Form BT19

Vietnam National University - HCMC

INTERNATIONAL UNIVERSITY
School of Biotechnology

INTERNSHIP CONFIRMATION FORM

(FOR ON-SITE SUPERVISOR)

Student name: ……………………………………… Student ID: ………..........…………

Major: …………………………………………………………………….........……………..
Contact details:...………………………………………………………….........……………..

INTERNSHIP INFORMATION
On-site supervisor: …………………………………………..........…………………………..
Company/ institute:…………………………………………...........………………………….
Address:………………………………………………………..........………………………...
Contact details: ………………………………………………..........……………...................
Comment on overall performance of this student:…………….………..……….......…………
No Content Evaluation
1 2 3 4 5
1 Attending (đảm bảo thời gian thực tập)
2 Complied with the working/safety regulations (tuân thủ kỷ luật lao động,
an toàn lao động)
3 Professional capability (Năng lực chuyên môn)
4 Trouble-shooting and problem solving skills (khả năng phát hiện và giải
quyết những hạn chế còn tồn tại)
1: excellent; 2: good; 3: acceptable; 4: limited; 5: very poor
Overall score: …………/100 (*this score occupy 35% of total score for Internship course)
I confirm that this student has completed 2-month / 160 - hour internship at ......……..……
…………………………………… under my supervision from …../.…/2024 to …./…./2024.
Date ........./........./2024
Supervisor signature