> Rest assured that all the data collected

WIP F-4 should remain confidential as stipulated on

the Data Privacy Act (DPA Form) and solely
use for the Work Immersion Program.
> Furthermore, we properly dispose of
these data immediately after four years.
UNIVERSITY OF THE EAST-CALOOCAN
Philippines
WIP INFORMATION AND MONITORING
Name of Student: ________________________________________
(Last Name, First Name, Suffix, Middle Name)

Student Number: _______________ Track: ___________________

Section:_____________ Subject Teacher:____________________
Type of Work Immersion: On-Campus Off-Campus
Name of Cooperating/Industry/Office:
______________________________________________________

Start of Training: ____________________ TIME: ______________

(MONTH / DD / YYYY)

End of Training: ____________________ DAY: _______________

(MONTH / DD / YYYY)

MONITORING SCHEDULE
(This portion shall be filled-out by the Faculty-In-Charge)
Date Time Remarks Signature (Company
Representative/ WI
Facilitator) Signature of Student

Prepared by: ______________________________ Signature and Date: ______________________

Noted by: ________________________________ Signature and Date: ______________________

Approved by: ______________________________ Signature and Date: ______________________