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Attachment Assessment Form

This document is an attachment assessment form used by the Co-operative University of Kenya (CUK) Industrial Liaison Office to evaluate students during their work placements. It collects information about the student such as their name, school, department, and attachment station. It is signed by the station supervisor and includes spaces to score the student in areas like attitude, reliability, punctuality, quality of work, and safety awareness on a scale from 0 to 5. The form also includes sections to comment on the student's concerns, remarks from the CUK assessor, and confirmation that CUK is ISO 9001:2015 certified.

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Jeremy Kahingo
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1K views1 page

Attachment Assessment Form

This document is an attachment assessment form used by the Co-operative University of Kenya (CUK) Industrial Liaison Office to evaluate students during their work placements. It collects information about the student such as their name, school, department, and attachment station. It is signed by the station supervisor and includes spaces to score the student in areas like attitude, reliability, punctuality, quality of work, and safety awareness on a scale from 0 to 5. The form also includes sections to comment on the student's concerns, remarks from the CUK assessor, and confirmation that CUK is ISO 9001:2015 certified.

Uploaded by

Jeremy Kahingo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

CUK/AA/FORM/01

THE CO-OPERATIVE UNIVERSITY OF KENYA


INDUSTRIAL LIAISON OFFICE
ATTACHMENT ASSESSMENT FORM

Student’s Name…………………………………….………....ADM No………………………………………..........


School……………………………………………………………………………………………………………….…
Department …………………………………………………………………………………………….……………...
Attachment Station…………………………………………………………………………………………………….
Name of Station Supervisor……………………………Signature……………………………………………………
Telephone Contact of Station Supervisor ……………………………………………………………………………..
Email Address of Station Supervisor ……………………………………….
Postal Address………………………………………………………………. O
OFFFFIIC
CIIA
ALL
Date of Assessment…………………………………………………............. SST
TAAM MPP
Solicit for reaction from the student, the station supervisor and co-workers through questioning
and tick in the appropriate box (the highest score being 5 and the lowest 0)

SCORE
Attitude towards work, workmates and authority

Reliability, working with minimum supervision and willingness to learn

Punctuality, time consciousness, reports daily

Quality of work, precision, creativity, neatness

Industrious, persistent, interested, motivated

Safety awareness, safety precautions, first aid skills,

Logbook – up to date, neat, clear description of tasks

Working relationships, team spirit, interpersonal relationship

Self-presentation, composure, clarity of speech, patience

Obedient, disciplined, willing to follow instructions

Total Marks 50
CUK Assessor’s Remarks

Observation of student’s concerns (if any)………………………………………..........................................


……………………………………………………………………………………………………………….
Other remarks (please Specify)……………………………………………………………………………...
……………………………………………………………………………………………………………….
Name of CUK Assessor…………………………………….Sign……………………….Date…………….

CUK is ISO 9001: 2015 Certified

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