DIVINE WORD COLLEGE OF SAN JOSE

San Jose, Occidental Mindoro

BACHELOR OF ELEMENTARY EDUCATION/BACHELOR OF SECONDARY EDUCATION

Second Semester

INTERNSHIP EVALUATION FORM

Intern’s Information
Last Name First Name Middle Name

Course: Year: Email:

Internship Period: Start: February 2, 2023 End: April 5, 2023
Cooperating Teacher Information
Last name First Name Middle Name

Designation:
Cooperating School/Grade level

Please evaluate the Intern on the following:

Evaluation Criteria Rating
Technical Competence (50%)
Effective application of skills and technical knowledge in making the
requirements or accomplishing goal of assigned task/ activities.
Work Attitude (20%)
Attitude towards work such as willingness to learn, adherence to
policies, dependability, trustworthiness, resourcefulness, and ability
to provide solution to the problems in the area of work and such other
qualities may be pertinent.
Quality of Work (20%)
Work standards, accurate and reliability of outputs, and on-time
delivery of requirements.
Interpersonal Relationship (10%)
Communication skills and attitude towards people.
Final
Rating:

Comments/Remarks Rating Equivalent

95-100 Excellent
90-94 Very Good
85-89 Good
80-84 Fair
79-83 Needs Improvement

Evaluated by:
________________________________ Date: ____________________
Cooperating Teacher