F-OJT-20L

WORK IMMERSION COMPANY EVALUATION

Student’s Name : ________________________________________________

Section : ________________________________________________
Company Name : ________________________________________________
Company Address : ________________________________________________
Track/Strand : ________________________________________________

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 - Achieved/Relevant/effective to a VERY GREAT EXTENT

3 - Achieved/Relevant/effective to a GREAT EXTENT
2 - Achieved/Relevant/effective to a LESS EXTENT
1 - Achieved/Relevant/effective to a LEAST EXTENT
0 - NOT Achieved/Irrelevant/Ineffective

1. The Company’s Workplace

a. The facility of the company is effective to the needs

of the SHS trainee as a training ground. 4 3 2 1 0
b. The working station of the student is safe and clean. 4 3 2 1 0
c. The areas for transactions and consultations
are properly designated. 4 3 2 1 0
d. The announcements and important matters are
well disseminated or visible in the bulletin board. 4 3 2 1 0

2. The Company’s Personnel

a. The company personnel orients the SHS trainee

about the company’s workflow and procedures. 4 3 2 1 0
b. The company personnel shows positive attitude towards
the SHS trainee. 4 3 2 1 0

c. The company personnel answers to all the queries promptly

and politely. 4 3 2 1 0
d. The company personnel uses of good
communication skills. 4 3 2 1 0
e. The people in the company works as a team. 4 3 2 1 0

3. The Work Immersion Proper

a. The necessary competencies are acquired from the

work immersion program. 4 3 2 1 0
b. The work immersion program is relevant to the track/strand. 4 3 2 1 0
c. The activities/job assignments are related to the track/strand. 4 3 2 1 0

4. Would you recommend the company to another student for their internship? Yes No

5. Comments and suggestions:____________________________________________________________________________

___________________________________________________________________________________________________

Note: To be completed by the student and submitted to the OJT Coordinators at the end of the training
F-OJT-20L

___________________________________
Signature over Printed Name of Student

Revision No.: 1 Address: Governor Feliciano Leviste Road, Lipa City 4217, Batangas, Philippines
Issue Date: October 8, 2018 Telephone Numbers: +63 43 757 5277
Revision Date: September 12, 2018 Website: www.ub.edu.ph