AMA COMPUTER COLLEGE-COTABATO CAMPUS
Herrera Bldg., S.K Pendatun Ave., Cotabato City
Tel. No. (064) 421-5881/ Telefax No. 421-5828
Engineering Department
ACCEPTANCE FORM FOR OJT SITE
Date Request: ______________
Name of Company: AMA Cotabato Campus
Address of Company: Herrera Building, S.K Pendatun Avenue Cotabato City
Received by (Printed Name): MS. MICHELLE V. DELGADO
Position: Registrar Supervisor
Confirmation for OJT-site:
Yes_____________ No _____________
Duration of OJT: Four Hundred Eighty-Six Hours (486 Hrs.)
Number of Trainees Needed: One ( 1 )
Course/s of Student Preferred: Bachelor of Science in Information Technology
Signature: ____________________________
Date Signed: _______________
Tel. No.: 09269117096 Email Address: sarky_26@yahoo.com
AMA COMPUTER COLLEGE-COTABATO CAMPUS
Herrera Bldg., S.K Pendatun Ave., Cotabato City
Tel. No. (064) 421-5881/ Telefax No. 421-5828
Engineering Department
ON-THE-JOB TRAINING REQUEST FORM
Name: Ansari A. Tekoken
Course/ Major: Bachelor of Science in Information Technology (BSIT)
Adviser: Prof. Helen Espartero
Student No.: CT09500032
Contact No.: 09269117096
Name of Guardian: Engr. Muktarudin Tekoken
Name of Company: AMA Computer Campus
Address of Company: Herrera Building, S.K Pendatun Avenue Cotabato City
Tel. No.: (064) 421-5881 Contact Person: MS. MICHELLE V. DELGADO
Date Submitted: ___________ Signature: __________________________
Note: Please submit this with:
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Waiver (AMAES-APL-001)
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Resume
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1x1 picture
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Photocopy of Blue-Form
Accomplish required documents before submission
Date Released: _________________ Signature: ______________________
(To be filled up by APL Personnel)
APL REF. No.: _________
AMA COMPUTER COLLEGE-COTABATO CAMPUS
Herrera Bldg., S.K Pendatun Ave., Cotabato City
Tel. No. (064) 421-5881/ Telefax No. 421-5828
Engineering Department
Date: _____________
WAIVER
This is to certify that I am waiving any claims against
AMA Cotabato Campus , from any liabilities arising from any
Name of company
Injury that may be sustained during the ON-JOB-TRAINING (OJT) of my
Son/daughter, Ansari A. Tekoken from
Name of Student
June 04, 2012 to ___September 06, 2012__ .
With our consent/approval:
ENGR. MUKTARUDIN TEKOKEN
( Parent/Guardian )
AMA COMPUTER COLLEGE-COTABATO CAMPUS
H
errera Bldg., S.K Pendatun Ave., Cotabato City
Tel. No. (064) 421-5881/ Telefax No. 421-5828
Engineering Department
STUDENT-TRAINEE PERFORMANCE EVALUATION
Name and Address of Company ____________________________________________________________
____________________________________________________________
Student-Trainee: ________________________________________
Area of Assignment: _____________________________________
Start of internship: _______________________________________ Date of Completion: ______________
Name of Supervisor (s): ________________________________________
AREA
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CRITERIA
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ATTENDANCE
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1. Punctual in coming to work.
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2. Present during required time.
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3. Works after working hours.
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RESPONSIBILITY
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1. Performs task with minimum supervision.
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2. Accept his/her faults readily.
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3. Patient and tolerant in handling small details in task.
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4. Makes decision for himself/herself.
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ADVANCEMENT
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1. Shows satisfaction after performing tasks.
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2. Shows interest in performing more advanced activities in work.
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3. Suggests improved method.
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4. Expresses dissatisfaction when progress of the group towards.
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5. Volunteers to do overtime to speed up completion of work.
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ACHIEVEMENTS
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1.Accepts his /her weaknesses.
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2.acknowledges his/her abilities humbly.
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3.Experts efforts to finish the task on time.
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4. Attempts to accomplish much despite limitations of time and facilities.
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ABILIOTY TO WORK WITH OTHERS
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1.Shares his/her good ideas with others.
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2.Participates in Group activities.
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3. Contribute opinions and talents to co-workers.
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Makes friends easily.
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(Instruction to the Student-Trainee: Please give this instrument to your cooperating agency supervisor before starting to work.)
PART I- BEHAVIORAL PHASE
Instruction to Rater: Rate the above-mentioned trainee by checking the corresponding columns bearing number opposite the criterion based on the following scales:
1-Outstanding 2-Very Satisfactory 3-Satisfactory 4-Fair 5-Poor
RESPECFUL/ COURTEOUS
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1.Courteous to supervisors.
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2.Courteous to workers.
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3.Courteous to clients/customers.
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4.Respects the properties of others.
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5.Respects the right and privileges of others.
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COOPERATIVES
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1. Works with the group activities
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2.Extends help to co-workers with others.
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3.Share his/her work with others.
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INITIATIVE
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1.Volunteers new ideas or methods.
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2.Keeps things moving in the workplace.
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ASPPIRE FOR QUALITY OUTPUT
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1.Experts effort to do things better.
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2.Actually accomplishes excellent work.
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SAFETY CONSCIOUSNESS
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1.Practices proper working habits especially when handling and using tools and equipment.
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2.Avoids unsafe working conditions.
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NEATNESS/ORDIRLINESS
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1.Wears proper attire.
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2.Returns tools and equipment in proper places and uses.
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3.Keeps the working place clean and in order.
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ENTHUSIASM
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1.He/She is happy with his/her work.
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2.Dispalys eagerness to learn.
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HUMANITY
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1.Readily asks for assistance from others when he/she does not have the capability for certain things.
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INDUSTRY
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1.He/She does not mix work with unrelated activities.
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2.He/She is not time conscious.
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REGARD FOR WORK
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1.Expresses pride in his/her works.
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2.Does not hesitate to dirty his/her hands and clothes in work.
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Frequency Subtotal
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Weighted mean=
___________________
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PART II- TECHNOLOGY SKILLS AND KNOWLEDGE
Instruction to Rater: Rate the above-named trainee by checking the corresponding columns bearing numbers opposite the criterion based on the following scales:
1-Outstanding 2-Very satisfactory 3-Satisfactory 4-Fair 5-Poor
CRETERIA
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2
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3
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5
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1. Proficient in the analysis/diagnosis of problems/works to be done.
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2. Proficient in the application of the concepts and principles of technological field appropriate to the technical discipline and computational skills developed in the trainee.
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3. Possess a working knowledge of the materials and processes commonly used in the technology of the field/trade.
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4. Practically knowledgeable in his/her field of specialization with understanding of the technology principles underlying the trade.
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5. Skillful in preparing, interpreting, analyzing and transmitting technical knowledge/ information and ideas into the practical work.
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6. Accurate in performing detailed tasks and activities in trade.
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7. Technically competent in organizing and planning the tasks to be done in the trade areas.
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8. Practices and develops economics production; performing the activities required in the field.
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9. Observed and possessed practical know-how for better quality services.
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10. Searches and utilizes easy, conventional methods and techniques in performing the work in the trade to the technical discipline and computational skills developed in the student-trainee.
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Frequency Subtotal
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Weighted mean=
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General Weighted Mean=
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____________________________________
Signature over Printed of Rater
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