DEPARTMENT OF TECHNICAL EDUCATION

LATHAMATHAVAN POLYTECNIC COLLEGE

DEPARTMENT OF ELECTRICAL AND ELECTRONICS ENGINEERING

INTERNSHIP BASIC DETAILS SHEET

Student Details Paste

Recent
Passport
Name of the Student……………………………………………………
Size
(Write Full Name in Capital Letters) Photograp
h

Registration No…………………………………………………………

Branch………………………………………………………………….

Regulation ……………………………………………………………..

Academic Year ………………………………………………………..

Industry Details

Industry Name :

Place :

Name of the Faculty Superviser :

Name of the Industry Supervisor:

Faculty Supervisor Head of the Department

 Student Internship – Do’s & Don’ts

Do’s
Student Interns should…

 Understand the company and industry in which they are placed.

 Formal dress code is mandatory.

 Maintain cordial relationship and be polite with the Company Executives.

 Be in touch with the Faculty Guide always and consult him/her to reinforce the relevant
concepts.

 Maintain strict confidentiality of the company’s information.

 Be present whenever the Faculty Guide or the Internship Coordinator or any other Institute
officials visits the company.

 Concentrate on assignments and complete the allotted individual task on time.

Don’ts

 Should not attend the office in informal dress.

 Should not be late.

 Should not be impolite or rude to the Company Executives.

 Should not criticize the company’s policies and the Company Executives.
 Should not Misuse the facilities offered by the company.

 Should not leave the office without prior permission from the Company Guide.
 Should not Borrow money or any other personal effects of the Company Executive
 FORM- I : STUDENT INTERNSHIP PROGRAM APPLICATION

1. Student Name:

2. Campus Address: Phone:

3. Home Address: Phone:

3a. Student email address:

4. Area of Interest: 5. Internship Semester: V

6. Internship Industries:

Industry Name & Location Core Area

Industry-1

Industry-2

Faculty Supervisor Signature: Date .

Head of the Department Signature: Date .

Student Signature: Date . Signature

confirms that the student agrees to the terms, conditions, and requirements of the Internship Program
 FORM- IV: ATTENDANCE SHEET

Name & Address of Organization

Name of Student
Roll. No
Name of Course
Date of Commencement of Training.:
Date of Completion of Training:

Initials of the student

Month
& Year 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

MAY
2025 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Month
& Year 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
JUNE
2025

Note:

1. Attendance Sheet should remain affixed in Daily Training Diary. Do not remove or tear it off.
2. Student should sign /initial in the attendance column. Do not mark ‘P’
3. Holidays should be marked in Red Ink in attendance column. Absent should be marked as ‘A’ in Red Ink.

Signature of Company internship supervisor with company stamp/ seal

Name.

Contact No.
 FORM-V: STUDENT’S DAILY DIARY/ DAILY LOG

STUDENT’S DAILY DIARY/ DAILY LOG

WEEK:

TIME TIME STUDENT OBSERVATIONS REMARKS BY

DATE DAY
ARRIVAL DEPATURE (RECORD MAIN POINTS) SUPERVISOR

Name & signature of industries supervisor

 FORM-VII: STUDENT FEEDBACK OF INTERNSHIP
(TO BE FILLED BYSTUDENTS AFTER INTERNSHIPCOMPLETION)

Student name: Date:

Industrial Supervisor………………………………………………………………………………... Date

Supervisor Email: Internship is: Paid: Unpaid:

Address of Internship Provider/Industry/Organization:………………………………

Faculty Supervisor: Department Dates of Internship: From To

***Please fill out the above in full detail***

Give a brief description of your internship work (title and tasks for which you were responsible):

Was your Internship experience related to your major area of study?

------------------Yes, to a large degree--------Yes, to a slight degree-----------------------No, not related at

all indicate the degree to which you agree or disagree with the following statements.
 Strongly No Strongly
This experience has: Agree Disagree
Agree Opinion Disagree
Given me the opportunity to explore a career field

Allowed me to apply classroom theory to practice

Helped me develop my decision-making and problem- solving skills

Expanded my knowledge about the work world prior to

permanent employment
Helped me develop my written and oral
communication skills
Provided a chance to use leadership skills (influence others,
develop ideas with others, stimulate decision- making and
action)
Expanded my sensitivity to the ethical implications of the
work involved
Made it possible for me to be more confident in new
situations
Given me a chance to improve my interpersonal skills

Helped me learn to handle responsibility and use my time

wisely
Helped me discover new aspects of myself that I didn’t
know existed before
Helped me develop new interests and abilities

Helped me clarify my career goals

Provided me with contacts which may lead to future

employment
Allowed me to acquire information and/ or use equipment not
available at my Institute
 In the Institute internship program, faculty members are expected to be mentors for students. Do you feel that
your faculty coordinator served such a function? Why or why not?

How well were you able to accomplish the initial goals, tasks and new skills that were set down in your
learning contract? In what ways were you able to take a new direction or expand beyond your contract?
Why were some goals not accomplished adequately?

In what areas did you most develop and improve?

What has been the most significant accomplishment or satisfying moment of your internship? What did you
dislikeabout the internship?

Considering your overall experience, how would you rate this internship? (Circle one). (Satisfactory/
Good/Excellent)

Give suggestions as to how your internship experience could have been improved. (Could you have
handled added responsibility? Would you have liked more discussions with your professor concerning your
internship? Was closer supervision needed? Was more of an orientation required?)

Student Signature Faculty Supervisor The Head Of The Department

 FORM-VIII: INDUSTRY SUPERVISOR EVALUATION OF INTERN

Student name Date:…………….

Industries supervisor Title:

Company/Organization:……………….

Internship address:

Dates of Internship: From To

Please evaluate your intern by indicating the frequency with which you observed the
following behaviors – 20 marks

(Excellent- 1 mark, Good- 0.5 mark, Satisfactory- 0 mark)

Parameters Excellent Good Satisfactory

Behaviors

Performs in a dependable manner

Cooperates with co-workers and supervisors

Shows interest in work

Learns quickly

Shows Initiative

Produces high quality work

Accepts responsibility

Accepts Criticism
 Parameters Excellent Good Satisfactory

Demonstrates organizational skills

Uses technical knowledge and expertise

Shows good judgment

Demonstrates creativity/originality

Analyzes problems effectively

Is self-reliant

Communicates well

Writes effectively

Has a professional attitude

Gives a professional appearance

Is punctual

Overall performance of student intern (circle one):

(Excellent /Good/Satisfactory)

Additional comments, if any:

Signature of Industry supervisor HR Manager …………………….

 FORM-IX: EVALAUTION OF INTERNSHIP BY INSTITUTE
FACULTY SUPERVISOR

Evaluation (I)- -----------------------------------------------------------------------------------

1. Name of Student Mob. No.

2. Roll No.

3. Branch/Semester Period of Training

4. Home address with Contact No.

5. Address of Training Site:

6. Address of the Internship Industry provider Training

Providing Agency:

7. Name/Designation of Training in-charge---------------------------------------------

8. Type of Work

9. Date of Evaluation
 Each 3 marks
a) Attendance: _ (Satisfactory /Good/Excellent)

b) Behavior

c) Practical knowledge gained

d) Diary inspection

e) Feedback of the student

Overall grade: (Satisfactory /Good/Excellent)

Signature of Faculty Mentor Signature of Internship Supervisor

(Industry)

With date and stamp

*Photocopy of the attendance record duly attested by the training in-charge should be
attached with the evaluation Performa