PKM Educational Trust ®

R. R. Institute of Technology
Affiliated to VTU Belgaum and Approved by AICTE, New Delhi, Recognised by Govt. of Karnataka,
Since 1993 Accredited by NAAC with ‘B+’
Raja Reddy Layout, Chikkabanavara, Bengaluru – 560 090 Department of Civil Engineering
(Accredited by NBA)

Ver 2.0
Internship-work record

Semester: Academic Year:

Batch:

Name & USN of Student:

Title of the Internship:

Name and Address of the Industry/Institute:

(With Contact details)

( where Internship will be Carried out enclose Copy of the acceptance/offer letter
from the Industry/Institute to do the Internship at their place)

Name of The External Guide (if Applicable):

Designation and Contact Details :

Name of the Internal Guide :

Duration of the Internship(From-to):

Nature of the Internship : Single Discipline Multi Discipline

Guide Internship Coordinator HOD

 PKM Educational Trust ®

R. R. Institute of Technology
Affiliated to VTU Belgaum and Approved by AICTE, New Delhi, Recognised by Govt. of Karnataka,
Since 1993 Accredited by NAAC with ‘B+’
Raja Reddy Layout, Chikkabanavara, Bengaluru – 560 090 Department of Civil Engineering
(Accredited by NBA)

Ver 2.0

Internship Evaluation Sheet

USN No: Student Name:

Title of the Internship Guide Name:

Sl.No Particulars Mark Evaluator 1 Evaluator 2 Guide

Allocation
1. Field of the Internship work 10
2 Student Diary & Punctuality in
reporting to guide 20
3 Internship report with Certificate 25
4 Writing/Technical/analytical skill
acquired through internship 20
5 Presentation and Communication skill 15
6 Internship PPT flow and presentation 5
7 Handling Q & A 5
8 Total Score 100
9 Total Marks (Avergae marks of Ex1+
Ex2 +Guide) /100
10 Final Marks Average of Total Marks,
External Guide Marks(If applicable) /100
11 Grade Point /Letter of Grade

Guide Evaluator 1 Evaluator 2 HOD

 PKM Educational Trust ®

R. R. Institute of Technology
Affiliated to VTU Belgaum and Approved by AICTE, New Delhi, Recognised by Govt. of Karnataka,
Since 1993 Accredited by NAAC with ‘B+’
Raja Reddy Layout, Chikkabanavara, Bengaluru – 560 090 Department of Civil Engineering
(Accredited by NBA)

Ver 3.0

External Guide Information

Name: Job Title:
Name of the Organization : Phone Number:
Email Address:
Internship Information
STUDENT’S NAME:
STARTING DATE : COMPLETION DATE :
ABOUT THE INTERNSHIP

INTERNSHIP EVALUATION FORM

Please evaluate this student internship on the following items by checking the appropriate rating.
Sl.N Questionnaire for evaluation Excellent Very Satisfa Needs Unsatisf
o Good ctory Improvement actory
Comply with mode of conduct and
1 professional ethics in engineering
practices. (PO8)
Able to Communicate effectively
to engineering community and
2
society with proper aids and
documents.(PO10)
Have the ability to engage to
3 independent and lifelong
learning.(PO12)
Able to Demonstrate knowledge
and understanding at the
engineering & management
4
principles to manage projects in
multidisciplinary
environment.(PO11)
5 Perform effectively as member/
leader in multidisciplinary
teams.(PO9)
Evaluation sheet by External Guide
Sl.No Particulars Mark External Guide
Allocation
1. Regularity in Student reporting to Internship 20
2 Curiosity of Student learning 20
3 Understanding level of student in Learning Internship 20
4 Involvement of the Student in carrying out Internship 20
5 Overall Performance of the Students 20
6 Total Score 100

Signature of the Guide with Seal and Contact Details