Student Feedback questionnaire Please complete this document. Student. Company

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1 Université Pierre et Marie Curie. Master Science pour l Ingénieur. Spécialité Énergétique et Environnement Page 1 Université Pierre et Marie Curie. Master Science de l Ingénieur. Spécialité Énergétique et Environnement Responsable : Pr Philippe Guibert, philippe.guiber(at)upmc.fr Tel: A renvoyer au secrétariat Bât. Esclangon, bureau 233 Secrétariat Pédagogique & Administratif Master SpI (M1 & M2) Spécialité Énergétique & Environnement (EE) Tél : Student Feedback questionnaire Please complete this document Manager s feed back will account for 40% of the final grade. The placement report will account for 30% and the review for 30%. Student Name :... N Dossier Inscription:... Parcours SDI MFE :... Formation d origine :... Nom de l entreprise :... Adresse de l entreprise :... Téléphone (bureau) : ( )... Télécopieur : ( )... Dates du stage : du... au... Company Full Name:... Position: Address (if different from above):... Phone (work): ( )... FAX: ( )... Please describe the main objectives completed during the assignment:

2 Université Pierre et Marie Curie. Master Science pour l Ingénieur. Spécialité Énergétique et Environnement Page 2 FEEDBACK ON STUDENT S PERFORMANCE Interest shown in his assignments : Very interested, very enthusiastic. Exceeded Interested and enthusiastic, Above average Interest and enthusiasm meet Interest and enthusiasm below average. Has shown little interest in his assignment. Initiative Independent, asks for new tasks to complete, Doesn t waste his time. Independent for most of the tasks assigned. Independent for daily tasks only. Confident only for tasks he has already done several times Need to be told what to do, relies on others. Do not take any initiatives, Wait for the work to be assigned. Reliability You can always count on him in all situations. You can usually count on him for most of the situations You can count on him for basic tasks. Not highly reliable, need to be watched over more than the average. Not reliable at all. Learning skills Exceeded your expectations, very imaginative student. Learns quickly. Has learning skills comparable to the average. Is quite slow to learn. Need to be told several times, very slow to learn. Creativity Always looks for new ways to complete his assignments, very innovative student in all tasks. Often suggest new ways for completing an assignment, is imaginative. Has a reasonable amount of interesting ideas. Remotely proposes interesting ideas. Has shown very little imagination in his work. Technical knowledge for the completion of his assignment Analysis skills Capability to make a statement or a decision Outstanding, Often makes some decisions are always good decisions that based on a strong are reasonable. understanding of the problem. Usually takes good decisions in basic situations. His decisions are usually not reliable. His decisions aren t reliable. Concludes too easily because of a lack of knowledge.

3 Université Pierre et Marie Curie. Master Science pour l Ingénieur. Spécialité Énergétique et Environnement Page 3 Quality of student s work Is very conscientious when completing his tasks and therefore makes very few mistakes. Is usually conscientious, makes few mistakes. His work is usually appreciated, makes a number of mistakes that would be within your Makes a number of errors that are above what you expected. Many points are left untreated, makes numerous mistakes. Amount of work completed Exceeds your Above your Within your Below your Unsatisfying amount of work completed. Written communication Always clear and well organized, very easy to understand. Often clear and well organized, easy to understand. Usually clear and well organized. Sometimes has a difficulty to explain things briefly. Lacks clarity in his explanations, hard for other to understand his points. Spoken communication Always clear and well organized, very easy to understand. Often clear and well organized, easy to understand. Usually clear and well organized. Sometimes has a difficulty to explain things briefly. Lacks clarity in his explanations, hard for other to understand his points. Ability to manage his work load Ability to work with a team Interpersonal skills Outstanding interpersonal skills, contributes to the efficiency of the team. Nice and pleasant, is a good element in the team. Has a good connection with the team. Creates tensions in the team, need to communicate more. Often creates problems within the team, makes the productivity of the team decrease. Capability to submit to the company s general policies Is curious about the Complies with the Complies with rules and applies rules especially safety policy. them rigorously. He when safety is is aware of the concerned importance of the different policies especially in terms of safety. Punctuality Always on time Usually on time. Not often on time. Does not always understand the importance of the safety policy. Sometimes challenges the relevance of the rules. Has a bad attitude concerning the rules and safety regulations. Politeness Very polite, shows respect Correct. Impolite, lacksrespect for others

4 Université Pierre et Marie Curie. Master Science pour l Ingénieur. Spécialité Énergétique et Environnement Page 4 Strength : In which type of activity would you say the student has been the most at ease? Weaknesses : In which type of activity does the student have to improve? Global assesment Outstanding good average weak Unacceptable Your comments on the placement report (single correction, given precise specific plan, paragraph corrected significantly, is the report reflects the intern's work...): Comments on the student (weakness and strengths of the trainee, lack or perfect matching of skills, related to the training courses... or trainee).: Has this feedback been discussed with the student? : YES NO To the manager : Based on the qualities and strength of the student, would you entrust him with a new assignment in your department / company? YES NO Signature :... Date :... Position :...

5 Université Pierre et Marie Curie. Master Science pour l Ingénieur. Spécialité Énergétique et Environnement Page 5 June 2016