INTERNSHIP EVALUATION FORM

BACHELOR OF SCIENCE IN DEVELOPMENT COMMUNICATION

Name of Student : Training Period

Instructions: This report is to be accomplished by the immediate

supervisor of the Internship Training. This form should be given
back to the Internship Coordinator. Encircle the rating that
describes the student – trainee most accurately.

Productivity
2 Fails to do an adequate job.
4 Does just enough to get by.
6 Maintains constant level of
performance
8 Very industrious, does more than
required
10 Superior work production record
Cooperation
2 Is uncooperative, antagonistic.
4 Cooperates reluctantly
6 Cooperates willingly when asked
8 cooperates eagerly and cheerfully
10 Always cooperates eagerly and
cheerfully

Initiative
2 Unable to follow instructions
4 Needs repeated detailed
instructions
6 Follows most instructions without
difficulty
8 Follows all instructions without
difficulty
10 Shows resourcefulness in doing
beyond the assigned jobs
Attendance
2 Is often absent without good excuse
4 Is frequently late
6 Is usually present and on time.
8 Is very prompt and regular in
attendance
10 Is always prompt and regular, and
willing to work overtime.

Quality of Work Appearance

2 Does almost no acceptable work
4 Does less than required amount of
neat and accurate work.
6 Does normal amount of acceptable
work.
8 Does more than required amount of 8
2 Is untidy or inappropriately
groomed.
4 Is sometimes neglectful of
appearance.
6 Has satisfactory appearance
Is careful about personal
 neat and accurate work appearance
10 Shows special attitude for doing 10 Is exceptionally neat and
neat appropriate
and accurate work.

Dependability Over-all Performance

2 Unreliable 2 Satisfactory
4 Sometimes fails in obligations 4 Below average
6 Meets obligations under 6 Average
supervision
8 Meets obligations under very little 8 Very good
supervision
10 Meets obligations without 10 Outstanding
supervision

TOTAL SCORE GRADE EQUIVALENT :

Describe the student-trainee’s areas of strengths:

Describe the student-trainee’s areas that need improvement:

Position:

Internship Supervisor’s Printed Name and Date Accomplished:

Signature
Cooperating Agency

Address:

Table of Numerical Rating with Equivalent Point Grades

Grades Scale Grades Scale

95-100 1.0 84 2.1
94 1.1 83 2.2
93 1.2 82 2.3
92 1.3 81 2.4
91 1.4 80 2.5
90 1.5 79 2.6
89 1.6 78 2.7
88 1.7 77 2.8
87 1.8 76 2.9
86 1.9 75 3.0
85 2.0