INTERNSHIP CONTRACT

FORM OJT-1
Baliuag University
Department/College of Liberal Arts and General Education

Student Profile:
Name of Student: Lloren Michael Christopher S.M Contact Number/s:639993425961
E-mail address: llorenmichealchristopher@gmail.com

Company Profile:
Name of Company: ____________________________________________________________
Company Address: ____________________________________________________________

Name of Supervisor: ___________________________________________________________

Contact Number of Supervisor: ________________________________

Practicum Details:
Description of Assigned Job/Task: ________________________________________________
______________________________________________________________________________
Start of work/End of work: From ________________________ to ______________________
Work Schedule: _______________________________________________________________

CONFORME:

______________________ _____________________ ______________________

Student Faculty Adviser Supervisor
Signature over Printed Name Signature over Printed Name Signature over Printed Name

__________________________
Parent
Signature over Printed Name