ICCT COLLEGES FOUNDATION, INC.

Province of Rizal, Region IV-A, PHILIPPINES

SENIOR HIGH SCHOOL DEPARTMENT

April 15, 2024

DANICA GO
Head PT
GO PHYSIO
Triseven Building Nicanor Street
Marikina City

Dear Ms. Go,

Greetings from ICCT Colleges!

Our Institution was established in 1992 and duly recognized by the Commission on Higher Education
(CHED), the Technical Education Skills & Development Authority (TESDA), and the Department of
Education (DepEd) situated with eight (8) campuses in Rizal Province. We promote students'
success by providing them the opportunity to achieve competency in the core disciplines of education
and encouraging them to obtain practical experiences through the Work Immersion Program. We
highly recognize that maintaining strong relationships through internship provides our students with
wide variety of activities that offer :exposures to the current or appropriate tools and techniques at
work.

In this regard, we are requesting your reputable company to accommodate our students whose
names are written below to undergo and complete their Work Immersion Program.

Grade Work Immersion

NAME Track/Strand
Level Hours
ANTHONETTE D. OLEO STEM 12 80

A copy of their OJT Waiver/Agreement Form will be submitted upon acceptance of this request.

Upon the completion of the Stude

nt Internship / OJT Training, may we request your good office to please issue a CERTIFICATE of
COMPLETION detailing the number of HOURS Completed, DEPARTMENT/AREAS they have
rendered their duty, the START and END DATE of the OJT Training and also your office
SIGNATORIES and CONTACT NUMBER. We will provide you an EVALUATION FORM to assess
the performance of our learners during their training in your Company.

We are looking forward to a fruitful relationship with you as our Industry Partner. Thank you very
much and more power!

Truly yours,

MS. ANA LIZA R. KHO, MAT

SHS Principal
School Partnerships Focal Person
 ICCT COLLEGES FOUNDATION, INC.
Province of Rizal, Region IV-A, PHILIPPINES

SENIOR HIGH SCHOOL DEPARTMENT

WORK IMMERSION / ON-THE- JOB TRAINING / AGREEMENT AND LIABILITY WAIVER

KNOW ALL MEN BY THESE PRESENTS:

This Work Immersion / On-The-Job Training Agreement and Liability Waiver, made and executed by

Name (FN, MN, LN): Track / Strand Student Number:

ANTHONETTE DINEROS OLEO STEM HC202200397

Home Address:

Lot 30 Block 13, Southville 9 Phase 1, Brgy. Pinugay, Baras, Rizal

Filipino of legal age hereinafter referred to as OJT TRAINEE/STUDENT INTERN.

- and -
Company Name: Business Type: Years of Operation:

GO PHYSIO Private Rehabilitation 1

Office Address:
Triseven Building Nicanor Street, Marikina City

herein referred to as WORK IMMERSION VENUE (WIV)

WITNESSETH

THAT, the ICCT COLLEGES FOUNDATION, INC. or ICCT Colleges of which school the OJT
Trainee/Learner Intern is a student, has requested the WIV to allow OJT Trainee to undergo on-the-job
training / practicum for a minimum of 80 hours as part of his/her academic requirement.

THAT, the WIVis willing to accommodate the request of ICCT Colleges and to allow the OJT Trainee to
undergo practical training, subject to the following terms and conditions:

1. During the period of his/her on-the-job training/practicum, the HTE shall not be bound to pay the OJT
Trainee any salary, allowance or compensation but may do so if it wishes;
2. The OJT Trainee shall abide by all rules and regulations observed by the HTE employees during
his/her on-the-job training/practicum with the COMPANY and shall exercise care and diligence in the
task assigned to him/her;
3. The WIV shall not in any way be held liable for injury/ies and/or accident/s that the OJT Trainee may
suffer in the course of his/her training;
4. The WIV shall be held free and harmless from any liability for damage or injury to third parties which
may be occasioned by intentional or negligent act by the OJT Trainee;
5. The OJT Trainee or if a minor, his/her PARENT/GUARDIAN binds himself/herself to indemnity the WIV
for damages which may be caused on any property by the OJT Trainee intentional or negligent acts;
6. It is clearly understood that during the period of his/her training and presence in the COMPANY, no
employer-employee relationship exists between the OJT Trainee and the COMPANY;
7. This WORK IMMERSION /ON-THE-JOB TRAINING AGREEMENT AND LIABILITY WAIVER will be
in effect for the whole duration of the training.

IN WITNESS WHEREOF, I/We have affirmed my/our signature(s) hereunto on the date mentioned below at
Cainta, Rizal, Philippines.

OJT Trainee Parent/Guardian Company Representative School Representative

ANTHONETTE D. OLEO HERNANE T. OLEO JR DANICA GO MS. ANA LIZA R. KHO,

MAT
Date: Control Number:

ICCT COLLEGES FOUNDATION, INC.

Province of Rizal, Region IV-A, PHILIPPINES

SENIOR HIGH SCHOOL DEPARTMENT

Work Immersion Program

List of Task or Activities

Student Name (LN, FN, MI) Track/Strand Student No.

OLEO, ANTHONETTE D. STEM HC202200397
Duration of Work
Work Immersion Venue Immersion

GO PHYSIO 80 hrs.
School Partnerships Focal Person Contact No.

955-62-84
MS. ANA LIZA R. KHO, MAT
Loc. 235

Work Immersion Teacher Contact No.

MS. ANNA RUTH DE GUZMAN 0908-990-3917
MR. MARVIN PALARAN 0985-128-4415
MS. JOCELLE B. TUAZON 0977-237-7384
List of Tasks or Activities

Competencies Tasks or Activities Time Allotment Actual Schedule Remarks

Students shall not be given other activities outside of those previously agreed upon, which are
anchored on the stated competencies

Certified true and correct:

ANTHONETTE D. OLEO HERNANE T. OLEO JR

Parent's Signature Over Printed
Student's Signature Over Printed Name
Name

JOCELLE B. TUAZON DANICA GO

Work Immersion Teacher's Signature Over Industry Supervisor's Signature
Printed Name Over Printed Name