CHEMICAL ENGINEERING DEPARTMENT

3rd Floor OZ Building

900 San Marcelino Street, Ermita, Manila 1000
Phone (632) 524.20.11 local 410

PERFORMANCE EVALUATION FORM

Part I: To be filled-up by Student Trainee
Student Name:
Name of Faculty-in-Charge:
Semester:
Company Name:
Company Address
Place and Area of Training:
Period of Training
From:
Name of Training Supervisor
Title of Training Supervisor
Total hours rendered:

Student ID :
Section:
School Year:

To:

Part II: To be Accomplished by Evaluator:

Please rate the practicum trainee in your company according to the expected student outcomes.
Refer to the scale below to determine level of attainment. Place a check mark () on the space provided.
Scale: 4-Excellent, 3-Good, 2-Average, 1-Needs Improvement
Place your comments and suggestions on the space provided.
SO

PI

Ability to
function on
multidisciplinary
teams

Perform
delegated tasks
as part of a
multidisciplinary

Understanding of
professional and
ethical
responsibility

Demonstrate
ethical and
professional
behavior during
practice

Recognition of
the need for, and
an ability to
engage in lifelong learning

Develop plans
for personal and
professional
growth.

F-CHE-003 (01-27-15)

CRITERIA
COOPERATION
(Ability to work well with
people and to maintain
teamwork.)
CONTRIBUTION TO
THE COMPANY
(Ability to contribute
something of value to the
company in the course of
performing work assigned)
ATTENDANCE
( Regularity and
punctuality in attendance)
PERSONALITY
(Observing good
grooming, proper decorum
and manners in action and
words)
JUDGMENT
(Ability to render sound
decision and to identify
and evaluate relevant
factors related to work
assignment.)

CHEMICAL ENGINEERING DEPARTMENT

3rd Floor OZ Building
900 San Marcelino Street, Ermita, Manila 1000
Phone (632) 524.20.11 local 410

SO

PI

Ability to use
techniques, skills,
and modern
engineering tools
necessary for
engineering
practice

Demonstrate
skills in the use
of modern
engineering tools
and techniques
necessary for
engineering
practice.

CRITERIA
RESOURCEFULNESS
(Ability to use creativity
and imagination in dealing
with situations related to
work assigned)
QUALITY OF WORK
(Thoroughness, accuracy,
neatness and effectiveness
of work)
AVERAGE

REMARKS/COMMENTS/RECOMMENDATIONS:

Name & Signature of Evaluator

F-CHE-003 (01-27-15)

Position

Tel./Contact No.