KOLEHIYO NG LUNGSOD NG LIPA
Marawoy, Lipa City, Batangas 4217
Tel No. (043) 774 2420 / 706 6790
PRACTICUM CHECKLIST
FULL NAME : RAYMART K. PESA
COURSE : ASSOC. IN COMPUTER TECHNOLOGY
CONTACT NUMBER : 09092607409
PRACTICUM ADVISER : CAMELO A. OBVIAR, MAEd, LPT
DATE CHECKED : MARCH 14, 2022
The Practicum Adviser will be responsible in checking the necessary
requirements in your on-the-job training.
COPY FOR
NO. OF
REQUIREMENTS Practicum Practicum
COPIES Student
Adviser Supervisor
Checklist 2
Photocopy of Registration Form 1
Resume with Picture 2
Roles and Responsibilities of
2
Practicum Students
Endorsement Letter 2
Acceptance Form 2
Training Agreement 3
Training Plan 2
Trainees Performance Evaluation
2
Form
Notarized Liability Waiver (1
2
original & 1 photocopy)
Checked and Verified by:
CAMELO A. OBVIAR, MAEd, LPT
Practicum Adviser
“
KOLEHIYO NG LUNGSOD NG LIPA
Marawoy, Lipa City, Batangas 4217
Tel No. (043) 774 2420 / 706 6790
ROLES AND RESPONSIBILITIES OF PRACTICUM STUDENTS
A practicum is an experience that requires the practical application of theory or
conceptual knowledge. In the conduct of this activity, students are expected to:
1. enroll oneself to a 3-unit Work Integrated Learning subject known as Practicum;
2. attend the necessary school initiated orientation prior the Practicum duty;
3. be aware of the necessary requirements and procedures to be completed;
4. scout for companies for possible Practicum / OJT experience;
5. prepare and submit the necessary documentary requirements to the company
such as: endorsement letter, acceptance form, waiver, practicum agreement, cover
letter and resume;
6. submit the necessary signed documentary requirements to the Practicum
Coordinator such as: copies of signed acceptance forms, signed waivers, proof of
practicum enrolment, practicum agreement;
7. attend the necessary Company orientation, upon acceptance of the company;
8. recognize that a trainee is not a visitor in the company/institution. The role is to
provide value to the organization by working hard and smart, thus, will benefit the
company and at the same time the desired goals;
9. observe good conduct and work habits consistently appropriate to the
policies/rules/guidelines of the company or institution. Student is the ambassador
of the school to the professional community and should represent Kolehiyo ng
Lungsod ng Lipa in a positive manner;
10. have personal responsibility for the success of internship/practicum program;
11. make an effort to understand what is expected and what is not clearly understood
– ask questions;
12. approach works diligently, take responsibility and be willing to act on own initiative
where appropriate;
13. be punctual and observe rules governing time practices and dress code;
14. be motivated and enthusiastic;
15. use employment facilities in accordance with the employer’s code of practice;
16. participate in firm’s social activities where appropriate;
17. speak not at all, or if necessary, be very careful to other students, faculty, and
associates about confidentiality of information that may have the potential to
damage reputation – including your own/school; and
18. submit the final requirements to the Practicum Adviser such as: Daily Time Record,
Certificate of Completion, Practicum Journals and Documentations.
I hereby accept fully and clearly understand my roles and responsibilities in the
Practicum Program.
Conforme:
RAYMART K. PESA
Trainee
Noted by:
CAMELO A. OBVIAR, MAEd, LPT
Practicum Adviser
“
KOLEHIYO NG LUNGSOD NG LIPA
Marawoy, Lipa City, Batangas 4217
Tel No. (043) 774 2420 / 706 6790
TRAINEE’S PERFORMANCE EVALUATION
NAME OF TRAINEE: RAYMART K. PESA
Please rate the Student’s overall practicum performance according to the rating scale below.
1 = MBE Markedly below expectations. Rarely or never meets the standard. Needs to
demonstrate marked improvement to attain competence.
2 = BE Below Expectations. Occasionally meets the standard or fails to meet important
aspects of the standard
3 = ME Meets Expectations. Consistently meets the standard. Demonstrates attainment
of competence.
4 = FME Fully Met Expectations. Performance was fully met based on the standard.
Consistently demonstrates competence
5 = EE Exceeds Expectations. Demonstrates abilities beyond level of training and
experience.
CRITERIA 5 4 3 2 1
WORK HABITS
1 Comes to office on time.
2 Shows interest on the job.
3 Consistently following the rules.
4 Demonstrates dedication and commitment to the tasks assigned.
5 Regularly reporting to the given designation.
6 Working independently without direct supervision.
WORK SKILLS
1 Clearly follow directions and offer precise attention on work given.
2 Show flexibility and versatility in handling work details.
3 Operates the machine assigned with competence.
4 Provides sound ideas to problems.
5 Sensitive in handling important documents and company properties.
6 Identifies the importance of efficiency in every aspect of the job.
7 Understand the differences and connections of work being handled.
SOCIAL SKILLS
1 Displays enthusiasm and active involvement in the organization.
2 Is capable of learning from and listening to co-workers.
3 Ask for help when necessary in the performance of the task.
4 Shows respect and courtesy in dealing with peers and superiors
5 Get along well and work cooperatively with others.
6 Shows poise, self-confidence and is always well - groomed.
7 Demonstrates professionalism at all times.
TOTAL
GRAND TOTAL
Comments/Remarks:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
JUAN P. DELA CRUZ
Human Resource Manager
Design and Print Corporation
NOTE: Please return sealed in
an envelope with
signature over the seal.
