ACLC COLLEGE OF BALIUAG

329 B.S AQUINO AVENUE POBLACION BALIUAG, BULACAN

ON-THE-JOB TRAINING REQUEST FORM

Student Name: Stud. Number:

Course: Section: OJT Adviser:
Address:
Telephone: Cellphone:
Guardian: Relationship:
Telephone: Cellphone:

Name of Company: Category:

Company Address:
Contact Person: Position:
Telephone: Cellphone: E-mail Address:

Note: Submit this form together with the following: 1] Resume with picture
2] Photocopy of Registration Form

Student's Signature over printed name Date

ON-THE-JOB TRAINING WAIVER

This is to certify that I am waving any claims against this school ACLC COLLEGE OF BALIUAG from any
any liabilities arising from any injury that may be sustained during the on job training of my son/daughter.

With our consent and approval:

Parent/Guardian signature over printed name Date

____________ ______________
OJT Adviser School Director
 ACLC COLLEGE OF BALIUAG
329 BS Aquino Avenue, Poblacion, Baliuag Bulacan / Telephone # (044) 761-1390

November 10, 2015

MRS.FLORCERPINA I. THOMAS
DIRECTRESS/PRESIDENT
Thomas Winston Academy of Bulacan Inc.
J.Buizon St. Sto Cristo, Baliuag, Bulacan

Dear Madam:

Our graduating students are required to have experience related to their course as part
of the requirements for graduation.

In line with this, may we request ERA CHRISNA PAOLA C. CAPISTRANO

Bachelor of Science in Informtion Technology student be given an opportunity to undergo practical
training in your office. The student are required to complet plete 486 hours.

We would appreciate if you could give him/her training on all aspect of work related
to their course. At the end of the training, kindly furnish us a certificate of training indicating the
date started and date finish of the said training.

An evaluation form in the performance of our student will be given to you before the
end of their training as basis of their grades in this subject.

Thank you and more power!

Sincerely yours,

Ms. Julieta Mago

OJT Coordinator
1-1390

an
 ACLC COLLEGE OF BALIUAG
329 BS AQUINO AVENUE, POBLACION BALIAUG BULACAN

ON THE JOB TRAINING

STUDENT AND SCHOOL AGREEMENT

Name of Student:
Course: Section:
Home Address:
Telephone: Cellphone: Email:

Name of Company:
Complete Address:
Contact Person: Position:
Telephone: Cellphone: Fax #:

ON THE JOB TRAINING AGREEMENT

As a trainee, I hereby agree to abide by the rules & regulations of the Company / Institution and
know my obligations not only to myself but also to ACLC COLLEGE OF BALIAUG any misconduct/misbehavior
towards the company will mean repetition of the said training.

Student's Signature OJT Adviser

ACLC COLLEGE OF BALIUAG

329 BS AQUINO AVENUE, POBLACION BALIAUG BULACAN

ON THE JOB TRAINING

STUDENT AND COMPANY AGREEMENT

Name of Student:
Course: Section:
Home Address:
Telephone: Cellphone: Email:

As a trainee, I hereby agree to abide by the rules & regulations of the Company / Institution
and know my obligations not only to myself but also to ACLC COLLEGE OF BALIAUG any misconduct/
misbehavior towards the company will mean repetition of the said training.

Agreed by: Approved by:

YES, I / We accept the student as our trainee.

NO, I / We do not accept the student as our trainee.
Student's Signature

Date Signed over printed name Designation

 ACLC COLLEGE OF BALIUAG
329 BS AQUINO AVENUE., POBLACION, BALIUAG BULACAN
OJT ACCOMPLISHMENT REPORT
Student's Name Marvin James G. Ubiña Course: Information Technology
Company: Rural Bank of San Rafael
Department: Accounting Department Superior: Ms. Eliza M. Angeles

TIME NO. OF
Date TASK FOR THE DAY IN OUT HOURS
TOTAL HOURS
SIGNATURE OF
SUPERIOR
 ACLC COLLEGE OF BALIUAG
329 BS AQUINO AVENUE, POBLACION, BALIUAG BULACAN

EVALUATION SHEET FOR PRACTICUM STUDENTS

PART I. STUDENT'S INFORMATION (To be filled up by the student)

Name: Age: Gender:

Course: Contact #: Section:

Name of Establlishment
Address:

PART II. JOB FACTOR (To be filled up by a superior where the student is deployed)

WORK PERFORMANCE PERCENTAGE RATINGS

KNOWLEDGE OF WORK (able to grasp as instructed) 10%
QUALITY OF WORK (can cope with the demand of additional unexpected work load in a limited time) 10%
QUALITY OF WORK (performs an asigned job efficiently as possible) 10%
ATTENDANCE ( follows assigned work schedule) 10%
PUNTUALITY (reports on time) 10%

PERSONAL TRAITS PERCENTAGE RATINGS

PHYSICAL APPERANCE (personal well groomed and always wear appropriate dress) 5%
ATTITUDE TOWARDS WORK (Always shows enthusiam and interest) 5%
COURTESY (shows respect for authority at all times) 5%
CONDUCT (observes rules and regulations of establishment) 5%
PERSEVERANCE AND INDUSTRIOUSNESS (show initiative and interest in work 5%
over in above what is assigned)
DRIVE THE LEADERSHIP (inquisitive and aggressive) 5%
MENTAL MATURITY (effective and calm under pressure) 5%
SOCIABILITY (can work harmoniusly with other employees) 5%
RELIABILITY ( trusted to be left alone to use or operate office equipments) 5%
Possession of traits necessary for employment in this kind of work. 5%
Total Ratings 100%

Division Assigned: Field of training given:

Inclusive Date of Training: Date Started: Date Finished:

Total number of hours rendered by the trainee:

Recommendation for the trainee's further growth:

Trainee's Supervisor Designation Contact Number

Please return this form to trainee with Certificate of Completion with date started, date finished and total number of hours rendered. Thank you
 ACLC COLLEGE OF BALIUAG
329 B.S. Aquino Avenue, Poblacion, Baliuag Bulacan / Telephone # 761-1390

CERTIFICATE OF COMPLETION

is hereby given to

NAME OF STUDENT
COURSE OF STUDENT

For successfully completed the 488 hours on-the-job-training from November 21, 2011
to February 11, 2012 as part of the requirement of the course in BSIT .

Issued this 11TH day of FEBRUARY upon request of the above mentioned
student for whatever legal purposes it may serve.

Mr. Rendie Resurreccion Mrs. Melanie B. Borlongan