PKM Educational Trust ®
R. R. Institute of Technology
Affiliated to VTU Belgaum and Approved by AICTE, New Delhi, Recognised by Govt. of Karnataka,
Since 1993 Accredited by NAAC with ‘B+’
Raja Reddy Layout, Chikkabanavara, Bengaluru – 560 090 Department of Civil Engineering
(Accredited by NBA)
Ver 2.0
Internship-work record
Semester: Academic Year:
Batch:
Name & USN of Student:
Title of the Internship:
Name and Address of the Industry/Institute:
(With Contact details)
( where Internship will be Carried out enclose Copy of the acceptance/offer letter
from the Industry/Institute to do the Internship at their place)
Name of The External Guide (if Applicable):
Designation and Contact Details :
Name of the Internal Guide :
Duration of the Internship(From-to):
Nature of the Internship : Single Discipline Multi Discipline
Guide Internship Coordinator HOD
PKM Educational Trust ®
R. R. Institute of Technology
Affiliated to VTU Belgaum and Approved by AICTE, New Delhi, Recognised by Govt. of Karnataka,
Since 1993 Accredited by NAAC with ‘B+’
Raja Reddy Layout, Chikkabanavara, Bengaluru – 560 090 Department of Civil Engineering
(Accredited by NBA)
Ver 2.0
Internship Evaluation Sheet
USN No: Student Name:
Title of the Internship Guide Name:
[Link] Particulars Mark Evaluator 1 Evaluator 2 Guide
Allocation
1. Field of the Internship work 10
2 Student Diary & Punctuality in
reporting to guide 20
3 Internship report with Certificate 25
4 Writing/Technical/analytical skill
acquired through internship 20
5 Presentation and Communication skill 15
6 Internship PPT flow and presentation 5
7 Handling Q & A 5
8 Total Score 100
9 Total Marks (Avergae marks of Ex1+
Ex2 +Guide) /100
10 Final Marks Average of Total Marks,
External Guide Marks(If applicable) /100
11 Grade Point /Letter of Grade
Guide Evaluator 1 Evaluator 2 HOD
PKM Educational Trust ®
R. R. Institute of Technology
Affiliated to VTU Belgaum and Approved by AICTE, New Delhi, Recognised by Govt. of Karnataka,
Since 1993 Accredited by NAAC with ‘B+’
Raja Reddy Layout, Chikkabanavara, Bengaluru – 560 090 Department of Civil Engineering
(Accredited by NBA)
Ver 3.0
External Guide Information
Name: Job Title:
Name of the Organization : Phone Number:
Email Address:
Internship Information
STUDENT’S NAME:
STARTING DATE : COMPLETION DATE :
ABOUT THE INTERNSHIP
INTERNSHIP EVALUATION FORM
Please evaluate this student internship on the following items by checking the appropriate rating.
Sl.N Questionnaire for evaluation Excellent Very Satisfa Needs Unsatisf
o Good ctory Improvement actory
Comply with mode of conduct and
1 professional ethics in engineering
practices. (PO8)
Able to Communicate effectively
to engineering community and
2
society with proper aids and
documents.(PO10)
Have the ability to engage to
3 independent and lifelong
learning.(PO12)
Able to Demonstrate knowledge
and understanding at the
engineering & management
4
principles to manage projects in
multidisciplinary
environment.(PO11)
5 Perform effectively as member/
leader in multidisciplinary
teams.(PO9)
Evaluation sheet by External Guide
[Link] Particulars Mark External Guide
Allocation
1. Regularity in Student reporting to Internship 20
2 Curiosity of Student learning 20
3 Understanding level of student in Learning Internship 20
4 Involvement of the Student in carrying out Internship 20
5 Overall Performance of the Students 20
6 Total Score 100
Signature of the Guide with Seal and Contact Details