STP Form No.

001

DSWD STUDENT TRAINING PROGRAM

STUDENT INFORMATION SHEET
Name: __________________________________ Nickname: _____________________
Age: ___________________________________ Birthday: ______________________
Civil Status: ____________ Course & Year: __________________________________
Name of Faculty Supervisor: _______________________________________________
School: ________________________________________________________________
Home Address: __________________________________________________________
Telephone No.: __________________________________________________________
Preferred work assignments for the field placement or on-job-training (list specific tasks
which you are personally interested in):

Expectations on:
A. Field Placement or On-the-Job Training (OJT) Activities

B. Agency Field Instructor (AFI)

C. Self- Expectation Upon Completion of Placement or OJT