Initial/Feedback discussion form

Target group: dual students (students completing a degree course in combination with work placements)

Goal: Systematic planning of work placement, Feedback to students to show development possibilities and a basis for report writing, Feedback from the student to those responsible for the practical assignment.

Responsibilities: The person responsible for the practical assignment conducts the two discussions with the dual student. The original is sent by the dual student to junior employee coordinator from the vocational training area, one copy is kept by the dual student and one by the person responsible for the practical assignment.

Important instructions for completing the form:

All fields must be completed.

The assessment refers exclusively to the behavior demonstrated in the practical assignment.

Please note the premises for the assessment of the student in the feedback discussion.

Surname, First name, Organisational unit (Student)	Surname, First name, Organisational unit (Person responsible for work placement)
Study course/ Name of university	Period of the practical assignment
/ . Semester	/
Study year, Current semester	Discussion date A / Discussion date B/C

Part A - Initial discussion, planning of the work placement

1. Tasks and responsibilities
What tasks does the dual student take on independently during the practical assignment? (Rough overview of tasks adapted to the progress of studies)
What tasks does the student participate in?

2. Learning objectives
What learning content and learning objectives are being pursued?

3. Expectations
What expectations does the person responsible for the practical assignment have of the dual student?
What expectations/wishes does the dual student have for the practical assignment?

4. Cooperation
What arrangements are made for the cooperation?
Who are any other specialist contact persons (function)?

Section B - Feedback on the practical assignment by the person responsible for the practical assignment

1. Tasks and responsibilities
Which tasks were handled independently by the dual study student?
What tasks did the dual student work on?

2. Learning objectives
The learning objectives were achieved: Completely Mostly Not completely Please explain what was not fully achieved and why and what should be made up for a later practical assignment.

3. Cooperation
As the person responsible for the practical assignment, how would you rate the collaboration? What worked well, what worked less well?
What are your suggestions for improving the cooperation?

4. Evaluation
Premises: An assessment refers exclusively to the behavior demonstrated in the practical assignment Always take the current level of knowledge and experience into account in the assessment in accordance with the progress of the study If a criterion is not observable, select “not assessable”	1 Very good (Fulfills require-ments to a particularly high degree)	2 Good (Fully matches require-ments)	3 Satisfactory (Generally meets the require-ments)	4 Sufficient (Generally meets the requirements, but there are deficiencies)	5 Deficient (Does not fulfill the require-ments)	Not asses-sable
1 Specialist knowledge Specialist knowledge according to the requirements of the degree program in accordance with the practical framework plan Knowledge of practical activities
2 Ability to grasp and think Efficient planning, preparation and effective implementation of tasks Commitment to own learning success
3 Resilience and performance Flexibility in handling frequently changing situations, influences and people Dealing with workload/ability to prioritize work assignments Frustration tolerance
4 Working method Ability to find own solutions for given tasks Careful implementation of tasks
5 Willingness to perform Endurance and consistency at work Interest, commitment and enthusiasm for tasks and topics Willingness to take on additional topics and tasks on their own initiative
6 Work success Goal orientation Quality and usability of results
7 Internal and external behavior Appropriate interaction with managers, colleagues and stakeholders Target group-oriented communication Obtaining feedback on their own initiative and dealing with it constructively

5. Personal and functional skills and potential new learning areas Based on the assessments recorded above, please identify specific strengths and areas of learning and give concrete examples for these. Further strengths and possible areas of learning can also be listed.
Personal/professional strengths
Possible learning areas

6. Recommendation for further practical assignments
What are the department's recommendations for future practical assignments?

Part C - Feedback by the dual student

1.	Feedback on the practical assignment
How do you rate the practical assignment?*	Comments / suggestions for improvement	1 Very good	2 Good	3 Satis-factory	4 Duffi-cient	5 Deficient	Not asses-sable
The practical assignment as a whole (see 3. in part A)?
The support provided by the department (for example assignment planning, contractability of the supervisor, integration, acceptance as a dual student)?
The working conditions in the department (for example workplace, access rights to systems and information)?
The supervision of the paper for the university by the department? (if a written paper was required)
The insights into the tasks of the department?

*1: Very good (Fulfills requirements to a particularly high degree)

2: Good (Fully matches requirements)

3: Satisfactory (Generally meets the requirements)

4: Sufficient (Generally meets the requirements, but there are deficiencies)

5: Deficient (Does not fulfill the requirements)

Recommendation of the department
Would you recommend working in this department? yes, because yes, with these hints no, because no answer

Place, Date:
Signatures: ___________________________ _____________________________
Responsible person practical assignment	Student