Biñan Campus

Km 32 National Highway, Canlalay, Biñan, Laguna 02-475-22-92 •

EVALUATION SHEETS for WORK IMMERSION TRAINEES

PART I. (To be filled out by the Student)

Name: _________________________________________ Age: _____ Gender:

Course:
Name of Establishment:
School: _____________________________________
City Address: ____________________________________________________________
No. of Hours of Training Required:

______________________________

WI Trainee’s Signature
(Over Printed Name)

PART II. (To be filled out by a representative where the student is deployed)

JOB FACTORS : Max.Rating to : Rating

be given

A. WORK PERFORMANCE:
1. Knowledge of work (able to grasp : 10% : ________
as instructed)
2. Quality of work (can cope with the : 10% : ________
demand of additional unexpected
work load in a limited time)
3. Quality of work(performs an assigned : 10% : ________
job efficiently as possible)
4. Attendance (follows assigned work : 10% : ________
schedule)
5. Punctuality (reports to work : 10% : ________
assignment on time)
 Biñan Campus
Km 32 National Highway, Canlalay, Biñan, Laguna 02-475-22-92 •

EVALUATION SHEET

B. PERSONALITY TRAITS
1. Physical appearance (personally well : 5% : ________
groomed and always wears
appropriate dress)
2. Attitude towards work (always shows : 5% : ________
enthusiasm and interest)
3. Courtesy (shows respect for authority : 5% : ________
at all times)
4. Conduct (observes rules and : 5% : ________
regulations of establishment)
5. Perseverance and industriousness : 5% : ________
(shows initiative and interest in work
over & above what is assigned)
6. Drives & Leadership (Inquisitive and : 5% : ________
aggressive)
7. Mental maturity (Effective & calm : 5% : ________
under pressure)
8. Sociability (can work harmoniously : 5% : ________
with other employees)
9. Reliability (trusted to be left alone to : 5% : ________
use or operate office equipment)
10. Possession of traits necessary for : 5% : ________
employment in this kind of work

Total Rating………………………………... : 100% : ________

Recommendation for the Trainee’s further growth: ______________________________

_______________________________________________________________________
_______________________________________________________________________

_____________________________
Supervisor’s Signature
 Biñan Campus
Km 32 National Highway, Canlalay, Biñan, Laguna 02-475-22-92 •

EVALUATION SHEET

Division Assigned: ________________________________________________________

Field of Training Given: ____________________________________________________
Inclusive Date of Training From: _________________ To: ____________________
Total Number of Hours Rendered by the Trainee: ______________________________

This hereby states that all above information are certified true and correct:

_______________________
Supervisor’s Signature

Designation: __ _________________________________________________________

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*Please return this to trainee with Certificate of Completion of total number of hours rendered.
*Note for the Student: Have this form photocopied after evaluation
Original Copy: SHS WI Coordinator
Photocopy: Trainee