YOBE STATE UNIVERSITY

Office of the Vice Chancellor

DIRECTORATE OF STUDENT INDUSTRIAL WORK EXPERIENCE SCHEME
Vice Chancellor: Prof. M. M. Daura Contact Us.
Director: Dr. Ibrahim Umar 08034611893,
www.siwes.ysu.edu.ng

SIWES ASSESSMENT FORM

SECTION A: To be completed by student.
1. NAME OF STUDENT……………………………………………………………………….

2. REGISTRATION NO………………………………………………………………………..

3. DEPARTMENT OF ATTACHMENT ………………………………………………………….

4. PLACE OF ATTACHMENT ……………………………………………………………….

5. SIGNATURE AND DATE ………………………………………………………………….

SECTION B: To be completed by the industry-based Supervisor.

S/NO DETAILS SCORE

1. ATTENDANCE (5%)

2. PUNCTUALITY (5%)

3. JOB PERFORMANCE (5%)

4. RELATIONSHIP WITH INDUSTRY SUPERVISOR (5%)

……………………………………… ………………………………

NAME AND SIGNATURE OFFICIAL STAMP & DATE