ATTENDANCE LOG AND SUPERVISOR FEEDBACK FORM

Organisation name
Student name

Attendance Log
The table below must be filled in by the student and signed off by the supervisor
Date Hours Completed
Supervisor Feedback Mark out of
Please give the student a mark out of 10 for the 5 areas listed below 10
1 = Poor, 5 = Satisfactory, 10 = Exceptional
ABILITY TO MANAGE PERSONAL & CAREER DEVELOPMENT /10
Please reflect on the whole work experience process; from the student’s
initial contact to the completion of their learning outcomes
ABILITY TO WORK EFFECTIVELY WITH OTHER PEOPLE /10
Please consider the student’s ability to provide a positive contribution to
the role of others
ABILITY TO COMMUNICATE EFFECTIVELY /10
How effectively has the student has demonstrated a range of
communication styles during the placement
ABILITY TO WORK USING THEIR OWN INITIATIVE /10
How proactive and self-motivated was the student while carrying out tasks
on placement
SUITABILITY FOR THIS AREA OF EMPLOYMENT /10
Your overall impression of the student’s ability to be successful in this area
of employment
ABILITY TO WORK INCLUSIVELY /10
How able is the student to work in an inclusive setting?

Final Comments
Please use the space below to provide overall comments which will be shared with the
student and used as an integral part of their assessment

Student declaration
I can confirm that I have completed all the hours listed above:
Student name
Student signature
Date

Supervisor declaration
I can confirm that the student has completed the hours listed above:
Supervisor name
Supervisor signature
Date

Please email the completed form to carnegie.partnerships@leedsbeckett.ac.uk