OJT Form No.

1, s2018

UNIVERSITY OF THE EAST

APPLICATION FORM FOR ON-THE-JOB TRAINING

The collection of data is for the purpose of applying for OJT. By signing this form, you are certifying that all
information provided are true and correct and likewise authorizing this office to process your information.
Your accomplished form will be kept in a secure place and will be disposed after five years.

_________________
Date
The Dean
College of __________________

Dear Dean __________________:

I would like to apply for deployment in the On-the-Job Training Program for the
_____Semester/Summer, SY 20__ - 20___. The following are the particulars about me.

I. PERSONAL DATA
Name: ___________________________________Student No. _______________
Course: __________________________________Sex: _____________________
Civil Status: _____________ Religion: _________ Mobile No. ________________
Home Address: _____________________________________________________
Telephone No.: __________________________ Email Address:______________
Resume Link: ______________________________________________________
Name of Father: _________________________ Occupation: _________________
Name of Mother: _________________________ Occupation: ________________
Company/Company Address: __________________________________________

II. PREFERENCE FOR DEPLOYMENT

Company: _________________________________________________________
Address: __________________________________________________________
Contact Person: ____________________________________________________
Position: _________________________ Tel. No. __________________________

_______________________________________
Signature over Printed Name of the Student

Evaluated and recommended by: Approved by:

__________________________ __________________________
OJT Coordinator Dean

IMPORTANT: Immediately submit 1 copy of the approved application form to the OJT Coordinator
Attachments: 1) Computer Generated Evaluation List; and
2) Department Chair’s Certification of Completed OJT Pre-requisite