Annex A

Naga College Foundation, Inc.

Naga City

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Personal Information
Family Name Given Name Middle Name

Date of Birth Age Sex Place of Birth Civil Status

Address:

Mobile Number Landline Number E-mail Address

Department Course Year Level

Additional Information
Special Skills
Areas of Interest
Competencies
Placement Details
Please indicate the strand/areas where you prefer to do internship/OJT/ICT
Suggested Office

I hereby certify that the statements I have made in this application are correct to the best of my knowledge and belief, and
that I agree to meet the eligibility criteria for the Internship Program of the College. False information provided by me in this application
may lead to strict disciplinary action and may forfeit my internship application.

Printed Name Signature Date

------------------------------------------------Do not write below this area ------------------------------

Dean’s Office Notes
Required Documents Submitted Evaluator’s Initial Date

Engr. Niño Angelo T. Agna

Faculty Internship Coordinator
Prerequisite Complied Evaluator’s Initial Date

Engr. Ariel C. San Lorenzo

Program Chair, Civil Engineering
Officially Enrolled Evaluator’s Initial Date

Ms. Monette M. Ligao

Secretary, College of Engineering
Actions Taken:

Pre-screened by Recommended by Approved by

ENGR. NIÑO ANGELO T. AGNA ENGR. ARIEL C. SAN LORENZO DR. MONSITO G. ILARDE
Signature over Signature over Printed Name Signature over Printed Name

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 Annex B

NAGA COLLEGE FOUNDATION, INC.

MT Villanueva Avenue, Liboton

Naga City

Remarks

Recommendation

Examining Physician

Note: To be accomplished by Any Doctor

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NAGA COLLEGE FOUNDATION, INC.

MT Villanueva Avenue, Liboton

Naga City

Have

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 Annex C

NAGA COLLEGE FOUNDATION, INC.

MT Villanueva Avenue, Liboton

Naga City

PARENT’S CONSENT

TO WHOM IT MAY CONCERN

This to certify that I ___________________________________ parent/guardian of

___________________________ a student trainee of Naga College Foundation, Inc - College of
Engineering, Naga City, Camarines Sur grants permission to undergo internship/on-the-job/in-
company training at ____________________________________ from __________ to ___________.
I understand and agree that the training is a necessary component of the Bachelor of Science in Civil
Engineering curriculum. Relative thereto, I, as a parent/guardian commits to refrain from sending
him/her for an errand or for anything else causing him/her to get absent from the internship assignment.

I also certify that he/she is on his/her own freewill and that he/she has signified to me his/her
decision to undergo internship as evidenced by his/her signature below, together with my signature.

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 Annex D

NAGA COLLEGE FOUNDATION, INC.

MT Villanueva Avenue, Liboton

Naga City
Internship Plan

I. Introduction

During internship period, the student is assigned to a different areas and venues. While
in the host training establishments, the students are given actual work experience in various
departments that may be determined and mutually agreed upon by the College, Training
Establishments and the student intern.

The curriculum of the College is designed in a way that, the students acquire practical
knowledge, basic concepts, skills, work values in recognized local and foreign host training
establishment.

II. Goals/Objectives

The exposure to the different work situations is provided to enable students experience
and observe application of theories learned in the school. This internship plan has the following
goals/objectives:

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 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 procedure.

III Requirements of the Program

A. List of Documents for submission of Student Trainees as stipulated in the Manual.
B. Orientation and Briefing
After the application period, an orientation or pre-internship seminar shall be set.
Training expectations, guidelines, rules and regulations, course requirements shall be
discussed. An open forum provides a venue for clarifications on certain issues. The
speakers from Training Partners may be invited to share their insights, expectations and
experiences.

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 NAGA COLLEGE FOUNDATION, INC.

MT Villanueva Avenue, Liboton

Naga City

Prepared by: Recommended by: Approved by:

ENGR. NIÑO ANGELO T. AGNA ENGR. ARIEL C. SAN LORENZO DR. MONSITO G. ILARDE
Faculty Internship Coordinator Program Chair, Civil Engineering Dean, College of Engineering

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 Annex E

NAGA COLLEGE FOUNDATION, INC.

MT Villanueva Avenue, Liboton

Naga City

TRAINING AGREEMENT

KNOW ALL MEN BY THESE PRESENTS:

This Training Agreement entered into by and between __________________________ of legal

age and with postal address at ______________________________________, herein referred to as
the STUDENT TRAINEE, and _____________________________ of legal age and with postal
address at _______________________________________, herein referred to as the FACULTY
INTERNSHIP COORDINATOR, and ___________________________ a legal entity duly organized
and existing under Philippine laws, with principal address at
_____________________________________, represented by ________________________, herein
referred to as Host Training Establishment (HTE), ____________________________, of legal age
and with postal address at ______________________________________, herein referred to as On-
site Supervisor.

Witnesseth:

Whereas, the Naga College Foundation - College of Engineering offers engineering curricular
program of which one of the requirements for graduation is that, students should undergo
internship/on-the-job/in-company training for a minimum of _______ hours to expose them to actual
work along their field of specialization, thereby augmenting their formal schooling.

Whereas. ____________________________________ entered into a memorandum of

agreement with NCF to forge an industry academe linkage program to assist in developing the
manpower resource of the region, in particular, and of the country in general.

NOW THEREFORE, for and in consideration of the fore going premises the parties herein
agree and bind themselves to extend full support and allow to use its facilities and render professional
services to the student trainee under the terms and conditions herein stipulated.

A. Duration of Internship

1. That the internship program is scheduled to run for a period of ______ hours or equivalent to
__________ weeks which shall start on _____________________ and shall end on
______________;

2. That the internship hours should not exceed the maximum number of hours of work prescribed by
law, if any, for a worker of his/her age and sex. Time spent in related theoretical instructions shall
be considered as internship hours and shall be reckoned jointly with internship training time in
computing the required internship period.

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 B. Obligations and Responsibilities of Parties

3. That the Student Trainee shall:

a. Submit to the training host the following before the start of the internship:
1. Personal data sheet;
2. Parent’s Consent/Waiver Form;
3. Approved application for student internship program;
4. Proof of life/accident insurance coverage;
5. Medical certificate issued by the College Physician or any government physician attending
to the fitness to undertake the internship assignment; and
6. Duly notarized Internship Agreement.
b. Observe the existing office decorum and policies of the training host (e.g. punctuality,
attendance, working hours, official uniform) for the duration of internship;
c. Perform diligently the internship assignments given to him/her;
d. Pursue faithfully the prescribed course of study and take advantage of the opportunity to
improve his/her efficiency, knowledge and personal traits so that he/she may enter chosen
occupation as a desirable employee in the future;
e. Not engage in gambling, illicit activities, drinking intoxicating beverages and related activities
while at work or within premises of host training establishment;
f. Shoulder all expenses, including travel and transportation expenses for the duration of the
internship program
g. Accomplish weekly internship journal that will be periodically checked by the designated on-
site supervisor/mentor;
h. Inform the on-site supervisor in advance if he/she is not reporting to the office, and make up
for days absent to complete the required number of days/hours of training;
i. Be liable for any breakage and/or destruction of any equipment or laboratory facilities resulting
from his/her own doing;
j. Submit required reports/documents at the end of the internship period.

4. That the Faculty Internship Coordinator shall:

a. Be responsible for all aspects of the student internship program including program
implementation, monitoring and evaluation;
b. Be expected to conduct an initial site visit to ensure that the training facility is safe and
conducive for the student trainee;
c. Be expected to review, orient, interpret and clarify to the student trainee the objectives of the
internship program;
d. Do a regular monitoring of the student trainee under him/her to check on the overall
performance and discuss with the on-site supervisor to further improve the internship program;
e. Meet with student trainee on a periodic schedule for student for student feedback on his/her
assignment to validate complaints of both parties, if any;
f. Be available for consultation with student trainee and provide coaching and counselling
assistance, if needed;
g. Be responsible in evaluating the student trainee’s reports, self-evaluation and give the final
grade taking into consideration the evaluation of the on-site supervisor.

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5. That, if the student trainee develops methods or inventions during the internship that are considered
a direct result of the cooperation with the Training Host and if of its interest, the latter is entitled
to the methods and inventions;
6. That if this internship Agreement has failed to be fulfilled, all involved parties can annul the
agreement immediately. Termination of this agreement has to be in writing to the other parties.
The resigning party has to inform the Dean in writing.

IN WITNESS whereof, the parties have executed this Internship Agreement this ___th of
______________, 20__ at _____________________________ Philippines.

_____________________________ _________________________________
Student Trainee Authorized Representative of
Host Training Establishment

ENGR. NIÑO ANGELO T. AGNA ________________________________

Faculty Internship Coordinator On-Site Supervisor of HTE

Witnesses
ENGR. ARIEL C. SAN LORENZO DR. MONSITO G. ILARDE
Program Chair, Civil Engineering Dean, College of Engineering

ACKNOWLEDGEMENT

Republic of the Philippines )

Province of Camarines Sur ) = SS
Naga City )

BEFORE ME, a Notary Public, this _____ day of ____________________ personally appeared:

NAME CTC# ISSUED ON ISSUED AT

__________________________ _________________________ ________________________ __________________________
___________________ ___________________ __________________ ___________________
___________________ ___________________ __________________ ___________________
___________________ ___________________ __________________ ___________________
Known to me to be the same persons who executed the foregoing instrument and acknowledged to me
that same are their true and voluntary act and deed and that of their respective Institutions they
represent.

WITNESS MY HAND AND SEAL, on the date and place first above written.

Doc. No. _________

Book No. _________
Page No. _________
Series of _________ Notary Public
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 Annex F

NAGA COLLEGE FOUNDATION, INC.

MT Villanueva Avenue, Liboton

Naga City

Official Endorsement for Internship

___________
Date
_________________________
_________________________
_________________________

Sir/Madam:

Greetings!

The bearer ____________________________, _____________________ is one of the student

Name of Student Course / Year
trainee enrolled in the Internship/On-The-Job/In-Company Training Program this Summer
_________, Academic Year _______________ in subject, On-the Job Training at the College of
Engineering, Naga City.

Knowing that your refutable company/office/establishment can give utmost help to our student
trainee, may we endorse him/her to undergo ___________ training hours subject to the policies and
regulations of your establishment.

Thank you for accommodating our request to be our partner in the skills development of our
student.

Very truly yours,

DR. MONSITO G. ILARDE

Dean, College of Engineering

Attested:

ENGR. ARIEL C. SAN LORENZO

Program Chair, Civil Engineering

ENGR. NIÑO ANGELO T. AGNA

Faculty Internship Coordinator

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 Annex G

NAGA COLLEGE FOUNDATION, INC.

MT Villanueva Avenue, Liboton

Naga City

Certificate Of Eligibility

_______________
Date

TO WHOM IT MAY CONCERN

This is to certify that ___________________________, a ____ year engineering student

Name of Student
of NCF-College of Engineering, is officially enrolled in ______________________________
Subject Code and title
this _____ intercession period as required by his/her program of study leading to the degree of
________________________________________________ . Said student was found to be
Program of Study
eligible for internship/on-the-job/in-company training after having been found to have complied
with the academic and pre-requisite requirements of the course.

This certifies further that, to the best of my knowledge, the information given are true,
reliable, and valid, and I understand that any false statement provided herein is subject to
appropriate disciplinary action.

DR. MONSITO G. ILARDE

Dean, College of Engineering

Cf: File

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 Annex H

NAGA COLLEGE FOUNDATION, INC.

MT Villanueva Avenue, Liboton

Naga City

HTE ASSESSMENT OF STUDENT TRAINEE

Name of Student Trainee

Position/Assignment of Trainee
Name of Supervisor/Industry Mentor/ Internship Focal Person
Duration of Internship/On-the-Job Program
Part 1
Please complete this evaluation at the end of the Student’s Internship/On-the-Job Training
Program. If you have time, please discuss the completed form with the trainee for his/her professional
development and for the continual improvement of NCF-COE internship/on-the-job training program.
Please use the scale below to evaluate your trainee’s performance in the areas described:
1 2 3 4 5 6
Needs more Performing
Acceptable Above average Superior
training or below Not observed
performance performance performance
education expectations

General Workplace Performance Numerical Rating

Attendance 1 2 3 4 5 6
Punctuality 1 2 3 4 5 6
Appropriate dress 1 2 3 4 5 6
Attitude 1 2 3 4 5 6
Acceptance of criticism 1 2 3 4 5 6
Asks appropriate questions 1 2 3 4 5 6
Self-motivated 1 2 3 4 5 6
Practices ethical behavior 1 2 3 4 5 6

Specific Job Assignment Performance Numerical Rating

Sufficient knowledge to perform tasks 1 2 3 4 5 6
Verbal communication skills 1 2 3 4 5 6
Written communication skills 1 2 3 4 5 6
Analytical skills – analyses problems & takes appropriate action 1 2 3 4 5 6
Uses technical skills required for the position 1 2 3 4 5 6
Meets deadline 1 2 3 4 5 6
Takes initiative to get a job done, including overcoming obstacles 1 2 3 4 5 6
Sets priorities 1 2 3 4 5 6

How would you assess the trainee’s overall performance?

 Outstanding  Above Average  Satisfactory  Below Average  Unsatisfactory

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 NAGA COLLEGE FOUNDATION, INC.

MT Villanueva Avenue, Liboton

Naga City

HTE ASSESSMENT OF STUDENT TRAINEE

Part II

This section gives you the opportunity, as an experienced professional, to make recommendations that
would help in the professional development of the student trainee as well as give their academic
institution some insights into the areas that may need more attention or intervention.

What do you consider the major strengths of the student trainee?

_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

What areas need improvement?

_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

What would you recommend to make the student trainee better prepared for the workplace? (e.g.
courses, activities, skills acquisition, programs)?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

Other comments, commendations or recommendations:

_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

This Assessment was reviewed with the trainee on _______________________________

Evaluator’s Signature ____________________ Position/Title ______________________

Date: ___________ Contact Number ______________ E-mail Address: _________________

Thank you for your time in completing this evaluation!

Please place this form in an envelope to be provided to you, addressed to: Dr. Monsito G. Ilarde,
Dean, College of Engineering, Naga College Foundation, Inc., Naga City and sealed. This will be
collected by the FIC.

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 Annex I

NAGA COLLEGE FOUNDATION, INC.

MT Villanueva Avenue, Liboton

Naga City

Student Evaluation of Internship/Training

Student Contact Information

Name of Student Trainee
Position/Assignment of Trainee
Semester of Internship
Phone Number: E-mail:
Internship Contact Information
Company Name
Department
Supervisor’s Name
Title
Supervisor E-mail

Questions
These questions are designed to help future students learn more about whether this particular internship/training
experience will be valuable to them. Rate the statements below using the following scale
5 4 3 2 1 NA
Stronly Agree Agree Neutral Disagree Strongly Disagree Not Applicable
Statements Rating Scale
This experience gave me a realistic preview of this career field. 5 4 3 2 1 NA
As a result of my internship/training, I have a better understanding of
5 4 3 2 1 NA
concepts, theories, and skill in my course of study.
I was given adequate training or explanation of projects. 5 4 3 2 1 NA
I had regular meetings with my supervisor and received constructive, on-
5 4 3 2 1 NA
going feedback.
I was provided levels of responsibility consistent with my ability and was
5 4 3 2 1 NA
given additional responsibility as my experience increased.
My supervisor was available and accessible when I had questions/concerns 5 4 3 2 1 NA
The work I performed was challenging and stimulating. 5 4 3 2 1 NA
I was treated on the same level as other employees 5 4 3 2 1 NA
I had a good working relationship with my co-workers 5 4 3 2 1 NA
There were ample opportunities for learning. 5 4 3 2 1 NA
I feel that I am betternprepared to enter the world of work after this
5 4 3 2 1 NA
experience

Was the internship/training paid?  Yes  No

Did you receive any other form of compensation?  Stipend  Meals  Others _______________

Were you offered a full-time or permanent position with the HTE providing the training?  Yes  No

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 Annex J

NAGA COLLEGE FOUNDATION, INC.

MT Villanueva Avenue, Liboton

Naga City

Student Trainee Weekly Journal

Name of Student Trainee ______________________________ Course /Year ___________

Name of On-Site Supervisor ___________________________ Week __________________

I. Please indicate the time you worked:

Date Days Time Hours
____________________ ___________________ __________________ __________________
____________________ ___________________ __________________ __________________
____________________ ___________________ __________________ __________________
____________________ ___________________ __________________ __________________
____________________ ___________________ __________________ __________________
____________________ ___________________ __________________ __________________

II. Internship/Training Location Assignments

____________________________________________________________________________

III. Evaluation of Week’s Experiences:

A. A concise description of what you did each day:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

B. New Experience for the Week:

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

C. Skills and Knowledge Used:

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

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D. Skills and Knowledge Areas In Which You Felt Deficient:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

E. Comments concerning your feelings and experiences:

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

F. Plans for improving your performance:

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

G. Situations you observed during the work that were interesting and/or beneficial to your
professional development:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

Signature over Printed Name

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