Ched Form
Ched Form
Ched Form
College of Engineering
Mining Engineering
Department
Legazpi City, Albay
Tel/Fax no. (052) 481 1468
June 1, 2022
Dear Sir:
I would like to apply as a trainee in your company because I believe that the training and
experience that I will acquire there will broaden my understanding about my discipline.
Noted by:
Bicol University
College of Engineering
WORK PLAN FORM FORM OJT-GE1
Student Profile:
Name of student: ____________________________ Contact Number(s): ___________________________
E-mail address: ____________________________
Company Profile:
Name of company: __________________________ Company Address: ____________________________
____________________________
Name of Supervisor: ____________________________
Contact # of Company/ Supervisor: ____________________________
Job Description: _________________________________________________________
Practicum Details:
Description of Assigned Jobs/ Tasks: ________________________________________________________
_________________________________________________________
________________________________________________
Start of work/End of work: From: ________________________ To: ________________________
Work Schedule: ________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
______________________________________________________
Conforme:
Bicol University
College of Engineering
Mining Engineering
TRAINING WAIVER FORM FORM OJT-EE2
I understand that he/she shall abide by the rules and regulations that may be required by
the staff-in-charge for his/her welfare and safety during the training.
I fully agree to waive any responsibility and forever discharge the Bicol University, the
College of Engineering and the Department of Mining Engineering from all actions,
proceedings, suits, costs, claims, and demands which I might have for any loss, damage,
injury (including death) of whatsoever nature and however arising in connection with this
On-the-Job Training undertaken by my son/daughter.
__________________________ ________________________
Name of Student Signature
__________________________ ________________________
Name of Parent/Guardian Signature
________________________
Date of Submission
Bicol University
College of Engineeing
Mining Engineering Department
Legazpi City, Albay
Tel/Fax no. 52) 481 1468
_____________________________________________________
Bicol University
College of Engineering
Mining Engineering
Department
Legazpi City, Albay
Tel/Fax no. (052) 481 1468
EVALUATION FORM
To the Supervisor:
Following is the instrument for evaluating our students. Please answer the questions the way you would appraise their performance. You may
also attach your own instrument(s) to support your assessment on the trainee.
Department :_______________________________________________
Duration of Work :From__________________to_______________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Company :______________________________________________
Legend: 1 – Very Poor 4 – Good
2 – Poor 5 – Very Good
3 – Average NA – Not Applicable
lpb Rev 5 14 of 17
7. Demonstrated overall performance
proficiency:
a) Showed sound judgment and 1 2 3 4 5 NA
common sense on the job
b) Showed the ability to learn 1 2 3 4 5 NA
new duties – quick in
absorbing and retaining
knowledge as well as
learning, and adjusting to
changes
c) Demonstrated communication 1 2 3 4 5 NA
skills such as the ability to
express the self in both
written and oral work as well
as the ability to listen and
emphasize attentively
d) Showed dependability in
dealing with emergency 1 2 3 4 5 NA
situations, the ability to keep
confidential matters, and stay
disciplined in the
implementation of duties as
called for on the job
Additional Comments:
__________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
______________________________ __________________
Signature of Evaluator Date
Note: Please enclose this form in an envelope bearing the company’s letterhead and sign across the flap of the envelope after sealing it. Thank
You.
Bicol University
College of Engineering
Mining Engineering
Department
Legazpi City, Albay
Tel/Fax no. (052) 481 1468
All students undertaking the practicum program of EM 400 are required to submit a Written Report one week before the submission of grades for the semester that EM 400 is
taken. The content of the report is as follows:
A. Company Data
3. Department/Division/Section
4. Name(s) of Personnel (supervisor, liaison officer, training officer/instructor, etc.) involved in the training program with their respective designations.
B. Training Program
1. Objectives
2. Schedules/Timetable
3. Areas of Training
4. List of References (e.g. Manuals, texts, etc.) used in the company library while taking the practicum
C. Activities
D. Evaluation
1. Achievements
2. Failures
a. Causes
lpb Rev 16 of 17
b. Suggested Solutions
3. Evidence of background preparation of trainees upon the start of the training (theory and manual skills)
4. Personal relations: Integration with the company personnel
7. School-Company coordination
E. Recommendations
F. Pertinent Documents
1. Application Letter
2. Endorsement Letter
3. Acceptance Letter
7. Certificate of Completion
8. Evaluation For