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Work Supervisor Assessment Form

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Work Supervisor Assessment Form

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© © All Rights Reserved
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WOMEN’S UNIVERSITY IN AFRICA

Bulawayo Charter House 5th Floor


549 Acturus Road
Field Work Coordinator:
Manressa Park [email protected]
Harare, Zimbabwe

Addressing gender disparity and fostering equity in University Education

FACULTY OF SOCIAL SCIENCES AND GENDER TRANSFORMATIVE STUDIES

WORK RELATED LEARNING WORKPLACE SUPERVISOR’S FORM

NAME OF STUDENT……………………………………………………………………………………………………………………………………………..
REG NUMBER & MODE OF ENTRY………………………………………………………………………………………………………………………
DEPARTMENT………………………………………………………………………………………………………………………………………………………
PLACEMENT INSTITUTION…………………………………………………………………………………………………………………………………..
DATE OF PLACEMENT…………………………………………………………………………………………………………………………………………
DURATION OF STUDENT’S CONTRACT…………………………………………………………………………………………………………………
TOWN/ CITY…………………………………………………………………………………………………………………………………………………………
NAME OF WORK SUPERVISOR…………………………………………………………………………………………………………………………….
NAME OF VISITING LECTURER…………………………………………………………………………………………………………………………….
DATE…………………………………………………………………………………………………………………………………………………………………..

SECTION A

 Assess the progress and abilities of the student based on a scale 1 – 5.


 Rating: 1 out of 5 is the weakest mark and 5 out of 5 is the strongest mark.
 1 – Very Unsatisfactory; 2 – Unsatisfactory; 3 – Competent; 4 – Good; 5 – Excellent.

Development of personal attributes 1 2 3 4 5


Punctuality
Self confidence
Discipline and general conduct
Reliability
General commitment to work

Development of interpersonal skills 1 2 3 4 5


Compliance with authority
1
Sensitivity to needs of others
Initiative and creativity
Team work spirit
Sense of responsibility

Development of professional competence 1 2 3 4 5


Verbal skills
Makes decisions based on analysis of facts
Speed and accuracy of work
Resilience in the face of challenges
Written communication skills

Development of technical or 1 2 3 4 5
administrative skills
Facilitation skills
Computer literacy skills
Report writing skills
Project Proposal, concept note, script
writing skills
Research skills

General comments on the student’s performance and progress to date

…………………………………………………………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………………………………………………….
SECTION B

Total Points Scored out of 100

………..……..

100

Signature of work supervisor……………………………………………….Date……………………………………………………….

Signature of visiting lecturer…………………………………………………. Date ……………………………………………………

N/B May the employer not disclose this mark to the student during or after assessment please!!

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