Republic of the Philippines

PRESIDENT RAMON MAGSAYSAY STATE UNIVERSITY

Iba,Campus
Telefax: (047)811-1683
COLLEGE OF COMMUNICATION AND INFORMATION TECHNOLOGY

ON-THE-JOB TRAINEE
MONTHLY ACCOMPLISHMENT REPORT ON-THE-JOB TRAINING
For the month of _______________, 2017
Name of Student Trainee_____________________________________________
Name of Firm/Company _____________________________________________
Name of Owner/Trainer/Employer_____________________________________
Address________________________ Contact no.___________________
DATE DESCRIPTION OF WORK NO.HRS REMARKS

CERTIFIED CORRECT: ACCOMPLISHED BY:

_________________________ ____________________
MANAGER/OWNER/EMPLOYER STUDENT TRAINEE

NOTE: This report should be accomplished in three copies. At the end of the month, the original and the duplicate copy must be
submitted to the Office OJT Coordinator for the record purposes. This report should be duly certified correct and signed by the employer.
 Republic of the Philippines
PRESIDENT RAMON MAGSAYSAY STATE UNIVERSITY
Iba,Campus
Telefax: (047)811-1683
COLLEGE OF COMMUNICATION AND INFORMATION TECHNOLOGY

OJT CLEARANCE
___________________________________________
Name: ___________________________ Date: ________________
Course/Yr: ________________________ School Year: __________

Please clear with the following:

_________________________________ ____________________________________
Supervisor HRD Officer

_________________________________ ____________________________________
Cashier Adviser

Recommending Approval:

HANSEL S. ADA
Program Chair, BS Infotech

Approved:

MENCHIE A. DELA CRUZ, Ph.D.

Dean, CCIT
 Republic of the Philippines
PRESIDENT RAMON MAGSAYSAY STATE UNIVERSITY
Iba,Campus
Telefax: (047)811-1683

COLLEGE OF COMMUNICATION AND INFORMATION TECHNOLOGY

ON-THE-JOB TRAINEE PERFORMANCE EVALUATION
Name of Trainee: ________________________________ Date: _____________________
Period of Assignment: ____________________________ Dept. /Agency: _____________

TO THE IMMEDIATE SUPERVISOR: Please circle the appropriate quantitative equivalent corresponding to your
assessment of your ON-THE-JOB Trainee
A. Quality of Work E. Dependability
5- Excellent 5-Exceptionally Dependable
4- Above Average 4-Above Average
3- Average 3-Usually Dependable
2- Below Average 2-Sometime Neglectful
1-Unreliable 1-Unreliable
B. Quantity of Work F. Ability to Learn
5- Exceptional Productive 5-Exceptionally Fast Learner
4- Very Productive 4-Learned Rapidly
3- Average Productive 3-Average Learner
2- Rather Slow to Produce Output 2-Rather Slow to Learner
1-Very Slow to Produce Output 1-Very Slow to Learn
C. Relationships to Others G. Attendance
5-Exceptionaly Accepted 5-Exceptionally Perfect
4-Work Well with Others 4-Keep Good Attendance
3-Get along Satisfactorily 3-Acceptable Working Attendance
2-Has Some Difficulty Working with Others 2-Needs Improvements
1-Works very Poorly with Others 1-Cannot Meet Working Schedule
D. Attitude toward Work H. Judgment
5-Exceptionally Enthusiastic 5-Exceptionaly Perfect
4-Shoe initiative in His/her Work 4-Keep Good Attendance
3-Average Diligence 3-Usually Make the Right Decision
2-Some What Indifference 2-Often Uses Poor Judgment
1-Definitely not interested 1-Consistenly Uses Bad Judgments

PERFORMANCE AVERAGE: _________________________

QUALITATIVE EQUIVALENT:
Outstanding – 5.0-4.6 above Ave.-4.5 -4.0 Ave.-3.9-2.1 below Ave.-2.0-1.5 Unsatisfactory-1.4-1.0
I can summarily include that trainee’s OVERALL PERFORMANCE is:
___OUTSTANDING ___ABOVE AVERAGE___AVERAGE ___BELOW AVERAGE__ UNSATISFACTORY

Recommendation/Suggestions:

Signature over printed name of immediate supervisor:

Evaluated: Noted: Date: _________________

___________________ HANSEL S. ADA

Program Chair, BS Infotech
 Republic of the Philippines
PRESIDENT RAMON MAGSAYSAY STATE UNIVERSITY
Iba,Campus
Telefax: (047)811-1683
COLLEGE OF COMMUNICATION AND INFORMATION TECHNOLOGY
ON – THE – JOB (OJT) PROGRAM

WAIVER

I, John Rommel A. Sevilla, a trainee in Bachelor of Science and Computer Engineering of the President
Ramon Magsaysay State University hereby voluntarily declare and agree to undergo On – the – Job Training
at Subic Bay Development and Management Corporation Inc. under the following conditions:

1. That I recognize the authority of the agency or company where I will conduct my On – the – Job
Training and voluntary submit myself to abide with the rules and regulations that may be imposed
upon me during the duration of my training. That my non – compliance to such will cause my
ineligibly for further participation in the said training program.
2. As a student – trainee, I waive any claim against the Cooperating Agency or Company and the
President Ramon Magsaysay State University, for any injury that I may encounter.
3. That I further agree to subject myself for searched if warranted, for any loss that I may commit,
either personal or financial as I undergo training.
4. That, I am aware that the University which I represent will not be held responsible for any
committed while in the performance of my duties and functions during my training period.
5. That, I shall exercise due diligence and care in any task assigned to me.
6. That, I declare and acknowledge this waiver to my free acts and deed.

Signed at Iba, Zambales, this ____day______, ______.

________________________
Signature of Trainee over Printed Name

WITH CONSENT OR APPROVAL OF GUARDIAN

____________________________________
Signature of Parents/Guardian over Printed Name

Address: ____________________________
Community Tax No.: __________________
Issued at: ___________________________
Issued on:___________________________
 Republic of the Philippines
PRESIDENT RAMON MAGSAYSAY STATE UNIVERSITY
Iba,Campus
Telefax: (047)811-1683
COLLEGE OF COMMUNICATION AND INFORMATION TECHNOLOGY
APPLICATION FOR ON – THE – JOB TRAINING

Name: John Rommel A. Sevilla Course/ Major: BS- Computer Engineering

Address: Libaba, Palauig, Zambales Age: 20 Sex: Male
Date of Birth: October 23, 1998 Place of Birth: PRMMH, Iba, Zambales
Required No. of Hours: 240 hours To start: _______________________________
Expected Date to Finish: ________________ Contact Number: 09064641597

John Rommel A. Sevilla

Applicant Signature over printed name

Recommending Approval:

HANSEL S. ADA
PROGRAM CHAIR, BS INFOTECH

ACTION TAKEN

Company/Establishment: Subic Bay Development and Management Corporation Inc.

Address: Argonaut Highway cor. Rizal Highway, Subic Bay Gateway Park, Subic Bay Freeport
Zone, 222
Contact Number: (047)252-3456

Contact Person: Daisy P. Nucum

Designation: Admin Manager
Contact Number:

Requirements:
___Recent Resumè with 2 x 2 colored picture
___Photo Copy of Receipt
___Photo Copy of COR
___Evaluation of Grades (Certified True Copy)
___2 Long Envelope

MENCHIE A. DELACRUZ, Ph.D.

___Approved ___Disapproved DEAN, CCIT