Republic of the Philippines

BOHOL ISLAND STATE UNIVERSITY

Main Campus, CPG North Avenue Tagbilaran City, Bohol

PERFORMANCE EVALUATION CARD

Name of the Intern: __________________________________________________________

Name of the HTE (Host Training Establishment):
___________________________________________________________________________
HTE Address: _______________________________________________________________
HTE Department: ____________________________________________________________
Internship period: Start: ___________ End: __________

Direction: Kindly assess the tasks/competencies based on the scale below:

Rating Scale:
1 – Outstanding (always manifests job skills/competencies/attitudes with excellence)
2 – Very Satisfactory (frequently manifests job skills/competencies/attitudes with excellence)
3 – Satisfactory (sometimes manifests job skills/competencies/attitudes with excellence)
4 – Fair (sometimes manifests job skills/competencies/attitudes with mediocrity)
5 – Needs Improvement (manifests job skills/competencies/attitudes with mediocrity most of the time)
N/A – Not applied (No opportunity to be exposed to the identified tasks and competencies)

RANGE OF RATINGS (Based on the Student Manual)

Grades Description
1.0 – 1.29 Outstanding
1.30 – 1.59 Very Satisfactory
1.60 – 2.59 Satisfactory
2.60 – 3.09 Fair
3.1- 5.0 Needs Improvement/ Failed

Signature of
Ratings Supervisor/
Evaluation Criteria Period Mentor
1 2 3 4 5 N/A
A. Job Performance (80%) (Tasks/Competencies based on Program CMO)
Competencies Description
Computer has the abilities and
Knowledge knowledge in using
computers and
technology
Technical Skills has specialized
knowledge and
expertise needed to
accomplish complex
actions, tasks, and
processes
Detail-Oriented pays attention to
details, notice small
mistakes, and are able
to deliver high quality,
accurate work
Customer communicates with
Service Skills others, solve
problems,
demonstrate patience
and understanding,
ensure customer
satisfaction, and
resolve customer
complaints 
B. Life Skills (10%)
Cooperativeness/ takes direction and
Collaboration guidance from
superior openly and
positively
Human Relations observes proper
decorum in dealing
with
co-workers/superiors
Leadership influences others in
the team to
accomplish targets

Decision- makes sound

making/ problem judgment and manifest
solving critical thinking

Planning and sets clear targets in

organization skills the completion of
assigned tasks
Adaptability prioritizes multiple
tasks
Dependability, executes and
Reliability and completes work as
Resourcefulness instructed
works with minimum
amount of supervision
Communication communicates orally
Skills effectively
communicates in
writing effectively
Conduct demonstrates Filipino
values and industry
desired values
demonstrates
commitment to the job
complies with
internship/OJT
guidelines and
requirements of the
company
Attendance/ reports to work
Punctuality punctually
reports to work
regularly
Weighted Average
Description

____________________________________________
(Signature over printed name of Immediate Supervisor)
 Republic of the Philippines
BOHOL ISLAND STATE UNIVERSITY
Main Campus, CPG North Avenue Tagbilaran City, Bohol

Vision: A premier S&T university for the formation of a world class and virtuous human resource for sustainable development in
Bohol and the country.
Mission: BISU is committed to provide quality higher education in the arts and sciences, as well as in the professional and
technological fields, undertake research and development, and extension services for the sustainable development of Bohol and the
country.

RATING SHEET for the INTERNSHIP

Name of Student: __________________ Course & Field of Specialization: BSOAd

Business Name: ___________________ Business Hours: __________________________
Business Address: _____________________________________________________________

Criteria Rate Rating Equivalent

1. HTE Rating 90%

2. SIPP Coordinator Rating 10%

a. Timeliness (punctual submission of reports) (60%)

b. Propriety and Decorum (proper conduct and (40%)

behavior in the workplace)

TOTAL 100%
FINAL RATING

Rated by: Certified Correct:

RECHEL ANTIGUA-BUBULI, MPA ARLEN E. ESCABARTE, MATVE

SIPP Coordinator Dean, College of Business and Management

RIZA PANGILIGAN-TAGARO, MPA

SIPP Coordinator