Pre App - Work Experience Monitoring Form
Work placement feedback from Employer & Student. **Please put the students name in the below box**
Given Names: *
Surname: *
Course Name: *
Facilitator: *
Company Name *
Employer Full Name *
Site Address *
Work Placement Dates *
Employer Feedback
Is the student punctual & reliable? *
Does the student show initiative & respect? *
Is the student polite & courteous? *
Does the student ask for advice & follows instructions? *
Does the student have a neat & tidy appearance? *
How is the students general quality of work? *
Does the student recognise tools & materials? *
Does the student respect tools & property? *
Are JSA's / Take 5's being completed? *
Is the student wearing appropriate PPE? *
Description of duties and tasks being carried out:
Employer Feedback not completed due to
Student Feedback
Are you enjoying your placement? *
Do you feel safe during your placement? *
Are you happy to stay with your current host employer for work placement? *
Do you have your logbook with you today? Are you getting it signed each day? If no, why? *
Do you have any questions or comments? *
Please draw your signature in the box below...