RIVERSIDE SCHOOL DISTRICT WORK-BASED

LEARNING

STUDENT INTERN EVALUATION

Student Intern: ___________________________ Worksite:

_____________________________
Date: ____________ Mentor:
_______________________________________
______________

Instruction: In each category, check the actions that most closely describe the
student intern’s performance.

NEEDS COMPETENT PROFICIENT ADVANCED

DEVELOPMEN
T
Work Habits and Attitudes—Individual responsibility, initiative, enthusiasm,
work ethic, adaptability, integrity and willingness to learn.

   
Does just enough to Shows satisfactory Diligent towards job. Outstanding initiative
get by. Seldom does initiative and Often seeks to learn and adaptability.
anything to improve motivation. Willing to and improve Continually seeks
work performance. learn when presented performance. Takes better ways to do
with the opportunity. pride in work. work. Makes
significant
contributions to job.

Interpersonal Effectiveness—Ability to get along with others, use courtesy,

and contributes to a team.

   
Occasionally reluctant Cooperative and Consistently Outstanding in
to help. Often moody courteous most of courteous and contacts with people,
or tactless. Doesn’t the time. Gets along helpful. Functions even in difficult
contribute to learning well with others. effectively as a situations. Goes the
effectiveness. Willing to support member of the team. “extra mile” in team
team effort. efforts.

Technical Skills—Overall progress in developing skills and abilities in

assigned tasks, given the student’s training, experience and time in the
program.

   
Must be assigned Demonstrates Performs all routine Excellent
only routine duties acceptable ability in tasks well, with some development of all
and coached or primary job duties follow-up instruction, phases of job duties.
instructed regularly. after appropriate can develop a variety Can readily become
Unable to develop instruction. Develops of relatively proficient at even the
more advanced skills. some advanced advanced skills. more advanced skills.
skills.
Quality of Work Accomplished —How accurate, neat, error-free, and complete
is the work?

   
Occasionally careless. Work meets quality Very accurate, careful Consistently
Makes recurrent standards. Completes and neat. Seldom outstanding in quality.
errors. Needs routine assignments makes errors on Accurate and neat on
checking and thoroughly and with routine assignments. routine and complex
improvement. a minimum of errors. Rarely fails to meet assignments. Meets
deadlines. deadlines.

NEEDS
COMPETENT PROFICIENT ADVANCED
DEVELOPMENT

Thinking and Problem Solving Skills —The ability to learn, to reason, to think
creatively, to make decisions, and to solve problems.

   
Identifies and solves Identifies and solves Explores options and Identifies potential
problems with help simple problems considers several problems
from supervisor. independently. alternative solutions and proposes
when solving preventive action.
problems.

Dependability—Attendance, punctuality, conscientiousness, reliability in

meeting commitments.

   
Improvement needed. No unexcused Very good Rarely absent. Always
Occasionally late to absences. Usually attendance and on time for work and
work and/or returning prompt for work and punctuality. Can be returning from breaks.
from breaks or lunch. returning from counted on to meet Extremely
Marginally reliable. breaks. Generally commitments. dependable.
reliable.

Communication Competencies—Reading and comprehending, listening and

understanding, speaking and writing clearly, and in accordance with
accepted standards.

   
Speech and listening Listens and speaks in Skilled in all routine Highly skilled in
difficulties lead to an appropriate oral and written speaking, listening
errors. Must be manner. Written communications. and reading. Written
coached regularly products contain an Reports and/or forms products are clear,
and repeatedly on acceptable number contain few errors. concise, and nearly
written products. of errors. error free.

Appearance and Grooming —Meets with standards of decency and

cleanliness.

   
Appearance interferes Acceptable level of Looks and dresses Impeccable in dress
with productivity. cleanliness, but could acceptable, clean, and appearance.
Repeated coaching improve in grooming and neat and Clean, well groomed
concerning dress and and dress. conforms to business and concise in detail
 cleanliness required. standards. to self.

Comments:______________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
________________________________ ________________
Work Site Supervisor Signature Date
-
For School Use Only -
-
I have read and discussed the contents__________________
of this I have discussed this report with the student
report with the WBL Coordinator. intern and have clarified expectations for -
continued performance improvement.
_____________________________________________Stu ____________________________________________
dent Intern Signature Date WBL Coordinator Signature
Date

Riverside School District does not discriminate on the basis of race, color, religion, sex, age, national origin, or disability.