Work Experience Placement Report
Name: _____________________________________________
Dates of the placement: Start date: _____________ End date: _____________
Name and address of the work placement provider: ______________________________________________________________________________________________________ ______________________________________________________________________________________________________
Duties:
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
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Comments: ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________
Signature: ____________________________ Name: ____________________________
Position: _____________________________ Stamp or business card:
| Excellent | Very good | Good | Poor |
| Attendance | |||
| Punctuality | |||
| Personal grooming and clothing | |||
| Performance and responsibility | |||
| Quantity of work | |||
| Quality of work | |||
| Time management | |||
| Working with others | |||
| Motivation | |||
| Initiative and creativity | |||
| Autonomy | |||
| Ability to follow instructions | |||
| Willingness to improve | |||
| Communication and interpersonal skills | |||
| Language improvement | |||
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