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This evaluation questionnaire will provide data necessary to determine the effectiveness of the site for work immersion. Kindly
indicate your response by encircling the number corresponding to your assessment. Use the scale below. Return this form
with your Form 19A and Certificate of Completion after your training proper.
4. Would you recommend the company to another student for their internship? Yes No
Note: To be completed by the student and submitted to the OJT Coordinators at the end of the training
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Signature over Printed Name of Student
Revision No.: 1 Issue Date: August 24, 2018 Revision Date: August 20, 2018