UNIVERSITY OF ENERGY AND NATURAL RESOURCES

STUDENT’S INDUSTRIAL ATTACHMENT ASSESSMENT FORM

STUDENT’S INFORMATION

STUDENT’S REGISTRATION NUMBER …………………………………........................

NAME OF STUDENT ………………………………………………………………………..

(SURNAME) (OTHER NAMES)

YEAR OF STUDY 2ND 3RD 4TH

SCHOOL ……………………………………………………………………………………….

DEPARTMENT ……………………………………………………………………………..

PROGRAMME…………………………………………………………………………………

DURATION OF ATTACHMENT: FROM ……………………… TO …………………….

DATE OF COMMENCEMENT OF ATTACHMENT: ……………………………………….

SIGNATURE OF INDUSTRY ASSESSOR: ………………………………………………

MOBILE NUMBER: ………………………………………………………………………...

EMAIL ADDRESS: …………………………………………………………………………

 OVERALL ASSESSMENT BY

INDUSTRY-BASED SUPERVISOR

GUIDELINE FOR ASSESSMENT

Please indicate by encircling the appropriate figure (as stated below) the degree to which the
student measures up to the area stated

The following figures (0, 1, 2, 3, and 4) represent competencies/attitudes and or behaviours as

follows:

0 – Poor; 1 – Satisfactory; 2 – Good; 3 – Very Good; 4 – Excellent

1. Date student began Industrial attachment

2. Placement of student:
• Relationship with course of study 0 1 2 3 4
• Relevance of organisation of attachment to programme of 0 1 2 3 4
study
• Relevance of section/unit/department to programme of study 0 1 2 3 4
• Skills/competencies & knowledge acquired 0 1 2 3 4
Score
3. Communication:
• Written ability 0 1 2 3 4
• Verbal and non-verbal 0 1 2 3 4
Score
4. Appearance to work 0 1 2 3 4
A. SPECIFIC SKILLS
(Skill related to work assigned)
1. Ability to understand issues 0 1 2 3 4
2. Ability to use his/her hands 0 1 2 3 4
3. Ability to give judgment 0 1 2 3 4
4. Creativity 0 1 2 3 4
Score
B. GENERAL EMPLOYABILTY SKILLS
5. Ability to complete work on schedule 0 1 2 3 4
6. Ability to follow instructions carefully 0 1 2 3 4
7. Ability to take initiative 0 1 2 3 4
8. Ability to work with little supervision 0 1 2 3 4
9. Ability to work with other staff 0 1 2 3 4
10. Adherence to organisations rules and regulations 0 1 2 3 4
11. Adherence to safety and environmental rules 0 1 2 3 4
12. Resourcefulness 0 1 2 3 4
Score
 C. ATTITUDE TO WORK
Attendance to work
0 1 2 3 4
Punctuality
0 1 2 3 4
Desire to work
0 1 2 3 4
Willingness to accept new ideas and suggestion
0 1 2 3 4
Score

D. HUMAN RELATIONSHIP
Relationship with subordinates
0 1 2 3 4
Relationship with colleagues
0 1 2 3 4
Relationship with superiors
0 1 2 3 4
Emotional stability
0 1 2 3 4
Score

TOTAL SCORE

GENERAL REMARKS ………………..................................................................................

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NAME …………………………………………………………………………………………

SIGNATURE & STAMP ………………..…………………DATE ………………………