INDUSTRIAL ATTACHMENT ASSESSMENT FORM
Matric Number………………Level………Industrial Attachment (tick) 1st
█ OR 2nd █
Name of Student……………………………………………………………………
Name and Address of Industry /
Organisation……………………………………………...
………………………………………………………………………………………………
………………………………………………………………………………………………
Job(s) Assigned to student: 1…………………………………………………………
2……………………………………………………………………………………………..
3……………………………………………………………………………………………
TOTAL
SCORE……………………………………………………………………………
GENERAL REMARKS…………………………………………………………………………………………………………………………………
NAME OF
SUPERVISOR……………………………………………………………………………………………………………………………
SIGNATURE /OFFICIAL
STAMP……………………………………………………….DATE……………………………………………..
BE COMPLETED BY HEAD OF DEPARTMENT OF
STUDENT’S INSTITUTION
NO. OF CREDIT
HOURS…………………………RECOMMENDED SCORE AND GRADE…………………………………………