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APSCHE Program Book For Short-Term Internship

The document is a program book for a short-term offline internship, including sections for student details, internship organization, evaluation criteria, and performance ratings. It requires declarations from the student and certification from the intern organization, along with an evaluation by the supervisor. Additionally, it includes an internal assessment statement to record marks awarded based on various criteria.
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100% found this document useful (1 vote)
621 views9 pages

APSCHE Program Book For Short-Term Internship

The document is a program book for a short-term offline internship, including sections for student details, internship organization, evaluation criteria, and performance ratings. It requires declarations from the student and certification from the intern organization, along with an evaluation by the supervisor. Additionally, it includes an internal assessment statement to record marks awarded based on various criteria.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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PROGRAM BOOK FOR

SHORT-TERM INTERNSHIP
(Off - line)

Name of the Student:

Name of the College:

Registration Number:

Period of Internship: From: To:

Name & Address of the Intern Organization:


An Internship Report on

(Title of the Internship)

Submitted in accordance with the requirement for the degree of

Under the Faculty Guideship of

(Name of the Faculty Guide)

Department of

(Name of the Department)

Submitted by:

(Name of the Student)

Reg.No: _____

(Name of the College)


Student’s Declaration
I, a student of

Program, Reg. No. of the Department of

College do hereby declare that I have completed the mandatory internship

from to in (Name of

the intern organization) under the Faculty Guideship of

(Name of the Faculty Guide), Department of

(Name of the College)

(Signature and Date)


Certificate from Intern Organization

This is to certify that _ (Name of the intern)

Reg. No of _ (Name of the

College) underwent internship in (Name of the

Intern Organization) from to

The overall performance of the intern during his/her internship is found to be

_ (Satisfactory/Not Satisfactory).

Authorized Signatory with Date and Seal


EVALUATION
Evaluation by the Supervisor of the Intern Organization

Student Name: Registration No:

Term of Internship: From: To :

Date of Evaluation:

Organization Name & Address:

Name & Address of the Supervisor


with Mobile Number

Please rate the student’s performance in the following areas:

Please note that your evaluation shall be done independent of the Student’s self-
evaluation

Rating Scale: 1 is lowest and 5 is highest rank

1 Oral communication 1 2 3 4 5
2 Written communication 1 2 3 4 5
3 Proactiveness 1 2 3 4 5
4 Interaction ability with community 1 2 3 4 5
5 Positive Attitude 1 2 3 4 5
6 Self-confidence 1 2 3 4 5
7 Ability to learn 1 2 3 4 5
8 Work Plan and organization 1 2 3 4 5
9 Professionalism 1 2 3 4 5
10 Creativity 1 2 3 4 5
11 Quality of work done 1 2 3 4 5
12 Time Management 1 2 3 4 5
13 Understanding the Community 1 2 3 4 5
14 Achievement of Desired Outcomes 1 2 3 4 5
15 OVERALL PERFORMANCE 1 2 3 4 5

Date: Signature of the Supervisor


MARKS STATEMENT
(To be used by the Examiners)
INTERNAL ASSESSMENT STATEMENT

Name Of the Student:

Programme of Study:

Year of Study:

Group:

Register No/H.T. No:

Name of the College:

University:

Sl.No Evaluation Criterion Maximum Marks


Marks Awarded
1. Activity Log 25
2. Internship Evaluation 50
3. Oral Presentation 25
GRAND TOTAL 100

Date: Signature of the Faculty


Guide

Certified by

Date: Signature of the Head of the Department/Principal


Seal:

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