SIWES Form C 2024

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BABCOCK

UNIVERSITY SIWES

Student Industrial Work Experience Scheme (SIWES)


SIWES FORM C
For Assessment of Student on Industrial Training
2023/2024 Academic Year
Section A: Student Data

1.Name of student…………………………………………………………………………………..
2.Matric No:………………………………………………………………………………………..
3.Department:………………………………………………………………………………………
4.Programme:………………………………………………………………………………………
5.Year of study:…………………………………………………………………………………….
6.Name of company:……………………………………………………………………………….
7.Company’s Major Products:…………………………………………………………………
………………………………………………………………………………………………….
8. CompanyAddress:………………………………………………………………………………
………………………………………………………………………………………………….
9. Period of training:………………………………………………………………………………...
10. Nature of Student’s Training:…………………………………………………………………...
Section B: Company’s Supervisor
(Please, grade from 1-10)
s/n Attribute Score
1. Attendance
2. Character
3. Diligence
4. Industrial Experience
5. Acceptance of similar student for future SIWES programme
6. Overall assessment Total (10 Marks)
7. Remark

8. How many students would you like to take from Babcock University next session?

ON THE JOB ASSESSMENT


s/n Attribute Score
Excellent Very good Good Fair Poor
1, Familiarity with company’s operation
2. Comprehension of problems
3. Methods of approach to problems
4. Creativity or originality of techniques
5. Attendance/Commitment to duty or responsibility
Name …………………………………………………………….............................................
Signature (with official stamp) ………………………………………………………………
Date…………………………………………………………………………………………….
Mobile Phone…………………………………………………………………………………..

Section C: Babcock University’s Supervisor’s assessment of student


A. Give your assessment of the facilities provided by the company during your visitations………
……………………………………………………………………………………………………
……………………………………………………………………………………………………
……………………………………………………………………………………………………
B. Comments on the overall performance of the student……………………………………………
……………………………………………………………………………………………………
……………………………………………………………………………………………………
……………………………………………………………………………………………………
C. Give your impression of the student’s participation in the period of industrial training……….
……………………………………………………………………………………………………
……………………………………………………………………………………………………
D. Further comments on the success / failure of the programme based on the comments of the
company’s supervisor……………………………………………………………………………
……………………………………………………………………………………………………
……………………………………………………………………………………………………
……………………………………………………………………………………………………
E. Overall Grade (Please rank the student’s performance between 1 and 10: 1 for very poor
and 10 for Excellent)………………….
Name:…………………………………………………………………………………………….
Department:……………………………………………………………………………………
Signature…………………………………………………………………………………………
Date………………………………………………………………………………………………
Mobile Phone…………………………………………………………………………………….

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