Polytechnic University of the Philippines

COLLEGE OF COMPUTER MANAGEMENT AND
INFORMATION TECHNOLOGY
Taguig Campus

INFORMATION SHEET OF TRAINING PARTNER

Training Partner
Address
Department/Section
Contact No.
Service Offered/Category
Contact Person
Cellphone No.

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_________________ Fax No.
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Training Supervisor
Contact No.
Cellphone No.

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_________________ Telefax
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_________________ Email Add : _________________

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Name of Trainee
Address
Department/Section
Contact No.
Cellphone No.

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_________________ Email Add : _________________

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Agreed Practicum Schedule :

Days: ________________

Time:

Date Started Practicum
Target Completion Date

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Practicum Coordinator

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E-mail Address Skills : ______________ Age : _____ Birthplace : __________ : _______________________ Mobile Phone No. : ________________________________________________________________ PRACTICUM COORDINATOR COPY .Polytechnic University of the Philippines COLLEGE OF COMPUTER MANAGEMENT AND INFORMATION TECHNOLOGY Taguig Campus STUDENT INFORMATION SHEET Student Number Name : : ____________________ _____________________________________________________ Last First Middle Gender Civil Status City Address : ( ) Male ( ) Female Nationality : ________________ : ( ) Single ( ) Married : __________________________________________________________ ______________________________________ Zip Code: ________ Provincial Address : __________________________________________________________ ______________________________________ Zip Code: ________ Birthday Telephone No. : __________ : _______________________ : __________________________________________________________ : __________________________________________________________ Information Technology/ Computer Science Subjects Completed: First Year Second Year Third Year RELATIVE in Case of Emergency Name Address : ________________________________________________________________ : ________________________________________________________________ ________________________________________________________________ Relationship : _________________________ Telephone No. : _____________________ Contact No.

: ________________________________________________________________ TRAINING AGENCY SUPERVISOR COPY .Polytechnic University of the Philippines COLLEGE OF COMPUTER MANAGEMENT AND INFORMATION TECHNOLOGY Taguig Campus STUDENT INFORMATION SHEET Student Number Name : : ____________________ _____________________________________________________ Last First Middle Gender Civil Status City Address : ( ) Male ( ) Female Nationality : ________________ : ( ) Single ( ) Married : __________________________________________________________ ______________________________________ Zip Code: ________ Provincial Address : __________________________________________________________ ______________________________________ Zip Code: ________ Birthday Telephone No. : _____________________ Contact No. : __________ : _______________________ : __________________________________________________________ : __________________________________________________________ Information Technology/ Computer Science Subjects Completed: First Year Second Year Third Year RELATIVE in Case of Emergency Name Address : ________________________________________________________________ : ________________________________________________________________ ________________________________________________________________ Relationship : _________________________ Telephone No. E-mail Address Skills : ______________ Age : _____ Birthplace : __________ : _______________________ Mobile Phone No.

of hours: _____________ Please classify each activity as Systems Analysis and Design (SAD). System Testing. System Maintenance. Programming. DATE __________________________ __________________________ ACTIVITIES DESCRIPTION . Web Design. Research.Polytechnic University of the Philippines COLLEGE OF COMPUTER MANAGEMENT AND INFORMATION TECHNOLOGY Taguig Campus WEEKLY REPORT ON PRACTICUM ACTIVITIES Practicum Student : _____________________________ Year and Section: ___________ Name of Training Partner : ____________________________________________________ Department/ Section : ____________________________________________________ Training Supervisor : ____________________________________________________ Date : ________________________ Time (In/ Out): ___________________________ Total no. Networking or Others. IT documentation.

Has the ability to motivate others to cooperate towards a goal without becoming uncongenial and negative to his/her interpersonal communication. has energy. reasoning. Has the willingness to handle jobs positively and vigorously. feelings. and customer personnel. Does not openly show emotions related to attitudes. Has the persistency to complete tasks. integrating. Likes to associate with people positively. Makes an effort to find a work to confront problems even if no instructions are received from other people. Basic Ability ABILITY ITEM Logical Thinking Vitality Leadership Independence Stability Perseverance Sociability DESCRIPTION Excel in the ability to build a concept by analyzing. Has a sufficient knowledge of etiquette and politeness and observe certain moral and standards. Associate well with people including colleagues’ superiors. and making decisions. doing things systematically. An effort is made to maintain a composed and positive attitude towards work. PERCENTAGE . or acts. subordinates.Practicum Student Signature Practicum Supervisor Signature Polytechnic University of the Philippines COLLEGE OF COMPUTER MANAGEMENT AND INFORMATION TECHNOLOGY Taguig Campus Name of Practicum Student : Name of Training Partner : Department/ Section : Training Supervisor : Address : Position : Telephone Number : ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ _______________________ I.

Attendance Always Most of the Time Seldom 1. Write skillfully and concisely without redundancy. Report for work on time 2. . Persuades others with confidence but maintaining respect for the position of negotiating party. III. Continually proposes ideas that are not conceived by other people. Present during scheduled dates B. has a style of narration which makes the other party at ease and motivates them to act. Business Processing Ability ABILITY ITEM Ability to plan Ability to negotiate Ability to document Ability to communicate Creativity DESCRIPTION PERCENTAGE Always gathers information through various channels. Specify Practicum Student’s strengths and areas for professional growth. Other Items for Consideration A. difficult words in ambiguous expressions are avoided. Jobs done by Practicum Student _____________________________________________________________________________ _ _____________________________________________________________________________ _ _____________________________________________________________________________ _ _____________________________________________________________________________ _ C. Works on time 3.Polytechnic University of the Philippines COLLEGE OF COMPUTER MANAGEMENT AND INFORMATION TECHNOLOGY Taguig Campus II. Conveys his/her intentions to others. makes assessments of situations changes and incorporates them into his/her flexible planning.

The agency provided a favorable work experience in accordance with the objectives set for the Practicum Training Program 2. 5. 3. 7._____________________________________________________________________________ _ _____________________________________________________________________________ _ _____________________________________________________________________________ _ _____________________________________________________________________________ _ ____________________________________ Printed Name and Signature of Evaluator ______________________ Position ___________ Date Polytechnic University of the Philippines COLLEGE OF COMPUTER MANAGEMENT AND INFORMATION TECHNOLOGY Taguig Campus Practicum Student’s Evaluation of Training Partner and Training Supervisor Practicum Student Training Partner/ Agency Department/ Section Training Supervisor Rating Code: : : : : _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ 5 – Strongly Agree 4 – Agree 3 – Neutral 2 – Disagree 1 – Strongly Disagree 1 1. I was assigned a competent training supervisor. 6. The agency usually incorporates ethical practice in all their dealings. The agency created a climate conducive to learning and facilitated the use of resources to help meet my learning needs 4. The agency provides varied learning experiences for me. The agency recognizes the importance of the Practicum training Program. My training supervisor was effective in helping me improve my IT and Communication Skills. 2 3 4 5 .

8. I was treated like a professional. In the space below. 9. I would recommend this Training agency to others. write your important learning’s and recommendations: _____________________________________________________________________________ _ _____________________________________________________________________________ _ _____________________________________________________________________________ _ _____________________________________________________________________________ _ Signature: ______________________________ Date of Evaluation: ______________________ .