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Run: 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...

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Evaluation Details

Evaluation Type (required)

Evaluation Date (required)

School Year (required)

WBL Program Name (required)

Placement Start Date

Placement End Date

Student and Worksite Information

Student Name (required)

Student ID

Use only if your program needs an internal student identifier for record matching.

School or District (required)

Worksite Name (required)

Job Title or Role

Worksite Supervisor Name (required)

Performance Evaluation

Overall Performance (required)

Attendance and Punctuality (required)

Work Ethic and Initiative (required)

Communication Skills (required)

Teamwork and Collaboration (required)

Technical or Job-Specific Skills (required)

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? (required)

Follow-up Needed

Additional Comments

Supervisor Acknowledgment

Supervisor Signature (required)

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. (required)

Yes No N/A

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Email (required)

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