V2IcoLLEaEo,ENGINEERING

UNIVERSITY OF WISCONSIN iADlSON Cooperative Education & Internship Program

Supervisor’s Evaluation of Student Performance

1. Please have a person who has daily supervisory contact with the student complete this evaluation. Ifpreferred, you may substitute your organization’s standard evaluation.

2. Please discuss this evaluation with the student. The experience is an important learning opportunity.The evaluation’s goal is to help the student grow both personally and professionally.

3. Fax to 608.262.7262, Any questions, please call John Archambault at 608.262.5691.4. Receipt of evaluation is required for student to receive course grade.

Student: Major:________________

Employing Organization Pay Rate: JY. Sc2Ji,i

Supervisor: c]i -

__________________

2. Area(s) where student9eeds to improve:

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SlrwrviSor’s E-mail: . 4cn.Li., i4&co.i

Performance Evaluation Exceeds Expectations Meets Expectations Below Expectations

Attendance(punctuality, reliable,)

Productivity(volume, promptness)

Quality of Work(accuracy, thoroughness, neatness)

Initiative(self-starter; resourceful)

Dependability(organized, trustworthy)

Attitude(enthusiasm, curiosity, desire to learn)

Interpersonal Relations(cooperative, courteous, friendly)

Judgment(decision making)

Overall Performance‘%

1. Areaçs) were student ecels: SJ_44 2sP’f... 4y/4M 5, 9a.’Mfzc4 ci c’cciima,4w, AyJ1u*r

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Supervisor’s Evaluation of Student’s Academic Preparation

Please evaluate the student’s academic preparation for his/her cooperative education or summer intrnshipassignment using the ABET (Accreditation Board for Engineering and Technology — www.abet.org) outcomesand assessment criterion. Academic department chairs receive summaries of responses. Provide specificcomments or observations directly below the criterion.

E E — Exceeds Expectations M E — Meets Expectations B E — Below Expectations NA — Cannot Rate

Ability to apply knowledge of mathematics, sciences, and engineering E E C... -M’E B E NAAbility to design and conduct experiments, analyze and interpret data E E M E B EAbility to design a system, component, or process to meet desired needs E E E B E NAAbility to function on multi-disciplinary teams —. M E B E NAAbility to identify, formulate and solve engineering problems )dl E B E NAUnderstanding of professional and ethical responsibility E M E B E NAAbility to communicate effectively -through interpersonal skills M E B E NA

-through formal presentations E E M E B E-through technical writing E E( )A E B E TiA

Broad education necessary to understand the impact of engineering solutions E i.— E B E NAin a global and societal contextKnowledge of contemporary issues E E - M E B E FJAbility to use the techniques, skills, and modern engineering tools E F4 E B E NAnecessary for engineering practice ‘— —

Recognition of the need for, and an ability to engage in life-long learning E E M> B E NA

Comments/Obse ations:

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Does it appear that this student’s academic pr gram is or nted the articular needs of your organization?,J CcCf/j7L ;What if any, clanges would you like to se imemented in the curricuIum?

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This report has been discussed with the student. ,YES 0 NO

Student comments: (c41 t

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:i)cStudent Signature . - Date — — (.5Signature verifies studentiw, but 4es not denote agreement.

Is this the student’s final work term with your organization? 0 YES ‘NOIf Yes, have you offered full-time employment after graduation? 0 YES

Supervisor Signature Date____________________

Please fax to Engineering Career Services - 608.262.72626102