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Sample Evaluation Form

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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)

_________________________________________________________________________
OJT/PRACTICUM EVALUATION
Evaluation Form

Name of Evaluatee/Intern_________________________________________________________
Name of Evaluator_______________________________________________________________
Position/Title of Evaluator_________________________________________________________
Period of Evaluation______________________________________________________________
From__________________________________________________________________________

Total number of days reported to work:______________________________________________


Total number of days absent:______________________________________________________
Total number of days late:_________________________________________________________

1.) During the period covered by the evaluation. In what departments or sections was the student
trainee assigned?

Department/Section Inclusive dates assigned


1.______________________________ _____________________
2.______________________________ _____________________
3.______________________________ _____________________

2.) Please list down the general task assigned to the student trainee to perform during the period
covered by the evaluation.
1._________________________________________________________________________________
2. _________________________________________________________________________________
3. _________________________________________________________________________________

3.) How long was the student 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
a. Courtesy in dealing with superiors and peers __________
b. Patience and diligence in performing assigned tasks __________
c. Interest and enthusiasm in performance __________
d. Open to constructive criticism and suggestions __________

2.) Work Habits


a. Punctuality in attendance __________
b. Regularity in attendance __________
c. Neatness of reports submitted __________
d. Performance of work within the assigned time __________

3.) Personality and Personal Appearance


a. Reports for work always neat and well-groomed __________
b. Reports for work properly attired __________
c. Shows emotional maturity __________
d. Shows strengths and stability under pressure __________

4.) Professional Competence


a. Readily understands instructions __________
b. Comes up with sound suggestions to problems __________

OVER-ALL RATING:____%

Additional Comments

Strong Points:________________________________________________________________________
Areas for Improvement:________________________________________________________________

Rated by:____________________________________________________________________________
Position:_____________________________________________________________________________
Firm:________________________________________________________________________________

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