LOGBOOK

FOR
PRACTICUM
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 1
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 2
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 3
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 4
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 5
 Daily Evaluation

Name of the Supervisor (Faculty):…………………………………………………………………………...........

Name of the Student: ……………………………………………............ ID#……………………...……………

Organization: ………………………………………………………………………………………………...........

Topic:………………………………………………………………………………………………………............

Evaluation Rating Based on Effort:

Excellent Good Satisfactory Need Improvements Poor

90-100% 80-90% 70-80% 60-70% <60%

EVALUATION BY UNIVERSITY SUPERVISOR

Performance
Evaluation Criteria Excellent Good Satisfactory Need Improvements Poor
Attendance
Appearance and Dress
Responsibility
Enthusiasm / Interest
Self-Confidence
Willingness to Learn
Level of Understanding
Problem Solving Abilities
Overall Performance

Comments (If Necessary): ___________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

__________________ __________________________
Supervisor’s Signature Coordinator/Chairman Signature

Page 6
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 7
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 8
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 9
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 10
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 11
 Daily Evaluation

Name of the Supervisor (Faculty):…………………………………………………………………………...........

Name of the Student: ……………………………………………............ ID#……………………...……………

Organization: ………………………………………………………………………………………………...........

Topic:………………………………………………………………………………………………………............

Evaluation Rating Based on Effort:

Excellent Good Satisfactory Need Improvements Poor

90-100% 80-90% 70-80% 60-70% <60%

EVALUATION BY UNIVERSITY SUPERVISOR

Performance
Evaluation Criteria Excellent Good Satisfactory Need Improvements Poor
Attendance
Appearance and Dress
Responsibility
Enthusiasm / Interest
Self-Confidence
Willingness to Learn
Level of Understanding
Problem Solving Abilities
Overall Performance

Comments (If Necessary): ___________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

__________________ __________________________
Supervisor’s Signature Coordinator/Chairman Signature

Page 12
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 13
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 14
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 15
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 16
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 17
 Daily Evaluation

Name of the Supervisor (Faculty):…………………………………………………………………………...........

Name of the Student: ……………………………………………............ ID#……………………...……………

Organization: ………………………………………………………………………………………………...........

Topic:………………………………………………………………………………………………………............

Evaluation Rating Based on Effort:

Excellent Good Satisfactory Need Improvements Poor

90-100% 80-90% 70-80% 60-70% <60%

EVALUATION BY UNIVERSITY SUPERVISOR

Performance
Evaluation Criteria Excellent Good Satisfactory Need Improvements Poor
Attendance
Appearance and Dress
Responsibility
Enthusiasm / Interest
Self-Confidence
Willingness to Learn
Level of Understanding
Problem Solving Abilities
Overall Performance

Comments (If Necessary): ___________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

__________________ __________________________
Supervisor’s Signature Coordinator/Chairman Signature

Page 18
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 19
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 20
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 21
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 22
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 23
 Daily Evaluation

Name of the Supervisor (Faculty):…………………………………………………………………………...........

Name of the Student: ……………………………………………............ ID#……………………...……………

Organization: ………………………………………………………………………………………………...........

Topic:………………………………………………………………………………………………………............

Evaluation Rating Based on Effort:

Excellent Good Satisfactory Need Improvements Poor

90-100% 80-90% 70-80% 60-70% <60%

EVALUATION BY UNIVERSITY SUPERVISOR

Performance
Evaluation Criteria Excellent Good Satisfactory Need Improvements Poor
Attendance
Appearance and Dress
Responsibility
Enthusiasm / Interest
Self-Confidence
Willingness to Learn
Level of Understanding
Problem Solving Abilities
Overall Performance

Comments (If Necessary): ___________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

__________________ __________________________
Supervisor’s Signature Coordinator/Chairman Signature

Page 24
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 25
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 26
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 27
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 28
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 29
 Daily Evaluation

Name of the Supervisor (Faculty):…………………………………………………………………………...........

Name of the Student: ……………………………………………............ ID#……………………...……………

Organization: ………………………………………………………………………………………………...........

Topic:………………………………………………………………………………………………………............

Evaluation Rating Based on Effort:

Excellent Good Satisfactory Need Improvements Poor

90-100% 80-90% 70-80% 60-70% <60%

EVALUATION BY UNIVERSITY SUPERVISOR

Performance
Evaluation Criteria Excellent Good Satisfactory Need Improvements Poor
Attendance
Appearance and Dress
Responsibility
Enthusiasm / Interest
Self-Confidence
Willingness to Learn
Level of Understanding
Problem Solving Abilities
Overall Performance

Comments (If Necessary): ___________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

__________________ __________________________
Supervisor’s Signature Coordinator/Chairman Signature

Page 30
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 31
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 32
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 33
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 34
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 35
 Daily Evaluation

Name of the Supervisor (Faculty):…………………………………………………………………………...........

Name of the Student: ……………………………………………............ ID#……………………...……………

Organization: ………………………………………………………………………………………………...........

Topic:………………………………………………………………………………………………………............

Evaluation Rating Based on Effort:

Excellent Good Satisfactory Need Improvements Poor

90-100% 80-90% 70-80% 60-70% <60%

EVALUATION BY UNIVERSITY SUPERVISOR

Performance
Evaluation Criteria Excellent Good Satisfactory Need Improvements Poor
Attendance
Appearance and Dress
Responsibility
Enthusiasm / Interest
Self-Confidence
Willingness to Learn
Level of Understanding
Problem Solving Abilities
Overall Performance

Comments (If Necessary): ___________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

__________________ __________________________
Supervisor’s Signature Coordinator/Chairman Signature

Page 36
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 37
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 38
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 39
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 40
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 41
 Daily Evaluation

Name of the Supervisor (Faculty):…………………………………………………………………………...........

Name of the Student: ……………………………………………............ ID#……………………...……………

Organization: ………………………………………………………………………………………………...........

Topic:………………………………………………………………………………………………………............

Evaluation Rating Based on Effort:

Excellent Good Satisfactory Need Improvements Poor

90-100% 80-90% 70-80% 60-70% <60%

EVALUATION BY UNIVERSITY SUPERVISOR

Performance
Evaluation Criteria Excellent Good Satisfactory Need Improvements Poor
Attendance
Appearance and Dress
Responsibility
Enthusiasm / Interest
Self-Confidence
Willingness to Learn
Level of Understanding
Problem Solving Abilities
Overall Performance

Comments (If Necessary): ___________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

__________________ __________________________
Supervisor’s Signature Coordinator/Chairman Signature

Page 42
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 43
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 44
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 45
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 46
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 47
 Daily Evaluation

Name of the Supervisor (Faculty):…………………………………………………………………………...........

Name of the Student: ……………………………………………............ ID#……………………...……………

Organization: ………………………………………………………………………………………………...........

Topic:………………………………………………………………………………………………………............

Evaluation Rating Based on Effort:

Excellent Good Satisfactory Need Improvements Poor

90-100% 80-90% 70-80% 60-70% <60%

EVALUATION BY UNIVERSITY SUPERVISOR

Performance
Evaluation Criteria Excellent Good Satisfactory Need Improvements Poor
Attendance
Appearance and Dress
Responsibility
Enthusiasm / Interest
Self-Confidence
Willingness to Learn
Level of Understanding
Problem Solving Abilities
Overall Performance

Comments (If Necessary): ___________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

__________________ __________________________
Supervisor’s Signature Coordinator/Chairman Signature

Page 48
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 49
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 50
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 51
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 52
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 53
 Daily Evaluation

Name of the Supervisor (Faculty):…………………………………………………………………………...........

Name of the Student: ……………………………………………............ ID#……………………...……………

Organization: ………………………………………………………………………………………………...........

Topic:………………………………………………………………………………………………………............

Evaluation Rating Based on Effort:

Excellent Good Satisfactory Need Improvements Poor

90-100% 80-90% 70-80% 60-70% <60%

EVALUATION BY UNIVERSITY SUPERVISOR

Performance
Evaluation Criteria Excellent Good Satisfactory Need Improvements Poor
Attendance
Appearance and Dress
Responsibility
Enthusiasm / Interest
Self-Confidence
Willingness to Learn
Level of Understanding
Problem Solving Abilities
Overall Performance

Comments (If Necessary): ___________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

__________________ __________________________
Supervisor’s Signature Coordinator/Chairman Signature

Page 54
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 55
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 56
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 57
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 58
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 59
 Daily Evaluation

Name of the Supervisor (Faculty):…………………………………………………………………………...........

Name of the Student: ……………………………………………............ ID#……………………...……………

Organization: ………………………………………………………………………………………………...........

Topic:………………………………………………………………………………………………………............

Evaluation Rating Based on Effort:

Excellent Good Satisfactory Need Improvements Poor

90-100% 80-90% 70-80% 60-70% <60%

EVALUATION BY UNIVERSITY SUPERVISOR

Performance
Evaluation Criteria Excellent Good Satisfactory Need Improvements Poor
Attendance
Appearance and Dress
Responsibility
Enthusiasm / Interest
Self-Confidence
Willingness to Learn
Level of Understanding
Problem Solving Abilities
Overall Performance

Comments (If Necessary): ___________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

__________________ __________________________
Supervisor’s Signature Coordinator/Chairman Signature

Page 60
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 61
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 62
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 63
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 64
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 65
 Daily Evaluation

Name of the Supervisor (Faculty):…………………………………………………………………………...........

Name of the Student: ……………………………………………............ ID#……………………...……………

Organization: ………………………………………………………………………………………………...........

Topic:………………………………………………………………………………………………………............

Evaluation Rating Based on Effort:

Excellent Good Satisfactory Need Improvements Poor

90-100% 80-90% 70-80% 60-70% <60%

EVALUATION BY UNIVERSITY SUPERVISOR

Performance
Evaluation Criteria Excellent Good Satisfactory Need Improvements Poor
Attendance
Appearance and Dress
Responsibility
Enthusiasm / Interest
Self-Confidence
Willingness to Learn
Level of Understanding
Problem Solving Abilities
Overall Performance

Comments (If Necessary): ___________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

__________________ __________________________
Supervisor’s Signature Coordinator/Chairman Signature

Page 66
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 67
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 68
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 69
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 70
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 71
 Daily Evaluation

Name of the Supervisor (Faculty):…………………………………………………………………………...........

Name of the Student: ……………………………………………............ ID#……………………...……………

Organization: ………………………………………………………………………………………………...........

Topic:………………………………………………………………………………………………………............

Evaluation Rating Based on Effort:

Excellent Good Satisfactory Need Improvements Poor

90-100% 80-90% 70-80% 60-70% <60%

EVALUATION BY UNIVERSITY SUPERVISOR

Performance
Evaluation Criteria Excellent Good Satisfactory Need Improvements Poor
Attendance
Appearance and Dress
Responsibility
Enthusiasm / Interest
Self-Confidence
Willingness to Learn
Level of Understanding
Problem Solving Abilities
Overall Performance

Comments (If Necessary): ___________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

__________________ __________________________
Supervisor’s Signature Coordinator/Chairman Signature

Page 72
 Daily Evaluation
Student Name: _____________________________________________ ID#__________________________

Date:__________________

ACTIVITIES NEW SKILL LEARNED

Company Supervisor’s Name & Signature with Comments:_________________________________________

Page 73
 Daily Evaluation

Name of the Supervisor (Faculty):…………………………………………………………………………...........

Name of the Student: ……………………………………………............ ID#……………………...……………

Organization: ………………………………………………………………………………………………...........

Topic:………………………………………………………………………………………………………............

Evaluation Rating Based on Effort:

Excellent Good Satisfactory Need Improvements Poor

90-100% 80-90% 70-80% 60-70% <60%

EVALUATION BY UNIVERSITY SUPERVISOR

Performance
Evaluation Criteria Excellent Good Satisfactory Need Improvements Poor
Attendance
Appearance and Dress
Responsibility
Enthusiasm / Interest
Self-Confidence
Willingness to Learn
Level of Understanding
Problem Solving Abilities
Overall Performance

Comments (If Necessary): ___________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

__________________ __________________________
Supervisor’s Signature Coordinator/Chairman Signature

Page 74