Teaching Internship Contract/Agreement

This agreement is made and entered into by and between:

City of Malabon University-College of Teacher Education of Pampano St., Brgy. Longos, City of Malabon,
represented herein by Dr. Jose M. Rapsing, LPT, Dean of the College of Teacher Education, hereinafter referred
to as the Higher Education Institution (HEI).
and

Charisse Ann F. Leliza, a student officially enrolled in Teaching Internship at City of Malabon University,
with address at 21 Luis Street, Brgy Panghulo Malabon City, hereinafter referred to as the Student Intern (SI).

and

Dr. Emelbon S. Mayrina, School Principal of Ninoy Aquino Elementary School, a school duly organized and
existing by virtue of the laws of the Republic of the Philippines with address at Maya-maya St., Kaunlaran
Village, Longos Malabon City, hereinafter referred to as the Host Training Establishment (HTE).

WITNESSETH

I. PURPOSE OF THE AGREEMENT

A. Goals and Development of specific skills
It is the desire of the parties herein involved to afford the student the required skill necessary
for the advancement of Education student.

B. Scope of the Agreement

To provide the student intern an opportunity to apply relevant knowledge and skills acquired
from formal education to actual work setting through employer-based training in a Host Training
Establishment;

To provide the student intern an opportunity to learn technical and life skills, practical
knowledge, skills and competence;

To provide the student intern an opportunity to acquire professional work ethics in the course
of internship;

To enrich the degree program of the Higher Education Institution to respond to the needs of the
industry;

To strengthen academe-industry linkage through cooperation and participation in the student

internship program.

C. Key Contacts
The key contacts for parties involved are the following:

Name Contact Number

Host Training Institution Ninoy Aquino Elementary School (63) 2 922-5463
Parents/Guardian of Student Intern Charlene F. Leliza 09776732334
SIPP Coordinator Zenaida S.D Singson LPT,Ed.D 09688842431

II. PERIOD
 The internship is for a period of four hundred eighty hours. It will start on _________________ and will
end on ______________________.

III. ROLES AND RESPONSIBILITIES

A. Higher Education Institution:
1. Ensure the student will acquire actual and relevant competencies in accordance in their
respective areas of assignment;
2. Provide student a pre-internship orientation;
3. Screen and deployed student certified fit to undergo student internship to partner Host
Training Establishment;
4. Provide the student intern appropriate insurance coverage during the duration of the
internship;
5. Assign Student Internship Coordinator to oversee the implementation, monitoring,
evaluation and coordination with the student interns and the Host Training
Establishment;
6. Issue final grade to student interns after completion of the internship.

B. Student Intern:
1. Sign and submit all the documents required for participation and completion of the
student internship program;
2. Comply with the provisions of the contract including the rules and regulations of the
Higher Education Institution, Host Training Establishment and Commission on Higher
Education;
3. Undergo orientation and medical examination;
4. Maintain confidentiality when required by the Host Training Institution.
C. Host Training Establishment:
1. Assign a faculty to handle all aspects of the school’s participation in the internship
program;
2. Orient the student about safety precautions as well as policies and programs prevailing
in their workplace.
3. Develop the personality and professionalism and protect the student from physical and
moral danger;
4. Provide practical and supervised training in accordance with agreed internship plan and
schedule of activities;
5. Provide monitoring and evaluation reports and other information on student intern
performance;
6. Issue certificate of completion to the student two (2) weeks after the completion of the
internship.
IV. PLACE OF ASSIGNMENT
 The student intern place of assignment is as follows:
School : _______________________________
Grade/Year Level : _______________________________
Assigned Mentor : ______________________________

V. COMPENSATION AND BENEFITS

5.1 The Host Training Establishment may provide the student intern during the period of internship
with the following compensation and benefits. It is understood that any amount specified across the
benefits, mentioned below, is construed to be the amount the Host Training Establishment have
committed to provide the student intern during the period of internship.

1. Allowance ___________
2. Duty Meals ___________
3. Uniform ___________
4. Insurance ___________

5.2 Honorarium for the Cooperating Principal and Cooperating Teacher.

 That the cooperating principal shall receive an honorarium not exceeding one thousand peso
(Php1,000.00) per semester for accommodating Practice Teachers and Field Study Students
assigned to his/her school; the amount will be delivered directly to the Cooperating Principal
concerned; and the amount will be reviewed regularly;
 That the Cooperating Teacher (CT) will be given financial renumeration in the amount of
Php 300.00 computed on the basis of the number of Practice Teachers (PTs) handled in a
quarter/semester; the amount will be delivered directly to the Cooperating Teacher (CT)
concerned: and the amount will be reviewed regulary;

VI. CONFIDENTIALITY AGREEMENT

The student intern shall not, without prior written consent from Host Training Establishment,
disclose or divulge to other schools, entities or individuals, competitor or otherwise or reproduce any
confidential information and any other record or information relating to the undertakings, businesses
and operations of the Host Training Establishment or whether or not these have yet to be
implemented or undertaken in the future as long as the student intern has actual or constructive
knowledge of such undertakings, businesses and operations during the period of internship or within a
period of six (6) months from completion of the internship.
IN WITNESS WHEREOF, the parties hereto sign this agreement this ____ day of _______________ 2024.

City of Malabon University-College of Host Training Establishment

Teacher Education by:
by:

___________________________
_____________________________
JOSE M. RAPSING, LPT, PhD Dr. EMELBON S. MAYRINA
Dean, College of Teacher Education School Principal
 CHARISSE ANN F. LELIZA
Student Intern

Witnesses:

Prof. Ma. Luisa V. Tongco, LPT ____________________________

Program Chair, CMU-CTE Teacher-HTE

ACKNOWLEDGMENT

Republic of the Philippines }

______________________ } s.s.

BEFORE ME, personally appeared the following persons:

Name Competent Evidence of identity

___________________________ ________________

___________________________ ________________

___________________________ ________________

Known to me and to me known to be the same persons who executed and signed the foregoing instrument
and acknowledged to me that the same is their voluntary act and deed and that they are authorized to sign in
a representative capacity, if signing as such.

NOTARY PUBLIC
Doc. No. ____________
Page No. ____________
Book No. ____________
Series of ____________