ORGANIZATION MENTOR FEEDBACK ON STUDENT PERFORMANCE IN SOCIAL

CONCERN PROJECT
(To be part of Final Report)

1. Name of the student :

2. Register Number :
3. Campus (BCC / BKC) :
4. Brief of Project (To be entered by student):

5. Feedback on the SCP (to be filled by the NGO/SDO/CSR mentor)

Parameter Rate on a scale of 1 to 5 ( 1

lowest and 5 highest)
1 2 3 4 5
Involvement, participation and regularity in
project undertaken
Self-motivation and service attitude
Application of management logic and
principles in the project done
Impact and practicality of proposed solution
Total

6. General comments about the project work done (To be entered by the mentor at
NGO/SDO/CST)

7. Name of the NGO/SDO/CSR Mentor :

8. Designation :
9. Contact details :
Date: Signature of Mentor from NGO/SDO/ Company (CSR Wing)

CERTIFICATE OF SOCIAL CONCERN PROJECT COMPLETION

This is to certify that Mr/Ms.________________________________ has

completed (partially/fully) the Social Concerned project in our institution

named _______________________________________________________

situated in

_______________________________________________________________ .

His/Her performance was ___________________________________ . The title

of the project was ________________________________________________.

The duration of the Social Concern Project was ______ Hours during the

period from (date) __________ to (date) ___________.

Date: _______________ Signature of Mentor from NGO/SDO/

Company (CSR Wing)
Place: ______________ (Seal)

REPORT ON IMPACT OF SCP

TO BE SUBMITTED BY THE STUDENT TO FACULTY MENTOR

1. Name of the Student: Register No:

2. Specialization :
3. Name of Organization : Place:
4. Project Start Date: End Date:
Brief of work done:

Ideas Suggested Ideas accepted Ideas implemented Expected Measurement of

Impact of ideas Impact done (if
accepted any)
Signature of the Student:

Name of Faculty Mentor and Signature:

TO BE SUBMITTED BY THE STUDENT TO THE FACULTY MENTOR

Name of the Student:

Register No:

Name of Organization:

Place:

From To (Date) Week Project Particulars Service learning impact

(Date)
Signature of the Student:

Name of Faculty Mentor and Signature: