OJT Form No.

3, s2018

UNIVERSITY OF THE EAST

INFORMATION AND MONITORING FORM

The collection of data is for the purpose of monitoring the OJT students. 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.

PERSONAL INFORMATION:
Name :

Course: Major:
Paste or upload
Faculty-In-Charge: your
2” x 2”
Contact Information: photo here
Tel. Nos. Res. / Cellphone:

E-mail Address:

Person to contact in case of emergency & Contact No.:

OJT INFORMATION:
Name of Cooperating Company:

Address:

Department/s Assigned & OJT Supervisor:

Official Reporting Days & Time:

Starting Date: Target Completion Date:

UE-OJT- UE-OJT- UE-OJT- UE-OJT- UE-OJT- UE-OJT- UE-OJT- UE-OJT- UE-OJT- UE-OJT- UE-OJT- UE-OJT

(This portion shall be filled-out by the Faculty-In-Charge)

MONITORING REPORT (Remarks/Feedbacks)
1. Progress of students:

2. Problems, if any:

3. Other observation/recommendation:

Quantitative Rating: _________ (Rate from 1-10, with 10 as the highest)

Prepared by: ____________________________ Noted by: _______________________

Faculty-In-Charge OJT Coordinator