Republic of the Philippines CEBU TECHNOLOGICAL UNIVERSITY MAIN CAMPUS ON-THE-JOB TRAINING JOURNAL _______________________________________ Name of Cooperating Agency _______________________________________ Address of Cooperating Agency Submitted to OJT Department Cebu Technological University _______________________________________ Campus/College Cebu, Philippines _______________________________________ Name Course: _______________________ Year & Major: ______________ Program: _______________ _________________________________ Date Submitted APPROVAL SHEET A journal of “ON-THE-JOB TRAINING: ______________________________________” prepared and submitted by ______________________________ in partial fulfillment of the requirements for ______________________________________ major in __________________________ has been examined for acceptance and approval. JOURNAL COMMITTEE __________________________ OJT Adviser/Area Coordinator __________________________ Department/OJT Chairman Approved by the Committee with the grade of __________. Accepted and approved in partial fulfillment of the requirements for the <Degree> _______________________________________. ______________________________ Department/OJT Chairman __________________________ Date TABLE OF CONTENT INTRODUCTION SUMMARY / CONCLUSION RECOMMENDATIONS APPENDICES (Pictorials in the Training Area) (Other Documents) PART III FORMS CEBU TECHNOLOGICAL UNIVERSITY A. PERSONAL DATA First Name: Last Name: Middle Name: Course, Major, Yr. & Sec.: Gender: Current Address: Provincial Address: Tel. No.: Birth Date: Civil Status: Citizenship: 2”x2” Photo ( ) Male ( ) Female Age: Mobile No.: Birth Place: Religion: Email Address: B. FAMILY DATA Father: Mother: Occupation: Occupation: C. HEALTH DATA Blood Type: Height: Weight: Health Problems: D. SCHOLASTIC DATA PARTICULAR School: Address: Year Graduated: Honors/Awards Received: E. WORK EXPERIENCES POSITION COLLEGE VOCATIONAL SECONDARY INCLUSIVE DATE COMPANY ADDRESS Address Contact No. F. SPECIAL SKILLS G. CHARACTER REFERENCES (not related to you) Name Position H. IN CASE OF EMERGENCY, PLEASE NOTIFY: Name Comm. Tax Cert. No. Issued At: Issued On: Address _____________________ _____________________ _____________________ Contact No. I HEREBY CERTIFY that the above information is true and correct to the best of my knowledge and belief. ________________________________________ Signature of Student-Trainee CEBU TECHNOLOGICAL UNIVERSITY EVALUATION FORM FOR OJT EXPERIENCE Name of Student-Trainee: Course, Major, Yr. &Section: Name of Cooperating Industry: Name of OJT Supervisor: Inclusive Date: Instructions: Rate your OJT experience according to the criteria by checking the appropriate box corresponding to the rating you provided for each statement. Thank you for your cooperation 5 Strongly Agree 4 Agree 3 Uncertain 2 Disagree 1 Strongly Disagree CRITERIA 5 4 3 2 1 1. It provided me with an educationally meaningful experience. 2. It provided me with assignments related to my field of specialization 3. It provided me with the opportunity to perform progressively more advanced task 4. Company rules and regulations were explained clearly to me. 5. My industry immersion supervisor was reasonable and fair. 6. My industry immersion supervisor periodically discussed my performance with me. 7. My co-workers were friendly and courteous. 8. My industry immersion experience developed my selfconfidence and positive attitudes towards work. 9. It provided me employment opportunity after graduation. 10. The cooperating industry has adequate, modern facilities equipment. Remarks / Suggestions: ________________________________ Student’s Signature _________________________ Date CEBU TECHNOLOGICAL UNIVERSITY PRE-OJT/INDUSTRY IMMERSION CONFERENCES/ORIENTATION/SEMINARS EVALUATION FORM (to be accomplished by the trainee) Name of the Activity: _____________________ Date: ______________ Venue: ____________________ Instruction: Kindly check the appropriate box to indicate your honest and objective evaluation of the activity. RATING CRITERIA Excellent 5 Very Good 4 Good 3 Fair 2 Poor 1 1. Activities 2. Time Allotted 3. Materials/Handouts 4. Facilitators 5. Resource Person/s 6. Participants 7. Venue 8. Over-all Assessment Comments/Suggestions: ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ CEBU TECHNOLOGICAL UNIVERSITY PARENT’S CONSENT I / We, Mr. _____________________ and Mrs. _____________________________ parents/guardian of _________________________________ a prospective Student-Trainee of Cebu Technological University_____________________ Campus, have hereunto grant permission for my son/daughter to undergo ________ hours On-the-Job Training (OJT) in ____________________________________ (agency) which is a requirement for the completion of the course, Academic Year ______________________________ Semester. That we made it known on our continued financial and moral support to our son/daughter during the training. That we shall adhere to any disciplinary action of the school, such as dropping him/her from the rolls of trainees and/or barring him/her from graduation should it be found that he/she is a frequent absence and/or notoriously undesirable trainee. ___________________________________ Signature of Parents/Guardian Waiver THIS IS TO CERTIFY that the CEBU TECHNOLOGICAL UNIVERSITY __________________ and the _______________________________________ are in no way responsible nor shall pay compensation for any accident, harm or injury that me because on our son/daughter during the training, provided all precautionary and preventive measures are being implemented to prevent any accident to happen. It is fully known that we have read and understood all the contents on the parents’ consent and waiver and have signed the same with our voluntary act and deed. Signed this ___________ day of _____________________ 20 ___ in _________________ Philippines. WITNESS: _______________________________________ OJT Chairman/Coordinator NOTED BY; _______________________________________ SAO Director/College Dean/Campus Director CONFORME: _______________________________________ Signature of trainee SUBSCRIBED AND SWORN TO before me this ______ day of ___________________ 20 _______ at _____________________________________________ Philippines.