(NAME OF HOST TRAINING ESTABLISHEMENT)

Final Evaluation Form

Section 1. Contact and OJT Information

Complete the contact information for the HTBE and the Trainee.
Host Training Business Contact Person/s: Contact No.:
Enterprise:

Address: SIP Supervisor: Office Hours:

Name of Student Trainee: Contact No.: Total Training Hours Required:

Address: Beginning Date: End Date:

Section 2. Occupational Information

( 1 – Poor, 2 – Marginal, 3 – Good, 4- Very Good, 5- Excellent, NA – Not Applicable)

JOB TITLE:

JOB DESCRIPTION:

STARTING CAPABILITY
REQUIRED SIP SKILLS: Date Measured Level of skills
COMMUNICATION SKILLS
- Writes clearly and concisely 1 2 3 4 5 NA
- Speaks effectively 1 2 3 4 5 NA
- Listens attentively 1 2 3 4 5 NA
- Openly express ideas 1 2 3 4 5 NA
- Negotiates/resolves differences 1 2 3 4 5 NA
- Leads group discussion 1 2 3 4 5 NA
- Provides feedbacks 1 2 3 4 5 NA
- Persuades others 1 2 3 4 5 NA
- Provides well thought out solutions 1 2 3 4 5 NA
- Gathers appropriate information 1 2 3 4 5 NA
- Confidently speaks in public 1 2 3 4 5 NA
INTERPERSONNAL SKILLS
- Works well with others 1 2 3 4 5 NA
- Responsive to the needs of others 1 2 3 4 5 NA
- Supportive 1 2 3 4 5 NA
- Motivates others 1 2 3 4 5 NA
- Shares credit 1 2 3 4 5 NA
- Counsels 1 2 3 4 5 NA
- Cooperates 1 2 3 4 5 NA
- Delegates effectively 1 2 3 4 5 NA
- Represents others 1 2 3 4 5 NA
- Understands feelings 1 2 3 4 5 NA
- Self-confident 1 2 3 4 5 NA
- Accepts responsibility 1 2 3 4 5 NA
ORGANIZATIONAL SKILLS
- Handles details 1 2 3 4 5 NA
- Coordinates tasks 1 2 3 4 5 NA
- Punctual 1 2 3 4 5 NA
 - Manages projects effectively 1 2 3 4 5 NA
- Meets deadlines 1 2 3 4 5 NA
- Sets goals 1 2 3 4 5 NA
- Keeps control over budget 1 2 3 4 5 NA
- Plans and arranges activities 1 2 3 4 5 NA
- Multi-tasks 1 2 3 4 5 NA
MANAGEMENT SKILLS
- Concentrate and handle detailed work 1 2 3 4 5 NA
- Ability to operate business machines 1 2 3 4 5 NA
- Capable of ranking, sorting, averaging, counting 1 2 3 4 5 NA
and analyzing data
- Manages conflict 1 2 3 4 5 NA
- Enforces policies 1 2 3 4 5 NA
- Takes charge 1 2 3 4 5 NA
- Directs others 1 2 3 4 5 NA
- Makes decision 1 2 3 4 5 NA

Narrative Evaluation: (Over-all impression about the Student Intern)

______________________________________
Printed Name and Signature of HTE Supervisor

Position: _________________________
Date: ___________________________