Republic of the Philippines

Department of Education
Region XI
Tagum City National Comprehensive High School
Mankilam, Tagum City

SENIOR HIGH SCHOOL

ON-THE-JOB TRAINING EVALUATION TOOL REPORT

Name: ______________________________
Evaluation Period: From: NOV. 12, 2015 to: NOV. 17, 2015

Please give out your nearest opinion about the progress and
achievement of this student so that he/she can be assisted in making
improvement/s and judge the student in the same way you would to any
other beginning worker.

Rating: (1.0- 1.4) - OUTSTANDING

(1.5 – 1.9) - ABOVE AVERAGE
(2.0 – 2.5) – AVERAGE
(2.6 – 3.0) – BELOW AVERAGE

PERFORMANCE Rating
Punctuality& Attendance
 Goes to work on time
 No. of times absent
 No. of times tardy
Dependability
 Prompt of Trustworthy
 Follows direction
 Meets obligation
ADAPTABILITY
 Catches on fast
 Follows detailed instruction well
 Can switch job easily
ABILITY TO GET ALONG
 Cooperative
 Well mannered
  Can get along with co-workers
JOB ATTITUDES/SKILLS
 Enthusiastic
 A good team worker
 Willing to work and cooperate
 Desires to improve
POSSESSES THE ESSENTIAL SKILLS &
RELATION INFORMATION
 Ability to work without supervision
 See things to do
ACCEPTS SUGGESTIONS
 Ability to improve
 Seeks assistance
 Follows through
Average rating

Unit of Competency:

1. Learning Outcomes
2.
3.

Do you think the student is performing well in his/her job.

YES ___√
NO ____
NOT SURE ____.Why?

If there has been any problem with this student in the last few
months, describe the circumstances and the outcome.

RATING:

________3.0____

WILSON TAPON
Printed Name & Signature
of Industry Supervisor
DW ELECTRONICS Sales & Repairs
BONIFACIO ST., TAGUM CITY

Date: NOVEMBER 19, 2015

 Republic of the Philippines
Department of Education
Region XI
Tagum City National Comprehensive High School
Mankilam, Tagum City

Date: NOVEMBER 6, 2015

The Manager
DW ELECTRONICS
SALES AND REPAIR
BONIFACIO ST., TAGUM CITY

S I R/Madam:

Please allow me to introduce __________________________________an

Electronic Product Assembly and Servicing student of this school, who
desires to undergo industrial experience in your business firm.

This is scheduled during the 1st semester of the second year student
in training. The training period will start immediately upon your acceptance
of the bearer under the terms and conditions as stipulated in the duly
accomplished On-The Job-Training Memorandum of Agreement here to
attach for your confirmation. Moreover, a logbook is provided where all
work/accomplishments of the day is recorded and duly signed by the
supervisor.

The Guidance Counselor and instructor handling each technology

area from our school will drop at your Office/Shop from the time to find out
how our students fare in the working area.

Thank you very much for your help and assistance extended to the
program.

Very truly yours,

ROGER A. MARTINEZ, MITE

School Principal IV
 Republic of the Philippines
Department of Education
Region XI
Tagum City National Comprehensive High School
Mankilam, Tagum City

CAREER GUIDANCE AND PLACEMENT SERVICE OFFICE

ON-THE JOB-TRAINING MEMORANDUM of AGREEMENT
(MOA)

_____________________
TECHNICIAN

1. The DW ELECTRONICS SALES AND REPAIR will accommodate

___________________________ to undergo On-the Job-Training for the purpose
of gaining knowledge and experience as a student trainee.
2. The training program is designed to run for 5 days, eight hours daily or
regular working days. The same may be extended however, depending upon
the supplementary agreement among the parties herein:
3. As a rule, the training shall be in accordance with the job activity sheet or in
the same related activities in Electronic Product Assembly and Servicing
occupation;
4. The status of the student while on training, shall be that of the student-
trainee, and not employer-employee relationship;
5. The student while in training shall progress from job to another in order to
gain experience in all the operation and duties as outlined in the Job-Activity
Sheet. The supervisor/foreman should evaluate the trainee at the end of any
activity/ties as provided for in the form.
6. The Training Agency may provide the student trainee such as allowances and
other benefits as the former deemed fit and necessary;
7. As much as possible, the student trainee should report promptly and
regularly and notify the school Training Director as well as the Training
Agency in case of unavoidable absence from the training area;
8. The Training Agency agrees to make a report to the school Program Director
during his/her visit to the places where the student is assigned;
9. The student-trainee agrees further to observe the rules and regulations of the
above training Agency and abide with all implied stated terms and conditions
as stipulated in the MEMORANDUM of AGREEMENT (MOA);
10. The WAIVER hereto attached becomes a part of this MEMORANDUM of
AGREEMENT (MOA);

WITNESS WHEREOF, the parties have hereto affixed their signatures on this
6th day of November, 2015.

_______________________________ _________________________________
Printed Name & Signature Printed Name & Signature of Student
of Parent/Guardian

_________________________
TLE Coordinator

___________________________
Printed Name & Signature
of Manager of Agency

ROGER A.MARTINEZ, MITE

School Principal IV
 Republic of the Philippines
Department of Education
Region XI
Tagum City National Comprehensive High School
Mankilam, Tagum City

CAREER GUIDANCE AND PLACEMENT SERVICES OFFICE

WAIVER

I, _____________________________________of legal age/minor and

residing at __________________________________________applied for On-the
Job-Training (OJT) course with a cooperating agency through the request of
the Tagum City National Comprehensive High School, and in consideration
therefore I hereby freely and voluntarily assume and impose upon myself the
following duties:
1. That I recognize the authority of my cooperating Agency/Company
which I may place, and submit myself to all the rules and
regulations that may be imposed in connection with my training
and;
2. That I renounced and waive any claim against the cooperating
Agency/Company and the Tagum City National Comprehensive
High School, for any injury that I may sustain less that I suffer,
personal/pecuniary in the performance of my duty/function.

_________________________________
Signature of Student

WITNESSES:

WITH THE CONSENT AND APPROVAL OF PARENT/GUARDIAN:

______________________________________________
Printed Name & Signature of Parent/Guardian

Residence Certificate Number______________

Issued at __________________on ___________________
 Republic of the Philippines
Department of Education
Region XI
Tagum City National Comprehensive High School
Mankilam, Tagum City

PARENT – SCHOOL – INDUSTRY AGREEMENT

___________________
Address

__________________
Date

TO WHOM IT MAY CONCERN:

This is to certify that I, _______________________________guardian of

______________________________a student of Tagum City National
Comprehensive High School, Mankilam, Tagum City grant him/her
permission to undergo On-the Job-Training (OJT) at the DW ELECTRONICS
SALES AND REPAIR from NOVEMBER 12 to NOVEMBER 17, 2015.

I further affirm that the Tagum City National Comprhensive High

School is no way responsible for any accident or injury that may cause
his/her person while on the way from and to the site of training and that I
fully understand that while he/she is undergoing such training the
establishment concerned is not held responsible for an accident or injury on
his/her that may happen. Within its compound provided it sees to it that
same student be given orientation on the observation of safety program.

_________________________________ _________________________________
Signature of Student Trainee Signature of Parent/Guardian

ATTESTED:
For the company For the Tagum City National
Comprehensive High School

_______________________________________
Name &Signature of Official/Representative

______________ ROGER A. MARTINEZ, MITE

Designation School Principal IV

NOVEMBER 7, 2015 NOVEMBER 7, 2015

Date Date