Republic of the Philippines
Province of Misamis Oriental
Municipality of TAGOLOAN
Tagoloan Community College
Baluarte, Tagoloan, Misamis Oriental
(08882) 740-835
Member: Association of Local Colleges & Universities (ALCU)
PRACTICUM PROGRAM
Evaluation Form
Name of the Student Trainee : ___________________________________________________
Name of Evaluator : ___________________________________________________
Position/Title of Evaluator : ___________________________________________________
Period covered by Evaluator : ___________________________________________________
From : ______________________ To: _____________________
Total Number of days Reported for Work : _______________________________________
Total Number of days absent : _______________________________________
Total Number of days late : _______________________________________
1. During the period covered by the evaluation, in what department or section was the student
trainee assigned?
Department/Section Inclusive Dates Assigned
1. _________________________ _______________________
2. _________________________ _______________________
3. _________________________ _______________________
4. _________________________ _______________________
5. _________________________ _______________________
2. Please list down the general task to the student trainee to perform the period covered by the
evaluation.
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
3. How long was the student trainee assigned to you?
________________________ weeks _____________________hours
EVALUATION
Using the scale below, please rate the student trainee on each item. Write the number that corresponds
to your rating on the space provided on the right-hand side.
92-100% Outstanding
88-91% Very Good
85-87% Good
80-84% Fair
75-79% Poor
1. Work Attitude (25%)
Courtesy in dealing with the superiors and peers ________________
Patience and diligence in performing assigned task ________________
Interests and enthusiasm in performing assigned task ________________
Open to constructive criticisms and suggestions ________________
OVERALL RATING: Work Attitude ________________
2. Work Habits (25%)
Punctuality in Attendance ________________
Regulatory in Attendance ________________
Neatness of Reports Submitted ________________
Performance of work within the assigned time ________________
OVERALL RATING: Work Habits ________________
3. Personality and Personal Appearance (25%)
Reports for work always neat and well-groomed ________________
Reports of work properly Attired ________________
Shows poise and self-confidence ________________
Shows strength and stability under pressure ________________
OVERALL RATING: Personality and
Personal Appearance ________________
4. Professional Competence (25%)
Readily understand instructions ________________
Comes up with sound suggestions to problems ________________
OVERALL RATING: Professional Competence ________________
OVERALL RATING ==============
ADDITIONAL COMMENTS:
Strong Points: ______________________________________________________________________
_______________________________________________________________________
Areas of Improvements: _____________________________________________________________
_______________________________________________________________________
Rated by:
Name & Signature : __________________________
Position : __________________________
Firm : __________________________
Tel # : __________________________
