Employer Feedback Form 雇主回馈表 (Students to complete sections I, II, III, part A of section IV (highlighted in yellow) before handing form to supervisor. Please use softcopy to complete before printing for signature.) (实习生请以计算机输入第一、二、三及四甲(黄色)部份之数据，打印此文件并交予实习机构之主管填写及签署。) I. STUDENT PERSONAL INFORMATION (To be completed by student) (此部份由学生填写) 第一部份：实习生个人资料 Department/School Program Stream Year (学系): (修读课程): (学科): (年级): Name (姓名): Student ID (学生编号): No. of Courses Studied during WIE (实习期间修读科目总数): II. THE INTERNSHIP (To be completed by student) (此部份由学生填写) 第二部份：实习工作 Placement Nature Company Industry (工作性质) (公司业务) shipping) insurance) (e.g. (e.g. Name of employer (机构名称) Work Address (工作地址): Position (职位) senior claims (e.g. clerk) Job function (工作范畴) administration) (e.g. Hours Agreed Hours Worked Hours/week (同意之实习时数): (实际完成之实习时数): (每周实习时数): Start Date End Date Nature FT / PT / Ad-hoc* (开始实习日期): (结束实习日期): (工作性质): (全职/兼职/短期工作) Other stipend If Yes, Amount and benefits Salary (如有,金额为): HK$ (津贴及福利) (薪酬) *Please delete as appropriate (请删去不适用者) III. THE SUPERVISOR 第三部份：主管 Supervisor evaluating Position student (主管姓名): (职位): Department (部门名称): Telephone (联系电话): Email (电邮):
Employer Feedback Form 雇主回馈表 (Students to complete sections I, II, III, part A of section IV (highlighted in yellow) before handing form to supervisor. Please use softcopy to complete before printing for signature.) (实习生请以计算机输入第一、二、三及四甲(黄色)部份之数据，打印此文件并交予实习机构之主管填写及签署。) I. STUDENT PERSONAL INFORMATION (To be completed by student) 第一部份：实习生个人资料 (此部份由学生填写) Department/School (学系): Program (修读课程): Stream (学科): Year (年级): Name (姓名): Student ID (学生编号): No. of Courses Studied during WIE (实习期间修读科目总数): II. THE INTERNSHIP (To be completed by student) 第二部份：实习工作 (此部份由学生填写) Placement Nature (工作性质) (e.g. shipping) Company Industry (公司业务) (e.g. insurance) Name of employer (机构名称) Work Address (工作地址): Position (职位) (e.g. senior claims clerk) Job function (工作范畴) (e.g. administration) Hours Agreed (同意之实习时数): Hours Worked (实际完成之实习时数): Hours/week (每周实习时数): Start Date (开始实习日期): End Date (结束实习日期): Nature (工作性质): FT / PT / Ad-hoc* (全职/兼职/短期工作) Salary (薪酬) If Yes, Amount (如有,金额为): HK$ Other stipend and benefits (津贴及福利) *Please delete as appropriate (请删去不适用者) III. THE SUPERVISOR 第三部份：主管 Supervisor evaluating student (主管姓名): Position (职位): Department (部门名称): Telephone (联系电话): Email (电邮):
WIE-F15-Employer_Feedback_Form_SC_20160707.docx