Republic of the Philippines

UNIVERSITY OF SOUTHEASTERN PHILIPPINES

COLLEGE OF ENGINEERING
Obrero Campus, Davao City
______________________________________________________________________________

April 22, 2015

Dr. Abdullah B. Dumama, Jr.

MD, MPA, CESO III
Regional Director
Department of Health XI, JP Laurel
Avenue, Bajada, Davao City
Sir:
This is in connection with one of our Third and Fourth Year subjects requiring students
to undergo a total of one hundred sixty (160) hours of practicum per year for the two subjects for
a total of three hundred twenty (320) hours as a requirement for the completion of the course
leading to the degree of Bachelor of Science in Electronics and Communications Engineering
(BSECE).
Knowing that you can assist the needs of our students, the College of Engineering of the
University of Southeastern Philippines is requesting your kind office to accommodate MR.
EVANDER B. MIONES to undergo training in your office.
We assure you that your generosity will go a long way for the development of our
students.
Thank you very much for whatever help you can extend.

Very truly yours,

DR. NELSON C FUENTES
Dean
University of Southeastern Philippines

COLLEGE OF ENGINEERING
Obrero, Davao City
PROFESSIONAL WORK EXPERIENCE MEMORANDUM OF AGREEMENT
1. The Hospital Maintenance Services (Department of Health) will accommodate
Evander B. Miones to undergo On The Job Training for the purpose of gaining
practical knowledge of experience as a student trainee.
2. The training program is designed to run 20 days 8 hours daily on regular working days.
The same maybe extended, however, depending upon the supplementary agreements
among the parties herein.
3. As a rule, the training shall be in accordance with the Job activity sheet or in some related
activities in Electronics occupation.
4. The status of the student, while in training shall be that of the student-trainee and not the
employer relationships.
5. The student while in progress from job to another in order to gain experiences in all of
the operators and duties as outlined in the Job Activity Sheet. The supervisor or foreman
should evaluate the trainee at the end of any activity/ies as provided for in the form.
6. The student-trainee as much as possible should promptly in regular and notify the school
training director as well as the Training Agency in case of unavoidable absences from the
training area.
7. The Training Agency agrees to make a report to the School Program Director during
his/her visit to the place/s where the student is assigned.
8. The student-trainee agrees further to observe the rules and regulation of the above
training agency and abide with all implied stated terms and conditions as stipulated in
Memorandum of Agreement.
9. IN WITNESS WHEREOF, the parties have hereunto affixed their signature on this 22 nd
day of April 2015 at Davao City.
____________________________
Signature of Parent/Guardian

_________________________________
Signature of Student

____________________________
Signature-Agency Representative

_________________________________
DR. NELSON C. FUENTES
Dean

Republic of the Philippines

UNIVERSITY OF SOUTHEASTERN PHILIPPINES

Obrero, Davao City

ON-THE-JOB TRAINING WAIVER OF CLAIM
I, EVANDER B. MIONES, of legal age residing at Inigo St., Bo. Obrero, Davao City applied
for On-The-Job Training (OJT) course with Hospital Maintenance Services (Department of
Health) through the request of the College of Engineering, University of Southeastern
Philippines and in consideration therefore, I hereby freely and voluntary assume and impose
upon myself the following duties.
1. That I recognize the authority of my cooperating agency/company in which I may be
placed and submit myself to all the rules and regulations that may be imposed upon
about my training, and
2. That I renounce and waive my claim against the cooperating agency/company and the
USEP COLLEGE OF ENGINEERING, for any injury that I may sustain least that I
suffer personal/pecuniary, in the performance of my duties and functions.
Signed in Davao City, this 22nd day of April 2015
______________________________
Signature of Student-Trainee
WITH THE CONSENT AND APPROVAL OF PARENT OR GUARDIAN
Parent/Guardian: _________________________________________________________
Address: ________________________________________________________________
Community Tax Number: __________________________________________________
Issued at: _______________________ Issued on: _______________________________
_____________________________
Signature of Parent/Guardian
Witnesses:
_________________________________
Department Head

______________________________
Agency/Company Representative

DR. NELSON C. FUENTES

Dean

University of Southeastern Philippines

COLLEGE OF ENGINEERING
Bo. Obrero, Davao City
ON-THE-JOB TRAINING (OJT)
STUDENT SUMMARY

Student

Course

No.

COMPANY/AGENCY

Date

PERIOD
COVERED

SCORE

HOURS
RENDERED

REPRESENTATIVE
( Name/Designation )
(Sign Over Printed
Name)

Period

Score

Hours

Remarks

Period

Score

Rate

Adjective
Description

1
2
3
COMBINED COMPANY RATING ==

COMBINED COMPANY RATING ==

Certified By

Prepared By
OJT Coordinator

Department Head

Approved
DR. NELSON C. FUENTES
Dean
REQUIREMENTS

GRADING SYSTEM

1. On-the-Job Training Summary

Rate

Score

2. Certificate of Completion
3. Industry Exposure Program Evaluation Report
4. Professional Work Experience Memorandum of
Agreement
5. On-the-Job Training Waiver of Claim
6. On-the-job Training Log Book
7. Letter of Company
8. Industry Exposure Program for Engineering Students
(IEPES) Feedback Survey Form

1.00
1.25
1.50
2.00
2.25
2.50
2.75
3.00
5.00

98-100
95-97
92-94
89-91
86-88
83-85
80-82
77-79
75-76
below
75

Adjective Description
Excellent
Outstanding
Very Satisfactory Work
Satisfactory Work
Moderately Satisfactory Work
Very Good Work
Good Work
Quite Good Work
Passing
Failure

Minimum Required On-the-job Training Hours-320 hours

Distribution:

Original (Registrar)

Duplicate (College of Engineering) Triplicate (Student`s Copy)

INDUSTRY EXPOSURE PROGRAM EVALUATION REPORT

Part I:

To be filled up by the trainee.

Name
: ______________________________________________
Course
: ______________________________________________
School
: ______________________________________________
City Address
: ______________________________________________
Permanent Address
: ______________________________________________
No. of Training Hours Required: _____________________________________________

Part II: To be filled up by the immediate supervisor.

Company/Agency
|_____________________________________________________
Division/Department Assigned |______________________________________________
Field of Training Given |____________________________________________________
Exclusives Dates of Training | From: ___________________ To: ___________________
No. of Hours Rendered by the Trainee |________________________________________
JOB FACTORS

Max. Rating

Rating

1. Interest and quality of Work (Interest in doing

The job, thoroughness, accuracy, effectiveness
And neatness)

15

______

2. Quantity of Work

15

______

3. Dependability, Reliability, and Resourcefulness

20

______

4. Attendance
(regularity, punctuality & proper observation of
break time periods)

10

______

5. Cooperation
(works well with everyone; good teamwork)

15

______

6. Judgment
(Sound decisions, ability to identify & evaluate
Pertinent factors)

15

______

7. Personality
(Personal grooming & pleasant disposition)

10

______

TOTAL TRAINING
____________________________________
Raters Signature (Sign Over Printed Name)

______

INDUSTRY EXPOSURE PROGRAM FOR ENGINEERING STUDENTS (IEPES)

FEEDBACK SURVEY FORM
Name: ____________________________________________ COURSE & YEAR: __________________
SCHOOL UNIVERSITY: ________________________________________________________________
NAME OF COMPANY: _________________________________________________________________
ADDRESS OF COMPANY: ______________________________________________________________
PLEASE GIVE YOUR HONEST COMMENTS ON THE FOLLOWING: (NOTE: This is for the
enhancement of the program so we encourage you to write down everything which you think might be of help in
improving the program. Thank you.)

1.

WAS THERE ENOUGH TIME GIVEN FOR THE POSTING OF THE VACANCIES TO THE
EVALUATION AND PROCESSING OF APPLICATION? PLEASE COMMENT.
__________________________________________________________________________________
__________________________________________________________________________________
_________________________________________________________________________________

2.

WHAT DID YOU LEARN FROM THE 6 WEEKS EXPOSURE IN THE COMPANIES?
Office procedures & guidelines (like reporting on time, report preparation, etc.)
_______________________________________________________________________________
____________________________________________________________________________
Human behavior in organization (like relating to supervisor, co-workers etc.)
_______________________________________________________________________________
_____________________________________________________________________________
Administrative/clerical work (like filling, encoding, answering the phone, etc.)
_______________________________________________________________________________
______________________________________________________________________________
Exposure to actual company operation (like manufacturing, R & D. quality control, etc.)
_______________________________________________________________________________
____________________________________________________________________________
Please describe your actual work/assignment
_______________________________________________________________________________
____________________________________________________________________________
Department/Section: ______________________________________________________________
Field/s of assignment: ___________________________________________________________
Application of theories / concepts learned in school
_______________________________________________________________________________
_______________________________________________________________________________
____________________________________________________________________________

3.

WHAT PROBLEMS DID YOU ENCOUNTER?

__________________________________________________________________________________
________________________________________________________________________________

4.

WAS A SUPERVISED TRAINING PLAN FOR YOUR EXPOSURE IN THE COMPANY DRAWN
UP BETWEEN OUR SCHOOL AND THE COMPANY?
DID IT FIT YOUR COURSE REQUIREMENT ?
YES

YES
NO

NO
EXPLAIN.

______________________________________________________________________________________
___________________________________________________________________________________
5.

WERE YOU DIRECTED/GUIDED BY AN IMMEDIATE SUPERVISOR DURING TOUR

EXPOSURE? EXPLAIN.
______________________________________________________________________________________
___________________________________________________________________________________
NAME OF SUPERVISOR: _______________________________________________________________
POSITION: ____________________________________________________________________________
6.

WAS THE SIX WEEKS TRAINING ENOUGH FOR YOU TO BE EXPOSED TO THE ACTUAL
PLANT OPERATION? PLEASE COMMENT __________________________________________
______________________________________________________________________________

7.

DID YOU RECEIVE ANY INCENTIVE FROM THE COMPANY?

MEAL ALLOWANCE _________________

YES

NO PLS.SPECIFY

MONETARY ALLOWANCE __________

TRANSPORTATION ALLOWANCE ____________________

OTHERS _____________

_______________________________________________________________________________
8.

WERE YOUR EXPECTATIONS MET?

YES
NO PLEASE COMMENT.
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

9.

DID YOU FEEL EXPLOITED BY THE COMPANY? TO WHAT EXTENT?

__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

10. WHAT WOULD YOU SUGGEST TO ENHANCE THE SUCCES OF THIS PROGRAM?
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
11. WOULD YOU ENCOURAGE THE SUCCEEDING BATCH TO JOIN THIS PROGRAM?
EXPLAIN.
__________________________________________________________________________________
__________________________________________________________________________________
NOTE:
For the students: please submit all accomplished forms to your school coordinators.
For the school coordinators: please submit all accomplished forms to the DTI
Coordinator c/o Engr. Caesar B. Salanio, Jr.