Internship Performance Evaluation Form - Icct Colleges Foundation, Inc
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1ICCT COLLEGES FOUNDATION, INC
V.V Soliven Avenue, Cainta, Rizal
INTERNSHIP PERFORMANCE EVALUATION FORM
School ID No.:
Academic Period:
Academic Year:
Name (LN, FN, MN):
Course & Major:
Hours Required:
HOST TRAINING ESTABLISHMENT / ORGANIZATION / COMPANY
Company / Organization Name:
Address:
Mentor / Supervisor:
Designation:
Contact Number:
INSTRUCTION: Please indicate the rating per factor by choosing from the range of grades indicated in the column heading.
PERFOMANCE EVALUATION
Below Average
Satisfactory
Average
Above Average
Superior
Excellent
FACTORS / CRITERIA
75 - 79
80 - 83
84 - 87
88 - 91
92 - 95
96 - 100
PERFORMANCE
Dependability
Initiative
Follow Through on Tasks
Adaptability
Ability To Work with Others
Speed and Tasks Completion
Time Management
LEARNING OBJECTIVES
Skills
Knowledge
ATTITUDE TOWARD
HTE/Organization/Company
Mentor/Supervisor
Staff / Personnel
Tasks / Work Assigned
Costumers/Clients
School
How well do you think this student is suited for the type of work that
MENTOR / SUPERVISOR
he/she performed during the internship?
[ ] Very well suited
[ ] Quite well suited
[ ] Moderately suited
[ ] Somewhat well suited
[ ] Not well suited
If you were in the position to do so, would you hire him/her for
______________________________
_____________
employment?
(Signature Over Printed Name)
(Date)
[ ] Yes
[ ] No
[ ] Not sure
IMPORTANT: Kindly entrust to the bearer in a SEALED envelope. Inadmissible if NOT PLACE in a SEALED envelope.
CDJP 11.11.2015
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