CSAV-DOI-F-10 Colegio de Sta.

Ana de Victorias DATE USED: 2 JULY 2018

REVISION: 1/1
Osmeña Avenue, Victorias City, Negros Occidental
Tel. No. (034)-399-3586; Fax No. (034) 717-6527

STUDENT INTERNSHIP EVALUATION FORM

NAME OF STUDENT-INTERN : _______________________________________________________

COMPANY NAME : _______________________________________________________
DEPARTMENT : _______________________________________________________

On a scale of 1-10 (1 is the lowest and 10 is the highest), please evaluate your student-trainee
by rating each criterion on a rating column.

CRITERIA Rating

1. Attendance and Punctuality (1-10) - regularity of attendance to report for work.

Informs supervisor & makes arrangements for absences.

2. Attitude towards work (1-10)– willingness to do tasks assigned to him and observance
of proper etiquette in dealing with everyone in the office.

3. Knowledge & Learning (1-10) – actively seeks new information from staff or
supervisor, understand the concepts/theories provided, & apply in office setting.

4. Response to supervision (1-10) – actively seeks supervision when necessary, willing to

explore, awareness of & acceptance of areas that need improvement.

5. Dependability (10%) – ability to perform and finish the assigned work as instructed.

6. Honesty and Humility (1-10) – ability to seek assistance when he feels he needs more
instructions.

7. Judgment (1-10) – ability to plan logically and make decisions to get work done; tailors
goals & strategies to respond to individual differences.

8. Flexibility (1-10)– capacity to adapt to any working condition or situations he is

assigned.

9. Communication skills (1-10)- ability to effectively communicate/ interact with

clients, other employees, & supervisor, establish rapport & build an environment of
trust.

10. Conduct (1-10) - demonstrates Filipino Christian values, professional work ethics
necessary in the workplace, & behaves consistently with ethical guidelines.

Remarks / Comments (OJT Program & Student-trainee):

EVALUATOR (Name/Signature/date):

Please return this form upon completion to the student in a SEALED COMPANY ENVELOPE with affixed signature of the evaluator on
the flap.

Thank you for serving as supervisor. We appreciate your commitment in providing quality learning experience to our students. If you
have any questions, please contact us at Tel. No. 399- 2830 and 717 - 6527.