REVISION NO.

: 00
REVISION DATE: May 10, 2016

PRACTICUM PROGRESS REPORT FORM

IMPORTANT INFORMATION
l THIS FORM IS USED TO MONITOR AND DOCUMENT THE PROGRESS OF STUDENTS ENROLLED IN THE PRACTICUM PROGRAM.
l THE PRACTICUM ADVISER/COORDINATOR COMPLETES THIS FORM AFTER THE OJT VISIT HALFWAY THROUGH THE TERM.
l THIS FORM SHALL BE INCLUDED IN THE PRACTICUM ADVISER’S PORTFOLIO AT THE END OF THE TERM.
l UNDER THE REMARKS COLUMN, INDICATE THE REASON FOR THE NPY AND O STATUS.

STATUS LEGEND NPY - no placement yet O - on-going FNR - finished but have not submitted requirements yet FCR - finished with completed requirements

INITIALS OF
SY/TERM NAME OF NO. OF
NAME OF STUDENT ENROLLED
STATUS DATE OF VISIT PRACTICUM REMARKS
ESTABLISHMENT VISITS SUPERVISOR

PREPARED BY (PRACTICUM ADVISER) REVIEWED BY (PRACTICUM COORDINATOR) NOTED BY (PROGRAM CHAIR)

_____________________________ _____________________________ _____________________________

SIGNATURE OVER PRINTED NAME | DATE SIGNATURE OVER PRINTED NAME | DATE SIGNATURE OVER PRINTED NAME | DATE

COPY: (1) PRACTICUM ADVISER; (2) PRACTICUM COORDINATOR; (3) PROGRAM CHAIR FORM OVPAA-030I
THIS FORM IS AVAILABLE AT THE OVPAA