Professional Documents
Culture Documents
Industrial Training-Clinical Posting-Industrial Engagement Visit Report Form
Industrial Training-Clinical Posting-Industrial Engagement Visit Report Form
FORM
1. Programme : ……………………………………………………………………………………………………………
2. Semester : ……………………………………………………………………………………………………………
3. Date of Visit : ………………………………………………………………………………………………….
4. Representative from the college : ….……………………………………………………………………………
5. Representative from the organization : ….………………………………………………………………….
List of Students on Attachment, if the visit is for Industrial Training/Clinical Posting visit:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Page 1 of 3
INDUSTRIAL TRAINING/CLINICAL POSTING/INDUSTRIAL ENGAGEMENT VISIT REPORT
FORM
Feedback from the Supervisor/Local Preceptor/Representative:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Feedback from Student(s), if the visit is for Industrial Training/Clinical Posting visit:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Page 2 of 3
INDUSTRIAL TRAINING/CLINICAL POSTING/INDUSTRIAL ENGAGEMENT VISIT REPORT
FORM
Recommended Action(s):
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Page 3 of 3