SOCIALLY USEFUL AND PRODUCTIVE ACTIVITY (SUPA)

Xavier Institute of Management and Entrepreneurship, Bangalore

Feedback – SUPA 2023 (Confidential)

Name of the NGO/Organisation:

Name of the Student:
Period of work at your organisation:
From To

Please rate the student on the following parameters on a scale of 1 to 7, 1 denoting “poor”
and 7 “Excellent”. We request you to do this exercise confidentially and return the form to
the student in a sealed envelope with your signature across the flap or can scan the filled
feedback form and mail it to supabatch28@xime.org
Parameter 7 6 5 4 3 2 1
Punctuality

Regularity

Commitment to
work

Originality of
ideas/suggestions

Eagerness to
learn

Conduct

Sensitivity to your
environment

Usefulness of
contribution

Overall Impact

Any other comments:

Name:
Designation: Signature
Mobile: (Please affix the seal of your organisation and sign across it)