PAMANTASAN NG LUNGSOD NG MAYNILA
(University of the City of Manila)
Intramuros, Manila
COLLEGE OF ENGINEERING AND TECHNOLOGY
PERFORMANCE EVALUATION REPORT
Industry Internship Program
________________________________________
Name of Company
PART I (To be filled up by the student)
Name: ________________________________________________ Age: __________________________
Course: _______________________________________________ Student No.: __________________
City Address: _________________________________________ Tel. No.: ______________________
Provincial Address: ____________________________________ Cell. No.: _____________________
____________________________
Signature of Student
PART II (To be filled up by the Company Representative)
Division/Plant Assigned _________________________________________________________________
Field of Training Assigned _______________________________________________________________
Inclusive Dates of Training from __________________________ to __________________________
Total numbers of hours rendered ________________________________________________________
CRITERIA MAX. RATING RATING
TO BE GIVEN
1. Quality of work (thoughtfulness, accuracy, 20%
neatness & effectiveness)
2. Quantity of work (able to complete work in 20%
allotted time)
3. Dependability, Reliability & Resourcefulness 10%
(ability to work with minimum supervision)
4. Judgement (sound decisions, ability to identify & 10%
evaluate pertinent factors)
5. Cooperation (works well with everyone, good team 10%
worker)
6. Attendance (regularity & punctuality) 10%
7. Courtesy & good manners 10%
8. Safety (awareness of safety procedures) 10%
TOTAL RATING
Additional observations and/or significant information (use back space if necessary)
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
EVALUATED BY:
____________________________________ _________________________ ____________________
Name and Signature Designation Date