CWE OFFICE
Cooperative Work Experience
Student: __________________________________________________ ID #: ___________________ Term: _____________________
CWE Instructor: _______________________________________________________ Course #: _______________________________
Site: _________________________________________________ Supervisor: _______________________ Phone: ______________
Compared to the performance you expect of a permanent employee, how did this student do in these areas?
Beginning (1)
Regularly misses class and/or
deadlines. He/she cannot be
Reliability
relied upon to follow-through sporadic. At times, he/she
on commitments.
N/A
Rarely exhibits a cooperative,
Collaboration interested attitude toward
teamwork
N/A
Does not listen and/or unable
to summarize key elements of
verbal and nonverbal
Communication
communication. Does not
clearly express thoughts
verbally and nonverbally.
N/A
Does not respect of other's
Respect rights, ideas, opinions, and
diversity of others
N/A
Student does not take
personal responsibility for
Professionalism appearance, behavior,
actions, or verbal
communication.
N/A
Regularly displays a negative
attitude. Is often perceived as
Attitude
pessimistic, self-centered,
and/or discouraging.
N/A
Does not attempt to identify, Student primarily depends on
Problem Solving describe, or solve the
problem.
N/A
Source: Rogue Valley Employability Skills Rubric
Clear Form
Redwood Campus
3345 Redwood Highway
Grants Pass, OR 97527
Employer Evaluation Phone: (541) 956-7066 Fax: (541) 471-3563
Developing (2) Progressing (3) Advanced (4)
Contributes substantially to
He/she is inconsistently Attendance and follow-
learning process both by
reliable. Attendance can be through is consistent. He/she
"showing up" and by
is self-motivated and can be
encouraging and challenging
shows potential and initiative. relied upon regularly.
others to fully participate.
Functions at a very high level
Is a cooperative team Actively participates well in a
as a team player. Is very
member, but requires team environment. He/she
skilled as team leader in
motivation to collaborate and shows initiative and develops
collaboration and handling
function at a higher level. win-win solutions.
team conflict/disagreement.
Communicates effectively
Offers "safe" answers to (both verbally and Skilled at creating an open
simple questions and nonverbally). Actively listens environment that encourages
occasionally volunteers a to others without the flow of information.
response. Student is beginning interruption. Student Verbal and nonverbal
to develop organized and contributes to class discussion communication conveys both
appropriate verbal and by offering thoughts, substance and intent with
nonverbal responses. opinions, and asking high accuracy.
appropriate questions.
Respects the rights, ideas,
Developing respect of other's Demonstrates respect of opinions, and diversity of
rights, ideas, opinions, and other's rights, ideas, opinions, others. Encourages others to
diversity of others. and diversity of others. express viewpoint without
judgment.
Accepts full responsibility for
own appearance, behavior,
Shows inconsistent evidence Student takes personal and actions. Student is a
of ability to manage their responsibility for their leader and role model in
behavior or actions, appearance, verbal opportunities in helping
appearance, or verbal communication, behavior, or classmates mentor and
communication. actions. progress in their behavior,
communication, and behavior
skills.
Demonstrates a positive and
Makes a positive impression
Attitude occasionally encouraging attitude even in
to those around them. Creates
fluctuates between the face of adversity. Leads as
and sustains an attitude that
positive/encouraging to a role model and shows
encourages others to do their
negative/pessimistic empathy and compassion
best.
toward others.
Student is a leader that can
Find multiple ways to solve a
plan and organize work,
problem and share the
reason, and make objective
others to solve problems or strengths and weaknesses of a
judgments, and keep their
identify possible solutions. solution with a variety of
mind on several parts of their
audiences.
job.
Last Updated: 6/3/2019
 CWE OFFICE

Cooperative Work Experience Redwood Campus

3345 Redwood Highway
Grants Pass, OR 97527
Employer Evaluation Phone: (541) 956-7066 Fax: (541) 471-3563

Student: __________________________________________________ ID #: ___________________ Term: _____________________

CWE Instructor: _______________________________________________________ Course #: _______________________________

Site: _________________________________________________ Supervisor: _______________________ Phone: ______________

EVALUATION SCALE:
(4) Performs to standard without further supervision or monitoring
(3) Performs to standard but needs occasional supervision or monitoring to maintain consistency
(2) Still receiving training and/or supervision to bring up to standard
(1) Has begun initial training but is not yet performing task
(0) Low or no exposure, time constraints did not permit completion of goal. (note other reasons)

Compared to the performance you expect of a permanent employee, how did this student do in these areas?

A. LEARNING GOAL #1 (See CWE Workplace Ethics)

(please check one) 4 3 2 1 0

Comments:

B. LEARNING GOAL #2 (please check one) 4 3 2 1 0

Comments:

C. LEARNING GOAL #3 (please check one) 4 3 2 1 0

Comments:

D. LEARNING GOAL #4 (please check one) 4 3 2 1 0

Comments:

Did this student meet the time commitment agreed upon? Yes No

If not, why?:

Would you recommend this student for hire for an entry level position in this field? Yes No

COMMENTS:

SUPERVISOR'S SIGNATURE: DATE:

Clear Form Last Updated: 6/3/2019