Yenepoya Institute of Technology

N. H. 13, Thodar, Moodbidri - 574 225, Mangaluru, D. K.

DEPARTMENT OF ELECTRICAL & ELECTRONICS ENGINEERING

INDUSTRY FEEDBACK FORM

Name of the Student: USN:

Starting date (DD/MM/YYYY): Completion date (DD/MM/YYYY):

Mobile No.: Email ID:

Name and Signature of the Student

SUPERVISOR INFORMATION
NAME: ORGANIZATION’S NAME:
EMAIL ADDRESS:

Dear Sir / Madam,

In your opinion, how will you grade our student in the attainment of the Internship objectives
(Please tick (√) in the appropriate column)
Poor—0, Below Average – 1, Average – 2, Good – 3, Very Good – 4, Excellent – 5,

Extent to which internship supports Program Outcomes 0 1 2 3 4 5

Ability to identify Engineering data, facts or
information(PO1 and 2)
Ability to understand design systems/ plans/processes and /or
discharge duties and responsibilities(PO3 and 4)
Ability to learn the techniques of operating new equipment/
new procedures at the job site (PO5 and 11,12)
Ability to respond / take action based on contextual
knowledge relavant to professional engineering
practice(PO6)
Ability to demonstrate the knowledge of and need for
sustainable development(PO7)
Satisfaction with interns conduct level(PO8)

Ability to work individually and gel with a team(PO9)

Timely submission of logbook and weekly report(PO10)

Specific remarks about the intern:

Name: Signature
Designation:

EMAIL:yit.moodbidri@gmail.com,eeedept@yit.edu.in WEBSITE: https://www.yit.edu.in