WBL Worksite Supervisor Student Performance Evaluation
A mid-point and final evaluation form for work-based learning supervisors to document student performance, strengths, and readiness for completion. Use it to give schools clear, structured feedback and track follow-up needs.
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Built for: K 12 Education · Career And Technical Education · Work Based Learning Programs · Community Colleges
Overview
The WBL Worksite Supervisor Student Performance Evaluation template is a structured employer feedback form for documenting how a student is performing in a work-based learning placement. It includes evaluation details, student and worksite information, performance ratings, strengths, improvement areas, recommended supports, completion readiness, and supervisor acknowledgment.
Use this template when a school, district, or program needs a consistent mid-point or final review from the worksite supervisor. It works well for internships, cooperative education, career pathways, and other placements where the student’s attendance, punctuality, communication, teamwork, and technical skills need to be recorded in one place. The form helps supervisors give specific feedback and helps coordinators decide whether the student is on track for completion.
Do not use this template as a general employee performance review or as a disciplinary form. It is also not the right fit if you only need a simple attendance log or a one-question satisfaction survey. If your program does not collect student identifiers, you can remove those fields and use anonymous submission where appropriate. Keep the form focused on the minimum necessary information for the school’s review process, and use conditional logic if different placements require different skill criteria.
Standards & compliance context
- Collect only the student and placement data needed for the evaluation to support GDPR-style data minimization and district retention rules.
- If the form is public-facing or used by external supervisors, keep fields accessible with clear labels, keyboard-friendly controls, and WCAG 2.1 AA validation messages.
- For education and HR-adjacent use, include a reasonable-accommodation prompt where relevant so supervisors can note support needs without over-collecting sensitive details.
- If the form stores student or placement records, maintain an audit trail for submission, edits, and review access according to your local policy.
General regulatory context for orientation only — verify current requirements with counsel or the relevant agency before relying on this template for compliance.
What's inside this template
Evaluation Details
This section anchors the review to the correct placement, date, and evaluation cycle so the record can be compared across mid-point and final submissions.
- Evaluation Type
- Evaluation Date
- School Year
- WBL Program Name
- Placement Start Date
- Placement End Date
Student and Worksite Information
These fields identify who was evaluated and where the placement occurred, which is essential for routing feedback back to the right school contact.
- 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
This is the core scoring section, where supervisors rate observable work behaviors in a consistent way across students and placements.
- Overall Performance
- Attendance and Punctuality
- Work Ethic and Initiative
- Communication Skills
- Teamwork and Collaboration
- Technical or Job-Specific Skills
Strengths and Improvement Areas
This section turns ratings into actionable feedback by showing what the student is doing well and where support is still needed.
- Student Strengths
- Areas for Improvement
- Recommended Supports or Coaching
Completion Readiness and Follow-Up
These fields help the school decide whether the student is on track to finish the placement and what follow-up should happen next.
- Is the student on track to complete the WBL placement successfully?
- Follow-up Needed
- Additional Comments
Supervisor Acknowledgment
This section confirms who submitted the evaluation and creates a clear record that the feedback came from the worksite supervisor.
- 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.
How to use this template
- 1. Set the evaluation type to mid-point or final, then confirm the school year, program name, and placement dates so the review is tied to the correct placement.
- 2. Enter the student and worksite details, using only the fields your program needs and marking optional fields clearly to avoid unnecessary PII collection.
- 3. Rate each performance area with the same scale across all submissions, and add brief comments that name observable behaviors rather than general impressions.
- 4. Describe the student’s strengths, improvement areas, and recommended supports so the school can act on the feedback instead of treating it as a record only.
- 5. Indicate whether the student is on track for completion and whether follow-up is needed, then add any next steps, accommodations, or concerns in the additional comments field.
- 6. Have the supervisor review the acknowledgment, sign, and submit the form so the school receives a clear audit trail for the evaluation.
Best practices
- Use the same rating scale for every student so supervisors can compare evaluations without guessing what each score means.
- Keep the performance fields aligned to the placement role, and replace generic technical skills with job-specific competencies when needed.
- Use conditional logic to show only the support or follow-up fields that apply, especially when a student is already on track for completion.
- Ask supervisors to write one concrete example in the strengths or improvement areas section so the feedback is actionable for the school.
- Mark student identifiers as required only when the district truly needs them, and avoid collecting extra PII that will not be used.
- Include a clear submission acknowledgment so supervisors know what happens after they submit and coordinators can track receipt.
- If the placement involves accommodations, add a prompt for reasonable-accommodation notes so the school can follow up appropriately.
What this template typically catches
Issues teams running this template most often surface in practice:
Common use cases
Frequently asked questions
When should this evaluation be used?
Use it at the mid-point of the placement and again near the end of the work-based learning experience. The mid-point review helps you correct issues early, while the final review supports completion decisions and school follow-up. If your program has a different cadence, you can add an evaluation type field for quarterly or milestone reviews.
Who should complete the form?
The student’s direct worksite supervisor should complete it, since that person can speak to attendance, punctuality, communication, teamwork, and technical skills. In some programs, a site mentor or manager may co-sign, but the evaluation should reflect the supervisor’s direct observations. The school coordinator can collect and review the form after submission.
What does this template actually capture?
It captures evaluation details, student and worksite information, performance ratings, strengths, improvement areas, recommended supports, completion readiness, and supervisor acknowledgment. The fields are set up to document both progress and any follow-up needed before the placement ends. It is designed for a structured employer evaluation, not a student self-assessment.
Does this form fit every work-based learning program?
It fits most school-to-work placements, internships, career pathways, and cooperative education programs that need employer feedback. You can customize the performance criteria to match industry-specific competencies or district rubrics. If your program requires separate safety, attendance, or employability sections, those can be added as conditional fields.
How often should supervisors complete it?
Most programs use it twice: once at the mid-point and once at the end of the placement. If the student is in a longer placement, you may want additional check-ins to document progress and adjust supports. Keeping the cadence consistent makes comparisons between evaluations easier for schools and students.
What are the most common mistakes when using this template?
Common mistakes include leaving the evaluation type blank, using vague comments like 'doing well' without examples, and skipping the improvement areas section. Another issue is marking every field required when some details should be optional, which can slow down completion. The form works best when supervisors give specific, observable feedback tied to the student’s role.
Can this be customized for different industries?
Yes. You can rename technical skills to match the placement, such as customer service, lab procedures, equipment handling, or office software. You can also add conditional logic so only relevant competency fields appear for each industry or job title. That keeps the form shorter and easier to complete.
How does this compare with collecting feedback by email or paper notes?
A structured form is easier to review, compare, and archive than scattered emails or handwritten notes. It creates a consistent record of performance, supports follow-up planning, and reduces the chance that key details are missed. It also helps schools and employers use the same criteria across placements.
What should happen after the supervisor submits it?
The school coordinator or program lead should review the evaluation, confirm any follow-up actions, and share next steps with the student if appropriate. If the form includes PII, the submission should be stored according to your district’s retention and access rules. A clear acknowledgment line helps the supervisor know the evaluation was received.
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