J.H.
CERILLES STATE COLLEGE
Mati, San Miguel, Zamboanga del Sur
School of Engineering and Technology
EVALUATION FORM FOR THE BACHELOR OF SCIENCE IN AGRICULTURAL AND
BIOSYSTEMS ENGINEERING (BSABE) INDUSTRY IMMERSION PROGRAM (IIP300)
In accordance with CHED Memorandum Order (CMO) No. 104, series of 2017, this
evaluation form has been developed to provide a structured framework for assessing the
Industry Immersion Program of the Bachelor of Science in Agricultural and Biosystems
Engineering students of J.H. Cerilles State College. The form aims to ensure that the
program’s objectives, implementation, and outcomes align with the standards and
expectations set by CHED, while also facilitating continuous improvement based on
stakeholder feedback.
Program/ Course Title: Industry Immersion Program (IIP300)
Pre-requisites: Third Year Standing
Number of Units: 3 Units
Duration: 240 hours
Schedule: Summer Term
Name of Student Intern: ___________________________________________________________________________
Name of Host Training Establishment (HTE):
__________________________________________________
HTE Address:
________________________________________________________________________________________
Internship Period:
__________________________________________________________________________________
DEPARTMENT/TASKS PERIOD STUDENT RATINGS SIGNATURE OF
OUTCOMES SUPERVISOR/
MENTOR
The ratings and evaluation assessment provided herein by the Host Training Establishment
(HTE) are certified to be true and correct.
Certified by:
____________________________
Department Head
Attested by: Noted by:
“ Stronger and Bolder J HCSC for Quality Tertiary Education”
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J.H. CERILLES STATE COLLEGE
Mati, San Miguel, Zamboanga del Sur
School of Engineering and Technology
ENGR. JECAR T. DADOLE ENGR. PERLA A. RIVERA
BSABE- PC Dean
School of Engineering and Technology
“ Stronger and Bolder J HCSC for Quality Tertiary Education”
main@[Link]
[Link]