MEMORANDUM OF AGREEMENT

KNOW ALL MEN BY THESE PRESENTS:

This Memorandum of Agreement is made and entered into by and

between:

The DON HONORIO VENTURA STATE UNIVERSITY (DHVSU) an

educational institution duly recognized and existing under the
laws of the Philippines, through the Office of Career Services,
with main campus address at Cabambangan, Bacolor, Pampanga,
represented herein by its Vice President for Student Affairs and
Services DOLORES T. QUIAMBAO, Ed.D. referred
DOLO to as the FIRST
PARTY. RES
T.
and QUIA
MBA
O,
The (NAME OF HOST TRAINING ESTABLISHMENT) Ed. a company duly
D.
organized under the law of the PhilippinesVice with Department of
Trade and Industry/Securities and Exchange
Preside Commission
Registration No.__________________, with principal
nt for office located
at (COMPLETE ADDRESS) Studen represented
herein by its (POSITION AND NAME OF t THE AUTHORIZED
Affairs
REPRESENTATIVE) referred to as the SECOND PARTY.
and
Servic
WITNESSETH
es
DHVS
WHEREAS, the FIRST PARTY is a state university U which provides,
time and cost-effective training program Author
in different areas,
instituted an Industry Internship whereinizedqualified student
undergo training prior to graduation in Represorder to adequately
familiarize with actual office/industry and entativ
technical operation,
and management to augment their formal learning;e

WHEREAS, the FIRST PARTY allowed its students to undergo

Internship, whereby proposal was accepted and approved subject to
terms and condition provided in this Memorandum of Agreement;
HTE
WHEREAS, the SECOND PARTY accepts the students of the FIRST PARTY
Author
as student interns at various facilities inizedsupport of Student
Internship Program and to supplement the existing
Repres curricula to
strengthen work-related skills of graduatesentativ
to match the needs
and demands of the industry; e

WHEREAS, both parties are cognizant of the need for cooperative

endeavor and are fully aware of the benefits that could be met in
this undertaking;

NOW, THEREFORE, for and in consideration of the above premises,

the parties hereunto have jointly agreed to implement a scheme
designed to achieve their common objective as follows:

A. The FIRST PARTY (DHVSU Main and its Extension Campuses) shall:
1. Provide officially enrolled and qualified students to
undergo Internship for required number of hours to the
SECOND PARTY. (See attached List of Certified Student
Interns);
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 2. Designate Student Internship Program in the Philippines
(SIPP) coordinator to monitor attendance, follow-up on
student interns’ performance and coordinate with the HTE
regarding various activities/requirements under this
DOLO
program; RES
3. Provide the HTE relevant information pertaining
T. to student
interns’ profile and data. (See Endorsement
QUIA papers);
MBA the
4. Orient the student interns regarding Internship
O, Ed.
Program, policies, rules and regulationsD. of the University;
5. Provide the students with Internship Program
Vice journal where
Preside
they will input all their activities/accomplishments for
nt for
the week. Studen
t
B. The SECOND PARTY shall: Affairs
1. Serve as the Host Training Establishment and (HTE) for the
Servic
student interns by providing appropriate training that will
es
develop the necessary skills and mindset DHVS for their chosen
career; U
Author
2. Only accept and accommodate student interns with complete
ized
endorsement papers required in their internship;
Repres
3. Provide student interns an Orientation entativ regarding the
e
agency/industry policies, rules and regulations and its
operation before the start of the internship;
4. Provide Supervised Applied Learning Experience to student
interns;
5. Station student interns strictly within the company
jurisdiction via online platform unless otherwise
Commission on Higher Education (CHED), Department of Health
(DOH), and Inter-Agency Task Force (IATF) on COVID-19
already permitted the face-to-face HTE conduct of Student
Internship Program in the Philippines; Author
6. Enforce and strictly adhere to the IATF ized Health Protocol
Repres
when student interns are occasionally
entativ required to
physically report to the station due to e urgency and the
nature of the work, such as but not limited to submissions
of reports and technical assistance;
7. Render eight (8) hours daily of Internship. (In case there
is a need for an extended hour, student interns can only do
overtime for a maximum of two (2) hours);
8. Not require the student interns to render night shift duty;
9. Assign Training coordinator/supervisor who will take charge
and supervise the student interns while undergoing
internship;
10. Allow the SIPP Coordinator of DHVSU to conduct
actual/virtual visit at least two (2) times in a month to
monitor the status of the student interns and the program;
11. Issue a Certificate of Completion and sealed Performance
Evaluation to student interns after serving the required
number of hours.

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C. FURTHER, the following terms and conditions are likewise
included:
1. The SECOND PARTY (HTE) reserves the DOLO right to discontinue
the Internship of the student interns RES on reasonable
T.
grounds. The discontinuation shall take effect immediately
QUIA
upon receipt of the said notice. TheMBA reasonable grounds
that may be the cause of termination O, Ed. of the student
interns’ training are as follows: D.
Vice
1.1 Habitual absenteeism of the student interns and related
Preside
tardiness; nt for
1.2 Willful disobedience of company
Studen policies and
t
insubordination to lawful order of superior;
Affairs
1.3 Poor health condition, permanent
and disability or
prolonged illness which incapacitatesServic the student
interns from training; es
DHVS
1.4 Theft or malicious destruction of company U property and
equipment; Author
1.5 Inefficiency of performance in the ized HTE for a prolonged
Repres
period despite warning duly given entativ
to the student
interns; e
1.6 Involvement in violence, harassment or other form of
gross misconduct inside the company’s premises;
1.7 Any findings regarding the performance and decorum of
student interns shall be forwarded to the DHVSU Office
of Career Services or can be coursed through to the
assigned SIPP Coordinator for deliberations and
appropriate actions.
2. No dues will be collected from both DHVSU HTE and HTE as the
only reason for such partnership is toAuthor increase the skill-
ized
based competencies of student interns consistent with the
Repres
professional standards. entativ
3. Both Parties shall ensure confidentiality
e of
records/personal information in reference to Republic Act
No. 10173 also known as -“Data Privacy Act of 2012, its
Implementing Rules and Regulations related issuances and
applicable laws”. These records shall only be used for
internship, placement, and research purposes alone. The
Parties agree at all times during and after the term of
this MOA, to keep in strictest physical, organizational,
and technical measures and to take all reasonable
precautions to prevent its disclosure or misuse. Parties
and any of its officers, directors, employees, agents and
representatives shall hold all Confidential and Personal
Information disclosed to it by reason of this MOA
confidential and private and shall not disclose any/such
information to any party subject to legal obligations and
applicable laws. Parties agree not to use Confidential and
Personal Information for any purposes whatsoever other than
for the provisions of this MOA.

D. EFFECTIVITY
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 This agreement shall take effect immediately upon signing
hereof, and shall continue hereafter, either party may terminate
this agreement at any time by serving written notice to the other
party, giving thirty (30) days lead time before intended date of
termination.

DON HONORIO VENTURA STATE (NAME OF HOST TRAINING EST.)

UNIVERSITY

DOLORES T. QUIAMBAO, Ed.D.

Vice President for Student HTE Authorized Representative
Affairs and Services

SIGNED IN THE PRESENCE OF:

SIPP Coordinator HTE Witness

CRISTAL RIO U. MANUEL, MBA

Vocational Placement Coordinator III
Office of Career Services

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 ACKNOWLEDGMENT

Republic of the Philippines)

Province of Pampanga) S.S.
____________________)

SUBSCRIBED AND SWORN BEFORE ME, a Notary Public on this ________

day of _______________, 2022 in
__________________________________
Personally appeared the following:

Name ID TYPE & No. Valid until

Dolores T. Quiambao, Ed.D. Agency ID

__________________________ _____________ ______________

HTE Authorized Representative

Known to me and to me known to be the same person who

executed the foregoing Agreement, and they acknowledged to me
that same is their free and voluntary deed and that of the
government agencies and institution they respectively represent.

This instrument consisting of five (5) pages, including this

page on which the Acknowledgment is written has been signed by
the parties and their instrumental witnesses on each and every
page thereof and refers to an Agreement.

IN WITNESS WHEREOF, I have set my hand and affixed my notarial

seal on the date and at the place first indicated above.

NOTARY PUBLIC

Doc No. :_______________________

Page No. :_______________________
Book No. :_______________________
Series of 2022

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