SAN BEDA UNIVERSITY

College of Arts and Sciences

Manila

INITIAL _300___–HOUR EVALUATION FOR PRACTICUM

Practicum Student:
Employing Organization: Department:
Supervisor: Position:
Employment Dates:

Thank you for accommodating our student in your good office for the initial 100
hours of his/her On-The-Job Training. May we then request that you fill out this
form in order for us to gauge the student’s progress during his/her stay in your
company. We hope for your kind consideration.

I. Work quality in assigned tasks

Assigned Tasks: (Use a separate sheet if necessary)

Kindly rate the performance of the student per assigned task.
RATING
(1 as the highest, and 5 the lowest)

1)

2)

3)

4)

5)

6)

Average grade for quality of completed work:

 SAN BEDA UNIVERSITY
College of Arts and Sciences
Manila

II. Initial evaluation of work habits

Kindly take the time fill out this portion. Use a separate sheet if necessary.

1. Has the student so far been able to respond appropriately to given

instructions?

 Yes
 No

Comments/Suggestions

2. Has the student been punctual in meeting assignment deadlines and

work appointments?

 Yes
 No

Comments/Suggestions

3. Does the student have the aptitude for the assigned duties?

 Yes
 No

Comments/Suggestions

4. Does the student work well with co-workers?

 Yes
 No

Comments/Suggestions
 SAN BEDA UNIVERSITY
College of Arts and Sciences
Manila

Other
Comments/Suggestions

I attest that the information herein provided is true, correct and accurate to
the best of my knowledge and belief.

Signed, Date
Accomplished:
Contact Number:

Name and Signature of Supervisor

Position