NAME OF TRAINEE: ___________________________________________LEVEL: SHS-Grade 12__________

SCHOOL YEAR: 2022-2023_____ ____SPECIALIZATION: TVL-ICT ACADEMIC-GAS

TRAINING AGENCY: _________________________________________________________________________
ADDRESS: __________________________________________________________________________________
DATE/PERIOD OF TRAINING: _________________________________________________________________

EVALUATION FORM FOR THE PRACTICUM STUDENT

REMARKED/
QUAILITIES HIGHEST POINTS POINTS EARNED COMMENTS
1.LEADERSHIP
A. Has self-discipline & potential for leadership. 5
B. Assume responsibilities readily, gets result & and group
loyalty. 5
C. Able to understand clear instruction & does not need to
always checked or supervise. 5
D. Accepts suggestions & strives to improve his work. 5
TOTAL 20
2. ATTITUDE TOWARDS WORK
A. Make use of time & nit Squanders it. 5
B. Reports to works regularly on time. 5
C. Follows company / agency rules and regulations. 5
D. Courteous/Polite 5
TOTAL 20
3. PERFORMANCE
A. Work accurately, efficiently, and effectively. 5
B. Accomplish assigned task on time. 5
C. Follows direction/instruction correctly 10
D. Install and Configure Computer
Systems 10
E. Set-up Computer Networks 10
F. Set-up Computer Servers 10
G. Maintain and Repair Computer
Systems and Networks 10
TOTAL 60
GRAND TOTAL 100
SUMMARY: POINTS: PERCENT: EVALUATION:
100 95-100 1.0 Excellent
96-99 90-94 1.5-1.1 Superior
91-95 86-89 1.6-2.1 Very Good
86-90 80-85 2.5-2.1 Good
80-85 75-79 3.0-2.6 Fair/Passing

ATTESTED BY: RATED BY:

ALBERTO N. CONDOLON _______________________________________

School Administrator Work Immersion Supervisor

__________________
Date