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  • Student Performance Evaluation (MDE035947)

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    This document provides a sample form for evaluating student performance in a work-based learning program. It includes spaces to provide the student's name and details of their job, as well as a rating scale to evaluate their level of attainment on various tasks from not observed to mastery. The form is to be completed by the student's supervisor and returned to the Work-Based Learning Coordinator by a specified date.

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    This document provides a sample form for evaluating student performance in a work-based learning program. It includes spaces to provide the student's name and details of their job, as well as a rating scale to evaluate their level of attainment on various tasks from not observed to mastery. The form is to be completed by the student's supervisor and returned to the Work-Based Learning Coordinator by a specified date.

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    © All Rights Reserved
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    5 views1 page

    Student Performance Evaluation (MDE035947)

    Uploaded by

    The Forum
    This document provides a sample form for evaluating student performance in a work-based learning program. It includes spaces to provide the student's name and details of their job, as well as a rating scale to evaluate their level of attainment on various tasks from not observed to mastery. The form is to be completed by the student's supervisor and returned to the Work-Based Learning Coordinator by a specified date.

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    © All Rights Reserved
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    SAMPLE – Student Performance Evaluation

    This is a sample form and is intended for districts to modify for their own use.

    Please complete this form and return it to the Work-Based Learning Coordinator no later
    than

    Student’s Name Date:

    Job Title

    Business/Employer

    Assigned Supervisor

    Work-Based Learning Coordinator

    School

    Evaluation Period / 20 to / 20

    Ratings for level of attainment of performance of tasks (to be used in the table below)
    • Not observed during evaluation period – NO
    • Level of performance not acceptable, student unable to perform task – NA
    • Task performed with assistance, student unable to complete task on own. – Novice (1)
    • Task performed with monitoring by supervisor, occasional questions asked – Developing (2)
    • Task performed independently and meets industry standards – Proficient (3)
    • Task performed consistently at level exceeding industry standards and employer expectations –
    Mastery (4)

    Level of Attainment
    Area/Task Assigned NO NA 1 2 3 4 Comments
    None n/a n/a n/a n/a n/a n/a None
    None n/a n/a n/a n/a n/a n/a None
    None n/a n/a n/a n/a n/a n/a None
    None n/a n/a n/a n/a n/a n/a None
    None n/a n/a n/a n/a n/a n/a None
    None n/a n/a n/a n/a n/a n/a None
    None n/a n/a n/a n/a n/a n/a None
    None n/a n/a n/a n/a n/a n/a None

    Student’s Signature Date

    Supervisor’s Signature Date

    Work-Based Learning Coordinator’s Signature Date

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