| 姓名 | 活跃度 | 贡献度 | 及时率 | “优秀”或“良好”的理由 | |
| 学员1 | ____________ | ____________ | ____________ | ____________ | ____________ |
| 学员2 | ____________ | ____________ | ____________ | ____________ | ____________ |
| 学员3 | ____________ | ____________ | ____________ | ____________ | ____________ |
| 学员4 | ____________ | ____________ | ____________ | ____________ | ____________ |
| 学员5 | ____________ | ____________ | ____________ | ____________ | ____________ |
| 学员6 | ____________ | ____________ | ____________ | ____________ | ____________ |