Republic of the Philippines

ISABELA STATE UNIVERSITY

Ilagan City, Isabela

Evaluation of the OJT Host Agency: By the OJT Student

2ND SEMESTER 2022-2023

Name of Student: _________________________________________

Practicum/OJT/Clinical/Practice Teaching Coordinator: ___________________________ ____
Immediate Supervisor (Host Agency): _____________________________________________
Company (Agency/Hospital/Institution) Name & Address: ______________________________

I. Instructions: Please rate the COMPANY/AGENCY/INSTITUTION /COOPERATING

AGENCY and your IMMEDIATE JOB SUPERVISOR in terms of meeting you needs as a
Practicum/OJT/Practice Teaching/Intern. Use the following scale: Outstanding = 5, Very
Satisfactory = 4, Satisfactory = 3, Fair = 2, Poor = 1, N/A = 0.

5 4 3 2 1 0
1. Acceptance of you as a functional member of the staff;
willingness to integrate you into all appropriate levels of
activities, programs, and projects.
2. Assistance in helping you meet your personal and
professional goals and objectives.
3. Conferences with you and ongoing evaluation of your
performance, followed up by brief written progress
reports.
4. Allowance for relating classroom theory to practical
situations.
5. Willingness to listen to whatever suggestions or
recommendation are made.
6. The job supervisor had an interest in you as a person and
as a student.
7. The job supervisor was willing to discuss the full range of
your activities at the site.
8. The job supervisor was able to respond to your problems
and to help you work toward solutions.
9. Adequacy of arrangements made to orient you to the site.
10. Profession of resources essential to the preparation of
professionals (library, computers, supplies, etc.)
11. The agency is recommended as venue for future OJT
Students.

Comments/Suggestions/Recommendations: ________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

ISUI-ICT-OIE-022
Effectivity: January 3, 2017
Revision:0
 Republic of the Philippines
ISABELA STATE UNIVERSITY
Ilagan City, Isabela

Evaluation of the OJT Host Agency: By the OJT Student

2ND SEMESTER 2022-2023
___________________________________________________________________________
___________________________________________________________________________

II. Answer the following questions. Use separate sheets as needed.

A. Has the practicum/fieldwork experience helped you prepare for a job in your field?
Why or why not?

B. Which of the courses you have taken were of the most value during the
Practicum/OJT/Practice Teaching/Intern?

C. What could your company/job supervisor have done to improve your

practicum/fieldwork experience?

D. What could you have done to improve your practicum/fieldwork experience?

E. What skills/competencies were you required to use in your fieldwork that:

1. You felt prepared to do:

2. You felt unprepared to do:

F. What other courses or learning experiences would have helped in the Practicum?

G. What suggestions can you make to help improve the Practicum Program?

ISUI-ICT-OIE-022
Effectivity: January 3, 2017
Revision:0