T I P - V P A A - 0 4 8

Revision Status/Date: 2/2010 June 10

TECHNOLOGICAL INSTITUTE OF THE PHILIPPINES

REQUEST FOR ON-THE-JOB TRAINING ENDORSEMENT LETTER

Company Name : ___________________________________________________________________________________________
Company Address: __________________________________________________________________________________________
Contact Person : ___________________________________________________________________________________________
Position

: ___________________________________________________________________________________________

Telephone No./s : ______________________________________________________ Email Address : _____________________

Student Name

: ______________________________________________________ Course/Year : _____________________

Contact No.

: _______________________ Email Address : _________________ Student No.

SUBJECT

CLASS SCHEDULE FOR THE CURRENT SEMESTER

UNITS
SECTION
TIME

DAYS

Bio-Data or Resume in TIP prescribed format

Photocopy of school ID
Photocopy Current Student Registration Form
Parents Waiver Form

___________
___________
___________
___________

TIME ALLOTTED FOR OJT

DAYS
TIME

Endorsed for Psychological Tests and

Physical Examination by:

Note: please attach the following:

1.
2.
3.
4.

ROOM

: ____________________

_______________________________________
Signature of OJT In-Charge

PSYCHOLOGICAL TESTS

PHYSICAL EXAMINATION

OJT PRE-DEPLOYMENT BRIEFING

(to be filled-out by the Guidance Counselor)

(to be filled-out by the School Physician)

(to be filled-out by OJT In-Charge))

Referral Letter Issued by / Date

Referral Letter Received by / Date

Noted / Approved by:

Signature of OJT In-Charge

Students Signature

Department Chair / Dean