Employer Feedback Form 雇主回饋表 (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.) (實習生請以電腦輸入第一、二、三及四甲(黃色)部份之資料，列印此檔並交予實習機構之主管填寫及簽署。) I. STUDENT PERSONAL INFORMATION (To be completed by student) (此部份由學生填寫) 第一部份：實習生個人資料 Department/School Program Stream Year (學系): (修讀課程): (學科): (年級): Name (姓名): Student ID (學生編號): No. of Courses Studied during WIE (實習期間修讀科目總數): II. THE INTERNSHIP (To be completed by student) (此部份由學生填寫) 第二部份：實習工作 Placement Nature Company Industry (工作性質) (公司業務) shipping) insurance) (e.g. (e.g. Name of employer (機構名稱) Work Address (工作地址): Position (職位) senior claims (e.g. clerk) Job function (工作範疇) administration) (e.g. Hours Agreed Hours Worked Hours/week (同意之實習時數): (實際完成之實習時數): (每週實習時數): Start Date End Date Nature FT / PT / Ad-hoc* (全職/兼職/短期工作) (開始實習日期): (結束實習日期): (工作性質): Other stipend Salary If Yes, Amount and benefits (如有,金額為): (津貼及福利) (薪酬） HK$ *Please delete as appropriate (請刪去不適用者) III. THE SUPERVISOR 第三部份：主管 Supervisor evaluating Position student (主管姓名): (職位): Department (部門名稱): Telephone (聯繫電話): Email (電郵):
Employer Feedback Form 雇主回饋表 (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.) (實習生請以電腦輸入第一、二、三及四甲(黃色)部份之資料，列印此檔並交予實習機構之主管填寫及簽署。) I. STUDENT PERSONAL INFORMATION (To be completed by student) 第一部份：實習生個人資料 (此部份由學生填寫) Department/School (學系): Program (修讀課程): Stream (學科): Year (年級): Name (姓名): Student ID (學生編號): No. of Courses Studied during WIE (實習期間修讀科目總數): II. THE INTERNSHIP (To be completed by student) 第二部份：實習工作 (此部份由學生填寫) Placement Nature (工作性質) (e.g. shipping) Company Industry (公司業務) (e.g. insurance) Name of employer (機構名稱) Work Address (工作地址): Position (職位) (e.g. senior claims clerk) Job function (工作範疇) (e.g. administration) Hours Agreed (同意之實習時數): Hours Worked (實際完成之實習時數): Hours/week (每週實習時數): Start Date (開始實習日期): End Date (結束實習日期): Nature (工作性質): FT / PT / Ad-hoc* (全職/兼職/短期工作) Salary (薪酬） If Yes, Amount (如有,金額為): HK$ Other stipend and benefits (津貼及福利) *Please delete as appropriate (請刪去不適用者) III. THE SUPERVISOR 第三部份：主管 Supervisor evaluating student (主管姓名): Position (職位): Department (部門名稱): Telephone (聯繫電話): Email (電郵):
WIE-F15-Employer_Feedback_Form_TC_20160707.docx