University of Information Technology

Internship Program : Student Appraisal

The purpose of this form is to provide feedback on student’s performance during the Internship to the UIT
student. The supervisor who monitors the student's performance during this period should fill out the form as and
when assignments are completed, and review the contents that related to student’s performance.

You may mail this appraisal form to the UIT course coordinator or place it in a sealed enveloped and give it to the
student to bring it back to the coordinator. We will greatly appreciate it if the appraisal form can reach UIT on the
last day of Internship Program.

I. General Information
A. Organisation Name: _________________________________________________________________
B. Responsible Supervisor Name: ________________________________________________________
C. Supervisor Designation: ______________________________________________________________
Business Phone: ___________________________________________________________________
Email: ____________________________________________________________________________
D. Student Name: ____________________________________________________________________
E. Field Study Dates: From To

II. State the nature of the application for Internship.

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III. Student Individual Information
Please rate each student performance.
Total Leaves taken: MC __________ days Personal Leave__________days
Initiative:
Excellent Very Good Good Fair
Acceptable, but can be improved Not acceptable Not applicable
Willingness of Picking Up New Technologies/Assignments:
Excellent Very Good Good Fair
Acceptable, but can be improved Not acceptable Not applicable
Technical Skill:
Excellent Very Good Good Fair
Acceptable, but can be improved Not acceptable Not applicable
Problem Solving Skill:
Excellent Very Good Good Fair
Acceptable, but can be improved Not acceptable Not applicable
Innovative Idea:
Excellent Very Good Good Fair
Acceptable, but can be improved Not acceptable Not applicable
Responsibility:
Excellent Very Good Good Fair
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 Acceptable, but can be improved Not acceptable Not applicable
Responsiveness:
Excellent Very Good Good Fair
Acceptable, but can be improved Not acceptable Not applicable
Time Management:
Excellent Very Good Good Fair
Acceptable, but can be improved Not acceptable Not applicable
Self-Management:
Excellent Very Good Good Fair
Acceptable, but can be improved Not acceptable Not applicable
Team Work:
Excellent Very Good Good Fair
Acceptable, but can be improved Not acceptable Not applicable
Leading Skill:
Excellent Very Good Good Fair
Acceptable, but can be improved Not acceptable Not applicable
Work Performance:
Excellent Very Good Good Fair
Acceptable, but can be improved Not acceptable Not applicable
Personality:
Excellent Very Good Good Fair
Acceptable, but can be improved Not acceptable Not applicable
Professionalism:
Excellent Very Good Good Fair
Acceptable, but can be improved Not acceptable Not applicable
IV. Overall Evaluation

1. What is your overall assessment of the students' work?

Very Good Good Average Poor
Additional comments: _____________________________________________________________

2. Based on the industrial attachment's objectives, as you understand them, do you feel the students
met those objectives?
Yes Some-what  No
Additional comments: _____________________________________________________________
3. Do you feel the student apply their theory-based knowledge to the industry?
Yes Some-what  No
Additional comments: _____________________________________________________________
V. Skill Sets

What skill sets would you suggest UIT to include in our curriculum to best prepare our students for the
industry?
Domain Specific Technical Skills
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 Methodology
Programming
Networking
Testing
Technical Documentation
Others __________________________________________________________________________

VI. Comments/Suggestions

(1) Please rank the 3 important attributes of a good intern should have
(1- most important, 2- more important, 3-important)
___ English proficiency, communication
___ Integrity
___ Professionalism
___ Personal Grooming
___ Problem Solving and Reflection Skills
Others _________________________________________________________________________

(2) Please make any comments or suggestions that you feel are relevant to the Internship period (e.g.
guidelines, assignments, assessments, etc).
(We depend upon your views as a major source of input in improving our curriculum and shaping our
future Internship.)

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Supervisor Name

Signature/date ________________________________________

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