Supervisor/Mentor Survey

Dear Supervisor/Mentor: Thank you for participating in the Work Experience course and thereby enabling your employee/intern and our student the opportunity to earn college credits and transition his/her learning to the work place. We have begun documenting how this program impacts the students in college, but also are interested in the impact this course has for the student in the workplace. We strive for ongoing improvement in order to better serve our students, the community and the workplace. By completing this survey, you help us with this goal.

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A. Please respond to the following statements using the indicated scale: Strongly Agree = 5, Disagree=1

Program Format 5 4 3 2 1 Do Not Know
1. Communications from the college helped me to understand my responsibilities in the Work Experience course.
2. Training/Learning Agreement forms were clear and easy to use.
3. Record of Work/Intern Hours forms were clear and easy to use.
Impact on the Workplace 5 4 3 2 1 Do Not Know
1. Discussing and documenting workplace learning objectives for the Training/Learning Agreement enabled the student/employee to be self-directed.
2. Discussing and documenting workplace learning objectives for the Training/Learning Agreement enabled the student/employee to be focused on productivity.
3. Supervisor/Mentor and student/employee communication was enhanced through participation in the Work Experience course.
4. The student/employee learned new job skills as a result of developing and documenting workplace learning objectives.
5. The student/employee improved existing job skills as a result of developing and documenting workplace learning objectives.
6. The student/employee grew professionally by participating in the Work Experience course.
7. Participation in the Work Experience course benefited the organization/business.
Student Learning Outcomes 5 4 3 2 1 Do Not Know
1. The student/employee improved his/her ability to analyze concerns in the workplace.
2. The student/employee improved his/her ability to problem-solve concerns in the workplace.
3. The student/employee had the opportunity to utilize classroom-based learning in the workplace.
4. The student/employee improved his/her ability to develop objectives.
5. The student demonstrated good interpersonal skills in the workplace.
6. The student/employee improved his/her oral communication skills in the workplace.
7. The student/employee improved his/her written communication skills in the workplace.
8. The student/employee improved his/her ability to use technology effectively.
9. The student/employee improved his/her time management skills in the workplace.
10. The student understands his/her impact on the workplace.
11. The student/employee is aware of his/her career options.

B. Please provide any additional comments or suggestions for improvement.

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