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Ojt Application Form

This document contains an on-the-job training application form for students at the Nueva Vizcaya State University College of Engineering. The form collects the student's personal details and OJT schedule. It also contains the student's signature agreeing to abide by the internship program's policies. The form needs recommendation from the OJT instructor and department chair. Finally, it lists the requirements for OJT including documents like grades, resume, clearances and medical certificates that must be complied with.

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Andrea Alejandrino
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108 views

Ojt Application Form

This document contains an on-the-job training application form for students at the Nueva Vizcaya State University College of Engineering. The form collects the student's personal details and OJT schedule. It also contains the student's signature agreeing to abide by the internship program's policies. The form needs recommendation from the OJT instructor and department chair. Finally, it lists the requirements for OJT including documents like grades, resume, clearances and medical certificates that must be complied with.

Uploaded by

Andrea Alejandrino
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

NUEVA VIZCAYA STATE UNIVERSITY


Bambang, Nueva Vizcaya

COLLEGE OF ENGINEERING
ON-THE-JOB TRAINING APPLICATION FORM
PART I. TO BE FILLED BY THE STUDENT TRAINEE (Write Legibly)

Family Name Gender


First Name Civil Status
Middle Name Contact Number
Course & Year
Home Address
Boarding Address
Time Day
OJT Schedule

I hereby promise to abide with the policies, rules, and guidelines of the Student Internship
Program (SIP) of the Nueva Vizcaya State University.

______________________________________
Name and Signature of Student Trainee

Recommended by:

ENGR. CHERRY D. QUIDIT ENGR. CHERRY D. QUIDIT


EE OJT Instructor EE Department Chair

APPROVED:

ENGR.MARY B. PASION, DEng’g.


Dean

OJT REQUIREMENTS CHECKLIST

No. Items/Documents Remarks


1 Evaluation of Grades
2 Resume/Curriculum Vitae
3 Certificate of Good Moral Character
4 Birth Certificate
5 Community Tax Certificate (Cedula)
6 Barangay Clearance
Police Clearance
MTC Clearance
NBI Clearance
7 Medical Certificate
 Antigen Test
 Chest X-ray Film
 Pregnancy Test
8 Affidavit of Consent and Waiver (Off-Campus)
9 Parental/Guardian Consent Form and Liability Waiver (In-Campus)
Remarks: C – Complied NC – Not Complied W-Waived NA- Not Applicable

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