STUDENT PLACEMENT APPRAISAL FORM - ICNContact

DIPLÔME :ANNÉE UNIVERSITAIRE :ICN, Grande École…2010…/…2011…N° INE STUDENT PLACEMENT APPRAISAL FORMSTUDENT'S NAMENAME OF COMPANYSUPERVISOR…………………………………………….…………………………………………….…………………………………………….DESCRIPTION OF THE ASSIGNMENT ENTRUSTED TO THE STUDENT:PLACEMENT DATES: FROMTOPlease answer our questionnaire.In order to evaluate the trainee,your feedback is essentiel to us.In the grid below, please circle the figurecorresponding to your answer "How did the student meet up toyour expectations ?"Insufficient (-3)StandardLevel(=)Exceptional (+3)Degree ofimportanceof this criterion toyour companyLowAverageHigh1.- PROFESSIONAL COMPETENCE OF THE TRAINEELevel of mastery of fundamental techniques of the fieldEfficiency in working and attainment of the objectives setAbility to organize and autonomy in workingAbility to progress during the placement and resourcefulness-3 -2 -1 = +1 +2 +3 -1 = +1-3 -2 -1 = +1 +2 +3 -1 = +1-3 -2 -1 = +1 +2 +3 -1 = +1-3 -2 -1 = +1 +2 +3 -1 = +12.- TRAINEE'S INTEGRATION INTO THE COMPANYIntegration into and participation in the daily life of the dept.Respect of the rules and usual policies of the company(punctuality, appearence, …)Respect of and concern for othersAbility to account for work undertaken in due time-3 -2 -1 = +1 +2 +3 -1 = +1-3 -2 -1 = +1 +2 +3 -1 = +1-3 -2 -1 = +1 +2 +3 -1 = +1-3 -2 -1 = +1 +2 +3 -1 = +13.- APPRAISAL OF MANAGERIAL POTENTIALClarity of expression, rigor in argumentation, reliabilty injudgementEffective in communication, resolution of problems andmanagement of conflictQuality of teamwork ; capacity to put forward proposalsAbility to persuade and to energize a team-3 -2 -1 = +1 +2 +3 -1 = +1-3 -2 -1 = +1 +2 +3 -1 = +1-3 -2 -1 = +1 +2 +3 -1 = +1-3 -2 -1 = +1 +2 +3 -1 = +14.- ABILITY TO MANAGE INFORMATIONAbility to manage and deal with sources of information effectively-3 -2 -1 = +1 +2 +3 -1 = +1Relevant/appropriate and critical use of the information availableConcern for sharing and well thought-out dissemination of usefulinformation5.- CRITERIA FOR EVALUATION SPECIFIC TO YOURCOMPANY (that you wish to add)…………………………………………………………….…………………………………………………………….…………………………………………………………….……………………………………………………….……MARKING SCHEME:Circle the figures according to the scheme indicated:-3 -2 -1 = +1 +2 +3 -1 = +1-3 -2 -1 = +1 +2 +3 -1 = +1-3 -2 -1 = +1 +2 +3 -1 = +1-3 -2 -1 = +1 +2 +3 -1 = +1-3 -2 -1 = +1 +2 +3 -1 = +1-3 -2 -1 = +1 +2 +3 -1 = +1(-3) Clearly well below expectations( =) Satisfactory in comparison to usual standard of trainees(+3) Clearly well above expectations

6.- IN WHAT WAYS HAS THE PLACEMENT ENABLED THE STUDENT TO PROGRESS ?HOW HAS THE STUDENT FILLED IN ANY GAPS IN HIS/HER KNOWLEDGE OR CAPABILITIES ?7.- ARE YOU CONSIDERING RECEIVING ANOTHER ICN TRAINEE IN THE NEAR FUTURE ? YES NOFOR WHAT REASONS ?8.- ADDITIONAL COMMENTS YOU WISH TO MAKEName, title and signatureof the student's Supervisor at the company:If you require any information, please contact Corporate Connections:Your contact: Séverine REYMANN TEL. +33 (0) 3.54 50 25 35severine.reymann@icn-groupe.fr FAX. +33 (0) 3.54 50 25 37ICN BUSINESS SCHOOL13 RUE MICHEL NEY - C.O. N°7554037 NANCY CEDEX - FranceThank you for completing this form !