Cooperative Education

Industrial Placement Appraisal

Student’s Name: _______________________________

Student ID: _______________________________

Training Start Date: _________________ Training End Date: ___________________

Nature of Work
(A brief description of the nature of work assigned to the student)
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Appraisal Ratings
1 2 3 4 5
Poor Fair Average Good Outstanding

Please circle your ratings.

1. INTER-PERSONAL RELATIONS & TEAMWORK 1 2 3 4 5

Ability to work harmoniously and flexibly with others to conduct
the duty effectively and efficiently. Exhibition of positive
attitude and conduct.

2. INITIATIVE & CREATIVITY 1 2 3 4 5

Tendency towards self-initiated action and learning. The ability
to originate new and practical ideas or suggestions to help
improve current work performance & efficiency.

3. ADAPTABILITY 1 2 3 4 5
Ability to adjust oneself to new duties, methods, rules,
theories and situation in general.
4. ACCOUNTABILITY 1 2 3 4 5
Ability to carry out work in a reliable, thorough and trustworthy
manner. Punctual and meeting deadlines.

5. INTEREST 1 2 3 4 5
Interest in the work assignments.

6. SELF CONFIDENCE AND DEPENDENCY 1 2 3 4 5

Ability to work independently and make decision within the job
scope.

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Evaluation / Comment on Student Capabilities:

a. Technical knowledge
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b. Practical skills
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c. Others
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Other comments / recommendations / suggestions /advices to the

students or the Institute:
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Industrial Supervisor’s Name:

Signature

Name and Official Chop of Industrial

Date
Partner

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