WBL Worksite Supervisor Student Performance Evaluation

Mid-point and final employer evaluation form for documenting a student's work-based learning performance, progress, and completion readiness.

Evaluation Details

• Evaluation Type
• Evaluation Date
• School Year
• WBL Program Name
• Placement Start Date
• Placement End Date

Student and Worksite Information

• Student Name
• Student ID
  Use only if your program needs an internal student identifier for record matching.
• School or District
• Worksite Name
• Job Title or Role
• Worksite Supervisor Name

Performance Evaluation

• Overall Performance
• Attendance and Punctuality
• Work Ethic and Initiative
• Communication Skills
• Teamwork and Collaboration
• Technical or Job-Specific Skills

Strengths and Improvement Areas

• Student Strengths
• Areas for Improvement
• Recommended Supports or Coaching

Completion Readiness and Follow-Up

• Is the student on track to complete the WBL placement successfully?
• Follow-up Needed
• Additional Comments

Supervisor Acknowledgment

• Supervisor Signature
• Supervisor Title
• Supervisor Email
  Optional contact information for follow-up about this evaluation.
• I confirm this evaluation is accurate to the best of my knowledge and may be used for WBL completion documentation.