Internship and Work Experience-Employer Evaluation

Background Information

Thank you for taking the time to complete this end of term survey! It has been designed to gather skill information about
the student you have been hosting at your company/organization. We will compare it with your answers from the start of
term survey in order to track the student’s skill development over the course of their placement with you.

Question Title

* 1. Today's Date:

(Month/Day/Year)

Date

Question Title

* 2. What is the name of the student at your company/organization who was involved in this work based learning placement?

First Name

Last Name

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* 3. What is your name?

First Name

Last Name

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* 4. What is your work title/role?

Question Title

* 5. Please list the name of your company/organization.

Question Title

* 6. In which industry sector does your company/organization best fit?

Agricultural & Natural Resources

Building Trades & Construction

Energy & Utilities

Health Science & Medical

Information & Communication Technology

Marketing, Sales, & Services

Transportation

Arts, Media, & Entertainment

Education & Human Resources

Engineering & Design

Finance & Business

Hospitality, Tourism & Recreation

Manufacturing & Product

Public Services

Other (please specify)