Dallas County Community College District

INTERNSHIP/PRACTICUM/COOPERATIVE EDUCATION

Evaluation Form - Learning Objectives (Part A)

 

 

Student  ________________________________________________________________________________

Campus  ____________________________________           Rating Period____________________________

Employer ___________________________________            Course_________________________________

                                                                                                                                                                                             RATING

                                                                                                                           (Satisfactory / Unsatisfactory)

Objective 1

Date Started: _____________                Date Completed: ______________                                                      Sat. ___     Unsat. ___

Learning Objective:______________________________________________________________________

______________________________________________________________________________________

Measurement Standard:  __________________________________________________________________

______________________________________________________________________________________                                                                      

Objective 2

Date Started: _____________                Date Completed: ______________                                                      Sat. ___     Unsat. ___

Learning Objective:______________________________________________________________________

______________________________________________________________________________________

Measurement Standard:  __________________________________________________________________

______________________________________________________________________________________

Objective 3

Date Started: _____________                Date Completed: ______________                                                      Sat. ___     Unsat. ___

Learning Objective:______________________________________________________________________

______________________________________________________________________________________

Measurement Standard:  __________________________________________________________________

______________________________________________________________________________________

We the undersigned agree to the validity of the above objectives:  (Sign at beginning of ELE)

 

_________________________    _________________________      _______________________

Student                                        Date            Supervisor                                   Date              Instructor/Coordinator          Date

 

Additional Comments concerning achievement of objectives (attach additional pages if necessary)

 

______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

 

We the undersigned agree to the above ratings of objective achievement:  (Sign at end of ELE)

 

 

_________________________    _________________________      _______________________

Student                                        Date            Supervisor                                   Date              Instructor                              Date

 

 

 

Educational opportunities are offered by the Dallas County Community College District without regard to race, color, age, national origin, religion, sex or disability.