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F-AAO-015
08/15/13

APPENDIX 7

Lyceum of the Philippines University

Center for Career Services and Industry Relations

PERFORMANCE EVALUATION FORM

A.Y.: _______ SEM: _______

Name of Trainee: _________________________________ Period Covered: _____________

Name of Company: _______________________________ Address: ____________________
PRACTICUM TRAINING EVALUATION
________________________________________________ REPORT _________________
Department:

PLEASE ENCIRCLE THE NUMBER THAT Outstan High Pass Low Failed
DESCRIBES THE TRAINEE’S PERFORMANCE ding Pass Pass

A. QUALITY OF WORK
a. Tries his/her best to perform work of high quality 5 4 3 2 1
b. Is accurate and through 5 4 3 2 1
c. Is creative and original in his/ her work outputs 5 4 3 2 1
B. JOB KNOWLEDGE
a. Possesses required background 5 4 3 2 1
b. Knows requirements and responsibilities of work 5 4 3 2 1
c. Understands company and industry procedures 5 4 3 2 1
C. QUANTITY OF WORK
a. Output of work is reasonable 5 4 3 2 1
b. Can be depended upon to finish tasks 5 4 3 2 1
c. Is independent and responsible 5 4 3 2 1
D. WORK ATTITUDE
a. Assumes responsibility willingly 5 4 3 2 1
b. Accepts corrections positively 5 4 3 2 1
c. Is resourceful and industrious 5 4 3 2 1
E. COOPERATION/INTERPERSONAL
RELATIONSHIPS
a. Works harmoniously with superiors/co-workers 5 4 3 2 1
b. Is a team worker 5 4 3 2 1
c. Is respectful and open to opinions of others 5 4 3 2 1
F. ATTENDANCE
a. Is regular in attendance and is punctual 5 4 3 2 1
b. Calls in when not able to report for work 5 4 3 2 1

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G. LEADERSHIP
a. Works with minimum supervision 5 4 3 2 1
b. Shows initiative and interest in work 5 4 3 2 1
c. Has the ability to work well under pressure 5 4 3 2 1
H. PERSONAL APPEARANCE
a. Is neat in attire and has corporate image 5 4 3 2 1
b. Is dignified and professional in manner 5 4 3 2 1
I. PUBLIC RELATIONS
a. Deals with the public in courteous manner 5 4 3 2 1
b. Is helpful to customers/ clients 5 4 3 2 1
J. COMMUNICATION
a. Has good diction/speaks in well- modulated voice 5 4 3 2 1
b. Listens and understands instructions 5 4 3 2 1

÷ 130 x 50 + 50
(Total Score) (Percentage)
Qualitative Remarks:

Comments (Strong and Weak Points):

STRONG POINTS WEAK POINTS

__________________________________ ________________________________
Name / Signature of Certifying Officer Position / Designation

Date of Practicum Completion: _______________________________________________

Note: Practicum Supervisor: (After accomplishing this form, please enclose and seal in a
signed envelope.)

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