term to set goals; set goals for the term. not evaluated.
showed some effort in demonstrated no follow-up
working towards them; did activity.
not often revisit goals or
evaluate progress during the term.

Ability to Learn
Excellent.
Above average.
Average.
Below average.
Not applicable/
not evaluated.

Quality of Work
Excellent: very few errors.
Good: few errors.
Satisfactory: has normal
Unsatisfactory: frequent
Not applicable/
number of errors. errors. not evaluated.

Quantity of Work
Excellent productivity.
Good productivity.
Satisfactory productivity.
Unsatisfactory productivity.
Not applicable/
not evaluated.

Creativity
Continually offers new
Frequently offers new
Has average imagination
Rarely offers new ideas;
Not applicable/
ideas; extremely ideas; imaginative. and a reasonable number limited imagination. not evaluated.
imaginative. of new ideas.

Reflection and Integration from Prior Learning

Frequently shows evidence
of thinking deeply or
reflecting in order to link
previous learning experiences
(from school or work) with
current workplace activity.

Sometimes shows

evidence of thinking
deeply or reflecting
in order to link previous
learning experiences
(from school or work) with
current workplace activity.

Rarely shows evidence

of thinking deeply or reflecting
in order to link previous
experiences (from school
or work) with current
workplace activity.

Shows no evidence of thinking Not applicable/

deeply or reflecting in order not evaluated.
to link previous learning
experiences (from school
or work) with current
workplace activity.

Judgment
Decisions always based
Usually makes good
Decisions are
Decisions often based
Not applicable/
on thorough analysis of decisions. satisfactory in routine on inadequate analysis not evaluated.
the situation. situations. of the situation.

Problem Solving Skills

Highly adept and
Adept at solving
Satisfactory problem
Exhibits inadequate
Not applicable/
innovative. problems. solving abilities. problem solving not evaluated.
abilities.

Dependability
Reliable in
Reliable in
Reliable in routine
Unreliable; requires
Not applicable/
any situation. most situations. situations. close supervision. not evaluated.

Interpersonal Behaviour (underline appropriate phrase(s))

Always works in harmony

with others. An excellent
team worker. Contributes
to group relationships and
effectiveness.

Congenial and helpful.

Relations with others are

Works well with associates. harmonious under normal
Seen as an asset in circumstances.
furthering co-operation
and group harmony.

Frequently quarrelsome,
Not applicable/
causes friction. not evaluated.
Uncommunicative and
withdrawn to the point of
having an adverse effect on group.

Handling Conflict
Effectively and consistently Handles interpersonal
Rarely handles interpersonal
Shows no evidence of
Not applicable/
handles interpersonal conflict adequately when conflict appropriately. ability to handle interpersonal not evaluated.
conflict in most situations. absolutely necessary. conflict.

Response to Supervision

Responds maturely,
Willingly accepts

positively and promptly suggestions and
to suggestions and feedback from supervisor.
feedback from supervisor.
Very open minded.

Accepts suggestions
Often responds negatively
Not applicable/
and feedback from to suggestions and feedback not evaluated.
supervisor in a from supervisor.
satisfactory manner.

Communication Written (including work reports, if applicable)

Exceptionally clear, well
Clear, organized and
Satisfactory writing skills.
Inadequate writing skills.
Not applicable/
organized and concise. concise. not evaluated.

Communication Oral
Exceptional oral
Clear and
Satisfactory oral
Inadequate oral
Not applicable/
communication; clear, understandable. communication. communication. not evaluated.
well organized and easily
understood.

Leadership Qualities
Excellent ability to
Very good.
Exhibits average
Presently lacks ability to
Not applicable/
motivate and direct others. leadership skills. motivate and direct others. not evaluated.

Adaptation to Formal Organizations, Rules and Policies

Fully adaptable to
Adapts well to recognized Satisfactory adaptation to
Adapts poorly to recognized
Not applicable/
recognized organizational organizational structures, recognized organizational organizational structures, not evaluated.
structures, rules and policies. rules and policies. structures, rules and policies. rules and policies.

Areas of Strength

Areas for Development

1. 1.
2. 2.
3. 3.

Supervisors Comments

Comment on the students overall job performance including, if possible, suggestions for additional academic or work exposure.

Overall Performance Evaluation

Excellent (exceeded

job requirements in all areas)

Very Good (exceeded

job requirements in one or

more key areas)

Outstanding (exceptional performance or unique contribution)

(This rating is reserved for only those few students who have distinguished themselves by their unique contribution
or exceptional performance. Your written comments are required below in order to register the
rating of Outstanding.)

Good (met all job

requirements)

Satisfactory (need

for improvement identified

in one or more key areas)

Marginal (needs

improvement in many
key areas)

Unsatisfactory (did not

meet job requirements)

Did you review the completed evaluation form with the student? (Please ensure the student has a copy.)
YesNo

Next Work Term

Do you wish to have the student return for the next work term?
YesNoNot applicable
If yes, have you offered to re-employ the student for the next work term?
YesNoTo be determined
If yes, was your offer

AcceptedDeclined?

Students Comments

Comment on your overall performance including your ability to achieve learning objectives and your future employment expectations.

Supervisors Name (Please print)

Signature

Title

Date

Students Signature

Date

Management/Human Resources Signature (Optional)

Date

Title

CO-OP ED.

MAY 2012

1326-1