VETsurvey
Pre App - Work Experience Monitoring Form
Work placement feedback from Employer & Student. **Please put the students name in the below box**
Given Names:
*
Surname:
*
Date:
Course Name:
*
Please select...
Backflow
Certificate III Gas
CTF School-Based Plumbing Pre-Apprenticeship
Envirowest
Gas Servicing
Introduction to WA Plumbing Industry (Migrant Gap)
Locate and Connect
MPDA Spray Course
Painters Registration Course - Trade Test
Painters Registration Course - Business
Painters Registration Course - Estimate
Painters Registration Course - Prepare Surfaces
Painting Flexible
Painting Pre Apprenticeship Full Time
Painting Stage 1
Painting Stage 2
Painting Stage 3
Painting Stage 4
Painting Stage 5
Painting Stage 6
Painting Stage 7
Plumbing Contractors License - Business
Plumbing Contractors License - Drainage
Plumbing Contractors License - Sanitary
Plumbing Contractors License - Water
Plumbing GAP
Plumbing Pre Apprenticeship
Plumbing Pre Apprenticeship Full time
Plumbing Stage 1
Plumbing Stage 2
Plumbing Stage 3
Plumbing Stage 4
Plumbing Stage 5
Plumbing Stage 6
Plumbing Stage 7
Plumbing Stage 8
Plumbing Teach Out 1
Plumbing Teach Out 2
Plumbing Teach Out 3
Plumbing Teach Out 4
Pre Apprenticeship Survey
Restricted Gas Permit
Restricted PLUMBING Permit
School Based Painting Pre Apprenticeship
School Based Plumbing Pre Apprenticeship
School Based Pre Apprenticeship
Facilitator:
*
Please select...
Aiden Mcelvaney
Alan Walters - Murphys Spray
Alfred Alexander
Andrew Black
Brad Lowe
Christiane Buchardt
Clive Stander
Colin Dobbins
Dom Mattarocchia
Lachlan Marr
Mario Martino
Paul Jones
Paul Olsen
Peter Zappa
Phil Doody
Stephen Delaney
Company Name
*
Employer Full Name
*
Site Address
*
Work Placement Dates
*
Employer Feedback
Is the student punctual & reliable?
*
Very Good
Satisfactory
Requires development
Poor
Does the student show initiative & respect?
*
Very Good
Satisfactory
Requires development
Poor
Is the student polite & courteous?
*
Very Good
Satisfactory
Requires development
Poor
Does the student ask for advice & follows instructions?
*
Very Good
Satisfactory
Requires development
Poor
Does the student have a neat & tidy appearance?
*
Very Good
Satisfactory
Requires development
Poor
How is the students general quality of work?
*
Very Good
Satisfactory
Requires development
Poor
Does the student recognise tools & materials?
*
Very Good
Satisfactory
Requires development
Poor
Does the student respect tools & property?
*
Very Good
Satisfactory
Requires development
Poor
Are JSA's / Take 5's being completed?
*
No
Yes
Is the student wearing appropriate PPE?
*
Yes
No
Description of duties and tasks being carried out:
Comments:
Employer Feedback not completed due to
Corona Virus phone visit (from 19 March 2020)
Student Feedback
Are you enjoying your placement?
*
Yes
No
Sometimes
Do you feel safe during your placement?
*
Yes
No
Sometimes
Are you happy to stay with your current host employer for work placement?
*
Yes
No
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?
*
Testimonial
Please sign below (MPA Rep, Employer & Student)
Please draw your signature in the box below...
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