AMA Corporate Office Memo Ref#201:

Evaluation sheet form

EVALUATION SHEET
FOR PRACTICUM / WORK IMMERSION TRAINEES

PART 1 (to be filled out by the students)

Student’s Name :: _______________________

Track
Name of the School
Address of School
Name of Establishment
Company Address
Training Hours
: _______________________
: _______________________
: _______________________
: _______________________
: _______________________
: _______________________
__________________
Signature of Student

PART II (To be filled out by the representative where the student is deployed)
Job Factors
A. WORK PERFORMANCE
1. Technical Skills (Effective application is identified skills and knowledge to 10% ______
meet the requirements or problems in their assigned areas of responsibility).
2. Quality of Work (Consider accuracy of work done based on expected output 10% ______
against target date)
3. Initiative and Dedication (attitude towards work) 10% ______
4. Attendance (Number of absences per evaluation) 10% ______
5. Punctuality (Number of tardiness per evaluation) 10% ______
6. Perseverance and Industry (Show initiative and interest in work over and 10% ______
above what is assign)
7. Interpersonal and Team Relationship (Can work harmoniously 10% ______
with other employees)

B. PERSONALITY TRAITS
1. Physical Appearance (Personally well-groomed and always wear 5% ______
appropriate attire)
2. Courtesies (Show respect for authority at all times) 5% ______
3. Conduct (Observe rules and regulation of establishment) 5% ______
4. Drives and Leadership) (Initiative and Volunteerism)
(Volunteers to help and willing to learn) 5% ______
5. Reliability (Trusted to be left alone to use or operate office equipment) 5% ______
6. Possession of traits necessary for employment in this kind of work 5% ______

TOTAL RATING
100-96 =EXCELLENT
95-91 =VERY SATISFACTORY
90-86 =SATISFACTORY
85-80 =GOOD

Recommendation for the trainee's further growth

_________________________________________________________________________________________________
_________________________________________________________.
Division Assigned : ______________________________________________
Field of Training Given : ______________________________________________
Inclusive Date of Training : From : ______________ To: ________________
Total Number of Hours Rendered : _________ hours

Certified true and correct:

___________________________________________ ________________________________________
Name and Signature Name and Signature
Industry Partner Practicum/Work Immersion Supervisor School OJT/ WORK Immersion Coordinator