Republic of the Philippines

UNIVERSITY OF SOUTHERN MINDANAO

Kabacan, Cotabato
College of Business, Development Economics, and Management
DEPARTMENT OF BUSINESS ADMINISTRATION
INFORMATION SHEET OF STUDENT-TRAINEE
A. PERSONAL INFORMATION
Name

: __________________________________________

Nickname

: __________________________________________

Gender

: __________________________________________

Date of Birth

: __________________________________________

Place of Birth

: __________________________________________

Home Address

: __________________________________________

USM/Campus Address

: __________________________________________

Contact Number

: __________________________________________

Name of Parents:
Father

: __________________________________________

Mother

: __________________________________________

B. OJT INFORMATION
Name of Cooperator

: __________________________________________

Address

: __________________________________________

Contact Person(s)

: __________________________________________

Position/Decision

: __________________________________________

Contact Number

: __________________________________________

C. PERSON(S) TO BE NOTIFIED IN CASE OF EMMERGENCY:

Name

: __________________________________________

Relationship

: __________________________________________

Address

: __________________________________________

Contact Number
Telephone No.

: __________________________________________

Mobile Phone No.

: __________________________________________

I hereby certify that all information written here are true and correct to the best of my knowledge.

______________________________
Signature of Student-Trainee

Republic of the Philippines

UNIVERSITY OF SOUTHERN MINDANAO
Kabacan, Cotabato
COLLEGE OF BUSINESS, DEVELOPMENT ECONOMICS, AND MANAGEMENT

WAIVER OF RIGHT

This is to certify that I, ___________________________________________________

of legal age, Filipino and presently residing at

______________________________________

_____________________________________________________________________________
granted my son/daughter to have his/her On-the-Job Training (OJT) at ____________________
___________________________________________ from

____________________________

until the completion of the required hours for his/her OJT.

I further certify/affirm that the _____________________________________________
is no way responsible or shall pay compensation for accident, harm or injury that may be caused
on his/her person during the training.
I also certify that he/she has voluntarily signified his/her intention to undergo OJT as
evidenced by his/her signature which affixed below together with my/our signatures/s.
Signed and issued

___________ day of

__________________ 2014 at

_____________________________________________________________________________.

_______________________________

_______________________________

Trainee

Parent/Guardian/Spouse

WITNESS

_______________________________

_______________________________

EVALUATION SHEET

Name of Student-Trainee

: ____________________________________________________

Cooperating Agency

: ____________________________________________________

Address

: ____________________________________________________

Area of Assignment

: ____________________________________________________

Training Period

: ____________________________________________________

Write the grades in figures which best describe the trainees performance.
CRITERIA

ALLOWABLE
POINTS
10%

1. Attendance and Punctuality

2. Work Behavior

RATING

30%

a. Projects positive attitude towards work (10%)

b. Resourcefulness and initiative (10%)
c. Shows quality workmanship (10%)
3. Interest on the job

10%

4. Personal relation with others

10%

5. Reliability/Honesty

10%

6. Leadership potentials

10%

7. Mastery of the job (Subject Matter)

20%

TOTAL POINTS/RATING

100%

Grade Equivalent:
_________________
Remarks:
____________________________________________________________
____________________________________________________________
____________________________________________________________

GRADE EQUIVALENT:
98 95 92 89 86 83 80 77 74 73 and

100
97
94
91
88
85
82
79
76
below

1.00
1.25
1.50
1.75
2.00
2.25
2.50
2.75
3.00
5.00/Failed

____________________________________
Printed Name and Signature of Evaluator

____________________________________
Official Title or Designation