SAINT LOUIS UNIVERSITY

SCHOOL OF ACCOUNTANCY AND BUSINESS MANAGEMENT

DEPARTMENT OF FINANCIAL MANAGEMENT

PERSONAL DATA SHEET

Name: _________________________________________________
ID number: ____________________________
Date of Birth: __________________________
Address for Communication: _______________________________________________________
_______________________________________________________
Mobile Number: ____________________________________
E-mail: ___________________________________________
Person to contact in case of emergency: _______________________________________________
Phone Number: _______________________________

Academic Schedule for this Semester:

Subject WF TTHS Room

Name of Cooperating Agency: __________________________________________

Head of Cooperating Agency: __________________________________________
Contact Number of Agency: ___________________________________________

On-The-Job Training Schedule:

Days Inclusive Time
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

I promise to render the inclusive time indicated above to my cooperating agency. Non-
compliance on my part to render said time shall mean a penalty of twice (2x) the number of hours and
minutes of my unexcused absences, late and undertime.

____________________________________
Printed Name and Signature of Trainee

Noted by:

_______________________________________
Printed Name & Signature of Practicum Adviser

_______________________________________
Printed Name & Signature of Agency Head