EmailMe Form - Work Experience - Final Evaluation Spring 2023

COURSE INFORMATION

Please contact the student being supervised for assistance in completing this section as needed.

Who are you? *

Student

Site Supervisor / Employer

Please indicate your role in Work Experience.

Note: Final Evaluation form is completed by both the student AND Site Supervisor separately (Same link, 2 form submissions) to rate the student's performance, skills, and progress

Campus: *

City College

Mesa College

Miramar College

Academic Term & Year: *

MESA COLLEGE Work Experience Course: *

Work Experience credit is awarded based on 75 hours of paid work/internship or 60 hours of unpaid internship per unit the student is enrolled. View the Work Experience Student Handbook (Page 13) for minimum hours required per semester by unit.

MIRAMAR COLLEGE Work Experience Course: *

Work Experience credit is awarded based on 75 hours of paid work/internship or 60 hours of unpaid internship per unit the student is enrolled. View the Work Experience Student Handbook (Page 13) for minimum hours required per semester by unit.

CITY COLLEGE Work Experience Course: *

NOTE: City College Work Experience process will be completed via paper forms. Contact the WE instructor for the course that you would like to enroll in directly.

Work Experience credit is awarded based on 75 hours of paid work/internship or 60 hours of unpaid internship per unit the student is enrolled. View the Work Experience Student Handbook (Page 13) for minimum hours required per semester by unit.

STUDENT INFORMATION

Student Name: *

First Last

CSID: *

SDCCD Student ID #

Student Phone: *

### - ### - ####

Student Email: *

WORK EXPERIENCE COMPANY & STUDENT POSITION INFORMATION

Company/Organization Name: *

Site Supervisor Name: *

Site Supervisor Title: *

Site Supervisor Phone: *

### - ### - ####

Site Supervisor Email: *

Student Position Title: *

Student Position Type: *

Paid

Unpaid

WORK EXPERIENCE FINAL EVALUATION INSTRUCTIONS:

SMART LEARNING OBJECTIVES:
SMART Learning Objectives were developed and agreed upon by the student, Site Supervisor, and Work Experience faculty at the 1st site visit as projects/tasks for the student to work on. Ratings are determined before or during the second site visit at the end of the term.

EVALUATION PROCESS:
Student AND Site Supervisor both complete the Final Evaluation separately (2 form submissions) at the end of the semester to rate the student's performance and progress towards completion of the SMART Learning Objectives.

STUDENT - Rate your own individual performance (self-reflection) at your work site throughout the term and your progress towards completion of your SMART Learning Objectives.

SITE SUPERVISOR - Rate the student's overall performance at your work site throughout the term and their progress towards completion of their SMART Learning Objectives.

SMART LEARNING OBJECTIVE #1:

Describe the student's work-based project or learning objective and what he/she planned to accomplish: *

Please rate student completion and performance of SMART learning objective at work experience site. *

	Excellent	Above Average	Satisfactory	Limited
Learning Objective 1

SMART LEARNING OBJECTIVE #2:

Describe the student's work-based project or learning objective and what he/she planned to accomplish: *

Please rate student completion and performance of SMART learning objective at work experience site. *

	Excellent	Above Average	Satisfactory	Limited
Learning Objective 2

SMART LEARNING OBJECTIVE #3:

Describe the student's work-based project or learning objective and what he/she planned to accomplish: *

Please rate student completion and performance of SMART learning objective at work experience site. *

	Excellent	Above Average	Satisfactory	Limited
Learning Objective 3

LEARNING OBJECTIVE RATING NOTES & FEEDBACK:

Please provide additional comments on student performance and completion of SMART Learning Objectives (Optional):

21st CENTURY PROFESSIONAL SKILLS POST-WORK EXPERIENCE EVALUATION INSTRUCTIONS:

Work Experience is designed to help students develop professional skills through hands-on experience.

EVALUATION PROCESS:
Student AND Site Supervisor both complete the Final Evaluation separately (2 form submissions) at the end of the semester to rate the student's performance and skills.

STUDENT - Rate your own individual (self-reflection) overall performance and ability of each of these 21st Century workplace skills used throughout your Work Experience placement.

SITE SUPERVISOR - Rate the student's overall performance and ability of each of these 21st Century workplace skills used throughout their Work Experience placement at your company.

Ratings of student performance of each skill will be shared with the student, Work Experience Instructor, Site Supervisor to be discussed at the 2nd site visit of Work Experience.

Evaluate the student's level for each of the following 21st Century workplace skills: *

	Excellent	Above Average	Competent	Unsatisfactory	Not Applicable
ADAPTABILITY: Open to new experiences by trying out different work environments, roles, and tasks.
ANALYSIS/SOLUTION MINDSET: Examines information and data using critical thinking skills and considers different ways to solve a problem.
COLLABORATION: Able to work with a diverse team, encourages using skills of all, and able to manage conflict.
COMMUNICATION: Articulates thoughts and ideas verbally and in writing in a professional manner, uses appropriate content, uses non-verbal communication to make things clear.
DIGITAL FLUENCY: Has a basic understanding of computer, online tools, hardware, and software to find data, information, answer questions, or help solve a problem.
ENTREPRENEURIAL MINDSET: Self-motivated, risk-taker, and seeks new knowledge, skills, ideas, and greater work responsibilities.
EMPATHY: Develops good relationships with people from diverse backgrounds and cultures by being a good listener, asking questions to understand what the other person is feeling, being honest, and mirroring nonverbal communication to build trust.
RESILIENCE: Sets priorities and goals, anticipates possible consequences, develops back-up plans, learns from feedback, and believes in personal growth.
SELF-AWARENESS: Knows own skills and strengths, works to improve weaknesses, maintains self-discipline, takes personal responsibility, and attempts to grow professional manner.
SOCIAL/DIVERSITY AWARENESS: Values diversity in the workplace, develops relationships with people of different backgrounds, and seeks out new ideas from others.

Comments & Feedback of Student Evaluation:

Describe any area(s) and/or skill(s) that show great promise or need improvement.

FINAL EVALUATION AUTHORIZATION

The undersigned agree to the above and the validity of the SMART job-oriented learning objectives listed on this form and overall student performance have been evaluated and rated.

Name of Person Completing this Final Evaluation: *

Signature: *

Clear

Please use your computer mouse cursor or finger on a tablet to physically sign your name as you would for a wet signature.

UNABLE TO SIGN THE FORM?
If you have previously started the form and selected "Save & Resume Later," click on the "Clear/Delete" link in the bottom right corner of the signature field. This will clear the field and allow you to sign and submit the form.

Date Time *

MM / DD / YYYY

Need to finish this form later? Click “Save & Resume Later” at the bottom of this form to generate a unique URL with the information you've entered. Copy/paste the URL link to email yourself. Later or at a site visit, click on the link in your email to open the form and enter any remaining information or add a signature to submit.