STUDENT EVALUATION FORM

(To be completed at the end of traineeship by supervisor)

NAME: Ronald Gomez____________________________________________

QUALIFICATION: Automotive Servicing NC II__________________________

PART I: This is the feedback rating scale of the performance of practicum

students. This aims to provide information to the instructor in the final rating
of their performance. Furthermore, this can serve as a feedback mechanism to
improve the methods of handling the practicum subject with students.

Use the following rating scales:

5 – Outstanding
4- Very Good/Very Satisfactory
3- Good/Adequate
2- Fair/Satisfactory
1- Poor/Unsatisfactory

5 4 3 2 1
CATEGORIES Remarks
Dedication &
Commitment to Work

Technical
Competence

Quality of Work

Initiative

Personality

Team-Work
PART II: Identify three key strengths of the trainee and three areas where the trainee
needs to improve their performance.

STRENGTHS AREAS OF IMPROVEMENT

PART III: Please evaluate and comment on the trainee’s

OVERALL PERFORMANCE AND SKILLS: __________________ %

Has evaluation been reviewed with the trainee? Yes____

No____

Comments:

Signature of Company Representative:________________________________

Date: ____/_____/_____

Signature of Trainee:_______________________________________________
Date: ____/_____/_____
 TRAINEE FORM
(To be completed by the student at the end of On-the-Job Training)

NAME:____________________________________________________________
WORK PERIOD:____________________________________________________
EMPLOYING ORGANIZATION:_____________________ DEPT: _____________
SUPERVISOR’S NAME:_____________________ TITLE: ___________________
HOURS PER SEMESTER:____________________________________________

DESCRIPTION OF DUTIES: (List and briefly describe each job assigned to you.)

EVALUATION OF WORK EXPERIENCE JUST COMPLETED:

A. Positive Aspects:

B. Negative Aspects:

IN WHAT MANNER DID THIS ASSIGNMENT CONTRIBUTE TO YOUR

ACADEMIC DEVEOPMENT?

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