Siwes Form A

FORM A
OLUSEGUN AGAGU UNIVERSITY OF SCIENCE AND

TECHNOLOGY (OAUSTECH)
OFFICE OF THE VICE CHANCELLOR
KM 6, IGBOKODA RD., P.M.B. 353, OKITIPUPA, ONDO STATE, NIGERIA.
[email protected] , [email protected]
www.siwes.oaustech.edu.ng
INDUSTRIAL TRAINING UNIT
STUDENT INDUSTRIAL WORK EXPERIENCE SCHEME
CONFIDENTIAL REPORT ON STUDENTS BY OAUSTECH STAFF AND INDUSTRIAL
BASED SUPERVISOR.
PART A (TO BE COMPLETED BY THE STUDENT)
1. NAME(S): ……………………………………………………………………………………
2. MATRIC NO: …………………………… …………………………………………………..
3. DEPARTMENT/ SCHOOL: ……………………………………………………………….
4. PROGRAMME: ……………………………………………………………………………..
5. DEGREE IN VIEW: …………………………………………………………………………
6. PERIOD OF ATTACHMENT FROM: …………………………. TO: …………………….
7. DEGREE IN VIEW: …………………………………………………………………………
PART B. (PROGRAMME APPRAISAL AND ASSESSMENT)
8. Names & Address of the Establishment: ………………………………................................

…………………………………………………………………………………………………
…………………………………………………………………………………………………
9. Is Student working on a specific project in your company? Yes/ No :……………………….
10. If yes, briefly explain the nature of the project: ………………………………………………
…………………………………………………………………………………………………
11. Please indicate Student’s Practical / Academic/ Managerial supervisory potentials to his/ her
training assignments. Give marks as appropriate: Please be objective in your grading
S/N CRITERIA MAX. MARKS
OBTAINABLE SCORE
1 Attendance and Punctuality at work 10
2 Adaptability to work 10
3 Interpersonal Relationship with work mates 10
4 Work initiative & Innovativeness (Problem Solving Skill) 10
5 Productibility 10
6 Ability to work without Supervision 10
7 Sense of Responsibility 10
8 Technical Skill 10
9 Discipline 10
10 Communication Skill 10
TOTAL SCORE (%) 100
-1-
FORM A
PART PROGRAMME C: DESIGN AND EVALUATION
(To be completed by the Industrial Based Supervisor)
12. Was the scheme followed and covered as scheduled? Yes/ No: ………………… If ‘No’,
Please indicate areas of difference: …………………………………………………………
……………………………………………………………………………………………….
13. What is your impression of this scheme? (i) Highly successful (ii) Reasonably successful (iii)
Barely successful.
14. What benefit(s) does your establishment drive from this scheme? (i) Immensely beneficial (ii)
Not beneficial (iii) Unrelated.
15. How often did you see the student for discussion?
16. What major topics were discussed? …………………………………………………………..
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
17. The student needs: (i) More Industrial/ Practical exposure (Yes / No) ………………………
(ii). A better theoretical background (Yes / No) ………………………
(iii). A more general education (Yes / No ) ……………………………
(iv) A different attitude to work (Yes / No ) …………………………..
If your answer is ‘Yes’ in 17 above, briefly explain area of need: …………………………….
…………………………………………………………………………………………………..
…………………………………………………………………………………………………
…………………………………………………………………………………………………
General Comments on the Student: ……………………………………………………….
…………………………………………………………………………………………………
…………………………………………………………………………………………………..
Name of Supervisor .......………………………….…………..
Rank: …….………………………………………..…………
OFFICIAL STAMP
Signature: ………………………… Date: ………………….
-2-

Siwes Form A

Uploaded by

Copyright:

Available Formats

Siwes Form A

Uploaded by

Document Information

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Siwes Form A

Uploaded by

Copyright:

Available Formats

FORM A

OLUSEGUN AGAGU UNIVERSITY OF SCIENCE AND

PART A (TO BE COMPLETED BY THE STUDENT)

PART B. (PROGRAMME APPRAISAL AND ASSESSMENT)

8. Names & Address of the Establishment: ………………………………................................

Please indicate areas of difference: …………………………………………………………

Not beneficial (iii) Unrelated.

16. What major topics were discussed? …………………………………………………………..

(ii). A better theoretical background (Yes / No) ………………………

(iii). A more general education (Yes / No ) ……………………………

(iv) A different attitude to work (Yes / No ) …………………………..

If your answer is ‘Yes’ in 17 above, briefly explain area of need: …………………………….

General Comments on the Student: ……………………………………………………….

Name of Supervisor .......………………………….…………..

You might also like