Appendix 8

IT-06 Form

UNIVERSTI MALAYSIA TERENGGANU

INDUSTRIAL SUPERVISOR EVALUATION FORM
NAME OF STUDENT

:_________________

PROGRAMM

:___________

MATRIC NO.

:_________________

:___________

ORGANISATION

NRIC NO.
:___________________________________________

INDUSTRIAL

:___________________________________________

SUPERVISOR

:___________________________________________

DATE/TIME
Please state your evaluation for the following aspects by circling the relevant
number.
EVALUATION GUIDE
1
(Very Low)

2
(Low)

3
(Average)

4
(High)

5
(Very High)

SECTION 1 PERSONAL EVALUATION OF STUDENT

A. STUDENTS DISCIPLINE
01

Prepared to obey rules

02

Prepared to carry out assigned tasks earnestly and

loyally
03
Punctuality in coming to work
B. DEDICATION, CONFIDENCE AND CAPABILITY
04

Positive and enthusiastic in carrying out tasks

05

Confident and capable of handling challenging

situations
C. SOCIALIZIATION AND COMMUNICATION
06

Able to interact and present ideas clearly

07

Able to give and receive orders clearly and politely

08

Prepared to ask questions to gain information and

guidance
09

Endurance in facing challenging situations

Appendix 8
IT-06 Form

SECTION II WORK PERFORMANCE EVALUATION

A. UNDERSTANDING OF DUTIES
10

Knowledge of assigned tasks

11

Possesses basic knowledge in carrying out tasks

B. ABILITY TO CARRY OUT TASKS

12

Able to apply knowledge in carrying out tasks

C. WORK QUALITY
13
14

Work output fulfils required quality

Work enthusiasm

D. TIME MANAGEMENT
15

Able to carry out a task within the given timeframe

16

Able to divide time for several tasks within the given

timeframe

E. TEAMWORK
17

Prepared to interact with other members when

carrying out
assigned tasks
18

Prepared to assist other members in areas other

than
assigned tasks
F. LEADERSHIP
19

Leadership skills

G. CONTRIBUTIONS TO ORGANISATION
20

Prepared to contribute useful ideas and work output

to the
organisation
OVERALL REMARKS REGARDING STUDENT

__________________________________________________________________
__________________________________________________________________

Appendix 8
IT-06 Form

__________________________________________________________________
__________________________________________________________________
Industrial Supervisors Remarks
a) Suitability of placement and organisations scope of training with
students field
of academic study
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
b) Suitability of organisation for UMT Industrial Training placement in the
future
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
c) Suggestions
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________

_________________________

Total Marks = _______ x 30%

Supervisors Signature & Stamp

100

Date:
Note:
To Industrial Supervisor:
a) This form is to be used by the Industrial Supervisor to evaluate students
achievements in the duration of Industrial Training
b) Please return this evaluation form to:
Industrial Training Supervisor
Faculty of Management and Economic
Universiti Malaysia Terengganu
21030 Kuala Terengganu
Fax: 09-6684237
31