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(Replace with COMPANY LETTERHEAD

or COMPANY LOGO AND NAME HERE)

COMPANY PROFILE SHEET


(For UPVSB MIDYEAR INTERNSHIP PROGRAM 2019)

Registered Company Name

Registered Address

Telephone Number/s
Corporation Sole Proprietorship
Type of Company (check one)
Partnership Others ______________________
Industry (e.g., Manufacturing,
BPO, Pharmaceuticals,
Advertising, etc.)
SEC / DTI / CDA Registration
Number
Date of Registration
Number of Employees
(Philippines only)
Do you provide allowances Yes
Number of Internship Slots (meal, transportation, etc.) to
No
interns?
Yes
Office Hours for Interns Possibility of working overtime?
No

As internship partner of the UP Virata School of Business (UPVSB), we agree to abide by UPVSB’s
Internship Guidelines:

1. The internship program shall be for a minimum of 200 hours under professional
supervision and shall end not later than 19 July 2019 (Friday);
2. The internship shall be offered only to students whose parents or relatives (up to
the second degree of affinity or consanguinity) have NO personal or material
financial interest in the company (e.g., owners, executives, directors, etc.);
3. The company shall ensure safe working conditions at all times and undertake to
provide payment for injuries or death if found liable for gross negligence or
willful misconduct;
4. The company shall allow the Internship Coordinator to visit the intern at the
workplace, with prior notice, and discuss with the supervisor issues regarding the
intern or the internship program;
5. Upon completion of the internship, the company shall submit to the Internship
Coordinator an Intern Evaluation Form.

Name of Authorized
Signature
Company Representative
Position Date
Telephone Nos. & Email
(Replace with COMPANY LETTERHEAD
or COMPANY LOGO AND NAME HERE)

CERTIFICATION OF ACCEPTANCE OF INTERN


Dr. Ivy D.C. Suan
Undergraduate Programs Director
Rm. 107 UPVSB
UP Diliman, Quezon City 1101

Dear Dr. Suan:

This confirms the acceptance of the following student as intern in our company.

Name of Intern
From
Internship Period
(MM-DD-YYYY)
To
(MM-DD-YYYY)
Unit / Division
Office Location

Tasks / Responsibilities *
(provide details)

Name of Supervisor
Position of Supervisor
Telephone Nos. of
Supervisor
Email of Supervisor
* Provide details of the intern’s tasks and responsibilities. Please be specific; generic descriptions such
as Marketing, Financial Analysis, or similarly-worded tasks are not accepted. We reserve the right not
to deploy students to companies without a planned internship program.
** Duplicate the above table if accepting more than one intern.

As internship partner of the UP Virata School of Business (UPVSB), we agree to abide by UPVSB’s
Internship Guidelines as detailed in the Company Profile Sheet. We understand that any violation of the
guidelines may be a ground for termination of the student’s internship at any time and possible
termination of partnership in future programs of UPVSB.

Sincerely yours,

Name of Authorized
Signature
Company Representative
Position Date
Telephone Nos. & Email

(DELETE THIS PART BEFORE PRINTING): Please submit the duly-accomplished Company Profile Sheet and
Certification of Acceptance to the UPVSB Undergraduate Programs Director on or before Monday, 20 May 2019
by mailing the documents to the address above or by giving the forms to the student. Original copies must be
submitted on or before Monday, 3 June 2019).
REPUBLIC OF THE PHILIPPINES
QUEZON CITY

WRITTEN CONSENT

I, _________________________, parent/legal guardian of student-trainee


_________________________ taking up BA 199 (Midyear 2019) under the Internship
Program conducted by the U.P. Cesar E.A. Virata School of Business in cooperation with
<NAME OF COMPANY>, hereby give my full consent to my dependent’s participation in
this internship program. I further acknowledge the benefits and relevance of the program to the
course and the risks that cannot be eliminated during the internship program.

IN WITNESS WHEREOF, I have hereunto set my hand on this _____ day of _______ at
________________ City.

_______________________
Parent/Legal Guardian

SUBSCRIBE AND SWORN to before me this ______ day of _______________ at Quezon


City.

Doc. No. _________:


Page No. _________:
Book No._________:
Series of 2019.
University of the Philippines Diliman
U.P. Cesar E.A. Virata School of Business
Department of Business Administration

(Adapted from CMO No. 104, Series of 2017)

INTERNSHIP CONTRACT/AGREEMENT
(SAMPLE)

The Internship Contract/Agreement may include among others, the following provisions:

I. PURPOSE OF THE CONTRACT/AGREEMENT

This section states the big picture of why and how the parties came together and
includes:

1. Name of parties involved


2. Goals and the development of specific skills
3. Brief description of the scope of agreement
4. Key contacts for each party involved

II. PERIOD

It covers the duration of the internship from the date started up to the last day of
the contract. This segment identifies the effective date of the contract, its term (if
there is one), and how the agreement can be modified or terminated.

III. DETAILED DESCRIPTION OF ROLES AND RESPONSIBILITIES

This section identifies the mutual and joint responsibilities (collaborative tasks)
and the expected result of those joint efforts. In addition, it lists the specific roles
and responsibilities of each entity in accordance with the provisions stipulated in
the approved Memorandum of Agreement (MOA) entered into by and between
the College/Academic Unit and Host Training Establishment (HTE) and the CHED
guidelines on SIPP.

IV. PLACE OF ASSIGNMENT

This section clarifies the place of assignment at the particular HTE.

V. INTERNSHIP PLAN

This section contains the outlined goals and objectives, knowledge, skills, and
competencies that the student intern should acquire in each training area,
assignment, and schedule of activities, among others.
VI. COMPENSATION AND BENEFITS

Under this section, the following provisions may be included among others:

1. Allowance
2. Lodging
3. Duty Meals
4. Uniform
5. Insurance
6. Working Hours
7. Days Off

VII. CONFIDENTIALITY

The Agreement, as well as its terms and conditions herein shall be held in strict
confidence and that no portion or part hereof may be reproduced or be revealed
to any personnel or entity other that the signatories herein or their authorized
representative.

VIII. SIGNATURES OF PARTIES’ PRINCIPALS

Finally, to demonstrate agreement with the terms of the contract, spaces are
provided for the names and signatures of an official from each party who is
authorized to approve agreements on the party’s behalf. A space for the date the
agreement was signed is also required. The agreement is not in effect until all
parties have signed the contract. Each party should then be provided with a
signed original and duly notarized contract.

The signatories shall include:


(1) Student Intern;
(2) Host Training Establishment Representative
(3) Ivy D.C. Suan, Undergraduate Programs Director, U.P. Cesar E.A. Virata
School of Business, University of the Philippines Diliman (Internship Supervisor);
and
(4) Parent/Legal Guardian