Republic of the Philippines

POLYTECHNIC UNIVERSITY OF THE PHILIPPINES

OFFICE OF THE VICE PRESIDENT FOR CAMPUSES
RAGAY, CAMARINES SUR CAMPUS

____________, 2024

______________________
______________________
______________________

Dear ________,

I am pleased to recommend _______________________________________, a bonafide 4th year

student of Polytechnic University of the Philippines Ragay, Camarines Sur Campus, presently
enrolled in __________________________ under the Bachelor of Science in Information
Technology to undergo his/her practicum in your good office.

As an integral part of BSIT Curriculum, every student is required to undergo a total number of
500 hours practicum in an office of either the public or private agency in the specialized area of
Information Technology Department. Such exposure will equip our students with practical
knowledge in actual office work and be familiarize with the day-to-day operation in IT
department.

We shall highly appreciate if you will accommodate Ms/Mr_____________________________

in your company as soon as possible for her to complete the required 500 hours within the
current term. I will furnish you with the necessary evaluation form, so that we have feedback of
our student’s performance on their practicum.

Thank you for your kind consideration and favorable action concerning this matter.

Respectfully yours,

DOMINADOR M. ACASAMOSO JR, MIT

BSIT Coordinator

Noted by:

MAY V. NEGRITE
OJT Coordinator

Recommending Approval:

VERONICA S. ALMASE, DBA

Campus Director
PUP Access Road, Barangay Lower Sta. Cruz, Ragay 4410 Camarines Sur
Contact No.: 0917 620 8721
Website: www.pup.edu.ph | Email: ragay@pup.edu.ph

THE COUNTRY’S 1st POLYTECHNICU

 Republic of the Philippines
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES
OFFICE OF THE VICE PRESIDENT FOR CAMPUSES
RAGAY, CAMARINES SUR CAMPUS

BACHELOR OF SCIENCE IN INFORMATION TECHNOLOGY

TRAINEE’S PERSONAL DATA

Semester: SECOND SEMESTER School Year: 2024-2025

___________________

(Surname) (Given Name) (Middle Name)

Section: BSIT 4-1 Time: _____________________________

Cell. No.: ______________
Date of Birth: ___________ Place of Birth: _______________________
Father’s Name: _______________________ Occupation: _______
Mother’s name: ______________________ Occupation: _______
Extra-Curricular Activities: ___________

Previous Work Experience:

Nature of Work: ____ Office: ____

Date of Employment: _____ Salary: ____

________________________________________________________________________
________________________________________________________________________

COORDINATOR’S NOTE

Employed/Trained at: _____________________________________________________

Address: _______________________________________Tel No: __________________
Training Started: ______________________ Training Ended:______________________

DOMINADOR M. ACAMOSO JR.

BSIT OJT Adviser

PUP Access Road, Barangay Lower Sta. Cruz, Ragay 4410 Camarines Sur
Contact No.: 0917 620 8721
Website: www.pup.edu.ph | Email: ragay@pup.edu.ph

THE COUNTRY’S 1st POLYTECHNICU

 Republic of the Philippines
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES
OFFICE OF THE VICE PRESIDENT FOR CAMPUSES
RAGAY, CAMARINES SUR CAMPUS

BACHELOR OF ELEMENTARY EDUCATION

PRACTICUM TRAINING FORM

Name of Student: PRILA MARIE D. CLARO Course/Year/Section: BEED 4-1

Present Address: ZONE 2 PANAYTAYAN, RAGAY, CAMARINES SUR

CP#: 09651705729

Practicum Institute/Company: RAGAY CENTRAL SCHOOL

Address: POB. ILAOD,RAGAY, CAMARINES SUR

Function / Business of Institution / Company: _____________________________________

_____________________________________________________________________________

Name of Trainer: ________________________ Supervisor: ____________________________

Position: _______________________________ Position: ______________________________

Tel. #: _________________________________ Tel. #: ______________________________

Allowance / stipend (please check Yes: _____________ No: _______________

If yes, how much? _____________________________________________________________

If no, why? ___________________________________________________________________

_____________________________
Signature over printed name

PUP Access Road, Barangay Lower Sta. Cruz, Ragay 4410 Camarines Sur
Contact No.: 0917 620 8721
Website: www.pup.edu.ph | Email: ragay@pup.edu.ph

THE COUNTRY’S 1st POLYTECHNICU

 Republic of the Philippines
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES
OFFICE OF THE VICE PRESIDENT FOR CAMPUSES
RAGAY, CAMARINES SUR CAMPUS

EMPLOYER’S EVALUATION

Trainee: _________________________________ Evaluation: __________________________

Please rate the trainee 97-100%=1.00 88-90%=1.75

By writing the number 94-96%=1.25 85-87%=2.0
Opposite each item below. 91-93%=1.50 82-84%=2.25

Ability to Business Techniques

Follow Direction _________ Use of Telephone __________

Take Criticism _________ Use of Source in Info. __________
Understand Instruction _________ Meeting People __________
Attend to Details _________ Use of Supplies __________

Personal Traits Skills

Grooming _________ Encoding __________

Personal Hygiene _________ Programming __________
Deportment _________ Networking __________
Speech _________ Digital Designing __________
Interest in Work _________ Research __________
Cooperation _________ Web Designing __________
Initiative _________

What points should be emphasized in training?

______________________________________________________________________________
______________________________________________________________________________
_______________________________________________________________

Please list the good points about the trainee.

______________________________________________________________________________
______________________________________________________________________________
_______________________________________________________________

General Rating of Trainee: _____________________

Times Absent: _______________________________ Times Tardy __________________

______________________________
(Sponsor’s Name & Signature)

Note: Please evaluate Student

Trainee on all personal
traits and only on the job performed
PUP Access Road, Barangay Lower Sta. Cruz, Ragay 4410 Camarines Sur
Contact No.: 0917 620 8721
Website: www.pup.edu.ph | Email: ragay@pup.edu.ph

THE COUNTRY’S 1st POLYTECHNICU

 Republic of the Philippines
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES
OFFICE OF THE VICE PRESIDENT FOR CAMPUSES
RAGAY, CAMARINES SUR CAMPUS

BACHELOR OF ELEMENTARY EDUCATION

TRAINING AGREEMENT AND LIABILITY WAIVER

I, PRILA MARIE D. CLARO a student of the Polytechnic University of the Philippines

Ragay Campus, Ragay, Camarines Sur, hereby voluntarily agree to undergo Practicum which is
an academic requirement in the subject _________________________ under the curriculum of
the Bachelor of Science in Information Technology under the following terms and conditions:

 That I shall abide by all corporation/agency/office’s rules and regulations imposed by

the training institution otherwise I shall be executed from further participation;
 That there is no labor-management relationship between me and the
agency/company/firm;
 That I shall exercise care and diligence in any task assigned to me;
 That I shall renounce and waive any claim against the Polytechnic University of the
Philippines for any loss that I sustain or loss that I suffer, personal pecuniary in the
performance of my duties or function while under training; and
 That I shall be made answerable for any and all liabilities for damage to property or
injury in third persons, which may be occasioned, by my intentional or negligent acts
while in the course of the training.

Signed this _______ day of March 2024 at Polytechnic University of the Philippines, Ragay,
Camarines Sur Campus, Ragay, Camarines Sur, Philippines.

_______________________
Signature of Applicant

__________________________ Res. Cert. No: _________

Name and Signature of Parent/Guardian Issued at: _____________
Res. Cert. No: ____________ Issued On: ____________
Issued On: _______________

MAY V. NEGRITE JOERWIN N. BALUTE, MBA

OJT Coordinator Head, Student Services/OSFA

ASSOC. PROF. VERONICA S. ALMASE, DBA

Director, PUP-Ragay Campus

SUBSCRIBED AND SWORN TO BEFORE ME this ______ day of March, 2024, at

the__________________________________________________________________________.

PUP Access Road, Barangay Lower Sta. Cruz, Ragay 4410 Camarines Sur
Contact No.: 0917 620 8721
Website: www.pup.edu.ph | Email: ragay@pup.edu.ph

THE COUNTRY’S 1st POLYTECHNICU