WORK EXPERIENCE MIDPOINT SITE SURVEY SPRING 2026
Thank you for supporting a student in a SDCCD Work Experience course! This is an exciting opportunity for our students to explore career pathways, build professional skills, and gain valuable hands-on training under your mentorship.

Please complete this brief midpoint check-in survey to share details about your student's Work Experience placement and their performance.

Thank you for your feedback! Your responses will help our SDCCD Work Experience Instructors improve the course and ensure students have the best possible learning experience.

Questions or need accommodations? Please email the designated SDCCD campus Work Experience Coordinator for more information:

City College - Nicole Vargas | nvargas@sdccd.edu
Mesa College - Shawn Fawcett | sfawcett@sdccd.edu
Miramar College - Kyoka Hashimoto | khashimoto@sdccd.edu
  • WORK EXPERIENCE COURSE INFORMATION

    NOTE: Please contact the supervised student for assistance with completing this section.
  • STUDENT INFORMATION

  • - -
  • WORK EXPERIENCE COMPANY / ORGANIZATION INFORMATION

    Please provide some details on the student's Work Experience placement.
  • Assigned person at company to supervise & evaluate student during Work Experience.
  • - -
  • WORK EXPERIENCE SUPERVISOR FEEDBACK

    Share your perspective on each of the following questions regarding your student's Work Experience placement.
  • Strongly Agree Agree Neutral Disagree Strongly Disagree
    The student is applying classroom learning and technical skills effectively in the workplace.
    The student is exploring and gaining awareness of career pathways in the field.
    The student consistently arrives on time and maintains reliable attendance.
    The student communicates effectively with supervisors and colleagues.
    The student demonstrates professionalism in behavior, attitude, and interactions.
    The student demonstrates initiative and accountability in completing assigned tasks.
    The student manages their time effectively and stays organized.
    The student adapts well to new tasks, challenges, feedback, or changes in workflow.
    The student is receiving appropriate training/mentorship at our site.
  • SITE SUPERVISOR AUTHORIZATION

  • 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.
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  • 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.