BOHOL ISLAND STATE UNIVERSITY

Candijay Campus
College of Teacher Education

Vision: A premier Science and Technology university for the formation of world class and virtuous human resource for
sustainable development in Bohol and the country.

Mission: BISU is committed to provide quality higher education in the arts and sciences, as well as in the professional and
technological fields; undertake research and development and extension services for the sustainable development of Bohol
and the country.

TEACHING INTERNSHIP PROGRAM EVALUATION FORM

(For Student Intern’s Use)

A. Respondent’s Profile
Instruction: Kindly supply the data asked and mark the appropriate information on the blank
provided for. Your answers will be highly appreciated.

Name: CARL JUSTINE - LADRA

Given Name Maiden/Middle Name Surname

Age: 21
Name/Address of the Cooperating School: CANDIJAY NATIONAL HIGH SCHOOL

Grade/Year Level Taught: ___ Pre-School ___ Elementary / High School

Subject Taught:
____ Math ____ English ____ Science
____ Filipino ____ Araling Panlipunan ____ MAPEH
____ Others, please specify: ______________________
Number of Hours Rendered: ____

B. Practicum Experiences
Instruction: The purpose of this evaluation is to gain feedback regarding the quality of your
internship experience. The concerns noted will initiate corrective action to improve the quality
of the teaching internship. Your honest answers to this questionnaire will be highly initiated.
Please rate the items using the given scale.

5 – Excellent 4 – Very Good 3 – Good 2 – Fair 1 – Needs Improvement

Orientation Activities 5 4 3 2 1
1. Orientation of the student interns by the TIS
2. Orientation of the student interns by the
Cooperating School Principal
3. Orientation of the student interns by the TIM
4. Familiarization of the student intern on the school
facilities/equipment
5. Orientation on the School Rules and Policies
6. Required Teaching Internship Forms
7. Internship experiences on the student interns
8. Consultation time with the TIM
9. Assistance in writing Lesson Plans
10. Providing feedbacks on the student intern’s
competencies
11. Meeting with the TIM on the scheduled basis
12. Giving instructions on classroom routines
13. Providing assistance in making instructional

F-RIE-EXT-001 | Rev. 1 | 09/18/23 | Page 1 of 2

 BOHOL ISLAND STATE UNIVERSITY
Candijay Campus
College of Teacher Education

Vision: A premier Science and Technology university for the formation of world class and virtuous human resource for
sustainable development in Bohol and the country.

Mission: BISU is committed to provide quality higher education in the arts and sciences, as well as in the professional and
technological fields; undertake research and development and extension services for the sustainable development of Bohol
and the country.

TEACHING INTERNSHIP PROGRAM EVALUATION FORM

(For Student Intern’s Use)

materials
14. Giving instructions in checking papers and other
assigned tasks
Rapport with the School Community
15. Rapport with school administrators
16. Rapport with students/pupils
17. Rapport with the TIMs
18. Rapport with parents
Cooperating School
19. Accessibility of the cooperating school
20. Safety and security in the cooperating school
Auxiliary Services
21. Quality of auxiliary services
Activities of the Student Intern
22. Preparation of daily lessons
23. Participation in school activities in the cooperating
school
24. Preparation of instructional materials
25. Conducting demonstration lessons
26. Assistance in classroom routines
27. Structuring bulletin boards
28. Preparation of seatwork
29. Preparation of quizzes
30. Preparation of other required activities

Suggestions/Recommendations:
__________________________________________________________________________
__________________________________________________________________________

Problems Encountered:
__________________________________________________________________________
__________________________________________________________________________

CARL JUSTINE LADRA

Student Intern’s Name and Signature

F-RIE-EXT-001 | Rev. 1 | 09/18/23 | Page 2 of 2