Industry Mentor Feedback Form Summer Internship Program -2024

This is a confidential evaluation of our student for his/her performance during the internship under
your guidance. We request you to kindly fill it objectively. Please email the feedback to
placements@fsm.ac.in with “SIP Feedback: Student Name, Roll Number” in subject. Alternatively
you may also please send a hard copy to Placement Office, FORE School of Management, B-18,
Qutub Institutional Area, New Delhi. 110016 in a sealed envelope marked “SIP Feedback: Student
Name, Roll Number”.

Student Name ________________________ Roll Number _____________________________

SIP Project Title ___________________________________________________________________

Internship Start Date (dd/mm/yy) _________ Internship Completion Date (dd/mm/yy) _________

Total Period (week/days) _________________ Dates/Period of Absence _______________________

1. Please give a list of the work /responsibilities undertaken by the student during SIP
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

2. Please evaluate the student on 1-5 scale on the following characteristics as observed by you
(Tick in the appropriate space)
1 2 3 4 5
Performance Characteristics
Very Poor Poor Satisfactory Good Excellent

Attitude & Willingness

Obedience and Attentiveness

Level of interest shown for work assigned

Discipline, Self-Control & Behavior

Result /Performance orientation

Application of Knowledge

Overall Internship Performance

FORE School of Management, B – 18, Qutub Institutional Area, New Delhi 110016.
placements@fsm.ac.in 9891051966, 9654482676 Page 1
Industry Mentor Feedback Form Summer Internship Program -2024
3.
Student’s Strengths Areas of Improvement
1. 1.
2. 2.
3. 3.

4. Special comment or feedback about the student (Attach separate sheet if required)
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

5. In case if there is any opportunity for a Pre-Placement Job Offer, would you recommend our
student for the same (please tick as appropriate).

a. Yes b. No

c. May be d. No such policy

Name (Project Guide) _____________________ HR Name _______________________

Designation _____________________________ Designation _____________________

Email ________________________________ Email__________________________

Mobile Number_________________________ _ Mobile Number__________________

Company Name ________________________

Company Address________________________________________________________________

(Signature of the Project Guide)

(Thank you for your time and co-operation!)

FORE School of Management, B – 18, Qutub Institutional Area, New Delhi 110016.
placements@fsm.ac.in 9891051966, 9654482676 Page 2