Cea Ojt Forms

1
CEAOJT Form 001

HOLY ANGEL UNIVERSITY
COLLEGE OF ENGINEERING AND ARCHITECTURE
PRACTICUM/OJT APPLICATION FORM

PERSONAL DATA

Name: S.N.
(Last Name) (First Name) (Middle Name)

Address:

Sex: Age: Birthdate: Birthplace:

Nationality: Religion: Height: Weight:

Phone Number/s: Email Address:

MAJOR: Architecture

Industrial Engineering

Aeronautical Engineering

Electrical Engineering

Civil Engineering
Computer Engineering

Electronics and Communications Engineering
Mechanical Engineering
CLASSIFICATION: Junior Senior Graduating

Fathers Name: Occupation:

Mothers Name: Occupation:

Address/Phone Number:

ACHIEVEMENTS (Awards, Special Recognition, Scholarship, or other Community Participation)

Activities Date Awards Received

TRAININGS/SEMINARS ATTENDED:

Title Date Venue

WORK EXPERIENCE, if any:

Name of Firm/Company Date (From To) Position

SPECIAL SKILLS:

CHARACTER REFERENCES:

Name Profession/Position Company

Recommended/Suggested Practicum Site:

Name of Company Contact Person and Position Tel. No.

This is to certify that all information in this form are true and correct.

(Signature over printed name)

Date

College of Engineering and Architecture
#1 HOLY ANGEL AVENUE, STO. ROSARIO, ANGELES CITY 2009 PHILIPPINES

CERTIFICATE OF PARENTAL/GUARDIAN CONSENT

This is to certify that I, the undersigned parent/ legal guardian of

do hereby give my full consent for him/her to
undergo On-the-Job training at located in
. I understand that this is a
requirement for graduation under the Bachelor of Science in _
program of the college.

Student Parent/Guardian
(signature over printed name) (signature over printed name)


Dear Sir/Madame:

Greetings!

May we recommend
company for (160/320/420) hours?
to have his/her training in your

This is in connection with the requirement of the course Bachelor of Science in
, to have on-the-job training in an establishment in line with
their specialization. This aims to equip students with the knowledge and skills necessary
for active and effective participation in the progress of the local economy.

We shall appreciate if you can evaluate his/her work performance in the middle and the
end of the training. The evaluation forms will be forwarded to your office in due time.

Should you have other requirements, kindly advise us. I look forward to your favorable
action on the matter.

Thank you for your kind support and accommodation.
Very sincerely yours,

Industry-Academe Linkage Coordinator


Date

E N D O R S E M E N T

Respectfully endorsed to the
herein attached application of ,
a
bona fide Engineering student of Holy Angel University, for apprenticeship training in the
field of .

This is in compliance with the requirements of the regular course in

.

Dean, College of Engineering
and Architecture

PRACTICUM/OJT AGREEMENT
W A I V E R
CEAOJT Form 005

To Whom It May Concern:

This is to certify that I, , years of

age, single/married, residing at

_,
bonafide student of Holy Angel University, Angeles City.

In compliance with the continuation and requirements of my course in Bachelor of

Science in , I have to complete a minimum of

hours On-the-Job training at

.

I further agree and affirm that, I will be responsible for my acts during my training;
I will follow the rules and regulations pertinent to the practicum training program; and
that the Holy Angel University and the above mention Company/Institution are in no
way responsible/liable nor shall pay compensation for any incident, harm or injury that
may be caused on my part as a result of my negligence that may occur during my
Practicum/OJT period.

Signature of Student Over Printed Name Date

CONFORME

Signature of Parent/Guardian Over Printed Name Signature of School Practicum Coordinator

Company Representative or Officer in Charge

REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF LABOR
BUREAU OF LABOR STANDARDS
MANILA

APPLICATION FOR SPECIAL CERTIFICATE TO EMPLOY LEARNER OR APPRENTICE WITHOUT
COMPENSATION AS A REQUIREMENT FOR A SCHOOL CURRICULUM OR AS A PRE-REQUISITE
TO A BOARD EXAMINATION.

(This is an application form only. It is not to employ apprentice or learner without compensation.)

NOTE: This application must be accompanied by a certification from the school attended by the apprentice
or learner stating the number of hours of On-the-job Training required by the curriculum of the
course being taken. Attach recent photos of the apprentice or learner. Application not fully
accomplished shall not be entertained.

1. Name of Establishment:

2. Address of Location:

3. Name of Proposed Apprentice/Student-Trainee:_

4. Name of Institution:

5. Nature of Training:
(State whether apprentice in the Engineering/Pharmacy/Office Practice, etc.)

6. Number of hours, Days, Months, or Years of training required:

7. Number of Hours of Training to be spent daily:

The undersigned certifies that the information given above is true and correct and that the employment of
the above mentioned apprentice/learner will not prejudice the existing office personnel of the establishment
and that the picture attached is that of the apprentice/learner; and that the said practice/training will not be a
ground for employment on any position that may become vacant in the future.

Signature of Employer

Signature of Apprentice
Designation

Address
Date

CEAOJT Form 007

Angeles City

REPLY FORM

Name of the Company:

Address:

Phone Nos.:

Contact Person/s & Position:

Name of Student:

Based on our assessment of the student/s qualifications and abilities:

we will accommodate the student/s.

we cannot accommodate the student /s due to:

others:

Company Representative Signature Date
CEAOJT Form 008
Angeles City
OJT WEEKLY ATTENDANCE SHEET
Month of from to
Name: S.N.:
Company Name & Department:
Name of Supervisor & Position:
Student Trainee
Noted by:
Practicum Coordinator

Telephone Nos.:

Date Day Time-In
(A.M.)
Time-
Out
Time-In
(P.M.)
Time-
Out
Total
Hours
Supervisors
Signature

TOTAL:

Month of from to

Date Day Time-In
(A.M.)
Time-
Out
Time-In
(P.M.)
Time-
Out
Total
Hours
Supervisors
Signature

TOTAL:

I hereby certify that the above schedules are true and correct.
CEAOJT Form 008
Angeles City
Month of from to
Name: S.N.:
Student Trainee
Noted by:

Telephone Nos.:

Date Day Time-In
(A.M.)
Time-
Out
Time-In
(P.M.)
Time-
Out
Total
Hours
Supervisors
Signature

TOTAL:

Month of from to

Date Day Time-In
(A.M.)
Time-
Out
Time-In
(P.M.)
Time-
Out
Total
Hours
Supervisors
Signature

TOTAL:

CEAOJT Form 008
Angeles City
Month of from to
Name: S.N.:
Student Trainee
Noted by:

Telephone Nos.:

Date Day Time-In
(A.M.)
Time-
Out
Time-In
(P.M.)
Time-
Out
Total
Hours
Supervisors
Signature

TOTAL:

Month of from to

Date Day Time-In
(A.M.)
Time-
Out
Time-In
(P.M.)
Time-
Out
Total
Hours
Supervisors
Signature

TOTAL:

CEAOJT Form 008
Angeles City
Month of from to
Name: S.N.:
Student Trainee
Noted by:

Telephone Nos.:

Date Day Time-In
(A.M.)
Time-
Out
Time-In
(P.M.)
Time-
Out
Total
Hours
Supervisors
Signature

TOTAL:

Month of from to

Date Day Time-In
(A.M.)
Time-
Out
Time-In
(P.M.)
Time-
Out
Total
Hours
Supervisors
Signature

TOTAL:

CEAOJT Form 008
Angeles City
Month of from to
Name: S.N.:
Student Trainee
Noted by:

Telephone Nos.:

Date Day Time-In
(A.M.)
Time-
Out
Time-In
(P.M.)
Time-
Out
Total
Hours
Supervisors
Signature

TOTAL:

Month of from to

Date Day Time-In
(A.M.)
Time-
Out
Time-In
(P.M.)
Time-
Out
Total
Hours
Supervisors
Signature

TOTAL:

CEAOJT Form 008
Angeles City
Month of from to
Name: S.N.:
Student Trainee
Noted by:

Telephone Nos.:

Date Day Time-In
(A.M.)
Time-
Out
Time-In
(P.M.)
Time-
Out
Total
Hours
Supervisors
Signature

TOTAL:

Month of from to

Date Day Time-In
(A.M.)
Time-
Out
Time-In
(P.M.)
Time-
Out
Total
Hours
Supervisors
Signature

TOTAL:

CEAOJT Form 008
Angeles City
Month of from to
Name: S.N.:
Student Trainee
Noted by:

Telephone Nos.:

Date Day Time-In
(A.M.)
Time-
Out
Time-In
(P.M.)
Time-
Out
Total
Hours
Supervisors
Signature

TOTAL:

Month of from to

Date Day Time-In
(A.M.)
Time-
Out
Time-In
(P.M.)
Time-
Out
Total
Hours
Supervisors
Signature

TOTAL:

CEAOJT Form 008
Angeles City
Month of from to
Name: S.N.:
Student Trainee
Noted by:

Telephone Nos.:

Date Day Time-In
(A.M.)
Time-
Out
Time-In
(P.M.)
Time-
Out
Total
Hours
Supervisors
Signature

TOTAL:

Month of from to

Date Day Time-In
(A.M.)
Time-
Out
Time-In
(P.M.)
Time-
Out
Total
Hours
Supervisors
Signature

TOTAL:

CEAOJT Form 008
Angeles City
Month of from to
Name: S.N.:
Student Trainee
Noted by:

Telephone Nos.:

Date Day Time-In
(A.M.)
Time-
Out
Time-In
(P.M.)
Time-
Out
Total
Hours
Supervisors
Signature

TOTAL:

Month of from to

Date Day Time-In
(A.M.)
Time-
Out
Time-In
(P.M.)
Time-
Out
Total
Hours
Supervisors
Signature

TOTAL:

CEAOJT Form 008
Angeles City
Month of from to
Name: S.N.:
Student Trainee
Noted by:

Telephone Nos.:

Date Day Time-In
(A.M.)
Time-
Out
Time-In
(P.M.)
Time-
Out
Total
Hours
Supervisors
Signature

TOTAL:

Month of from to

Date Day Time-In
(A.M.)
Time-
Out
Time-In
(P.M.)
Time-
Out
Total
Hours
Supervisors
Signature

TOTAL:

CEAOJT Form 009
Angeles City
PRACTICUM WEEKLY PROGRESS REPORT
Name: S.N.:
Company:
Assigned Department:
Period Covered:

DAILY WORK ACTIVITIES

Day Work Description Hours Worked

Monday

Tuesday _
_
_

Wednesday _
_
_

Thursday _
_
_

Friday _
_
_

Saturday _
_
_

Sunday _
_
_

TOTAL:

Students Signature Supervisors Signature
CEAOJT Form 009
Angeles City
Name: S.N.:
Company:
Period Covered:
TOTAL:



Monday

Tuesday _
_

_
Wednesday _
_

_
Thursday _
_

_
Friday _
_

_
Saturday _
_

_
Sunday _
_

_
CEAOJT Form 009
Angeles City
Name: S.N.:
Company:
Period Covered:
TOTAL:



Monday

Tuesday _
_

_
Wednesday _
_

_
Thursday _
_

_
Friday _
_

_
Saturday _
_

_
Sunday _
_

_
CEAOJT Form 009
Angeles City
Name: S.N.:
Company:
Period Covered:
TOTAL:



Monday

Tuesday _
_

_
Wednesday _
_

_
Thursday _
_

_
Friday _
_

_
Saturday _
_

_
Sunday _
_

_
CEAOJT Form 009
Angeles City
Name: S.N.:
Company:
Period Covered:
TOTAL:



Monday

Tuesday _
_

_
Wednesday _
_

_
Thursday _
_

_
Friday _
_

_
Saturday _
_

_
Sunday _
_

_
CEAOJT Form 009
Angeles City
Name: S.N.:
Company:
Period Covered:
TOTAL:



Monday

Tuesday _
_

_
Wednesday _
_

_
Thursday _
_

_
Friday _
_

_
Saturday _
_

_
Sunday _
_

_
CEAOJT Form 009
Angeles City
Name: S.N.:
Company:
Period Covered:
TOTAL:



Monday

Tuesday _
_

_
Wednesday _
_

_
Thursday _
_

_
Friday _
_

_
Saturday _
_

_
Sunday _
_

_
CEAOJT Form 009
Angeles City
Name: S.N.:
Company:
Period Covered:
TOTAL:



Monday

Tuesday _
_

_
Wednesday _
_

_
Thursday _
_

_
Friday _
_

_
Saturday _
_

_
Sunday _
_

_
CEAOJT Form 009
Angeles City
Name: S.N.:
Company:
Period Covered:
TOTAL:



Monday

Tuesday _
_

_
Wednesday _
_

_
Thursday _
_

_
Friday _
_

_
Saturday _
_

_
Sunday _
_

_
TOTAL:
CEAOJT Form 009
Angeles City
Name: S.N.:
Company
Period Covered:



Monday

Tuesday _
_

_
Wednesday _
_

_
Thursday _
_

_
Friday _
_

_
Saturday _
_

_
Sunday _
_

_
CEAOJT Form 010
Angeles City

STUDENT ON-THE-JOB TRAINING EVALUATION

Name of Student: S.N.:
Evaluators Name: Signature:
Position & Department:
Evaluation Period From: To:

Instruction: Please rate the students trainee performance based on the following point
scale. (You may cite critical incident to justify rating).
Average Rating:
COMMENTS:

5 Excellent/Outstanding 2 Unsatisfactory/Fair
4 Very Satisfactory 1 Poor/Needs Improvement
3 Satisfactory

Work Performance/Output

5

4

3

2

1
Critical
Incidents

Reports to work on time and regularly

Reports to work in proper attire and good
grooming

Establishes rapport with the personnel
he/she is associated with

Cooperates with co-trainees with job related
concerns

Shows respect to his co-trainees, workers and
superiors

Has a great deal of initiative and enthusiasm
to learn the job

Learns job details quickly
Performs the job without needing close
supervision

Finds way to do the job better
Performs job with self-confidence
Accepts Suggestions and Criticisms
Finishes the job on time
Follows job instructions correctly
Observes companys rules and regulations
Maintains orderliness of workplace
CEAOJT Form 010
Angeles City

STUDENT ON-THE-JOB TRAINING EVALUATION

Evaluators Name: Signature:
Position & Department:
Evaluation Period From: To:

Instruction: Please rate the students trainee performance based on the following point
scale. (You may cite critical incident to justify rating).
Average Rating:
COMMENTS:

3 Satisfactory

Work Performance/Output

5

4

3

2

1
Critical
Incidents

Reports to work on time and regularly

Reports to work in proper attire and good
grooming

Establishes rapport with the personnel
he/she is associated with

Cooperates with co-trainees with job related
concerns

Shows respect to his co-trainees, workers and
superiors

Has a great deal of initiative and enthusiasm
to learn the job

Learns job details quickly
Performs the job without needing close
supervision

Finds way to do the job better
Performs job with self-confidence
Accepts Suggestions and Criticisms
Finishes the job on time
Follows job instructions correctly
Observes companys rules and regulations
Maintains orderliness of workplace
CEAOJT Form 11
Angeles City

COMPANY EVALUATION
Name of Company/Institution:
Period Covered From: To:

Instruction: Please rate based on the following point scale.

3 Satisfactory
I. ABOUT THE COMPANY 5 4 3 2 1
Conducts an orientation/company tour before the training

Explains the company policies and procedures
Practices cleanliness and orderliness
Observes proper and adequate safety procedures
Administers proper discipline
II. ABOUT THE STAFF 5 4 3 2 1
Assists the trainee in order to learn the job quickly

Motivates the trainee to perform his/her tasks well
Shows enthusiasm in helping the trainee
Treats the trainee fairly
Shows concern about the welfare of the trainee
Receptive to ideas /suggestions from the trainee
Allows the trainee to have his/her own disposition
Tolerates little errors by the trainee
III. ABOUT THE TRAINING 5 4 3 2 1
Work assigned is related to course

Supplements the theories learned from school
Was able to apply the knowledge gained from school
Was able to develop self-confidence
Learned to respect superiors and workers
Was able to adapt well to actual company settings

RECOMMENDATIONS/SUGGESTIONS:

Students Signature &Date
CEAOJT Form 12

Angeles City

Request for Changing Field Placement

Name of Student:
Current Company
Address
Name of Trainor Tel No.
Name of Faculty Adviser

Statement by Student

Student Signature Date

Recommendation of Practicum Company

Company Representative Date

Recommended Action by Practicum Coordinator

Practicum Coordinator Date
CEAOJT Form 13

OUTLINE OF THE PRACTICUM/TRAINING REPORT

I. The Goals / Objectives of My Off-Campus Practice
A. Personal Skills
B. Engineering / Architectural Skills

II. Companys Background/Profile
- System / Plant Operation/ Type of Firm
- Company / Plant Layout
- Process Flowchart
- Organizational Chart

III. The Nature of the Work in My Assigned Department
- Duties and Responsibilities or Work Done in the Assigned Department (photos of work
performed by the student trainee/apprentice during the training, for the purpose of
documenting his/her Practicum/OJT)
- Companys or Plant Equipment Operated / Projects Handled or Involved With

IV. Evaluation of My On-the-Job or Training Experiences
- Knowledge, skills, values learned and applied
- New persons and friends I acquired (Name, positions and duties they performed)
- Rules and Regulations of the Company or Department
- For the employees
- For the student-trainees

V. Observed Organizational Values / Evaluation of the Company
- Interpersonal Relationships
- Working Relationships with the Executives and Co-Workers
- Teamwork
- Quality of Service Delivered
- Punctuality
- Personal Grooming

VI. Problems Encountered During My Training and How I Solved Them

VII. Recommendations/Suggestions and Feedback of the student on the schools Student On-
the-Job/Practicum Training Program.
CEAOJT Form 14
Name:
Course & Year:
S.N.:
Date:

Criteria for the Practicum/Training Report
CRITERIA % %
1. Organization
- format, style and techniques

10%

2. Content
- completeness of information

20%

3. Visual Aids
- pictures, forms with correct labeling

10%

4. Analysis
-- critical evaluation of the standard operating procedures, citing
strengths and weaknesses of section and department

20%

5. Recommendations
- feasible courses of action

20%

6. Punctuality
- should be submitted on or before the given deadline

10%

7. Neatness and presentations 10%

TOTAL
100%

Criteria for the Final Presentation
CRITERIA % %
Content: Subject Knowledge
-demonstrates full knowledge of the training: content of
presentation and answering questions with explanations and elaboration.

35%

Presentation Media
-clear, visually appealing, well organized and used effectively.

20%

Delivery Style
-presentation delivered in a poised and professional manner,
preparedness, posture, maintained eye contact, facial expressions,
gestures.

20%

Attire
-appropriate for presentation, professional look, clear effort to
meet expectations.

15%

Language (Oral Presentation)
-clear voice, pronunciation and enunciation, grammar, vocabulary
and fluency.

10%

TOTAL

100%

Signature over printed name of panel
CEAOJT Form 15
Name:
Course & Year:
S.N.:
Date:

Final Grade Computation

Criteria % %
1. Performance Evaluation
1
st
evaluation & 2
nd
evaluation

35%

2. Report
a. Mid-training report (10)
b. Practicum/Training Report (20)
c. Progress Report (10)

40%

3. Final Interview and Presentation 20%
5. Attendance & Participation in Pre-Practicum Requirements
and Others:
a. Attendance during meetings
b. Seminars
c. Other requirements

5%

TOTAL 100 %

Panel Member Practicum Coordinator

Recommendation: Approval:

For Approval
For Disapproval

Department Chairperson College Dean
CEAOJT Form 016

Angeles City

REQUIREMENTS CHECKLIST

Name: S.N.:

Forms/Requirements

Remarks

Received by

Practicum Manual

Practicum/OJT Application Form

Recommendation from the Dean

Certification of Current Enrollment

Certificate of Parental/Guardian Consent

Student On-the-Job-Training
Information Sheet

Endorsement

Practicum/OJT Agreement

DOLE Application

Reply Form

Physical and Psychological Exam

OJT Weekly Attendance Sheet

Practicum Progress Report

1
st
Student On-the-Job-Training Evaluation

2
nd
Student On-the-Job-Training Evaluation

Company Evaluation

Practicum/Training Report

Certificate of Completion of Training

Others:

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CEAOJT Form 001

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