Form 1.

Republic of the Philippines

Bicol University
COLLEGE OF INDUSTRIAL TECHNOLOGY
East Campus, Legazpi City

___________________
Date
DR. JONATHAN C. ARROCO
Bicol University
College of Industrial Technology
Legazpi City

Sir:

I have the honor to apply for admission to the Supervised Industrial Training Program as part
of my training in __________________________________________________________________.
(Course / Program)
Below is my personal data:

Name: _______________________________________Year/Block & Major ___________________

Date of Birth: ________________________________________ Age ____________
Address: __________________________________________________________________________
Contact Number: _______________________ Email Address: _____________________________
Company Name & Address to Undergo OJT:
_________________________________________________________________________________
Name of Parent/Guardian: ____________________________________________________________
Permanent Address: ___________________________ Contact Number ________________________

I have discussed the importance of enrolling in this program with my parent/guardian and they
are agreed able to it.
Very truly yours,

__________________________
Student/Applicant
Conforme:

_________________________
Parent/Guardian

Recommended by: Recommending Approval: Approved:

_____________________ ________________________ _____________________

Program Facilitator Department Chairman Dean
Form 1.2
Form 2

Republic of the Philippines

Bicol University
COLLEGE OF INDUSTRIAL TECHNOLOGY
East Campus, Legazpi City

TRAINING AGREEMENT AND WAIVER

I, , a bona fide student of BUCIT,

Legazpi City and an On-the-Job Trainee under the Supervised Industrial Training Program as required in
________________________________________________________________________, do hereby bind and
obligate myself to comply with the following terms and conditions:

1. That I shall conduct myself at all times for the duration of this training with a high degree of
scholarship, decency, dignity and dependability manifest of a BUCIT student.
2. That I shall comply faithfully with the company rules and regulations of the Cooperating Agency.
3. That any willful violation of such company rules to the termination of my training with the agency,
which termination, however shall be coursed through with the BUCIT, who shall issue a recall order
to that effect.
4. That I shall be liable for any damage to property or injury to any person occasioned by my own
negligence or malicious acts while on training.
5. That I shall renounce and waive my claim against _________________________________
and the Bicol University College of Industrial Technology for any loss that may suffer personally
pecuniary in the performance of my duties or functions while under training.
6. That I am expected to be more skillful and knowledgeable in line with my specialization after the
training.
7. That I shall follow the safety protocols being implemented by the Cooperating Company, Bicol
University, LGU, IATF, DOH and other concerned government agencies to prevent COVID-19
cases.

Signed this ______ day of _____________, ________ at _________________, Philippines.

CONFORME:

______________________________ ___________________________
Student Parent/Guardian

Com.Tax No. ______________ Com. Tax No. __________________

Issued at __________________ Issued at _______________________
Issued on __________________ Issued on ______________________

DR. JONATHAN C. ARROCO

Dean, BUCIT

Com. Tax No. ____________________

Issued at ____________________
Issued on ____________________

Subscribed and Sworn to before me this ______ day ________, __________.

_________________________
NOTARY PUBLIC
Form 3

Republic of the Philippines

Bicol University
COLLEGE OF INDUSTRIAL TECHNOLOGY
East Campus, Legazpi City

OJT TRAINING WORK PLAN

Name of Student-Trainee: __________________________

Name of Company/Agency: _________________________________
Business Address: ____________________________
Start of Training: ____________________________
End of Training: ___________________________
Total Training Hours: ____________________________

Objectives:

1. To enable student to have hands-on experience in industrial and government workplace

with their skills/competencies.
2. To provide the student the opportunity to apply and relate theories, principles, concepts,
methods and skills/competencies learned in the technology course.
3. To familiarize the student with the values application in the nature and demands of work in
the industrial and government organizational set-up.

Tasks/Responsibilities:

The preparation of this plan will not necessarily limit the student –trainee from
performing other assignments which may be required by the needs in attaining objectives of
the agency and the training program.

Areas Activities Skills/Competencies Duration Member

Prepared by: Approved:

________________________ _______________ ___________

Name & Signature of Student-Trainee Name & Signature of Company Supervisor
 Form 4

Republic of the Philippines

Bicol University
COLLEGE OF INDUSTRIAL TECHNOLOGY
East Campus, Legazpi City

PERFORMANCE RATING SHEET

DIRECTION:
The evaluation checklist below shall be used by the Company Supervisor(s) for Student’s
Performance Rating. Please check (√) on the appropriate column that best
describes the trainee with the following ratings:
(5) Excellent-“Always” observed; (4) Superior-Observed “most of the time”;
(3) Very Satisfactory-Observed “often”; (2) Satisfactory-“Occasionally” observed;
(1) Average/Passing-“Rarely” observed; (0) Conditional/Failure-“Never Observed”.

__________________________________ _____________________ ___________________

Name of Trainee Field of Specialization Rating Period

CRITERIA 5 4 3 2 1 0

Work Habits:

Punctuality & Attendance - trainee reports regularly and on time.

Commitment - performs tasks with less supervision with dedication.

Self-discipline - practice self-discipline in his/her work.

Quality of Work - presents a very satisfactory output of work assigned.

Work Skills:

Demonstrate the ability to operate machines and/or equipment used.

Handles the details of the work assigned with diligence.

Shows flexibility, whenever the need arises in the process of going

through the task.

Fully understand the connection of the task to intervening or previous

& subsequent tasks.

Social Skills:

Shows respect and courtesy in dealing with superiors and peers.

Willing to help others, when necessary, in the performance of the task.

Capable of learning from and listening to co-workers.

Shows emotional maturity with poise, self-confidence and is always

well-groomed.

COMMENTS/OBSERVATIONS:
__________________________________________________________________________________
_________________________________________________________________________________

_________________________________
Name & Signature of the Company Rater
Equivalent Rating:
60 = 1.0 59–54 = 1.25 53–48 = 1.50 47–42 = 1.75 41–36 = 2.0
35–30 = 2.25 29–24 = 2.50 23–18 = 2.75 17–12 = 3.0 11–below = 5.0
 Form 5

Republic of the Philippines

Bicol University
COLLEGE OF INDUSTRIAL TECHNOLOGY

TRAINEE’S ASSESSMENT FORM

Cooperating Agency: ____________________ Department Section: _____________

Business Address: ___________________________________________________________

Instruction: This is an assessment of your On-the-Job Training experiences. Please rate the items as
honest as you can. Please [✓] check the number corresponding to the following:
(5) Very Adequate; (4) Adequate; (3) Inadequate; (2) Very Inadequate; (1) Not Applicable.
CRITERIA 5 4 3 2 1
Company Rules & Regulations:
1. Was the orientation on the general rules, policies and regulations of the
company
thoroughly conducted?
2. Were the rules, policies and regulations well defined and appropriate for
your status
as student-trainees?
3. Do you feel that the rules, policies and regulations imposed during the
training
developed a part of your personality?
4. How would you rate the implementation of the rules, policies &
regulations
of the company?
Work Assignment & Supervision:
1. Is the work assigned to you appropriate for your technology?
2. How would you rate the time you spent in fulfilling your tasks assigned
to you?
3. How effective was the supervision of the training program?
4. Have you experienced fair treatment as a student-trainee?
Relevance of the Training:
1. How helpful your technology subjects been providing you with the
technical know-how?
2. How would you assess your performance in terms of work output?
3. Are you satisfied with the training program in terms of the training
hours?
4. How relevant is the OJT training to your course and field of
specialization?

Comments:
__________________________________________________________________________________________
__________________________________________________________________________________________
Suggestions:
__________________________________________________________________________________________
__________________________________________________________________________________________
Recommendations:
__________________________________________________________________________________________
__________________________________________________________________________________________

__________ ___ ___________ ____

Name & Signature of Student-Trainee Field of Specialization Date
 Form 6

Republic of the Philippines

Bicol University
COLLEGE OF INDUSTRIAL TECHNOLOGY
East Campus, Legazpi City

FACILITATOR’S OBSERVATION FORM

Name of Student-Trainee _______________________________ Course _____________

Cooperating Agency: ____________________ Department Section: _____________

Instruction: This is an assessment tool for the Facilitators during the Midterm and/or Final
monitoring.
(5) Outstanding; (4) Very Satisfactory; (3) Satisfactory; (2) Fair; (1) Poor.

AREA TO BE RATED 5 4 3 2 1
Student-Trainee:
1. Student-Supervisor interaction
2. Preparedness and readiness
3. Technical skills acquired/developed
4. Communication and other skills acquired
Company Supervisor:
1. Mastery of work assignment
2. Provides careful work instructions
3. Shows promotion of desirable work habits and attitudes
4. Demonstrate fair treatment to student-trainees
Learning-Training Environment:
1. Free from distraction
2. Lighting and Ventilation
3. Cleanliness and Orderliness
4. Adequacy of Facilities

Comments:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________

Recommendations:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________

____________ _ ______________
Name & Signature of Facilitator Date

NOTE: Form 6 is an attachment of the OJT Monitoring Report.