FIELD EXPERIENCE EVALUATION & EXIT FORM

NAME: ID no:

Date of Reporting: Date of Departing:

TO BE COMPLETED & HANDED TO TTU PRIOR TO DEPARTURE

Was pre-arrival communication clear and concise?

Fully Partially Not at all
Why not?

Did the arrival orientation provide you with required information for settling into ICDDR,B?
Yes Not at all Partially

Did you achieve your Field Experience objectives?

Fully Partially Not at all
Why not?

List any specific problems you encountered in trying to achieve your objectives and suggest how you
would solve them

How do you think your ICDDR,B Field Experience will impact your future research/studies?

Overall, are you satisfied with your decision to complete Field Experience at ICDDR,B?
Fully Partially Not at all
Give reasons why not
 PART II

TO BE COMPLETED BY ICDDR,B TRAINING AND/OR RESEARCH SUPERVISOR/MENTOR

What is your evaluation of the Field Experience of the Applicant under your supervision?

Supervisor Signature: Date:

PART III
APPLICANT RELEASE: Signatures with dates are necessary for sign-off :

Supervisor: Date:

Facility Management (Accommodation): Date:

Library: [if applicable] Date:

IT Unit: [if applicable] Date:

Technical Training Unit: Date:

Head, Human Resources: Date: