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Reference No. : OMSC-Form-COL-21 Effectivity Date: January 08, 2019 Revision No.

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Republic of the Philippines


OCCIDENTAL MINDORO STATE COLLEGE
Labangan, San Jose, Occidental Mindoro
UNIT Website: www.omsc.edu.ph Email address: omsc_9747@yahoo.com
LOGO Tele/Fax: (043) 457-0231 CERTIFIED TO ISO 9001:2015
CERT. NO.: 50500643 QM15
(College)

INDIVIDUAL INTERN EVALUATION

Please check your rating on items using the following scale:


5 – Superior
4 – Good
3 – Satisfactory
2 – Unsatisfactory
1 – Not Acceptable

Area of Performance 5 4 3 2 1
1. Welcomes new ideas and thinks creatively.
2. Conveys feeling of realistic self-confidence.
3. Assumes appropriate responsibility for work behavior.
4. Takes initiative to accomplish tasks without being asked.
5. Organizes time effectively and complete assignment on time.
6. Adapts to changing demands.
7. Communicates well with professional in the organization.
8. Works professionally with clients.
9. Observes work hour, rules and regulations.
10. Maintains appropriate physical appearance.
11. Asks appropriate questions and investigates unanswered question.

Have you discussed this evaluation with the student intern? ______Yes ______No

Suggested Grade ___________

Site Supervisor Signature ________________________________ Date: _______________

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