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Laguna Northwestern

College
A. Mabini St. San Antonio, San Pedro, Laguna
Tel.: 869-0738

PRACTICUM EVALUATION FORM FOR INTERNAL SUPERVISOR

1. Name of Student:

2. Program/Course of Study:

3. Academic Year:

4. Date of Practicum was done


From

To
5. Place of attachment for Practicum

ASSESSMENT
Scale:
4 – Highly Documented
3 – Documented
2 – Slightly Documented
1 – Not Documented

S/N EVALUATION CRITERIA SCORE REMARK


1 2 3 4
1. Attendance / Punctuality
2. Mastery of Administrative Skills /
Professional Behavior
3. Cognitive Skills / Management and
Programming Competencies
4. Human Relations / Communication
5. Innovative / Creative Contributions

General Comment:______________________________________________________
Laguna Northwestern
College
A. Mabini St. San Antonio, San Pedro, Laguna
Tel.: 869-0738

Name of Internal Supervisor: LOUIE A. GERENTE, Research Head/Facilitator

Signature and Date: ________________________________

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