COLLEGE WORKSTUDY
EVALUATION FORM
SUPERVISOR MUST COMPLETE AT THE END OF EACH SEMESTER
Student’s Name: ______________________________________________________
Supervisor: ______________________________________________________
Place of Employment:______________________________________________________
Semester Report for: Fall ________ Spring ________
Please rate your student(s) in the following areas:
Work Performance: Excellent ____ Good ____ Average ____ Unsatisfactory ____
Adherence to agreed work schedule: Good ____ Average ____ Unsatisfactory ____
Would you employ this student again? Yes ____ No ____
If No please explain:
Comments:
Student’s Signature: ________________________________Date __________________
Supervisor’s Signature: _____________________________ Date __________________
I have agreed to submit this application by electronic means. By signing this application electronically, I certify under
penalty of perjury and false swearing that my answers are correct and complete to the best of my knowledge.
I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature.
