Appendix A-7: Performance Rating Report for Student Trainees

School of Health Science Professions

COLLEGE OF PHARMACY

PERFORMANCE RATING REPORT FOR STUDENT TRAINEES

Manufacturing Pharmacy Internship

Name: ___________________________________________________Year:____________________
Company/Industrial/Manufacturing: _____________________________________________________
Location: _________________________________________________________________________
Internship in Manufacturing ( ) Total No. of Hours ___________

APPRAISAL FACTORS RATING

1. Quality of Work
Ability to work thoroughness and accuracy _________

2. Quantity of Work
Individual productivity; rapidity in performing and accomplishing assigned tasks _________

3. Dependability
Ability to work harmoniously with others _________

4. Personality
Effectiveness in contact with others; courtesy, tact, etc. _________

5. Attendance
Regularity and punctuality in office attendance:
Proper observance of break periods _________

Average __________ Passed______ / Failed_____/ Incomplete_______

COMMENTS:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

Training Supervisor: _________________________Signature of Student: __________________________

Designation:________________________________PRC # ____________________________________

__________________________________ Noted:
Pharmacy Internship Coordinator Anthony R. Marin., RPh., MSPharm.
Program Chair, College of Pharmacy
Grading System:
1.00 = 98-100 2.00 = 86-88 3.00 = 75-76
1.25 - 95-97 2.25 = 73-75 3.50 = 73-74
1.50 - 92-94 2.50 = 80-82 4.00 = 70-72

SDCACOPh001A-6/20/2021
Appendix A-11: Practicum/ Internship Activity Report

School of Health Science Professions

COLLEGE OF PHARMACY

PRACTICUM/ INTERNSHIP ACTIVITY REPORT

Name of Student
Practicum/Internship
Area of Assignment
Required No. of Hours
Agency Establishment

Date Activities Performed Noted by (Trainor)

Approved by: Certified by:

_______________________ Dr. Emmanuel Ian Lorenz Pacao
Pharmacy Internship Trainor Pharmacy Internship Coordinator

Noted by:

_________________________
Anthony R. Marin.,RPh.,MSPharm
Program Chair, College of Pharmacy
Copies to: Practicum Coordinator, Student, Trainor SDCACOPh003-6/20/2021