Practicum Evaluation Form
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1PRACTICUM EVALUATION FORM
Please rate the Student’s overall practicum performance according to the rating scale below.
1
= Did not meet job requirements. Significant performance improvement urgently needed.
2
= Met minimum job requirements.
Work improvement plan was needed to bring
performance to a satisfactory level.
3
= Met normal job requirements with few exceptions. Improvements in performance
needed in one or more elements.
4
= Fully met job requirements. Performance was what was expected of a person in his/her
position.
5
= Exceeded job requirements. Student performance was impressive, exceeded what is
normally expected in this position.
NA
= Not Applicable
Criteria/Rating
1
2
3
4
5
Work Habits
1. Punctual
2. Reports regularly
3. Performs tasks without much supervision
4. Practices self-discipline in his / her work
5. Demonstrates dedication and commitment to the tasks assigned to
him/her
Work Habits Total/Average
Work Skills
1. Demonstrates the ability to operate machines needed on the job
2. Handles the details of the work assigned to him / her
3. Shows flexibility (whenever the need arises) in the process of going
through his / her task
4. Manifests thoroughness and precise attention to details
5. Fully understands the linkage or connection between his / her task to
previous, intervening and subsequent tasks
6. Usually comes up with sound suggestions to problems
Work Skills Total/Average
Social Skills
1. Shows tact in dealing with different people he /she comes in contact
with
2. Shows respect and courtesy in dealing with peers and superiors
3. Willingly helps others (whenever necessary) in the performance of
their tasks
4. Is capable of learning from and listening to co-workers
5. Shows appreciation and gratitude for any form of assistance granted to
him / her by others
6. Shows poise, self-confidence and is always well – groomed
7. Shows emotional maturity
Social Skills Total/Average
Over All Total / Average Rating
Practicum Supervisor’s Signature over Printed Name:__________________ Date:___________
Practicum Student’s Signature over Printed Name: ____________________ Date: ___________
College of _____________________________ with the Degree of __________________________
Cc: Company/Teacher-in-Charge/Career & Placement/OJT Student
03.08.2011/mtsm
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