PERFORMANCE EVALUATION FORM
Name of Intern: _________________
Agency and Place of Assignment: _____________________
Period Covered: _________________
The following are the criteria in rating the performance of OJT students adopted from a
module for flexible Internship Program for criminology, second edition by Mario A. Garcia,
PhD, (2023).
Rating System:
Scale Description Qualitative Equivalent
Performance is exceptional, almost exceeds Excellent/Outstanding
5: 96 – 100
requirements E/O
4: 88 - 95 Performance often exceeds requirements Very satisfactory - VS
3: 81 - 87 Performance meets requirements Satisfactory - S
2: 75 - 80 Performance needs more improvement Fair - F
1: 70 - 74 Performance is below expected level Needs improvement - P
Measures:
A – Punctuality and Attendance (10 points) Put a mark
( 10 ) perfect attendance
( 8 ) rarely absent or late
( 6 ) punctual and average attendance
( 4 ) frequently absent or late
( 2 ) often times absent or late
B- Knowledge of work ( 15 points )
(15) has a complete and thorough knowledge of work
(14) rarely needs instructions and assistance
(12) needs instructions and assistance
(8) regularly needs instructions and assistance
(4) needs more instructions and assistance
C-Quality of work (10 points)
(10) complete and accurate in all details
(8) rarely commits error
(6) fairly good and seldom commits error
(4) requires occasional practice
(2) very careless and often time commits error
D - Acceptance of Responsibility (10 points)
(10) consistently acts in a responsible manner
(8) show marked interest in his/ her work
(6) display normal interest in his/her work
(4) has a little interest in his/her work
(2) manifest a very low regard for his/her work
E – Acceptance of Direction (20 points )
(20) carry out direction to the best of his/her ability
(16) shows keen interest in accepting direction
(12) accepts direction and carries out with minimum correction
(8) needs constant prodding & display passive attitude
(4) shows inability to carry out direction
F- Personal Appearance and Bearing (15 points)
(15) always clean, neat, well-groomed and always in prescribed attire
(14) rarely seen in proper attire, clean, well-groomed
(12) fairly good bearing
(8) hardly observes good grooming
(4) needs more improvement on his/her appearance
G – Moral Values & Ethical Standards (20 points)
(20) strictly abides by the code of ethics
(16) very upright to follow the rules
(12) fairly violates the code of conduct
(8) hardly observes the code of conduct
(4) needs training and re-orientation on moral values and ethics
Total Score:
Evaluated by:
Name: ________________________
Designation: _____________________
Signature: ________________________
Date accomplished: _______________
Conforme:
___________________________
Name and Signature of Students
