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, disability or sexual orientation or genetic information.