Form 5

Republic of the Philippines

BULACAN STATE UNIVERSITY
College of Information and Communications Technology
City of Malolos, Bulacan
Tel No. 919-7800 to 99 loc. 1101
http:// www.bulsu.edu.ph

STUDENT INTERNSHIP EXIT SURVEY

Congratulations on completing your internship! We hope that you had a positive, productive,
and successful experience. The purpose of this survey is to provide you with an opportunity to (i)
reflect on your internship activities and (ii) offer your candid and honest assessments of your
performance and degree of learning during the internship, and the overall quality of the internship
experience. This survey is an important tool in our program of continuous improvement, and it
provides valuable data and information that will be used to identify areas where changes and
improvements are needed and to help us improve the educational experiences for future students.
Thank you for your cooperation.

Please check (√) the appropriate box corresponding to the rating you provide for each of the
statement asked.

5 - to a great extent 2 - very little

4 - to a moderate extent 1 - not at all
3 - to some extent NA - not applicable

STATEMENT 5 4 3 2 1 NA

1 The College/department conducted an orientation about

the internship program, the requirements and
preparations needed, and its expectations
2 The College/Department provided the necessary
assistance such as referrals or recommendations in
finding my internship site
3 The College/Department showed coordination with the
company for my internship
4 The College/Department provided me with academic
preparations (i.e. major subjects, prerequisite courses)
adequate to undertake company assignment and its
challenges
5 The College/Department provided monitoring of my
internship progress in the company
6 The College/Department conducted assessment of my
internship program upon completion
7 The College/Department provided me with the results of
the company and BulSU’s assessment of my internship
8 The College/Department conducted debriefing after my
internship

COMPANY EVALUATION

9 The company has safe physical environment.

10 The company provided an orientation about its

organization.
11 The company and its staff were accepting and helpful.
Form 5

STATEMENT 5 4 3 2 1 NA

12 The company has adequate resources available to

accomplish my goals/projects
13 Supervisor provided a clear job description and levels of
responsibility consistent with my abilities
14 Supervisor was supportive of the agreed-upon work days
and times
15 Opportunities were provided to develop my
communication,, interpersonal skills and problem-solving
abilities
16 Regular feedback was provided on my progress and
abilities
17 An effort was made to make this a learning experience for
me
18 This internship has prepared me to enter the real world of
work
19 This experience is related to my academic discipline
and/or career goal

We would also very much appreciate your comments pertaining to the following items:

With what aspect(s) of your internship were you the most satisfied?

Comments:

With what aspect(s) of your internship were you the least satisfied?

Comments:

Would you recommend your internship site to other students?

Comments:

Do you have other comments and/or suggestions that you would like to share?

Comments:

STUDENT NAME: ________________________________________________ COURSE/MAJOR________________________________

Host Training Establishment: _______________________________________________________________________________________

Address:__________________________________________________________________________________________________________________
Supervisor: ___________________________________________________________________________________________________

SIP Coordinator: _____________________________________________________________________________________________________

Training Period: __________________________ to _______________________________
No. of training hours _____________________

BulSU-OP-OSI-161F5
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