BUKIDNON STATE Educate.

U N I V E R S I T Y Innovate.
TALISAYAN CAMPUS Lead.

BukSU-SC-OJT-15

PRACTICUM AND WORK-INTEGRATED LEARNING PROGRAM

AGENCY EVALUATION
Name of Organization:
Supervisor’s
Name: Phone:
Intern’s
Name:
Internship Period: to
DIRECTIONS: Please rate your intern OBJECTIVELY in each of the areas below using the following rating scale
1 = Unsatisfactory 2 = Marginal 3= Average 4 = Above Average 5 = Outstanding NA = Not applicable

Please tick (/) box that applies to your assessment.

I. INDICATORS 1 2 3 4 5 NA REMARKS
Ability to Learn: How effective was the intern in
understanding and following general instructions?
Technical aptitude: How effective was the intern in
understanding the technical aspects of their field, and
relating that knowledge to their job?
Communication: How effective was the intern in
communicating both orally and in writing?
Relationship with others: How well did the intern work
with other employees in your firm?
Attitude-Application to work: How enthusiastic was the
intern with this internship project?
Planning & Dependability: how effective was the intern
in planning and coordinating his/her work, and
dependable in working steadily, even in the absence of
direct supervision
Judgment: How well did the intern perform in analyzing
problems and making appropriate recommendations? or in
formulating and advancing new plans, ideas, projects?
Attendance: Rate the intern’s attendance to the established
work schedule?
Promptness in reporting for work:
Do you have any constructive criticism to offer regarding this student intern?

II.
1. Did the Student intern complete the required number of internship hours? ____Yes____NO
Comment:

2. Overall Performance: How well did the intern perform on this internship?
___ 1.0. __1.25 __1.50 __1.75 __2.0 __2.25 __2.50 __2.75 __3.0
3.
3. Has your organization previously used student interns from Bukidnon State University?
4. Would you be interested in continuing to participate in our internship program? If yes, please indicate the semester you would
like to recruit another intern?___1st sem ___2nd sem ___Summer
5. Was there an opportunity to offer the student a full or part time job?
___Yes ___No Starting salary ______________
6. Would you be willing to recommend this type of program to other? ___Yes ___No

Supervisor’s Signature / Date signed

Thank you for completing this evaluation and participating in our internship program.
Please give to your intern in sealed envelopes: one copy to Faculty Internship Coordinator.

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