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 PIT VISION

A Premier Polytechnic State University

PIT MISSION
To strengthen its capacity of producing highly skilled, competent, world-class human resources,
responsible to fulfill stakeholders needs, goals of the national development and ASEAN integration for
the attainment of a good quality of life with the guidance and providence of God.

CORE VALUES
Excellence Integrity Creativity Commitment
Institutional Social Responsibility Exceeding Expectations

INSTITUTIONAL OUTCOMES

Technological Leadership
Scientific Innovations
World-Class Competitiveness
Improving the Quality of Life

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 TABLE OF CONTENTS
GENERAL INFORMATION 7

I. Historical Background ........................................................................................................................ 7

II. The Institute’s Campuses ................................................................................................................ 8

STUDENT INTERNSHIP PROGRAM (SIP) 9

I. Brief History ....................................................................................................................................... 9

II. Objectives ....................................................................................................................................... 9

III. Definition of Terms....................................................................................................................... 11

IV. Duration of Internship Training .................................................................................................... 15

IMPLEMENTING GUIDELINES FOR INTERNSHIP IN THE PHILIPPINES 16

I. Requirements, Obligation and/ or Responsibilities of The Parties Involved ..................................... 16

A. Palompon Institute of Technology 16

B. SIPP Coordinators 18

C. Student Intern 19

D. Host Training Establishments (HTEs) 20

E. Commission on Higher Education (CHED) 22

F. Parent/Guardian 23

IMPLEMENTING GUIDELINES FOR INTERNSHIP ABROAD 24

I. Requirements for Parties Abroad ...................................................................................................... 24

II. Obligations/ Responsibilities of Parties ......................................................................................... 25

III. Procedure ...................................................................................................................................... 30

IV. Memorandum of Agreement (MOA) for the Parties Involved ...................................................... 31

REINFORCED FLEXIBLE SIP PLAN 33

GRADING SYSTEM 34

STUDENT INTERNSHIP PROGRAM NARRATIVE REPORT 35

MONITORING AND EVALUATION 36

FEE 36

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GRIEVANCE MACHINERY 37

VIOLATIONS 38

SANCTIONS 39

INVESTIGATION OF COMPLAINTS 40

EFFECTIVITY 40

ANNEXES 41

List of Annexes
Annex A: STUDENT INTERNSHIP PROGRAM CONTINUITY PLAN MATRIX 42
Annex B: SAMPLE INTERNSHIP PLAN FOR SIP 45
Annex C: STUDENT INTERNSHIP APPLICATION FORM 47
Annex D: NARRATIVE REPORT TEMPLATE 49

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 GENERAL INFORMATION

I. Historical Background

The Palompon Institute of Technology was established in June 18, 1961. The operation started on
1964 as the Palompon School of Arts and Trades (PSAT) through House Bill 1105, otherwise known as
RA 3394, authored by then Congressman Marcelino R. Veloso of the 3 rd District of Leyte. As provided for
in the said act, PSAT functioned as a secondary trade school under the Bureau of Vocational and offered
only the 4-year secondary trade curriculum.

With an enrollment of 184 students in the first year high school, the school started operating on
August 3, 1964, initially holding classes at the Association of Barangay Council (ABC) building adjacent
to the town hall as well as in rented private houses. Not much later, a 5.8 hectare school site was acquired
through the efforts of Mr. Evaristo Salvoro, Vocational Department head of the Leyte Institute of
Technology, who was designated officer-in-charge of the school. But it was Mr. Conrado G. Mercado, upon
his assumption to office as the school principal in 1965, who started the construction of the first two
permanent buildings: 2-storey related subjects building and the boy’s shop building. Mr. Mercado was
succeeded in 1968 by the next principal, Mr. Salvador Arandia, who was instrumentals in the construction
of a temporary administration building and a girl’s shop building.

On July 17, 1967 the Palompon School of Arts and Trades was converted into a chartered state
college by virtue of RA 5101 authored by Congressman Marcelino R. Veloso and was consequently
renamed Palompon Institute of Technology. As a chartered state college, its purpose is set forth in Section
2 of RA 5101 as follows:

“… to provide higher vocational, professional, and technical instruction and training in trade and
industrial education and other vocational courses, professional courses such as medicine, commerce,
pharmacy, education, agriculture and dentistry, and to offer engineering courses to uplift the technological
potentials and talents of the youth in this part of the archipelago; and for special purposes, to promote
research, advanced studies and progressive leadership in the fields of trade, technical, industrial and
technological education.

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 II. The Institute’s Campuses

Palompon Institute of Technology is located in the northwestern part of Leyte. The main campus is located
at Evangelista Street, Palompon, Leyte. It has an external campus, Marcelino R. Veloso National
Polytechnic College (MRVNPC)-PIT Tabango Campus situated in Sitio Otabon, Tabango, Leyte.

A. Main Campus
The main campus has the following colleges:
College of Arts and Sciences (CAS)
College of Maritime Education (COMEd)
College of Teacher Education (CTE)
College of Technology and Engineering (COTE)
College of Graduate Studies (CGS)

B. External Campus

With the location of the external campus, through its programs, adjoining towns of Villaba, Matag-
ob, San-Isidro, Calubian, Leyte-Leyte, including the municipalities of Biliran province in the north. It offers
the following degree programs:

Bachelor of Science in Home Technology Education (BSHTE)

Bachelor of Science in Fisheries Technology (BSFT)
Bachelor of Elementary Education (BEEd)
Bachelor of Science in Secondary Education (BSEd)
Bachelor of Science in Industrial Technology (BSIT)
Bachelor of Science in Information Technology (BSInfoTech)
Bachelor of Science in Hotel Management (BSHM)
Certificate in Teacher Education (CTE)

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STUDENT INTERNSHIP PROGRAM (SIP)

I. Brief History

In Accordance with pertinent provisions of RA 7722, otherwise known as the “Higher Education
Act of 1994”, and pursuant to Commission en Banc (CEB) Resolution No. 849-2017 dated November 7,
2017 the following “Revised Guidelines for Student Internship Program in the Philippines (SIPP) for all
programs”, amending CHED Memorandum Order (CMO No. 23, S. 2009), “Guidelines for Student
Internship Program in the Philippines (SIPP) for all programs with practicum subject”.

The internship program is meant to provide students with an opportunity to complement their
formal learning with practical knowledge, skills and desirable attitudes and to gain hands on experience in
recognized Host Training Establishments. The completion of the training is a requirement for graduation.

II. Objectives

General
These internship programs aim to provide the tertiary students the opportunity to explore,
enhance and acquire their industry and technological skills, practical knowledge and work
ethics in the participating industry locally and abroad. At the same time it strengthens the
implementation of the local and foreign internship through the collaborative effort of the
academe-industry linkages among the participating HEIs, FHEs/Os, and partner
institution/establishment. This will promote the global competitiveness of the student interns
through their training, exposure and acculturation. This will also strengthen and enrich the
degree programs to deliver the level of knowledge and skills necessary in a dynamic
competitive world. This will protect and safeguard the student interns in the local and abroad
from harassment, exploitation, deplorable training conditions and such other conditions that
contravene or defeat the purpose of internship.

Specific for:
Palompon Institute of Technology
a. Enrich the degree programs to respond to the needs of the industry; and
b. Strengthen career guidance.

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 Student Intern
a. Provide students enrolled with opportunities to apply relevant knowledge and skills
acquired from formal education to actual work setting provided by reputable HTEs in
our country;
b. Enhance the knowledge and skill acquired in formal education of student interns through
employer-based training, in order for them to become more responsive to the future
demands of the labor market;
c. Develop the life skills of the student interns, including those relevant to the values of
professionalism and work appreciation. The student interns are expected to acquire soft
skills necessary to address the demand of the employers such as communication skills,
interpersonal skills, financial literacy, etc; and
d. Acquire a professional work ethic in the course of internship.

Host Training Establishment (HTE)

a. Provide interns a venue where they can customize the process of technical training
through employer-driven internship plans; select well-equipped beneficiaries and have
another opportunity to contribute to the society through corporate social responsibilities.

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 III. Definition of Terms

1. Palompon Institute of Technology (PIT) – refers as the HEI.

2. Industry – refers to a classification of groups of companies that are related based on their primary
business activities. The produce goods or related services within an economy.
3. Internship/ On-the-job Training (OJT)/ Apprenticeship – refers to the practical application of
classroom learning to the actual in a regular work environment such as but not limited to
commercial and industrial services, government or non-government agencies. It is also
synonymous to practicum, field practice or On-the Job Training. This is not synonymous to
Apprenticeship and Learnership, as defined by Republic Act (RA) 7796.
4. Reputable Host Training Establishment (HTE)– refers to a duly authorized and registered entity,
institutions or establishment in the Philippines by the Security Exchange Commission (SEC) or the
Department of Trade Industry (DTI) and with established system of training.
5. Internship Manual – refers to book or booklet of instructions and guidelines, designed to improve
the quality of internship/OJT/practicum of a particular program duly issued by the PIT.
6. Internship Plan – refers to the outlined goals and objectives, knowledge, skills and competencies
that the student intern should acquire in each training area, assignments, and schedule of activities,
among others which formulated or developed by the PIT and partner institution/establishment and
duly signed by the concerned coordinators or respective heads. The internship plan shall be
prepared and approved both by the PIT and HTE.
7. Memorandum of Agreement (MOA) – refers to an agreement executed between the HEI and
partner HTEs specifying the detailed role and responsibilities of all concerned parties, safety of
student interns, training plan, learning objectives and method of evaluation.
8. SIPP Coordinator – refers to an authorized/designated person who is responsible for all aspects of
the student internship programs including program implementation, monitoring, evaluation and
coordination with HTE.
9. Life Skills – are sets of skills for adaptive and positive behavior that enable individuals to deal
effectively with the demands and challenges of everyday life, especially in the work setup. These
include soft skills necessary to address the demands of the employers such as communication skills,
interpersonal skills, financial literacy, etc.
10. Office of the Student Development and Services (OSDS) – in-charge of the student affairs and
services.
11. Accredited Programs- refer to programs accredited by recognized bodies.

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 ● Level II Accredited Programs- refers to programs which have a Formal accredited status
equivalent to Level II from any of the accrediting agencies recognized by CHED or CHED
equivalent.
12. Cross- cultural Training- refers to training in communication, behavioural and attitudinal skills
required for successful interaction with individuals of other culture.

13. Foreign Host Establishments or Organization (FHEs/Os)- refer to duly recognized and registered
entities in the country of destination as training venues for student interns.

14. Higher Education Institutions (HEIs)- refer to educational institutions, private or public,
undertaking operations of higher education program/s with an organized group of students pursuing
defined studies in higher education, receiving instructions from teachers, usually located in a
building or group of buildings in a particular site specifically intended for educational purposes.

15. Inter- Agency Council Against Trafficking (IACAT)- refers to established council pursuant to R.A
No. 9208, known as the “ Anti -Trafficking in persons Act of 2003” composed of the Secretary of
the Department of Justice as Chairperson and the Secretary of the Department of Social Welfare
and Development as Co- Chairperson and shall have the following as members: (a) Secretary,
Department of Foreign Affairs; (b) Secretary, Department of Labor and Employment; (c)
Administrator, Philippine Overseas Employment Administration; (d) Commissioner, Bureau of
Immigration; (e) Director- General, Philippine National Police; (f) Chairperson, National
Commission on the Role of the Filipino Women; and (g) three (3) representatives from NGOs, who
shall be composed of one (1) representative each from among the sectors representing women,
Overseas Filipino Workers (OFWs) and children, with a proven record of involvement in the
prevention and suppression of trafficking in persons.

16. Meritorious Cases- refer to conditions that prevent the students to join the International Internship
Abroad Program such as: financial difficulty, medical conditions, legal impediments and similar
conditions.

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 17. Parties- refer to Higher Education Institutions (HEIs), Foreign Host Establishments or
Organizations (FHEs/ Os) and student-interns involved in the implementation of these guidelines.

18. Philippine Foreign Service Post ( PFSP)- refers to the Philippine Embassy or Philippine Consulate
General that has jurisdiction over the territory or place where the Foreign Host Establishments or
Organizations are located.

19. Practicum- refers to the subject of internship/on-the-job training/ apprenticeship.

20. HEIs Implementing SIAP- are those HEIs classified as Autonomous, Deregulated, Center of
Excellence (COE) and Center of Development (COD), Institutional Sustainability Assessment
(ISA), a Formal accredited status equivalent to Level II from any of the accrediting agencies
recognized by CHED or CHED equivalent.

❖ Autonomous HEIs- refer to the HEIs that demonstrate exceptional institutional

quality and enhancement through internal QA systems, and demonstrate excellent
program outcomes through a high proportion of accredited programs, the presence
of Centers of Excellence and/or Development and/or international certification. In
particular, they show evidence of outstanding performance consistent with their
horizontal type, e.g., research and publications for universities; creative work and
relevant extension programs for colleges; and employability or linkages for
professional institutes.

❖ Center of Development (COD)- refers to a designation granted by the Commission

on Higher Education in recognition of a unit’s evident above average performance
in teaching, research and extension functions.

❖ Center of Excellence (COE)- refers to a designation granted by the Commission

on Higher Education in recognition of a unit’s exemplary performance in its
teaching, research and extension functions.

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 ❖ Deregulated HEIs (by evaluation)- refers to HEIs that demonstrate very good
institutional quality and enhancement through internal QA systems, and very good
program outcomes through a good proportion of accredited programs, the presence
of Center of Excellence and/or Development, and/or international certification. In
particular, they show evidence of very good performance consistent with their
horizontal type.

❖ Institutional Quality- is manifested through institutional accreditation, Institutional

Sustainability Assessment (ISA), or other evidences in the areas of governance and
management, quality of teaching and learning, quality of professional exposure,
research, and creative work, support for students, and relations with the
community. Furthermore, the maturity of the HEIs internal QA systems can be
seen in the institutionalization and documentation of systems/ processes in the
HEIs, the extent of implementation of these systems/ processes, and the quality of
outcomes that contribute to program excellence.

21. Monitoring and Evaluation (IQuAME)- refers to a CHED- established mechanism for monitoring
and evaluation of the outcomes of the programs, processes, and services of Higher
Education Institutions in the key area of quality of teaching and learning as supported by the
governance and management; support for students; relations with the community; and management
of resources.
22. Student Interns- refer to tertiary students enrolled in the Philippine schools duly qualified to
undergo internship program.

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 IV. Duration of Internship Training
College Course/ Program Prerequisite/ Unit Required Reference
Requirement Hours
College of BA Completed 70% 3 200 CMO #35,
Arts and Communication of the total s.2017
Sciences number of units
in curriculum
BS Hospitality Completed 70% 6 600 CMO #60, s.
Management of the total 2017
number of units
in curriculum.
College of BS Electrical 3rd year standing 2 240 CMO #88,
Technology Engineering s.2017
and BS Industrial 3rd year standing 2 240 CMO #93, s.
Engineering Engineering 2017
BS Mechanical 3rd year standing 2 240 CMO #97,
Engineering s.2017
BS Industrial Completed 70% 20 units (per 1080 PACUIT
Technology of the total semester for 2
number of units semesters)
in curriculum
BS Information Completed 70% 6 486 CMO #25, s.
Technology of the total 2015
number of units
in curriculum.
College of Bachelor of Completed 50% 3 240 CMO 379,
Teacher Technical- of the total s.2017
Education Vocational number of units
Education in the curriculum

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IMPLEMENTING GUIDELINES FOR INTERNSHIP IN THE PHILIPPINES

The duration of internship program shall be up to a maximum of five (5) months in accordance
with the approved curriculum except for highly technical programs that require longer internship hours
which shall be in accordance with their existing Policies, Standards and Guidelines (PSGs).

Student interns have passed the PIT qualification for internship program and taken all his/her major
(professional) subjects before taking the internship subject to the requirement of the HTE. He or She is
allowed to take other subjects with a maximum of six units during the internship period and/or subject to
the institution’s policy.

The CHED guidelines on student internship must be displayed in conspicuous places for student’s
guidance and reference. PIT internship plans for the particular internship program must be made available
to students.

I. Requirements, Obligation and/ or Responsibilities of The Parties Involved

A. Palompon Institute of Technology

Requirements:
1. PIT as higher educational institution with internship programs have:
a. Government Recognition;
b. Board Resolution to offer different programs and Certificate of Program Compliance;
2. PIT have a pool of reputable HTEs; and
3. In collaboration with the duly selected HTE, the PIT developed an Internship plan for the
student intern specifying goals and objectives.

Obligations/Responsibilities:
1. Planning/Engaging/Orientation
a. Assume full responsibility over the students during their internship in the Philippines;

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 b. Formulate local school internship policies and guidelines on selection, placement,
monitoring and assessment of student interns;
c. Select the HTEs and ensure acceptability of internship plan and internship venues in
order to protect student intern interest;
d. Develop in collaboration with the duly selected HTE an internship plan for the student
intern specifying goals and objectives; refer to Annex “B” (SIP Manual).
e. Ensure that the student intern will acquire actual and relevant competencies in each
learning area, assignments, and schedule of activities. The internship plan shall be part
of the internship contract signed by the student intern HTE and PIT;
f. Execute the duly notarized Memorandum of Agreement (MOA) with HTE; refer to
Annex “B” (CMO #104, s.2017).
g. Provide free medical and dental services and certification by a duly licensed medical
doctor and dentist to the student interns;
h. Provide appropriate insurance coverage to include travel, medical and health to the
student interns during the duration of the internship;
i. Assign an SIPP coordinator for the student internship programs; and
j. Conduct pre-internship orientation/training to student interns, as a prerequisite to their
deployment to internship venues, on work environment issues, including, but not
limited to, proper work ethics and laws against sexual harassment.

2. Monitoring and Evaluation

a. Safeguard student interns undergoing internship from harassment, exploitation,
deplorable training conditions and such other conditions that contravene or defeat the
purpose of internship;
b. Take appropriate action on any complaint against the student intern in accordance with
the PIT policies;
c. Conduct initial and regular visit/inspection of their HTE to ensure safety of student
interns;
d. Monitor and evaluate performance of the student intern jointly with the HTE based on
the prescribed internship plan;
e. Monitor the student intern and attend his/her needs and concerns by coordinating with
HTE, CHED and other concerned government authorities if necessary;

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 f. Conduct monitoring and evaluation of the HTE to gauge the overall performance of
HTE and provide feedback mechanism;
g. Conduct a post training review and evaluation of the program and the performance as
well as with the partner HTE;
h. Evaluate and assess related prior training experience and provide credits for internship,
when applicable; and
i. Issue a final grade to the student intern upon completion of requirements within the
prescribed period in accordance with the PIT’s regulations on grading system and
performance assessment of the HTE.

3. Reporting
Submit to CHED through the CHED Regional Office (CHEDRO) the following
documents:
a. Annual report per school year on the implementation of SIPP on the number of student
interns per program, their issues and concerns and actions to be taken to address the
issues among others to be signed by the school head or authorized representative such
as deans of concerned program and/or registrar; refer to Annex “C”(CMO #104,
s.2017).
b. Copy of duly notarized MOA or training agreement; and
c. List of partner HTEs and student interns duly certified by authorized school official to
have completed internship; refer to Annex “D” (CMO #104, s.2017).

B. SIPP Coordinators

Requirements:
1. Must have official designation by their respective head/president on the basis of the PIT’s
qualification requirement.

Obligations/Responsibilities:
1. Provide pre-internship orientation prior to deployment to internship venues including
among others work ethics and anti-sexual harassment laws as pre-requirement;
2. Coordinate with the dean or authorized school coordinator for the purpose of the internship
orientation;

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 3. Inspect internship values and sites;

4. Monitor and assess student interns periodically;

5. Coach or mentor student interns;
6. Consult and assist student interns in resolving problems/issues encountered; and
7. Validate the result of the internship of students per batch, at the end of the internship period.
8. Coordinate with the HTE’s.

C. Student Intern

Requirements:
1. Submit Student Internship Application Form, refer to Annex “C” (SIP Manual);
2. Pass pre-internship requirements as specified in the internship plan;
3. Be officially enrolled;
4. Be enrolled in an internship subject;
5. Be at least eighteen (18) years of age from the start of the internship period;
6. Submit a Medical Certificate indicating that he or she is in good health and emotionally fit.
The medical certificate shall be based on a physical and psychological examination
conducted, or certified by Department of Health (DOH) accredited clinics and hospitals.
He or she must also submit other related medical examination requirements by HTE, if
any; and
7. Have a notarized written consent from his or her parents or legal guardian. (No waiver is
allowed).
8. Obligated to attend the pre-departure orientation.

Obligations/Responsibilities:

1. Enter into an internship contract and/or agreement with the participating HTE; refer to
Annex “E” (CMO #104, s.2017).
2. Sign all the required documents necessary for his or her participation in the internship
program, including the acceptance letter, internship contract and/or agreement;
3. Comply with the provisions of the contract and/or agreement including the rules and
regulations of the PIT, HTE and CHED at all times;

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 4. Undergo the required orientation/internship program conducted by the PIT and HTE;
5. Report the internship in the HTE based on the schedule indicated in the internship contract
and/or agreement;
6. Perform tasks and activities indicated in the internship plan;
7. Maintain confidentiality, when and where appropriate, during and after the internship
period of all the data, business or trade secrets where such information is not within the
public domain and is indicated or understood to be confidential;
8. Adhere to the existing rules and regulations of the HTE including the proper use of tools,
instruments, machine, and equipment;
9. Submit a journal of internship as required by HTE reflecting on the approved internship
plan, his or her experiences describing the internship activities, any problem/s encountered,
and his or her reflections on the internship experience to the SIPP coordinator;
10. Complete the agreed duration of his or her internship; In case the student intern will be
unable to finish his or her internship within the designated period, he or she shall inform
the SIPP coordinator in writing of his or her intent and reasons to prematurely end his
internship at least three (3) working days before his last day of internship. Failure to
complete the internship program without valid cause disqualifies the student intern form
retaking the program with the concerned HTE; and
11. Report to the SIPP coordinator for an exit assessment after the completion of internship
period.

Status
1. The student intern shall be considered as an intern and not as an employee of the HTE for
the duration of the internship; and
2. In case of a working student, he or she shall be allowed to earn credits for internship upon
evaluation and assessment of his or her particular assignment/task during internship period,
by the PIT.

D. Host Training Establishments (HTEs)

Requirements:
1. Has been duly authorized HTE by the appropriate government entity/ies, i.e. Local

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 Government Unit (LGU), Securities and Exchange Commission (SEC) and Department of
Trade Industry (DTI);
2. Capable of providing the appropriate internship program, and has the capacity to co-
develop, along with the PIT, and follow an internship plan to be undergone by the student
intern in the HTE;
3. Has capacity to mentor, provide and facilitate the provision of technical training to student
intern;
4. Has the capacity to monitor and submit monthly reports to the SIPP coordinator, and to;
5. Follow the evaluation system of student performance provided by the PIT.

Obligations/Responsibilities:
1. Designs and implements the internship plan in partnership with the PIT;
2. Encourages student interns to develop their personality and professionalism, and to the
extent possible, protect them from physical or moral danger;
3. Assigns a point/focal person responsible for the implementation of all phases of the
internship;
4. Orients the student intern on the standard rules and regulations of their establishment before
signing of contract;
5. Enters into an internship contract/agreement with the student intern;
6. Facilitates the processing of the documents of the student intern in coordination with the
PIT;
7. Provides practical training or work experience in accordance with agreed internship plan
and schedule of activities;
8. May provide necessary incentives to the student interns as contained in the MOA, such as
free duty meals, travel allowance and uniform, if applicable;
9. Ensure that student interns do not perform task and duties of regular position in HTEs;
10. Provides supervised applied learning experience for student interns in accordance with
agreed Internship Plan and schedule of activities;
11. Develops feedback mechanism to the student intern;
12. Develops feedback mechanism to PIT of the overall implementation of the internship and
the student performance;
13. Provides monitoring and evaluation reports or other information on the student intern’s
performance as may be required by the PIT;

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 14. Make available, accurate and current records and provide access to PIT of such records
while on internship;
15. Notifies and provides at least 30 working days written notice to the PIT of a student intern’s
breach of contract or misconduct in the internship premises prior to HTE’s decision to
suspend or terminate the contract; and
16. Issues certificates of completion for the interns not later than two weeks after the
completion of internship.

E. Commission on Higher Education (CHED)

Obligations/Responsibilities:

1. Office of Student Development and Services (OSDS)

a. Conduct orientation and advocacy on the implementation of the guidelines on SIPP;
b. Prepares the monitoring instrument and orients CHED Regional Offices (CHEDROs)
on the same;
c. Consolidates reports for policy formulation and decision making;
d. Establishes and maintain linkages with other government agencies and non-
government agencies and organizations for the successful implementation of SIPP; and
e. Maintain an updated list of HTEs in coordination with other government agencies
and/or organizations.

2. CHED Legal and Legislative Service (LLS)

a. Upon request by the Office of Student Development and Services (OSDS) through the
recommendation of the Executive Office (EO), the Legal and Legislative Service
(LLS) may conduct investigation on any alleged violation/s committed by the PIT or
HTE and submit its report and recommendations to the Commission en Banc (CEB),
through the Management Committee (ManCom), for appropriate action.

3. CHED Regional Offices (CHEDROs)

a. Conduct monitoring and evaluation on the implementation of SIPP;

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 b. Ensure the safety and well-being of student interns by monitoring compliance of PIT
with the provisions of these guidelines, through review of reports, on-site visits, and
other appropriate mechanisms;
c. Ensure that PIT and their duly designated HTE comply with the provisions of these
guidelines for the welfare and protection of student interns;
d. Establishes and maintain linkages with government and non-government agencies,
organizations and/or industries, and enter into agreements with them specifying their
roles or obligations in the implementation of SIPP;
e. Provides feedback mechanism to PIT and HTEs;
f. Submit to LLS through the OSDS any alleged violations committed either by the PIT
or HTE; and
g. Submit an annual report on the status of implementation to OSDS.

F. Parent/Guardian

Obligations/Responsibilities:
1. Issues and signs the written consent; and
2. Co-signs the internship contract and/or agreement/ MOA to manifest approval or consent
to the internship of their child.

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IMPLEMENTING GUIDELINES FOR INTERNSHIP ABROAD

I. Requirements for Parties Abroad

A. Higher Education Institutions (HEIs)
1. Must have accreditation Level II of the program, Autonomous, Deregulated, COE, COD or with
ISA classification, Category A & B;
2. Practicum subject/s must form part of the requirements in the duly noted/ approved curriculum;
3. Must have an internship unit/ office with a designated faculty member or any authorized
Internship Coordinator to manage the program; and
4. Must have a system and processes for the implementation of this internship abroad program.

B. Foreign Host Establishments or Organizations (FHE/Os)

1. Must be duly recognized and registered in the country where the student will have his/her
internship;
2. Establishments or organizations engaged in the following shall be prohibited from participating in
the SIAP:
a. Primarily engaged in the operation of: (1) night clubs; (2) saunas; (3) commissary; (4)
disco; (5) karaoke bars; (6) spa; (7) casinos, and the like;
b. Whose nature of business is hazardous to student trainees as identified by the Department
of Labor and Employment (DOLE); and
c. Establishments and enterprises which promote or facilitate child prostitution and other
sexual abuse, child trafficking, obscene publications and indecent shows and other acts of
abuse per provision from R.A. 7610.
3. Must have an appropriate internship program for the student interns based on existing CHED
guidelines.

C. Student Interns
Student interns must be carefully screened by the HEI and must possess the following minimum
qualifications:
1. Must be a Filipino citizen;
2. Currently enrolled in a Philippine higher education institution and must have either of the
following:
a. Bachelor degree – completed at least 75% of professional units or 4 th year or graduating
student for that particular program

24 | Page
 b. Associate degree – at least 50% of total credit units for that particular program
3. At least 18 years old at the time of the internship;
4. Passed the pre-practicum/internship requirements of the HEI;
5. Submit Student Internship Application Form, refer to Annex “C” (SIP Manual);
6. In good academic standing as certified by the HEI;
7. Physically, mentally, and emotionally fit and have passed the physical and psychological
examinations as certified by DOH accredited clinics and hospitals;
8. Is articulate in English or in the language spoken in the host country; and
9. Has written consent from parents/ guardian/spouse.

II. Obligations/ Responsibilities of Parties

A. Higher Education Institutions (HEIs)
1. Assume full responsibility over students while having their internship abroad program;
2. In case the HEI enter into agreement with other groups/ entities to assist them in the
implementation, the HEI shall still be responsible over the students;
3. Develop, in collaboration with the duly selected FHEs/Os an Internship Plan for the student
intern specifying among others the goals and objectives, student outcomes, knowledge,
skills and competencies that the student intern should acquire in each area of assignment,
and schedule of activities. The internship plan shall be part of the Internship Contract to be
signed by the student intern, the HEI and FHEs/Os; refer to Annex “B” (SIP Manual).
4. Conduct an initial visit/ inspection of their partner FHEs/Os and representative office to
ensure safety of students;
5. Document and submit inspection report indicating among others the accreditation and
qualifications to DFA Consular Affairs through CHED of their partner FHEs/Os;
6. Pre-qualify student interns in accordance with the requirements from the receiving Foreign
Host Establishments or Organizations;
7. Facilitate the processing of the documents on behalf of the student intern;
8. Conduct general orientation and pre-departure briefing for qualified student interns in the
presence of their parents/ guardians/ spouse;
9. Assign a regular and qualified faculty member or any authorized Internship Coordinator
who will be responsible for all aspect of the student internship programs including program
implementation, monitoring and evaluation;

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 10. Monitor and evaluate the performance and welfare of student interns and immediately
attend to their complaints and grievances by coordinating with FHEs/Os, CHED,
Philippine Foreign Service Post and other concerned government authorities;
11. Collate the monthly journal of experience;
12. Conduct debriefing and post evaluation of the student interns upon their return;
13. Impose disciplinary sanction on student interns found guilty of violating any of the
provisions contained in these guidelines;
14. Report any irregularities of the establishments or organization or violations as provided in
the guidelines of the Department of Labor and Employment (DOLE) and R.A. 7610, to
IACAT through CHED; and
15. Submit to the Office of Student Services (OSS) the following requirements:

For Intent:
a. Notarized letter of intent to participate in Student Internship Abroad Program (SIAP)
before deploying students for internship abroad;
b. Certified copy of Government Recognition/ Authority of the program;
c. Memorandum of Agreement (MOA) with Foreign Host Establishment/Organization per
partner; and
d. Internship Plan with sample Internship Contract;

For CHED Endorsement to BI:

a. List of departing student interns together with addresses and telephone numbers of Foreign
Host Establishments and Organizations (FHEs/Os) and dormitories;
b. Flight details of a roundtrip ticket;
c. Written consent from parent/ guardian or spouse; and
d. Any other necessary documents duly authenticated by the Philippine Foreign Service Post
as may be required by CHED.

For Report
Annual report per Academic Year on the implementation of SIAP to include the following:
a. Executive Summary containing among others the strength of the program and areas of
improvement;
b. Status of students who are enrolled in the internship abroad (completed, on-going,
terminated for a cause);

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 c. Report on complaints and grievances of student interns or FHEs/Os, including the action
taken to address such grievances, if any;
d. Report on disciplinary sanction of student interns found guilty of violating any of the
provisions contained in these guidelines;
e. Accomplished SIAP Feedback form; refer to Annex “B” (CMO #22, s.2013);
f. Summary of student learning experience; and
g. Any other necessary documents duly authenticated by the Philippine Foreign Service Post
as may be required by CHED.

B. Foreign Host Establishments or Organizations (FHE/Os)

1. Develop, in collaboration with the HEIs an Internship Plan for the student intern specifying
among others the goals and objectives, student outcomes, knowledge, skills and competencies
that the student intern should acquire in each area of assignment and schedule of activities. The
internship plan shall be part of the Internship Contract to be signed by the student interns, the
HEI and FHEs/Os; refer to Annex “B” (SIP Manual).
2. Present and register the student intern at the nearest Philippine Foreign Service Post within 48
hours upon arrival in the Host Country. Registration of student interns must include the
following information:
a. Name, Age, Contact Numbers and passport details;
b. Name and Address of School in the Philippines and the program enrolled in;
c. Date of arrival, tentative date of departure and duration of Internship in the host
country;
d. Residential Address/ dormitory and Host Establishment with contact numbers;
e. Name and Contact Numbers of the competent coordinator/ tutor of FHEs/Os and copy
of OJT plan; and
f. A copy of the CHED endorsement
3. Provide Supervised Applied Learning Experience for student interns in accordance with agreed
Internship Plan, Internship Contract and schedule of activities;
4. Assign a competent Intern Supervisor/ Mentor responsible for the implementation of all phases
of the Internship Plan;
5. Assist students who encounter problems during internship period;
6. Provide evaluation/performance feedback / exit evaluation;
7. Assist students for departure upon completion of the training or premature termination;

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 8. Issue Certificate of Completion of Internship to the student interns after completion of program;
9. Submit a report within five (5) working days to the PFSP all student interns who completed
their internship program. Report should contain among others, departure details; and
a. Health insurance, death, accident and dismemberment insurance coverage;
b. Repatriation cost in case of death or a free ticket, if the intern was physically
incapacitated;
c. Hospitalization benefit;
d. Roundtrip ticket of the student interns (open booking for return ticket);
e. Monthly allowance based on prevailing living standards of the host country; and
f. Overtime/ excess allowance or other applicable scheme per existing law of the host
country when performing internship duties on a holiday (for a maximum of four hours)
in excess of the regular eight hours with due consideration to the health and safety of
the interns.
10. Ensure that provisions under Section 10 (CMO No. 22, s.2013) shall be covered under the
Memorandum of Agreement (MOA) for the parties involved. (refer to item IV)

C. Student Interns

1. Sign and comply with the provisions of the internship contract, including the rules and
regulations of the CHED, the HEI and FHE/O;
2. Undergo the required orientation internship program conducted by the HEI and FHEs/Os;
3. Report personally to the Visa or Consular Officer of the nearest Philippine Foreign Service
Post within a week upon arrival;
4. Keep a bi-monthly journal of practicum experiences describing his/her internship activities,
problem/s encountered, and reflections on the internship experience to be submitted on a
monthly basis to the faculty member or any authorized Coordinator;
5. Complete the agreed duration of his/her internship;
6. Submit to the HEI the terminal report and other school requirements upon completion of the
internship training; and
7. Report to CHED through the nearest Philippine Foreign Service Post any complaints or
grievances.

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 D. Parent/ guardian or spouse
1. Co-sign the Internship Contract to manifest approval or consent to the internship abroad of
their child/spouse; and
2. Attend the pre-departure seminar or orientation

E. Commission on Higher Education (CHED)

1. The Chairperson

Upon compliance, CHED Chairperson will endorse the list of students with basic information
per Article 9.2.4 to the Bureau of Immigration copy furnished the Office of Consular Affairs,
Department of Foreign Affairs (DFA) for coordination with the Philippine Embassies/
Consulates in the host countries.

2. CHED Regional Offices

a. receive request from HEIs;
b. review/ evaluate the documentary requirements pre-screened by their respective HEI;
c. prepare endorsement of the list of student interns to the Executive Director through the
Office of the Student Services (OSS);
d. ensure that all HEIs and their duly designated internship partners comply with the
provisions of these guidelines for the welfare and protection of students; and
e. join in the conduct of the monitoring and evaluation.
3. Office of Student Services (OSS)
a. receives and evaluates request of the HEIs through CHEDRO’s endorsement;
b. prepares evaluation report and recommendation to the Executive Director for the
approval/ signature of the CHED Chairperson;
c. establishes and maintains linkages with government and non government agencies and
organizations and enter into agreements with them for the successful implementation of
SIAP;
d. ensures that all HEIs and their duly designated internship partners comply with the
provisions of these guidelines for the welfare and protection of students;
e. prepares the endorsement of the list of student interns to Bureau of immigration copy
furnished the Department of Foreign Affairs; and
f. coordinates with the Bureau of Immigration whether the student interns are not included
in the Bureau’s Hold Departure List and Watch list. Verification should be made at least
three (3) days before the student’s departure.

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 4. International Affairs Service (IAS)
IAS seeks opportunities to broaden implementation of SIAP by facilitating linkages and
networking with other countries in coordination with the Department of Foreign Affairs and
other government agencies.

5. CHED Legal Services (CLS)

CLS conducts investigation in coordination with concerned offices and submits report on
alleged violations committed by any of the parties to the Commission en banc for appropriate
action.

III. Procedure
1. HEI’s application for SIAP participation
1.1. complies with the requirements and submits the notarized letter of intent at least fifteen (15)
working days before the schedule of 1 st departure
1.2. waits for the CHED action to be taken;
1.3. if approved, HEI receives a notification that they are included in the CHED list of participating
HEIs; and
1.4. If disapproved, the applicant will be immediately notified in writing.

2. HEI’s application for CHED Endorsement to Bl

2.1. Upon arrival, HEI writes a letter of request for CHED endorsement to BI to include the
following documents:
a. A copy of duly notarized Memorandum of Agreement (MOA) with their FHEs/Os indicating
their specific obligations/ responsibilities and HEIs to assume full responsibility over the
students while having their Internship Program Abroad, among others;
b. A list of students who intend to undergo the internship together with their documents as
follows:
b.1 Notarized Application letter signed by authorized school officials;
b.2 Transcript of Records with Seal;
b.3 Passport (photocopy)
b.4 Training Permit issued by host country
b.5 Medical Certificate (Original)
b.6 School Certificate of student eligibility (with seal); and
b.7 Flight details

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 2.2. CHED evaluates the completeness and compliance of the documents submitted;

2.3. Upon compliance, CHED prepares the endorsement for BI clearance to be signed by the
Chairperson copy furnished the Department of Foreign Affairs and notifies HEI to pick up the
same once signed to be brought to BI. Only HEI authorized personnel will be allowed to
transact with CHED and BI; and

2.4. The BI clears the students’ names prior to their departure. It is recommended that application
should be processed early enough to avoid delay in the event that the student applicant has a
derogatory record.

3. HEI’s report

1. At the end of the internship period, the HEI shall submit to CHED the following documents:
1.1 Executive Summary containing among others the strength of the program, areas of
improvement;
1.2 Accomplished SIAP evaluation form;
1.3 Summary of student learning experiences;
1.4 Status of students who are enrolled in the internship abroad (completed, on-going,
terminated for a cause);
1.5 Report on complaints and grievances of student interns or FHEs/Os, including the action
taken to address such grievances, if any;
1.6 Report on disciplinary section of student interns found guilty of violating any of the
provisions contained in these guidelines; and
1.7 Any other necessary documents duly authenticated by the Philippine Foreign Service
Post as may be required by CHED

Refer to Annex “C” (CMO #22, s. 2013)

IV. Memorandum of Agreement (MOA) for the Parties Involved

The Memorandum of Agreement (MOA) shall be executed between HEI and FHE/O and must include,
among others the following:

1. The internship program should not be less than three (3) months but not more than twelve (12)
months as dictated by the program requirements;

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 2. Roundtrip ticket of the student interns;

3. Monthly Allowance based on prevailing living standards of a host country;

4. Compensatory overtime/ excess allowance or other applicable scheme per existing law of the
host country when performing internship duties on a holiday (for a maximum of four hours) in
excess of the regular eight hours with due consideration to the health and safety of the interns;

5. Duty meals and uniform for the student intern;

6. Decent and habitable dormitories with the following features:

a. accessible to the workplace;

b. comfortable bedrooms that provide privacy for student;
c. separate dormitories for male and female student interns, if possible;
d. acceptable kitchen, laundry, receiving, dining, toilet, storage/cabinet facilities;
e. adequate supply of water and electricity;
f. must provide a locker that is secured and safety deposit box; and
g. extra charges in excess of the usage of the facilities (e.g. electricity or water) must be stated
in the training contract.

7. Death, accident and dismemberment insurance coverage;

8. Repatriation cost in case of death or a free return ticket if the intern was physically incapacitated;
and

9. Hospitalization benefits.

See attached ANNEX “D”(CMO #22, s. 2013) for the MOA coverage for Student Internship
Abroad Program (SIAP)

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REINFORCED FLEXIBLE SIP PLAN

The provisions from CMO#4, s.2020, CHED COVID Health Advisories, DOH, LGU, and ITAF
policy for conducting physical or industry internships were used to create this reinforced strategy for the
Student Internship Program in response to the global health crisis. This is to guarantee that learning is
delivered effectively and that programs and activities are carried out. This customizable internship training
strategy will aid in providing students with the most critical learning required in the real-world scenario of
a job or work. All measures will be focused on ensuring the learners', teachers', and personnel's safety.

In the execution of health and safety measures for our students, teachers, and employees, the
institute will rigorously follow the policy guidelines given by the LGU, DOH, IATF, CHEd, and the Office
of the President. The institute IATF, as well as the officials and staff involved, are responsible for
monitoring and evaluating the delivery and implementation of the student internship continuity plan.

The following options that may be taken in lieu of the industry-internship: refer to Annex “A” (SIP Manual)

Option 1: To conduct an Internship Webinar Series for skills-based programs where industry
experience is not yet applicable. This webinar session should focus on the different
skills and competencies of the different programs, having an industry virtual tour,
and a set of lessons on developing the interns’ soft skills in the workplace.
Option 2: To credit the student’s work experience related to their field of specialization, as
per CMO #104, s.2017, Section 16.3.2. SIPP officers will have to assess and
evaluate the work experience of the said student.
Option 3: To adopt an online internship. There is a need to establish linkages for those
companies that offer online on-the-job training, and trainees shall be monitored
periodically by their respective SIPP officers.
Option 4: To adopt the In-campus Internship as per CHED Covid-19 Advisory #7. With this,
the “Safe back to School Program” shall be implemented to ensure the safety of
our students in adherence to the health and safety protocols by the institute, LGU,
IATF and DOH. A close monitoring of students is to be done by the SIPP officers
or person-in-charge.

These options are subject for the approval of the institute based on the current situation that PIT
and the rest of the region are facing.

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GRADING SYSTEM

The criteria for grading the students will depend on the type of Internship the students performed.

Option 1: This matrix of grading systems is applicable for the face-to-face or industry
experience internship, online internship and the credited work experience.

Criteria Percentage

Rating from the Cooperating Industry 60%

Evaluation of SIP Officer 40%

● Journal (30%)

● SIPP Activities (10%)

TOTAL: 100%

Option 2: This matrix will be applicable if the internship is in the form of webinar series
sessions.

Criteria Percentage

Participation 50%

● Attendance (25%)

● PDOS (25%)

Narrative Report 50%

● Journal, Portfolio, Documentation

TOTAL: 100%

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STUDENT INTERNSHIP PROGRAM NARRATIVE REPORT

Guide in Writing the Student Internship Narrative Report:

The following are the suggested parts of the Narrative Report:
1. Title Page
2. Approval Sheet
3. Acknowledgment
4. Table of Contents
5. Introduction
5.1. Name of Company
5.2. History
5.2.1 Company Profile
5.2.2 Organizational Structure / Chart
5.2.3 Duties/Responsibilities of Student Intern/Trainee
6. SIP Progress Report
6.1 Performance/Activities Rendered
6.2 Performance Approval
7. Summary
7.1 Working Conditions of the Intern/Trainee
7.2 Problems Encountered by the Intern/Trainee
8. Conclusions/Recommendations
8.1 Overall suggestions/comments
8.1.1 Regarding the perceived problems
8.1.2 Ways to improve the Student Intern program
9. Appendices
9.1 Pictorials
9.2 Other documents
9.2.1 Accomplished Evaluation Form of Student Internship Experience
9.2.2 Accomplished Student Internship Performance Evaluation Form
9.2.3 Certificate of Completion (stating no. of hours rendered)
9.2.4 Resume of Student Intern/Trainee (for employment assistance purposes)
See attached ANNEX “D”(SIP Manual) for the Narrative Report Template

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MONITORING AND EVALUATION

The monitoring and evaluation of the performance of the student interns shall be done jointly by
PIT and THE/ FHEs/Os. The SIPP coordinator, as well as the dean of the college should use standard
procedures, instruments and methodologies, such as oral and written observations, monthly reports, and
interviews or conferences to the students, to monitor and evaluate the student interns.

1. At the end of the internship period, the HTE shall transmit within ten (10) to fifteen (15) working
days to the PIT the following documents;
a. Certificate of Completion;
b. Duly accomplished evaluation sheet; and
c. Other pertinent reports, information, and/or documents which may be included for purposes of
describing student intern performances.
2. The SIPP Coordinator’s report including the HTE evaluation report and Internship Narrative Report
will be the basis of the student intern’s final grade;
3. A student intern whose contract was terminated before the end of the stipulated period due to
resignation or other causes shall be given a final grade on the basis of the school’s grading system,
and after considering the circumstances surrounding such termination; and
4. The PIT, together with CHED OSS, CHEDROs and members of the TWG/ Inter-Agency Committee
for SIAP shall strictly monitor compliance of the parties to these guidelines. A Memorandum of
Agreement (MOA) may be executed for this purpose and an appropriate funding may be sourced out
from available funds from the respective Inter-agency Committee involved of concerned government
agencies.

FEE
Based on CHED Memorandum Order No. 3, Series of 2012 (CMO NO. 03, s. 2012), or the
"Enhanced Policies, Guidelines, and Procedures Governing Increases in Tuition and Other School Fees,
Introduction of New Fees, and for Other Purposes," the PIT shall follow the authorized student's internship
fee. However, in accordance with the rules of the abovementioned CHED Memorandum Order, HEIs
participating in the SIAP may collect additional other fees for this reason.

The school may not charge the student any fees other than those approved/prescribed by CHED or
any other school fees not formally noted by CHED. Internship fee to be charged in line with CMO No. 03,

36 | Page
s. 2012 contains administrative costs that correspond to the practicum/OJT subject units and will be
supplemented by HEI administrative costs.

GRIEVANCE MACHINERY

It is recognized that the program may give rise to grievances and complaints from or related to a
variety of sources, including the HEIs, HTEs, student interns, and other stakeholders. More often,
grievances arise for varied reasons to include one party claimed to be treated unfairly or unjustly, or that
there have been undesirable program outcomes or lapses in the program’s process for that matter.

Objectives
To ensure a transparent and accountable Student Internship Program, a Grievance Committee shall
be constituted. The Grievance Committee is empowered to handle and review any complaints or grievances
from HEI, HTE, student intern and other stakeholders. The Grievance Committee shall have the initial
responsibility of settling differences in any cases of violation of the training agreement or upon filing of a
complaint by an aggrieved party.

Composition and Terms of Reference (TOR)

1. HEI Level
The Grievance Committee shall be composed of officials, SIPP coordinator and dean
and/or representative of the concerned College of HEI which have jurisdiction over concerned
student interns. The committee shall investigate matters within its jurisdiction and render decision
pursuant to the HEI’s rules and regulations. In case of failure by the Grievance Committee to settle
an issue or render a decision , or in case the complaint is against a member of the Grievance
Committee, the case shall be referred to the concerned CHEDRO appropriate action.

Once action has been recommended or taken, and depending on the nature and
confidentiality of the grievance/resolution, the parties shall be informed of the resolution or
decision by the committee.

2. CHED Level
The Grievance Committee shall be composed of the officials and representatives from the
concerned CHEDROs and HEIs which have jurisdiction over the affected student intern. The

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 Grievance Committee shall investigate and render a decision pursuant to pertinent rule and
regulations. In case of failure by the Grievance Committee to settle the issue or render a decision,
or in case the complaint is against the member of the Grievance Committee, the case shall be
referred to the CHED Central Office (CHED-CO) for appropriate action.

VIOLATIONS

Violations by Palompon Institute of Technology

If found to have committed the following violations shall be meted with the appropriate sanctions
provided in Article XII of CMO 104, S. 2017;
1. Sending students for internship without the required government recognition or Board Resolution
Certificate of Program Compliance for said programs;
2. Partnering with entities that have no juridical personality;
3. Allowing student interns to undertake SIPP without the signed MOA with HTE/ FHEs/Os;
4. Allowing student interns to undertake SIPP without a valid internship offer or contract between the
HTE/ FHEs/Os and the students;
5. Making false statements/mis-statements of student records/documents to make it appear that the
students is qualified to undertake SIPP;
6. Demanding from student interns training fee or other charges, not in accordance with the provisions
of CMO No. 3, s. 2012;
7. Failing to provide free medical and dental services and appropriate insurance coverage;
8. Failing to monitor periodically as stipulated in the internship plan, welfare of student interns and
thus exposing them to situations that may be deemed as exploitation of the students;
9. Failing to submit required reports to CHED as specified under these guidelines, particularly on
results of pre and post monitoring and evaluation of student interns and action taken on their
grievances and complaints, if any; and
10. Such other acts similar or analogous to the foregoing that are in violation of the provisions herein.

Violations of Host Training Establishments (HTE)

1. Violation of any of the provisions of the MOA and CMO 104, S. 2017;
2. Changing provisions of signed internship contract and/or agreement without the consent of the
student interns and PIT;
3. Non-compliance with prescribed Internship Plans;

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 4. Placing student interns in internship venues which degrade, debase, or demean the intrinsic worth
and dignity of the student interns as a human being;
5. Withholding practicum reports of student interns without just cause; and
6. Such other act similar or analogous to the foregoing and activities classified as human trafficking
under R.A. No. 9208 and such other similar issuances that are in violation of the provisions herein.

Violations of Student Interns

1. Any act of gambling, theft and other similar illegal acts;
2. Submitting forged or fraudulent documents;
3. Any act in violation of the PIT’s rules and regulations;
4. Any act in violation of HTE/ FHEs/Os rules and regulations in accordance with the internship
program; and
5. Any act in violation of the laws of the country.

SANCTIONS

In order to ensure compliance with the guidelines and regulations stated in the CMO 104, S. 2017,
the CHED-CEB may, upon the recommendation of the CHED-LLS, impose the following sanctions on the
HEIs and HTEs for any of the violations stated in Article XI.

1. Any HEI found guilty of violating any of the provision contained under Section 24 (CMO 104, S.
2017) of these guidelines may be subjected to the following sanctions depending on the extent of
violations;
a. Written reprimand, with a warning that repeated or persistent violations of these guidelines
may result to the downgrading of Government Recognition or Revocation of Program
Recognition;
b. Downgrading of Government Recognition to permit status or grant of Autonomous to
Deregulated status, Center of Excellence (COE) to Center of Development (COD) status;
c. Revocation of program recognition (Autonomous, Deregulated, COE and COD); and
d. Filing of appropriate administrative and criminal cases as appropriate.

Grounds for Blacklisting of HTE without prejudice to the filing of administrative and/or criminal case

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 2. Any HTE found guilty of violating any of the provisions contained under Section 25 (CMO 104,
S. 2017) of these guidelines may be subjected to the following:
a. Written reprimand, with a warning that repeated or persistent violations of these guidelines
may be result to the blacklisting of HTE; and
b. Blacklisting of HTE to participate in the SIPP;

3. Any student intern found guilty of violating any of the provisions contained under Section 26 (CMO
104, S. 2017) may be subjected to sanctions in accordance with the concerned HEI’s rules and
regulations.

INVESTIGATION OF COMPLAINTS

Upon receipt by CHED through the OSDS of complaints or reports on alleged student exploitation
or any violations as stated in this manual, the same shall be immediately referred to the CHED-LLS for
appropriate action, following prescribed procedures instituted by the same; and
The HEI may be suspended from accepting incoming freshmen in that particular program by the
CHED Chairperson while under investigation for alleged violations of these guidelines.

EFFECTIVITY

These revised SIPP Manual shall apply to all fourth year or graduating students who will undergo
internship/practicum effective A.Y. 2021-2022.

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 ANNEXES

41 | Page
 “Annex A”

Republic of the Philippines

PALOMPON INSTITUTE of TECHNOLOGY
Palompon, Leyte

STUDENT INTERNSHIP PROGRAM CONTINUITY PLAN MATRIX

STRATEGY ACTIVITY TASK Sub-Tasks PERSON
RESPONSIBLE
Implement a Virtual PDOS for 1. Conduct Virtual Pre-Departure 1.1 Shall design webinar programs SIPP
modified student Interns Orientation Seminar for student interns targeting the specific skills for Coordinator,
scheme for 2021-2022 for the year 2021-2022 specific fields. SIPP Officer,
conducting Interns
pre-internship
activity.
Implement a Option 1: Conduct 1. Webinar sessions on different skills and 1.1 Shall design webinar programs SIPP Officers
flexible an Internship competencies for the following programs: targeting the specific technical skills
scheme on Webinar Series for BS Industrial Technology for specific fields.
hands-on skills-based program BS Industrial Engineering 1.2 Shall scout and invite potential
technical or where industry BS Electrical Engineering speakers or trainers to conduct the
skills based experience is not yet BS Mechanical Engineering webinar to the student interns.
internship. applicable Bachelor of Technical-Vocational Teacher
Education
BA in Communication

42 | Page
 “Annex A”

BS in Hotel and Restaurant Management/

BS in Hospitality Management

2. Virtual Industry tour 2.1 Invite companies to give a virtual SIPP

tour of their industry or facilities. Coordinator,
SIPP Officers

3. Webinar on Developing Soft Skills in the 3.1 Design a webinar series program to SIPP
Workplace enhance the soft skills of the interns. Coordinator,
3.2 Invite potential speakers to improve SIPP Officers
soft skills of the student interns.

4. Monitoring and Evaluation 4.1 Output needed: SIPP

a. Resume writing Coordinator,
b. Interview simulation SIPP Officers
c. Narrative report

Option 2: Crediting 1. Assess, monitor and evaluate the work 1.1 SIPP Officer will evaluate the work SIPP
students with work experience of the interns. experience and will check the Coordinator,
experience related validity of the work experience of SIPP Officers
to the field of the interns.
specialization. (As 1.2 Review and evaluate the narrative
per CMO #104,s. report of the intern.
2017, Section
16.3.2)

43 | Page
 “Annex A”

Option 3: Adopt 1. Establish linkages to companies that offer 1.1 Conduct surveys for areas where SIPP
Online Internship online internships. interns are residing for health and Coordinator,
safety precautions. SIPP Officers

2. Deploy students for online internships. 2.1 Periodically monitor and assess SIPP Officers
student interns.
2.2 Validate results of student
internships.

Option 4: Adopt In- 1. Implement the “Safe back to School” 1.1 Check and assess the SIPP
Campus Internship program to ensure the compliance of accommodation facilities Coordinator,
(As per CHED COVID- health standards and safety of our 1.2 Post health and safety protocols in SIPP Officers,
19 Advisory #7) students adherence to the issuances and every part of the campus IATF, other
guidelines of LGU, DOH, PIT and IATF 1.3 Regular disinfections and cleaning personnel as
for the facilities. per advised

2. Inspect campus areas/ offices for 2.1 Rigid monitoring offices where SIPP
deployment. interns are deployed in accordance Coordinator,
to the institute protocols on health SIPP Officers
and safety.

3. Provide intensive monitoring to student 3.1 Close monitoring for all in-campus SIPP
interns. interns with their respective housing Coordinator,
facilities and necessities. SIPP Officers

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Sample Internship Plan for SIP

INTERNSHIP PLAN

Internship plan include among others, the description of the following:

I. Introduction:
During the internship program, the student interns are assigned to different areas and
venues, while in the Host Training Establishments (HTEs), the student interns are given
actual work experience in various departments that may be determined and mutually
agreed upon by the school, THE or the student intern.

II. Goals/Objectives:
The exposure to the different work situations is provided to enable the student intern
experience and observe that practical application of theories learned in the school.

At the end of the internship program, the student should be able to:
1. Identify key positions in the industry and related operations to their corresponding
tasks and responsibilities.
2. Define the standard operational procedure in each of the department assigned;
3. Identify and operate the equipment, facilities and lay-out design in each of the
department assigned;
4. Perform required skills and techniques necessary in the execution of operational
procedures of the assigned tasks in accordance with the existing workplace, health
and safety standards; and
5. Analyze and evaluate operational procedure in each assigned task and recommend
any appropriate course of action to be taken to improve procedures.

III. Requirements of the Program:

A. List of documents for the student internship as stipulated in the CMO
B. Orientation and Briefing
After the application period, orientation and pre-internship seminars shall be
set. Training expectations, guidelines, rules and regulations, course

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requirements shall be discussed. An open forum provides a venue for

clarification on certain issues. The speakers from the Host Training
Establishment (THE) may be invited to share their insights, expectations and
experiences.
C. Internship Contract
An internship contract is signed by the student intern, the Higher Education
Institution (HEI) and the Host Training Establishment (THE). This agreement
identifies the student intern’s tasks and some policies regarding the program.

D. Performance
The culmination of the internship program is the evaluation of the student
intern performance. The evaluation should contain the following:

Name of Student Intern: ________________________________________

Name of the HTE and address: ___________________________________
_____________________________________________________________
Internship Period: Start: _________________ End: __________________

Department/Tasks Period Student Ratings Signature of

Outcomes Supervisor/Mentor

E. CERTIFICATION

A certification with the logo issued by the HTE issued to student intern after the
completion of the designated number of hours. The certification bears the seal,
signed by the HTE’s authorized representative.

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STUDENT INTERNSHIP APPLICATION FORM

Note:
This document will serve as an application form to proceed and/or enrolled in PRACTICUM as requirement for the
program.

Data Privacy Notice: The personal data obtained from this document is stored within the Institute’s authorized file
system and will only be accessed by the SIP officers/ coordinator, Department Chairs and Deans. Security and
protection of your personal data are our utmost priority and shall not be disclosed without your consent.

Furthermore, the information collected shall only be used for the following purposes:
● Processing and reporting of documents related to SIP.
● Evaluation Form of the Student Intern
● Reference of the SIP Officers

DATE RECEIVED:

1. STUDENT NUMBER:
2. DEGREE PROGRAM:
3. MAJOR (If applicable):

4. NAME:
Surname First Name Middle Name Extension

5. ADDRESS:

6. DATE OF BIRTH: 7. SEX: Female 8. CITIZENSHIP: ______________

mm/dd/yyyy Male

9. CIVIL STATUS: Single Married Divorced Widowed Separated

10. CONTACT DETAILS:

Phone number:
Email address:
Facebook account:

11. WORK EXPERIENCE

TYPE OF DATE DATE
FIRM/EMPLOYER ADDRESS POSITION HELD STARTED COMPLETED
WORK

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12. COURSE REPORT

Year-Sem/ Year-Sem/
SUBJECT CODE SUBJECT DESCRIPTION REMARKS SUBJECT CODE SUBJECT DESCRIPTION REMARKS

13. PREFERRED LOCATION FOR INTERNSHIP: (Option 1) ___________________________________________

(for industry-experienced internship) (Option 2) ____________________________________________

14. DISABILITY No Yes (please specify) __________________________________

15. EMERGENCY CONTACT:

Name:
Address:
Relationship:
Phone Number:

I hereby certify that the above information is true and correct.

By signing this document, I agree to proceed and enroll for the PRACTICUM/ OJT as a requirement of the
degree program.

Signature of Applicant: ____________________________ Date signed: _______________

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NARRATIVE REPORT TEMPLATE

Republic of the Philippines

PALOMPON INSTITUTE OF TECHNOLOGY
Palompon, Leyte
COLLEGE OF ARTS AND SCIENCES
STUDENT INTERNSHIP PROGRAM and PLACEMENT UNIT

Tel. No. (053) 555 – 9388 Fax No. 053-338-2501

E-mail add: [email protected] Website: www.pit.edu.ph

A Narrative Report
Presented to the
SIP and PLACEMENT UNIT
COLLEGE OF _____________________
Palompon Institute of Technology
Palompon, Leyte

______________________________

By

_______________________________
Student Intern

Course: __________________________________________
________________________________
(Date Submitted)

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APPROVAL SHEET

This Narrative Report on the “STUDENT INTERNSHIP PROGRAM”:

_____________________________________________________________________________
______________” prepared and submitted by
_________________________________________ in partial fulfillment of the requirements for
the Degree of BACHELOR OF SCIENCE IN
___________________________________________ major in ___________________________
has been examined for acceptance and approval.

NARRATIVE REPORT COMMITTEE

__________________________________ ____________________________________

Approved by the Committee with grade of ______________

Accepted and approved in partial fulfillment of the requirements for the degree of
BACHELOR OF SCIENCE IN _____________________________________________.

___________________________________

______________________
Date

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ACKNOWLEDGMENT

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TABLE OF CONTENTS

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INTRODUCTION

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Student Intern/Trainee Progress Report for the Month of _________,20___

Name of Student Intern/Trainee:
Course: Major:
Cooperating Industry:

Performance/Activities Rendered: Remarks:

(SIPP Coordinator)

Performance Appraisal: Remarks:

(Student Intern/Trainee
Supervisor)

NOTED:
Student Intern/Trainee Supervisor:
__________________________
Signature over printed name

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SUMMARY

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CONCLUSIONS/RECOMMENDATIONS

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APPENDICES

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PERSONAL INFORMATION SHEET OF ON STUDENT INTERN/TRAINEE

A. PERSONAL INFORMATION SHEET
Surname: First Name: M.I. Course &
Major:
City Address
Telephone No.: Mobile Phone No.:
Provincial Address: E-mail Address:
Date of Birth: Place of Birth:
Civil Status: Religion:
B. FAMILY INFORMATION
Father Mother:
Occupation: Occupation:
C. HEALTH INFORMATION
Blood Type: Weight: Height:
Health problems:
D. SCHOLASTIC INFORMATION:
Secondary: Vocational:
Address: Address:
Year Graduated: Year Graduated:
E. WORK EXPERIENCES:
Company/Training
Position Inclusive Date Address
Center

E. SPECIAL SKILLS AND HOBBIES

F. CHARACTER REFERENCES (not related to you)
Name Position Address Tel. No.

Comm. Tax Cert. No._______________ I HEREBY CERTIFY that the

Issued at _____________ above Information is true and correct to
Issued on________________ the best of my knowledge and belief.

_______________________
Signature of Student Intern

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PARENT’S CONSENT

I/We, Mr. ___________________________ and Mrs. ______________________ parents

of ______________________________________________, a prospective Student Intern/Trainee
of the Palompon Institute of Technology, Palompon, Leyte, have hereunto grant permission for
him/her to undergo ________________ hours Internship Training in
____________________________________________ (HTE) which is a requirement for
graduation.

That we made it known our continued financial and moral support to him/her during the
training. That we shall adhere to any disciplinary action of the school, such as dropping him/her
from the rolls of trainees and/or barring him/her from graduation should it be found that he/she is
a frequent absentee and /or a notoriously undesirable trainee.

Signed this _______ day of ______________ 20 ________ in Palompon, Leyte, Philippines.

__________________________ ____________________________
Signature of Father/Guardian Signature of Mother/Guardian

WITNESSES:

__________________________ ____________________________

NOTED BY: CONFORME:

___________________________ _____________________________

___________________________ Signature of Student Intern

******************************************************************************

SUBSCRIBED AND SWORN TO before me this ____________ day of _____________

20___ at Palompon Institute of Technology, Palompon, Leyte, Philippines.

_____________________________

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CERTIFICATION OF AGREEMENT ON STUDENT INTERNSHIP PROGRAM

The ___________________________________________________________ (HTE)

agrees to permit Mr./Ms. ________________________ (Student Intern/Trainee) to work in this
establishment.

A. THE STUDENT INTERN/TRAINEE AND THE TRAINING PERIOD

1. The Student Intern/Trainee will submit to the cooperating industry the following
documents:
a. Endorsement letter
b. Student profile
c. Parent’s consent
2. During the training period, Mr./Ms. _____________________________ has a status of
a student trainee performing Internship Training at the cooperating industry (HTE).
3. The Student Intern will comply at all times with the rules and regulations of the
cooperating Industry. (HTE)
4. The Student Intern will perform according to the best of his/her ability all the tasks and
activities set by the cooperating industry.
5. The Student Intern will report to the College on the dates specified during the Student
Internship orientation.
6. The required training period is 720 hours for those who are following the old
curriculum and 250 ora maximum of 5 months for those who are following the new
curriculum except for those technical programs, effective 2017-2018 (for ABCom
students), 600 hours (for BSBA students), and 450 hours (for BSHRM/BSHM
students) inclusive of regular and over time working hours, and 300 hours (for BSBIO).

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B. THE HOST TRAINING ESTABLISHMENT (HTE)

1. The HTE will assign personnel who will serve as supervisor to the Interns/Trainees.
2. The HTE deploys the Interns/Trainees to practical and related works along their area
of specialization.
3. On Optional basis, the HTE will give an allowance during the Internship period.
4. The HTE may impose disciplinary action to any Interns/Trainees with prior notice to
the Placement Coordinators for failure to comply with the Company’s rules and
regulations.
5. The HTE reserves the right to dismiss the Intern/Trainee who fails to meet the standards
set by the Cl after consulting the Student Intern Adviser/Supervisor.
6. The HTE will evaluate the performance of the Intern/Trainee and will give a certificate
of completion at the end of the training period.

The above terms of agreement maybe revised, amended or terminated by the parties
involved after a through consultation has been made.

The parties hereby affix their signatures signifying agreement to the above provisions.

PIT-Palompon, Leyte ____________________________

By:
_________________________________ _____________________________
Student Intern/Trainee Adviser/Supervisor Name of Representative & Position

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Student Intern/Trainee Performance Evaluation Form

Student: Major: Training Period:
Instruction: Please check the appropriate description of the performance of the trainee.

Attendance Ability to Get Along with People

1. ___ Always absent without good excuse 1. ___ Unable to get along with others
2. ___ Has too many days absent or late 2. ___ Has some difficulty working with others
3. ___ Breaks are too frequent and too long 3. ___ Unusually gets along well with people
4. ___ Always present and on time 4. ___ Is courteous and tactful with people
5. ___ Work until shift is over 5. ___ Well-accepted by co-workers and
supervisors

Appearance Dependability
1. ___ Untidy 1. ___ Unreliable
2. ___ Is poorly dressed or groomed 2. ___ Sometimes fails to do job
3. ___ Satisfactory appearance 3. ___ Works under supervision
4. ___ Careful about personal appearance 4. ___ Works without constant supervision
5. ___ Neat and well-groomed 5. ___ Works without supervision

Cooperation Productivity
1. ___ Uncooperative 1. ___ Fails to do the assigned job
2. ___ Cooperates reluctantly 2. ___ Does work below the required
3. ___ Cooperates willingly when asked 3. ___ Does the assigned job as required
4. ___ Cooperates eagerly and cheerfully 4. ___ Does assigned job more than required
5. ___ Always cooperates 5. ___ Puts in a good day’s work

Initiative Quality of Work

1. ___ Always attemps to avoid work 1. ___ Work is too slow or inaccurate
2. ___ Sometimes attempts to avoid work 2. ___ Does less than required amount of work
3. ___ Does assigned job willingly 3. ___ Does normal amount of work
4. ___ Does more than assigned job willingly4. ___ Does more than the required amount of
work
5. ___ Resourceful 5. ___ Neat and accurate, work beyond required
amount

Ability to Follow Instructions Overall Performance

1. ___ Cannot follow instructions 1. ___ Unsatisfactory
2. ___ Needs repeated detailed instructions 2. ___ Below Average
3. ___ Follows most instructions without difficulty 3. ___ Average
4. ___ Follows instructions with no difficulty 4. ___ Very Good
5. ___ Always follow instructions 5. ___ Outstanding
TOTAL SCORE:
Rated by: ___________________

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Student Intern Strengths and Weaknesses

A. Description of the Student Intern/Trainee Strengths

B. Description of the Student Intern/Trainee Weaknesses

__________________________________________
SIP Coordinator’s Name and Signature

__________________________________________
Position/Rank

__________________________________________
Industry Name and Address

__________________________________________
Date

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Evaluation Form of Student Intern/Trainee Experience

Name of Student Intern/Trainee
Course and Major
Cooperating Industry
Student Intern/Trainee Supervisor
Instructions: Rate your Student Intern/ Trainee experience according to the criteria by circling
the appropriate number.
4 Very High 3 High 2 Average 1 Very Low
1. An orientation of the company rules and regulations was
4 3 2 1
conducted during the first day.
2. My assignments were related to my field of specialization. 4 3 2 1
3. The cooperating industry has adequate, modern facilities and
4 3 2 1
equipment.
4. I was given the opportunity to perform relatively advanced
4 3 2 1
tasks.
5. My co-workers were friendly, accommodating and helpful. 4 3 2 1
6. My Student Intern supervisor assisted me in coming up with
4 3 2 1
my assignments.
7. My Student Intern supervisor periodically monitored my
4 3 2 1
performance
8. It has given me an educationally meaningful experience. 4 3 2 1
9. My Student Intern was a worthwhile experiential learning. 4 3 2 1
10. It provided me employment opportunity after graduation. 4 3 2 1

Remarks or Suggestions:

Student’s Signature:
Date:
_________
_

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ESTABLISHED LINKAGE COMPANIES AND INDUSTRIES OF PIT

STUDENT INTERNSHIP PROGRAM

Contact Telephone
Companies/Industries Address
Person/Position Nos.

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ESTABLISHED LINKAGE HOST TRAINING ESTABLISHMENTS OF PIT

STUDENT INTERNSHIP PROGRAM

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NOTES / REMARKS

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