Co-op Work Experience Quarterly report

Co-op Quarterly Report Form (#13)

Please submit this report within the first week of the first and fifth month

Student Name

Student Email

Co-op Work Position

Co-op / Work Experience Start Date

Student ID

Reporting Month

Co-op / Work Experience End Date

Host Company

Company Email

Host Supervisor

Company Phone

Please indicate your level of agreement with each statement below:

4 = Strongly Agree, 3 = Agree, 2 = Disagree, 1 = Strongly Disagree

The host made his/her expectations and job duties clear

The host explained the site's policies and procedures to me

I have the tools I needed to complete my job

I have the opportunity to ask questions about my work and my performance regularly

The host makes sure I am supervised at all times and/or that I have the support I need to feel comfortable completing tasks at the site.

I believe this opportunity is a great fit for my skill sets and interests

I am enjoying the work environment, including my management and co-workers

Free Form Answers:

What are your daily tasks and how are they are related to your studies?

What are some accomplishments that you are proud of so far in this role?

Have you taken on any extra responsibilities or has there been a change in your job description?

Describe what methods you use to communicate with your supervisor and co-workers.

Any comments or suggestions you want to share?

Student Signature

Sign Here

Date