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CPU ENGINEERING CO-OP EDUCATION PROGRAM

STUDENT EVALUATION

PART A CONFIDENTIAL

Instructions: Both part A and part B are to be completed at the conclusion of each co-op
or work term. You are encouraged to express your opinions candidly. Part A will be kept
confidential; part B will be kept on file to assist future students in evaluating potential
employment, so please give a detailed evaluation. These forms should be typed or
printed neatly in black ink.

Student Name: __________________________________ ID #:______________________


Course and Year:_____________________________
Company Name: _______________________________ City/Province: _________________
Dept./Division: ___________________________________________________________
Type of work you were assigned: ___________________________________________
Supervisors Name: ________________________ Title: ________________________
Dates of the work term: ______________________________________________________
Work Period: 1
2
3
Financial Information

Gross earnings per month: _____________ Overtime pay? Yes ____ No _____
Normal working hours: ________ a.m. p.m. to _______ a.m. p.m.

Benefits: ____ Life Insurance ____ Health Insurance ____ Paid Holidays
____ Vacation
____ Other (please specify)___________________________________
____ Relocation Assistance (specify)__________________________
____ Housing Assistance (specify) ____________________________
0 Expenses:
____ Housing
____ Transportation
____ Food
____ Others
____ TOTAL

Summary

What is your overall evaluation of this experience?


Excellent _____ Good _____ Average _____ Fair _____ Unsatisfactory _____
Would you consider this company for permanent employment? ______________
Please include any suggestions, remarks, or constructive criticism for our office or your
company to improve the co-op program (Use reverse of this page.)

CPU ENGINEERING CO-OP EDUCATION PROGRAM

STUDENT EVALUATION

PART B

Instructions: Both part A (confidential) and part B are to be completed at the conclusion
of each co-Op work term. Part B will be kept on file to assist future students in evaluating
potential opportunities, so please be detailed in your evaluation. Please type or print
neatly in black ink.

Student Information
Course and Year:____________________________
Work Term: 1 2
Work Period Dates: From______________________
(month) (day) (year)

To_________________________
(month) (day)
(year)

Employer Information

Employer _____________________________ Location ___________________________


(city)
(Province)
Dept./Division to which you were assigned: ________________________________
Job Information
1. Describe the type of work to which you were assigned. What were your
primary tasks and responsibilities?_____________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
2. Were you generally pleased with your assignment and the people with whom you worked?
Did your assignments meet your expectations? Explain.
___________________________________________________________________________________________
_____________________________________________________
________________________________________________________________________

________________________________________________________________________

PART B, CONTINUED
3. Did your employer provide an orientation program for a new co-op student? Yes No If
yes, what was included? _______________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
4. Did your employer provide any professional training to you? Yes No
If yes, on what topics? ________________________________________________
________________________________________________________________________
________________________________________________________________________
5. Did your employer provide:
Relocation Assistance?
Housing Assistance? Yes

Yes
No

No
What kind? ______________________

6. What did you like most about your job assignment? ______________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
7. What did you like least? _______________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
8. Would you recommend this company as a good place to co-op?
Give reasons. __________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

________________________________________________________________________

PART B, CONTINUED
Academic/Professional Development

Please address the following questions. How did this practical experience enhance your
understanding of your chosen field? (This need not be course- related. For example, you may
have learned about the value of writing, speaking, or management skills.) What have you
learned that will influence coursework selections? Did you feel well prepared academically, for
this experience?
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

Overall Summary

In general terms, please comment on the value of this experience.


___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Are you willing to return to this co-op company? Yes No
If No why?_________________________________________________________________
Do you have any company of your own, or co-op company preference? Yes No
Name of your company/Contact person/Complete address_______________________
___________________________________________________________________________
Your parents place of preference for your next work term 1 2
___PANAY___LUZON___CEBU_____Others specify________________

PARENTS SIGNATURE TO SIGNIFY COMMITMENT_________________________________


(SIGNATURE OVER PREINTED NAME)