Republic of the Philippines

North Eastern Mindanao State University

formerly Surigao del Sur State University
Rosario, Tandag City, Surigao del Sur, 8300
Telefax No. 086-214-4221
Website: www.sdssu.edu.ph

PERFORMANCE EVALUATION

Name
Name of Agency
Assigned Department/Section
Date Started
Date Finished
Completed Training Hours 80 Hours

Direction: This form seeks your evaluation to determine the performance of the students
as basis for identifying his/her strengths. Please indicates your rating on the different
criteria by checking the appropriate number using the rating indicated below.

RATING SCALE RANGE DESCRIPTIVE RATING

5 4.6 – 5.0 OUTSTANDING
4 3.1 – 4.5 VERY GOOD
3 2.6 – 3.0 GOOD
2 1.9 – 2.5 FAIR
1 1.0 – 1.8 POOR

CRITERIA 5 4 3 2 1

1. Report to work regularly.

2. Report to work in proper uniform good grooming.
3. Accept responsibility and volunteer for as assignment.

4. Established rapport with the personal he/she is associated.

5. Show respect to his/her co-trainees, workers and superiors.

6. Follow the Job better.

9. Finishes Job on Time.
10. Prepare/Submit report accurately and punctually.
11.Make a worthwhile suggestion.
 Republic of the Philippines
North Eastern Mindanao State University
formerly Surigao del Sur State University
Rosario, Tandag City, Surigao del Sur, 8300
Telefax No. 086-214-4221
Website: www.sdssu.edu.ph

12. Courteous and considerate to clients.

13. Observes agency’s rules and regulations.
14. Exhibits orderly and safe working habits.
TOTAL RATING
AVERAGE RATING
DESCRIPTIVE RATING

Conformed by:

FULL NAME
Trainee Signature of Rater Over Printed Name

Noted:

ENGR JESSIE DEMONTAÑO

Practicum Adviser Position/Designation

RATE DATE