University College Plymouth St Mark & St John

University College Plymouth St Mark & St John

Placement Provider Assessment Form

Placement Provider Assessment Form

Comment:

Using the following scale, please assess the student’s demeanour and performance by circling the number below which most appropriately describes their work for each of the following elements:

(1 = very satisfied. 2 = satisfied. 3 = neither satisfied nor unsatisfied 4 = unsatisfied. 5 = very unsatisfied)

Please now assign an overall number grade which most appropriately reflects the student’s work overall. In assigning the grade, we ask you to please take into account your grading of the above elements.
Briefly describe the work/projects undertaken by the student.
What were the student’s greatest strengths or achievements?
What key areas does the student need to develop?
Other comments

Last modified on Mon, 01 Oct 2007 11:31:47 BST by istjohn

	1	2	3	4	5
1.Punctuality & attendance
2.Ability to work with others
3.Ability to learn and develop skills
4.Ability to manage problems and conflict
5.Creativity
6.Reliability
7.Written communication skills
8.Oral communication skills
9.Attention to detail
10.Initiative
11.Professionalism
12.Ability to accept and apply constructive feedback
13.Quality of work
14.Responds to challenges
15.Attitude to work
16. Other (please note)

Student Name

Module studied

Name of placement provider

Contact Email

Name of Placement Supervisor

Name of person completing this form if different from above