Dallas County Community College District

INTERNSHIP/PRACTICUM/COOPERATIVE EDUCATION

 Evaluation Form - Basic Workplace Skills / Attributes (Part B)

 

 

Student _______________________________________________   Rating Period ________________________________

 

Employer _____________________________________________    Course ______________________________________

 

(On-site Supervisor: Please use this form throughout rating period to document your observation of student’s skills / attributes.  Please check the appropriate box for each item.)

Basic Workplace Skills / Attributes	RATING
	Not Applicable	Satisfactory	Unsatis-factory
Basic Skills
1.        Locates, understands and interprets written information
2.        Communicates thoughts, ideas, information in writing
3.        Organizes ideas and communicates orally
4.        Receives, interprets, and responds to verbal messages and cues
5.        Performs basic computations (add, subtract, multiply, & divide)
6.        Utilizes appropriate mathematical techniques to solve complex problems
7.        Demonstrates appropriate computer skills
Thinking Skills
8.        Demonstrates creative thinking
9.        Identifies goals and constraints, chooses best alternative
10.     Recognizes problem and devises/implements a solution
11.     Uses effective learning techniques
12.     Discovers and applies underlying rules or principles
Interpersonal Skills
13.     Contributes to group effort as productive team member
14.     Works well with people from diverse backgrounds
15.     Exhibits responsible behavior
Personal Attributes
16.     Exerts a high level of effort and perseveres towards goals
17.     Believes in self and maintains positive view of self
18.     Chooses ethical courses of action
19.     Sets relevant, goal related activities, prioritizes, and allocates time
20.     Maintains appropriate personal appearance and hygiene

 

Additional comments concerning basic skills / attributes (attach additional pages if necessary): Any( Supervisors are encouraged to explain unsatisfactory rating requires an explanation ratings).

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We the undersigned agree to the above ratings of basic skills / attributes:

 

 

____________________________________                 ___________________________________

Student                                                                    Date                              Supervisor                                                             Date

 

 

	Educational opportunities are offered by the Dallas County Community College District without regard to race, color, age, national origin, religion, sex or disability.