Republic of the Philippines

Polytechnic University of the Philippines

Office of the Vice President for Branches and Satellite Campuses
Maragondon Branch

Evaluation Instrument for the Training Supervisor

Name of the Student: __________________________________________________________________________

Course/Year and Section: _______School Term: ________________ Academic Year: __________________
Name of the Host Training Establishments (HTE)/ Nature of Industry:_______________________________ HTE
Address: __________________________________________________________________
Name of the Student Evaluator: __________________________________

Legend: Numerical:
WEIGHTED MEAN INTERPRETATION
Descriptive: 5 – Strongly Agree
4.21 – 5.00 Strongly Agree
4 –Agree
3.41 – 4.20 Agree
3 – Moderately Agree
2.61 – 3.40 Moderately Agree
2 – Disagree
1.81 – 2.60 Disagree
1 – Strongly Disagree
1.00 – 1.80 Strongly Disagree

I. Mentoring/Coaching  5 4 3 2 1 Remarks
A. Orients the students on the company goals, objectives,
and policies
B. Discusses the duties, responsibilities, and specific tasks
related to internship training program outcomes
C. Provides clear instructions, tips, and advice on job-
related tasks
D. Encourages student-intern’s initiative, creativity, and
innovativeness in the workplace when necessary
E. Gives student-intern the opportunity to raise issues
and/or concerns to be addressed
F. Reports to the concerned internship adviser the status of
the student-intern’s training exposure
II. Interpersonal Skills 5 4 3 2 1 Remarks
A. Builds an environment of trust and encouragement
that allows student interns to foster their ideas and
to cooperate
B. Encourages the trainee to interact with colleagues
C. Builds healthy working relationships with the
student-intern to facilitate accomplishment of
goals.
D. Encourages collaboration and communication in
the work station
III. Work Ethics 5 4 3 2 1 Remarks
A. Promotes professional and positive workplace behavior
in terms of punctuality and productivity
B. Ensures that all interactions are conducted with
respect towards every individual
C. Accepts responsibility and accountability for
decisions and actions taken
D. Uses appropriate oral and written communication in the
workplace
E. Respects inclusivity and diversity in the workplace
IV. Support and Assistance on Specific Task 5 4 3 2 1 Remarks

THE COUNTRY’S 1st POLYTECHNICU

Republic of the Philippines
Polytechnic University of the Philippines
Office of the Vice President for Branches and Satellite Campuses
Maragondon Branch

A. Provides the necessary resources to do the job

successfully
B. Sets clear expectations and standard measures for
deliverables
C. Allows the student-intern to participate in the work that
directly correlates to their field of specialization
D. Assists the student-intern in the technical and actual
aspects of the training
E. Assigns a regular schedule for consultation
F. Maintains objectivity in evaluating and assessing the
student intern
G. Provides opportunities for learning and professional
growth
V. Feedback Mechanism 5 4 3 2 1 Remarks
A. Conducts weekly routine feedback on performance and
expectations.
B. Gives constructive and regular descriptive feedback on
student-intern’s progress
C. Communicates to the internship adviser any concern,
query, or issue regarding the internship
D. Provides written evaluation of student-intern’s
performance to further improve competitiveness
E. Gives credit and recognition for a job well-done

Comment/s:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________

___________________________________________
[Signature Over Full Name of Student-Intern]

______________________________
Date

THE COUNTRY’S 1st POLYTECHNICU