Republic of the Philippines

NEGROS ORIENTAL STATE UNIVERSITY

Bayawan – Sta. Catalina Campus
Bayawan City

IN-PLANT AGREEMENT AND LIABILITY WAIVER

April 01, 2018

Date

The GLOBE BAYAWAN (Cooperating Agency) agrees to permit Mr. Jan Irwin Tebb A. Magbanua to work in this establishment under in-plant
training in various phases of his field of study. In addition, it is agreed that,

1. The duration of in-plant training program is designed for two months with a minimum of 300 hours as academic requirement;

2. The training period begins on April 2018 to May 2018;

3. The student while in the process of training will have the status of student trainee, neither displacing a regular worker presently
employed nor substituting a worker needed by the Cooperating Agency;

4. The student agrees to perform diligently the work assigned to him by the Cooperating Agency; he also agrees to pursue faithfully the
prescribed courses of study and to take advantage of every opportunity to improve his efficiency, knowledge and personal traits so
that he/she may enter his choice occupation as desirable employee at the termination of the training period;

5. The NORSU OJT coordinator shall make supervisory and instructional visits to the Cooperating Agency during the training period to
observe the students progress and to discuss training problems that may occur;

6. The NORSU Placement Officer, upon the recommendation of the OJT Coordinator shall have the authority to transfer or withdraw
Student trainee at any specific situation that warrants such change of assignment;

7. The Cooperating Agency shall evaluate or rate the students performance and discuss with him at any time pertinent issues
regarding the training;

8. All complaints regarding the conduct the performance of the student- trainee shall be made to the university;

9. The student shall abide by all the establishment’s rules and regulations shall comply with those imposed for the program. Otherwise,
the student shall be excluded from further participation;

10. There is no labor-management relationship between the student-trainee and the Cooperating Agency;

11. The student renounces and waives his/her claim against the Cooperating Agency for any injury that may sustain or loss that he
suffer, personal or pecuniary in the performance of his duties or that may sustain or function while under training. Provided further,
that the Cooperating Agency exerts utmost effort to the safety and welfare of the student while on duty; and,

12. The Student shall made be answerable for any/all liabilities for damage to property injury to another person which is caused by his
intentional or neglected acts while in the course of his/her training; and that the Cooperating Agency exercises diligence in the
supervision of and instruction of the student-trainee like father of the family during and in the course of his/her training.

13. Monthly/weekly reporting/progress report to be determined by the OJT Coordinator.

14. To inform the school of any changes especially site/location of duty area.

JAN IRWIN TEBB A. MAGBANUA JUSTINA A. MAGBANUA

Name and Signature of Student Name and Signature of Parent

JEAN CARREM R. ESPARCIA, MSIT ALBERT C. ALBINA, Ph.D.

College OJT Coordinator Dean, College of Arts and Sciences

REYNALDO J. NAVARRO, MA Hist. EDUARDO C. VASQUEZ, Ed.D.

Assistant Director, Student Services Asst. Campus Admin. for Administration

LIZA J. CABALLERO, Ed.D.

Asst. Campus Admin. for Academic Affairs

APPROVED:

JESSECA P. MAGSAYO
Manager, Cooperating Agency

________________________________
Cell Phone Number
 Republic of the Philippines
NEGROS ORIENTAL STATE UNIVERSITY
Bayawan – Sta. Catalina Campus
Bayawan City

STUDENT-TRAINEE’S CLEARANCE

Date

JESSECA P. MAGSAYO
Retail Manager
Globe Bayawan
R88, Prince Hypermart, Mabini St.,
Brgy. Suba, Bayawan City, Negros Oriental
6221, Philippines
Ma’am:

I have the honor to request clearance of property accountabilities, money and other requirements
from your company firm.

Very truly yours,

JAN IRWIN TEBB A. MAGBANUA

Student Trainee
(Printed Name & Signature)

Accountabilities Signature

Tools/ Equipment

Job Orders/ Reports

Cafeteria/ Canteen

Cleared as to reports, money and property accountability.

_____________________________________
Foreman/ Supervisor
(Printed Name & Signature)

JESSECA P. MAGSAYO
Manager/ Proprietor
(Printed Name & Signature)
 Globe Bayawan
R88, Prince Hypermart, Mabini St.,
Brgy. Suba, Bayawan City, Negros Oriental
6221, Philippines

CERTIFICATION

TO WHOM IT MAY CONCERN:

This is to certify that Mr. Jan Irwin Tebb A. Magbanua, a Bachelor of Science in Computer Science
student of Negros Oriental State University, Bayawan-Sta. Catalina Campus, Bayawan City, has
successfully finished his/her On-the-Job Training for Three hundred (300) training hours at

Division/ Department
of the
Name of company/ Establishment

from April 2018 to May 2018.

This certification is issued upon the request of Mr. Jan Irwin Tebb A. Magbanua for submission in
compliance with school requirement.

Given this day of , 2018.

Signature of Foreman/ Supervisor

SEAL OF OFFICE

JESSECA P. MAGSAYO
Name & Signature of Manager
 Name of Student-Trainee: Jan Irwin Tebb A.Magbanua Course: B.S. in Computer Science
Name of Company: .
Assignments:

Performance Rating Sheet

1 2 3 4 5 6 7 8 9 10
Fairly
Poor Satisfactory Very Good Outstanding SCORE
Satisfactory

A. QUALITY OF WORK Mediocre, Commits the Makes few Does very good Works
requires same mistake errors. work. Rarely exceptionally
occasional frequently. Occasionally commits error. accurate, neat
criticism. Work makes the same and complete in
cannot be mistakes. all details.
accepted without
some checking.

B. ATTITUDE Definitely not Somewhat Average in Very interested Outstanding in

TOWARDS WORK interested indifferent diligence and and industrious enthusiasm
interest

C. JUDGEMENT Consistently Often uses poor Usually makes Above average Exceptionally
uses poor judgment right decision in making matured
judgment judgment

D. COOPERATON Unwilling to Sometimes Generally willing Always willing to Quick to

accept and carry willing to accept to accept and accept and carry volunteer and to
out instruction and carry out carry out out instruction accept and carry
instruction instruction instruction

E. DEPENDABILITY Frequently Occasionally Generally Dependable Dependable at

undependable undependable dependable, but under most all times;
occasionally circumstances; completes work
needs some rarely needs without
direction. checking. supervisions.

F. COMPREHENSIVE Needs numerous Needs repeated Generally Understand Grasps new

repeated instruction understand instruction instructions
instruction instruction readily quickly and
easily

G. SAFETY Careless of Sometimes fail to Careful. Takes Observes visible Quick in

his/her own/ see or report precaution not to hazards and identifying
others safety unsafe condition injure self or suggests need possible hazard
others for improvement and takes steps
to get them
corrected
SCORE

Over All Performance 16 – 26 27 – 37 38 - 48 49 – 59 60 – 70

NORSU Grade Equivalent 3.25 & Below 3.0 – 2.75 2.5 – 2.25 2.0 – 1.75 1.5 – 1.25 1.00

Description Failure Passing Good Very Good Superior Excellent

Attendance ____ Regular _____ Irregular

Punctuality ____ Regular _____ Irregular

Name & Signature of Evaluator: ______________

Position: _______________________________

NOTE: This Performance Rating Sheet shall form as the basis for the Final Rating Scale
 Republic of the Philippines
NEGROS ORIENTAL STATE UNIVERSITY
Bayawan – Sta. Catalina Campus
Bayawan City

FINAL RATING SCALE

Internship On-the-Job Training

Name of Company/ Office : Globe Bayawan

Name of Intern : Jan Irwin Tebb A. Magbanua
Major Field : Computer Science
Date Begun : April 2018
Date Terminated : May 2018

PERFORMANCE CRITERIA

GRADE
RATING
POINT
1. DAILY ATTENDANCE 20%
2. ATTITUDE TOWARDS WORK 15%
3. WORKMANSHIP/QUALITY OF COMPLETED JOB 15%
4. SPEED ACCURACY OF COMPLETED JOB 20%
5. CORRECT USE AND MAINTENANCE OF TOOLS AND
20%
MACHINE METHOD & SAFETY

6. RELATIONSHIP WITH CO-WORKER AND SUPERVISORS 10%

TOTAL 100%

Signature of Foreman/Supervisor

SEAL OF THE OFFICE

JESSECA P. MAGSAYO
Signature of Manager

 Summer 2018 ON-THE-JOB TRAINING 9 units 300 hours.

NOTE: Ceiling or highest grade given to student-trainee is 90%. However, for exceptional cases when the
apprentice is found to be superior in performance, he/she can be given a maximum grade of 95%.
 Republic of the Philippines
NEGROS ORIENTAL STATE UNIVERSITY
R.A 9299 June 24, 2004
KAGAWASAN AVE., DUMAGUETE CITY, NEGROS ORIENTAL STATE UNIVERSITY, PHILIPPINES
6200
Dumaguete City Main Campuses I & II, Bais City Campuses I & II, Guihulngan Campus,
Bayawan-Sta. Catalina Campus, Siaton Campus, Mbinay Campus
Phones: (63) 225-9400; (63) (35) 422-7574 Fax: (63) (35) 225-0777
E-mail: [email protected] Internet Homepage: http://www.norsu.edu.ph

STUDENT SERVICES OFFICE

April 1, 2018

JESSECA P. MAGSAYO
Retail Manager
Globe Bayawan
R88, Prince Hypermart, Mabini St.,
Brgy. Suba, Bayawan City, Negros Oriental
6221, Philippines

Ma’am:

We wish to recommend JAN IRWIN TEBB A. MAGBANUA of Barangay Poblacion, Sta. Catalina, Negros
Oriental to undergo On-the-Job Training (OJT) in your prestigious establishment for a period of Three
hundred (300) Hours only for the Summer 2018.

Mr. Magbanua is a fourth year student of Bachelor of Science in Computer Science (BSCS) at Negros
Oriental State University, Bayawan-Sta. Catalina Campus, Bayawan City, Negros Oriental. He is found to
be diligent, cooperative, industrious and of good moral character of which such attributes could be an asset
to your company.

To accommodate his in your company is a great help to our student and any assistance extended to his
will be greatly appreciated.

Thank you very much.

Very truly yours,

REYNALDO J. NAVARRO, MA Hist.

Assistant Director, Student Services