Republic of the Philippines

POLYTECHNIC UNIVERSITY OF THE PHILIPPINES

OFFICE OF THE VICE PRESIDENT FOR BRANCHES AND SATELLITE CAMPUSES
MARAGONDON BRANCH

Evaluation Instrument for the Training Supervisor

Name of the Student:

__________________________________________________________________________
Course/Year and Section: _______School Term: ________________ Academic Year:
__________________
Name of the Host Training Establishments (HTE)/ Nature of Industry:-
_______________________________ HTE Address:
__________________________________________________________________
Name of the Student Evaluator: __________________________________

Legend: Numerical:
Descriptive: 5 – Strongly Agree WEIGHTED MEAN INTERPRETATION
4 –Agree 4.21 – 5.00 Strongly Agree
3 – Moderately Agree 3.41 – 4.20 Agree
2 – Disagree 2.61 – 3.40 Moderately Agree
1 – Strongly Disagree 1.81 – 2.60 Disagree
1.00 – 1.80 Strongly Disagree

I. Mentoring/Coaching 5 4 3 2 1 Remarks
A. Orients the students on the company goals,
objectives, and policies
B. Discusses the duties, responsibilities, and
specific tasks related to internship training
program outcomes
C. Provides clear instructions, tips, and advice on
job-related tasks
D. Encourages student-intern’s initiative,
creativity, and innovativeness in the
workplace when necessary
E. Gives student-intern the opportunity to
raise issues and/or concerns to be
addressed
F. Reports to the concerned internship adviser
the status of the student-intern’s training
exposure
II. Interpersonal Skills 5 4 3 2 1 Remarks
A. Builds an environment of trust and
encouragement that allows student interns
to foster their ideas and to cooperate
B. Encourages the trainee to interact with
colleagues
C. Builds healthy working relationships with
the student-intern to facilitate
accomplishment of goals.
D. Encourages collaboration and
communication in the work station
III. Work Ethics 5 4 3 2 1 Remarks

Balitao St., Brgy. Garita A,, Maragondon, Cavite Phils. 4112

Director’s Office: (046) 4121909 | Registrar: (046) 4121931
Website: www.pup.edu.ph | Email: pupmaragondon@pup.edu.ph

THE COUNTRY’S 1st POLYTECHNICU

 Republic of the Philippines
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES
OFFICE OF THE VICE PRESIDENT FOR BRANCHES AND SATELLITE CAMPUSES
MARAGONDON BRANCH

A. Promotes professional and positive workplace

behavior in terms of punctuality and
productivity
B. Ensures that all interactions are conducted
with respect towards every individual
C. Accepts responsibility and accountability
for decisions and actions taken
D. Uses appropriate oral and written
communication in the workplace
E. Respects inclusivity and diversity in the
workplace
IV. Support and Assistance on Specific Task 5 4 3 2 1 Remarks
A. Provides the necessary resources to do the job
successfully
B. Sets clear expectations and standard measures
for deliverables
C. Allows the student-intern to participate in the
work that directly correlates to their field of
specialization
D. Assists the student-intern in the technical and
actual aspects of the training
E. Assigns a regular schedule for consultation
F. Maintains objectivity in evaluating and
assessing the student intern
G. Provides opportunities for learning and
professional growth
V. Feedback Mechanism 5 4 3 2 1 Remarks
A. Conducts weekly routine feedback on
performance and expectations.
B. Gives constructive and regular descriptive
feedback on student-intern’s progress
C. Communicates to the internship adviser any
concern, query, or issue regarding the
internship
D. Provides written evaluation of student-intern’s
performance to further improve
competitiveness
E. Gives credit and recognition for a job well-
done

Comment/s:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
____________________________________

___________________________________________
[Signature Over Full Name of Student-Intern]

Balitao St., Brgy. Garita A,, Maragondon, Cavite Phils. 4112

Director’s Office: (046) 4121909 | Registrar: (046) 4121931
Website: www.pup.edu.ph | Email: pupmaragondon@pup.edu.ph

THE COUNTRY’S 1st POLYTECHNICU

 Republic of the Philippines
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES
OFFICE OF THE VICE PRESIDENT FOR BRANCHES AND SATELLITE CAMPUSES
MARAGONDON BRANCH

______________________________
Date

Balitao St., Brgy. Garita A,, Maragondon, Cavite Phils. 4112

Director’s Office: (046) 4121909 | Registrar: (046) 4121931
Website: www.pup.edu.ph | Email: pupmaragondon@pup.edu.ph

THE COUNTRY’S 1st POLYTECHNICU