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* indicates a required field
Select your school *

2.Date of Placement: (Start) *
Select a date from the calendar.
3. Date of Placement: (Finish) *
Select a date from the calendar.
4.Training Site *

5. Supervisor: *

The following list describes some possible features of a student’s Co-op work experience. Please describe your particular experience by circling the appropriate number from 1 to 5. Try to be as objective as possible.

6. I had enough work to keep me busy on a daily basis.
7. What I did was interesting. *
8.I found my tasks challenging. *
9. I was given enough training by my supervisor or co-workers to do assigned tasks. *
10. I did things myself instead of just observing. *
11. I learned things that will help me in my future employment, career or education. *
12. I was given clear directions. *
13. I had a variety of tasks to do. *
14. This training site consistently met my expectations. *
15. I thought the training site was a safe place to work. *
16. I seemed to be appreciated when I did a good job. *
17. I got help when I needed it. *
18. I discussed my experience with my supervisor, co-workers or my teacher. *
19. I felt I was doing a good job at this training site. *
20. On a scale of 1 to 5, select the number that best describes my overall rating of my placement is:
(1 = Poor, 5 = Excellent) *
21. Would you recommend this site for future use? *
22.  COMMENTS: (Optional)