Engineering Practice Certificate College of Science and Engineering
Stu
dent: Name: __________________________________________________
Student Number: ________________________________________________
Engineering Major: ________________________________________________
Em
ployer Details: Company Name: ________________________________________________
Address: ______________________________________________________
Em
ployment Details: Job description: _________________________________________________
Starting Date: ___________________________________________________
Completion Date: ________________________________________________
REQUIRED - Total number of days worked: __________________________
REQUIRED - 8 hour day 10 hour day 12 hour day
Su
pervisor Details: Name: _________________________________________________________
Position: ________________________________________________________
Phone: __________________ Email: _________________________________
Supervisor’s Report:
I have read and approved the students Engineering Practice report: Yes No
The s
tudent’s technical competence has been
Outstanding
Good
Satisfactory
Less than
satisfactory
Unacceptable
The student’s team and interpersonal skills has been
Outstanding
Good
Satisfactory
Less than
satisfactory
Unacceptable
The student’s diligence and dependability has been
Outstanding
Good
Satisfactory
Less than
satisfactory
Unacceptable
Comm
ents:
_______________________________________________________________________________________
_______________________________________________________________________________________
Supervisors Signature: _________________________________ Date: _________________
Upon completion please return to student for submission to the College Office or
email to cse.academicservices@jcu.edu.au
TO BE COMPLETED BY COLLEGE OFFICE
Date Received
Name
Processed
click to sign
signature
click to edit
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