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FORM-AD-IMUS-01-05 Internship Student Evaluation Form Rev00
FORM-AD-IMUS-01-05 Internship Student Evaluation Form Rev00
UCSI University
Internship Job Evaluation
Please complete and return the attached Internship Job Evaluation Form to
Institute of Music
Attn: Assistant Professor Dr. Christine Tan Yunn Bing (Internship Coordinator)
UCSI University
No. 1, Jalan Menara Gading,
UCSI Heights, Cheras 56000
Kuala Lumpur, Malaysia Tel: +6 (03) 9101 8880 (Ext. 3323, 3324) Fax: +6 (03) 9102 3606
Email: christinetan25@ucsiuniversity.edu.my
1) The purpose of this form is to obtain your feedback on your Internship job for future improvement.
2) Your comments in this form will be used together with your employer’s feedback in the Internship Student
Evaluation Form for the grading of your Internship requirements.
3) You may photocopy/re-print this form if necessary.
4) Your comments will be treated with discretion.
Student’s Particulars
Student Name: Yong Pheng Yee
________________________________________ Internship sem:May-Aug Date/Year: 2023
1001956268
Student No: ______________________ Bachelor on Classical Music (Hons) Level:
Programme: ____________________________ Final Year
___________
Employer’s Particulars
Department: Manager
_____________________________________________________________________________________
Tel: 01127290235
___________________ Fax: -
_______________________ Email: funtasymusic@gmail.com
_________________________
Job Details
Working Hours (Please state time and day): Weekdays 12pm - 8pm Weekends 10am - 5pm
______________________________________________________________
Overtime: Yes / No -
(If yes, please state overtime allowance rate if applicable) ________________________________________
Description of Duties/Responsibilities (Briefly describe each job assigned to you and indicate the duration of each assignment. If
you had more than one supervisor, please give the name of the supervisor for each job)
Overall Rating of this Internship Job (Please tick () in the appropriate box)
Excellent Good Satisfactory Below Average Poor
Would you like to return to this employer in the next work term if employment is available? Yes / No
If no, please state reason(s)
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
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Signature: ________________________________________________________
Date: 21/8/2023
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