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CWELearningOutcomesForm:Updated5.6.16
COOPERATIVE WORK EXPERIENCE
LEARNING OUTCOMES
____________________________________________________________________
STUDENTNAMESTUDENTID#TERM
__________________________________________________________________________
SITE(COMPANYNAME)SITESUPERVISOR(FIRST&LASTNAME)
STUDENT INSTRUCTIONS:
BeginningofCWE:Determine35learningoutcomesthatareagreeduponbyyoursitesupervisorandCWEInstructor.
Gettherequiredsignaturesonpage2andturnthisformintoyourCWEinstructor.
EndofCWE:Youwillbeevaluatedonhowwellyouachievedyourlearningoutcomesandworkplaceskills. Completea
selfevaluation(studentratingsectionbelow).Haveyoursitesupervisorevaluateyourperformance(supervisorrating
sectionbelow).TurnthiscompletedformintoyourCWEinstructorforgrading.
SITE SUPERVISOR INSTRUCTIONS:
BeginningofCWE:Assistthestudentwithidentifying35learningoutcomes.
EndofCWE:Evaluatethestudentonhowwelltheyachievedtheirlearningoutcomes and workplaceskills.Pleasesignon
page2toverifycompletionofperform anceevaluation.
EVALUATIONRATING:
4=excellent3=good2=satisfactory1=nee dsdevelopment0=unsatisfactoryn/a=notapplicable
Learning Outcomes
Learningoutcomesshouldberealisticandspecific.TheymusttellWhatistobe
accomplished,How,byWhen,and HowMeasured
PerformanceEvalua tion
(use04ratings)
Student
SelfRating
CWE
Instructor
Rating
Site
Supervisor
Rating
1. 
2. 
3. 
4. 
5. 
Cooperative Work Experience (CWE)
Community Center – Advising & Career Services
(503) 594-3511 | cwe@clackamas.edu
www.clackamas.edu/cwe
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CWELearningOutcomesForm:Updated5.6.16
Workplace Skills Outcomes

Studentagreestoabidebytheseandwillbeevaluatedonthemattheendofthe
CWEbythesitesupervisor.
PerformanceEvalua tion
(use04ratings)
Student
SelfRating
CWE
Instructor
Rating
Site
Supervisor
Rating
1.
Time
Management:
Completejobsontime
Lookforworktodo
Prioritizeappropriately

2.
Interpersonal
Relations:
Cooperatewithsupervisors
Workwellwithothers
Acceptsuggestions
Haveapositiveattitude
Seektounderstand

3.
Attendance:
Beontimetoworkandremainuntilhoursare
completed
Alertsupervisorifabsentorlateforworkhours
and/orworkrelatedtasks

4.
Appearance:
Dressappropriatelyfortheworkplace
Exhibitcleanlinessandgoodhygiene

5.
Problem
Solving:
Followrulesandalldirections
Workindependently
Beaccurateandcareful
Adapttowor kconditions
Followthrough
Lookforwaystoimprove,alerttonewmethods.

CWEInstructorComments:
EvaluationGrade
SeminarGrade
OverallGrade
_______________________________________________________________________
STUDENTSIGNATUREDATE
(BeginningofCWE)
_______________________________________________________________________
CWEINSTRUCTORSIGNATUREDATE
(BeginningofCWE)
________________________________________________________________________
SITESUPERVISORSIGNATUREDATE
(BeginningofCWE)VerifiesinitialreceiptofLearningOutcomes
________________________________________________________________________
SITESUPERVISORSIGNATUREDATE
(EndofCWE)Verifiescom pletionofPerformanceEvaluation
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