Reference No.: BatStateU-FO-OJT-05 Effectivity Date: May 18, 2022 Revision No.

: 01

STUDENT-TRAINEE’S FEEDBACK FORM

Name of the Student-Trainee: Program:

Name of Company: Department:

Date of Monitoring:

Criteria: SA A N D SD
1. My training is aligned with my field of specialization.

2. My training is challenging.

3. I have opportunities for learning.

4. I am aware with the policies of the company.

5. I have positive working relationship with my supervisor and other
employees of the company.
6. I am aware of the risks and hazards of my working environment.
7. My department is committed to ensuring the health and safety of
its student-trainees.
Problems Met:

Other Concerns:

Pursuant to Republic Act No. 10173, also known as the Data Privacy Act of 2012, the Batangas State University, the National
Engineering University recognizes its commitment to protect and respect the privacy of its customers and/or stakeholders and ensure
that all information collected from them are all processed in accordance with the principles of transparency, legitimate purpose and
proportionality mandated under the Data Privacy Act of 2012.

___________________________________
Student-Trainee’s Signature
Date:
Legend:
SA - Strongly Agree A - Agree N - Neither agree or disagree D - Disagree SD - Strongly Disagree