CO-OP WORK REPORT

Submission Deadline: See Due Date on Main Co-op Webpage

WORK REPORTS MUST BE SUBMITTED ON TIME. THERE WILL BE NO INCOMPLETE (I) GRADES GIVEN THIS SEMESTER. FAILURE TO SUBMIT A REPORT ON TIME WILL RESULT IN A LOWER GRADE. If the Employer Evaluation and/or Academic Advisor Evaluation are not ready when the report is due, submit the report by the due date and send the evaluations later. (Late evaluation forms will not have a negative effect on your grade.) A work report is required for each semester of CO-OP training. The report should contain the following items in this order:

1. 2. 3. 4.

WORK REPORT DATA FORM REFERENCE FILE DATA FORM STUDENT DATA FORM EMPLOYER EVALUATION
This form is to be completed by your supervisor, and may be submitted with your report or mailed separately by the employer.

5.

ESSAY
Describe your work experiences. Use complete sentences, proper spelling, and good grammatical structure. Use the Essay Sheet attached.

6.

*For Graduate F1-Visa Students Only: Graduate Advisor

Evaluation Form
The student is to complete this form in ink and submit to his/her faculty advisor for affirmation that the work experience is appropriate to your major. *The signed copy is then forwarded to the Co-op Office at UH Mail Stop 4028 by your advisor.

7.

*VISUAL MATERIALS*
(Optional but preferred.) Attach any charts, graphs, photos, or company brochures that further enhance an understanding of the job that you perform. Any materials submitted will not be returned. They will become part of our library.

FORMAT 1. 2. 3. 4.
Note : COMPLETE FRONT AND BACK OF PAGES 1-4. The report should be typed or written NEATLY in ink. DO NOT use pencil! All pages should be stapled together. Folders or binders are optional, but not necessary. Submit your finished report to the Engineering Career Center, Room 302-D, NO LATER THAN THE DUE DATE. Please note: Your report will NOT be returned to you. If you want a copy, please make one before submitting it. You may come by the office at a later date to review your graded report. If your report is not received on time you will receive an "I", and arrangements must be made to remove the incomplete. If you wish to mail your report, address it to: University of Houston Engineering Career Center 302 Engineering Bldg. 1 Houston, TX 77204-4028 You may also fax your report to us at 713-743-4231, or e-mail it to Gerald Davenport at gdavenport@uh.edu

Last name:

First name:

Student ID: HA_____________________ Major_________________Classification_____________ UNIVERSITY OF HOUSTON COOPERATIVE EDUCATION PROGRAM WORK REPORT DATA FORM This is my (1st, 2nd, etc.)_______ time to co-op. Co-op Employer Job Site Address Supervisor/Dept. Work Phone # Are you taking any classes while working? YES____ NO____ Helpful courses in learning your job__________________________________________ _________________________________________________________________ Write a concise job description for your position, as if you were placing an ad in a newspaper. List qualifications needed for the job. Semester/Year: __________________

Do you plan to co-op again? YES____ NO____ If YES, when?__________________________________ If NO, why?_______________________________________________________ Is your employer aware of your future plans? YES____ NO____ 3

WORK REPORT DATA FORM, PART 2

Your Evaluation of Your Work Experience COMPANY NAME__________________________________________ How would you rate your experience at the company? (Check one) ____ OUTSTANDING ____ VERY GOOD ____ GOOD ____ AVERAGE ____ FAIR ____ POOR ____ UNACCEPTABLE

Comments:

Did your experience confirm your career choice? YES____ NO____

************************************************************************ SALARY & BENEFITS SURVEY (Statistical Information PLEASE COMPLETE) Gross pay: Hourly $____________ Monthly $______________ Hourly work schedule: From _____________ To _____________ Average hours worked per week__________ Any overtime? YES____ NO____ OTHER BENEFITS: College Classes Paid For____ Textbooks Paid For_____ Paid Holidays____ Paid Sick Time____ Product Discounts____ Insurance____ Vacation Credit____ Company Car____ Travel Expenses____ Retirement Credit____ Any Others?____________________________________________________________ Does the company pay your U.H. co-op registration fee? YES____ NO____

COMPANY NAME:
Students major______________________________ Student ID: HA______________________________ Work Period #_____________ Semester/Year: _____________

UNIVERSITY OF HOUSTON COOPERATIVE EDUCATION PROGRAM REFERENCE FILE DATA FORM Briefly describe the products and services of the firm.

What were some of the assignments you were given this semester?

Provide information concerning the history and size of the firm.___________________ _______________________________________________________________________ _______________________________________________________________________ How many other co-ops were at your firm this term?____________ If any, from what schools?__________________________________________________ Provide some general directions as to the location of the company._________________ _______________________________________________________________________ Would you like to work for your employer after graduation? YES____ NO____ If NO, why?_______________________________________________________ Were you required to have any of the following? Complete Physical Exam____ Psychological Profile Exam____ Drug Test____ Security Clearance____

NONE OF THESE____

STUDENT DATA FORM

UNIVERSITY OF HOUSTON COOPERATIVE EDUCATION PROGRAM Name_____________________________________________________________ Student ID: HA________________________ Major_______________________________

Academic Status:

FR____ SO____ JR____ SR____ PB____ GR____

GPA at U. H.___________

Total hours completed _________ Home Address

Phone #____________________________

E-MAIL ADDRESS
Co-op Employer____________________________________________________ Work Address_____________________________________________________ _____________________________________________________ Work Phone #________________________________ NEXT SEMESTER will be (circle one) SPRING SUMMER FALL (Year)_______ And I plan to . CO-OP FULL-TIME______ CO-OP PART-TIME_____ ATTEND SCHOOL____ GRADUATE THIS SEMESTER AND NOT BE IN SCHOOL_____

My next co-op term will be (semester/year):

Projected Graduation Date (semester/year)________________________ Signature_________________________________________ Date________________

University of Houston Cooperative Education

Employer Evaluation Form Students Name:________________________________ Student ID: HA________________________________ Major:_____________________________________ Sem/Year:____________________ Company Name:__________________________________________________________ Supervisors Name/Title:___________________________________________________ Note to Work Supervisors: The University of Houston believes that CO-OP should be a learning experience for its students. We urge you to be candid and objective in your evaluation of his/her performance. Use this scale to evaluate this students performance in the following categories: 5 = outstanding; 4 = good; 3 = average; 2 = marginal; 1 = unsatisfactory; N = no opportunity to observe. The student must return this form completed with his/her work report. ______1. ______2. ______3. ______4. ______5. ______6. ______7. ______8. ______9. _____10. _____11. _____12. _____13. _____14. _____15. Dependability in completing tasks. Degree of competence with assignments performed. Ability to learn new material. Ability to accept and follow directions. Ability to communicate in writing. Ability to communicate verbally. Academic knowledge sufficient to perform work assignments. Ability to apply good judgment in performing assigned tasks. Initiative as a self-starter and in contributing new ideas. Ability to relate to others in a positive, objective manner. Awareness of budget restrictions and ability to be cost effective. Adaptability to changing priorities and/or methods. Ability to accept criticism as a constructive tool. Capacity for working under stress. Ability as a team player to meet the objectives of the unit.

_______ OVERALL ASSESSMENT OF THE STUDENT PUNCTUALITY: REGULAR_____ IRREGULAR_____ ATTENDANCE: REGULAR_____ IRREGULAR_____
Will this student be retained in your Co-op program? YES_____ NO_____ If YES, when will the student work next? ____________________________________

___________________________________ ___/___/__ ______________________ Supervisors Signature Date Students Signature

Describe your work experience. Use complete sentences, proper spelling, and good grammatical structure. The essay should be at least one page in length. Use additional pages, if necessary.

University of Houston EVALUATION OF GRADUATE & PROFESSIONAL COOP/CPT STUDENT BY FACULTY ADVISOR
Note: The student is to complete this form in ink and submit it to his/her faculty advisor for affirmation that the work experience is appropriate to the major. The signed copy is then to be forwarded to the Co-op Office at UH Mail Stop 4028.

Name ____________________________________________________________________
(Last) (First)

SSN or Student ID_____________________ Semester/Year__________________ Major_____________________ Degree Objective_____________________________ Employer_________________________________________________________________

Answer these questions in complete sentences using proper spelling and good grammatical structure. Attach additional sheets if more space is needed.

1.

How has your COOP experience this semester contributed to your understanding, grasp, and appreciation of material presented in your curriculum?

2.

Did you have access to any equipment or laboratory facilities at your COOP job that were not available on campus? Please explain.

3.

Did you feel that you were lacking in any particular subject area in order to perform the tasks assigned to you by your COOP supervisor?

This COOP work experience is appropriate to the students degree objective. Name of faculty advisor____________________________________________________ Signature ________________________________________ Date___________________

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