APPENDIX A - Template of the MOA from the OVPAA
MEMORANDUM OF AGREEMENT
Know All Men By These Presents:
This MEMORANDUM OF AGREEMENT entered into by and between:
The (name of company), a corporation duly created and existing
under the laws of the Republic of the Philippines, with office address
at (address), herein represented by its (position of authorized
signatory of the company), (name of authorized signatory of the
company), hereinafter referred to as the “COMPANY”;
-and-
The POLYTECHNIC UNIVERSITY OF THE PHILIPPINES, a state
university with principal address at Anonas St., Sta. Mesa, Manila,
herein represented by its Vice President for Academic Affairs, DR.
EMANUEL C. DE GUZMAN, hereinafter referred to as
“UNIVERSITY”.
WITNESSETH:
WHEREAS, the Commission on Higher Education (CHED), on 24 May 2020,
issued CHED Covid Advisory No. 7, wherein it stated that OJT and internship
programs (foreign and local) remain suspended until ECQ, MECQ, GCQ, and MGCQ
has been lifted. On 10 February 2021, The CHED and the Department of Health
(DOH) issued Joint Memorandum Circular Order No. 2021-001 wherein CHED and
DOH prioritized selected health-related degree programs regarded as vital in
providing additional manpower support in the health system, for the gradual
reopening of HEI campuses for limited face-to-face classes and internship.
WHEREAS, pursuant to the aforementioned issuances, the Office of the Vice
President for Academic Affairs, through Memorandum Order No. 2, Series of 2021,
allowed the offering of On-the-Job Training (OJT) and Internship Programs on the 2nd
Semester of SY 2020-2021 by means of online and/or correspondence mode of
delivery.
WHEREAS, the UNIVERSITY, has established a professional program for its
students, under the College of Computer and Information Sciences, called the Online
Information Technology Internship Program for Second Semester 2020-2021. The
program is designed to supplement the learnings in Architecture and to train
students to become competitive and technologically innovative professionals
through actual exposure to a professional workplace through online platform to
address the new normal brought about by COVID-19;
WHEREAS, the COMPANY supports this program and is willing to give the
students of the UNIVERSITY a course related work assignments and expose them to
actual learning experiences;
NOW THEREFORE, for in consideration of the foregoing premises, the
parties hereby bind themselves to undertake this Agreement under the following
terms and conditions:
1. The duration of the program shall be equivalent to at least 200 hours
unless otherwise agreed upon by the COMPANY and the UNIVERSITY;
2. The COMPANY shall commit to take in the student-trainees to undergo
OJT Program consistent with the requirements of the UNIVERSITY;
3. The UNIVERSITY shall be responsible for briefing the student-trainees
who intend to conduct practicum exposure in the COMPANY as part of
the UNIVERSITY’s curriculum;
4. The UNIVERSITY shall provide the student-trainees the basic orientation
on work values, behavior, and discipline to ensure smooth cooperation
with the COMPANY;
5. The OJT shall be held online based on the agreed schedule between the
mentor and the mentee and duly noted by the faculty adviser;
6. The UNIVERSITY shall unilaterally withdraw a student-trainee who is
found to misbehave and/or act in defiance to existing standards, rules,
regulations of the COMPANY and impose necessary the UNIVERSITY
sanctions against the said student-trainee;
7. The COMPANY shall provide free relevant instruction and training to
student-trainees, consistent with its policies, rules and regulations. It shall
treat the student in a professional manner, and shall not subject him/her to
tasks and work assignments that are risky, dangerous or unrelated to the
purpose of this Agreement:
8. There is no employer-employee relationship between the COMPANY and
the student-trainees. As student-trainee, he/she shall not be entitled to the
compensation/benefits accorded to an employee;
9. The COMPANY is not obliged to employ student-trainees upon the
completion of the training. However, the COMPANY, upon consultation
with the UNIVERSITY, may require qualified students to submit
themselves to examinations, interviews, and submit pertinent documents
to support their application;
10. The student-trainees shall be personally responsible for any and all
liabilities arising from gross negligence in the performance of his/her
duties and functions while under training;
11. The parties shall not divulge any information that it may have access to,
and any such information will only be used for academic purposes;
12. Both parties shall have the right to pre-terminate the internship program
if:
a) The TRAINEE violates the rules and regulations of the COMPANY, or
if there is serious misconduct;
b) The COMPANY does not provide the kind of responsible training as
agreed upon; or
c) There is any violation of the foregoing covenants that will warrant the
cancellation of this Agreement:
PROVIDED that the terminating party shall formally inform the
Program Coordinator or Faculty Adviser of the grievance before any decision to
terminate is made and finalized. The Program Coordinator or Faculty Adviser
shall intervene in order to rectify the situation in the interest of all parties
concerned.
13. Both parties shall exert all efforts necessary to achieve the objectives of
this joint undertaking.
EFFECTIVITY/DURATION
1. This Agreement shall take effect on the date of the signing and shall continue to
be in force for a period of One (1) year unless earlier terminated for just cause,
by either party within thirty (30) days prior written notice to the other party.
Any renewal shall be through the mutual consent by both parties.
2. The one year period shall be applicable to cover other prospective student-
interns who may likewise be required to undergo an OJT-Internship with the
COMPANY during the effectivity of this Agreement.
IN WITNESS WHEREOF, the parties hereby affix their signatures
this day of , 20
at , Philippines.
(NAME OF COMPANY) POLYTECHNIC UNIVERSITY
OF THE PHILIPPINES
By: By:
(Name and signature of DR. EMANUEL C. DE GUZMAN
authorized signatory of the company) Vice President for Academic Affairs
(Position)
SIGNED IN THE PRESENCE OF:
(Name and signature of witness) (Name and signature of witness)
(Position) (Position)
ACKNOWLEDGMENT
Republic of the Philippines)
City of ) S.S.
BEFORE ME, a Notary Public, for and in the City of , this
day of , 20 , personally appeared:
Valid Proof of Identity Issued at/on
(Name of authorized
signatory
of the company)
DR. EMANUEL C. DE
GUZMAN
known to me to be the same persons who executed this instrument and
acknowledged the same to me as their free and voluntary act and deed, and of the
entities they respectively represent.
This document consists of four (4) pages including the page where this
Acknowledgment is written, and the parties signed at the left margin of each and
every page hereof.
WITNESS MY HAND AND SEAL on the place and date first above written.
Notary Public
Doc. No. ;
Page No. ;
Book No. ;
Series of .
APPENDIX B – OUS JOURNAL REPORT
Name of Intern: Level and Section
Start Date of On the Job-Training: Total Number of Hours:
Host Company: Contact Number:
Address:
Week No.
DAILY ACTIVITY NARRATIVE REPORT
Date Competency Daily Task Accomplishments Number of Working
Learned Hours
Week No.
DAILY ACTIVITY NARRATIVE REPORT
Date Competency Daily Task Accomplishments Number of Working
Learned Hours
Prepared by: Date Submitted: Noted by:
Name & Signature of the OJT Student Date OJT Supervisor
BROADCASTING INTERNSHIP 1
Evaluation Form
Name of Intern:
Host Training Establishment (HTE):
Address of HTE:
Direction: Rate the student intern using the following scales through checking:
1-Very Poor 2-Poor 3-Satisfactory 4-Good 5-Excellent
PRODUCTION OF MEDIA TEXTS 1 2 3 4 5
Clarity of the produced media texts
Consistent in terms of the previous disseminated information
Creative presentation is executed
Appropriateness of the contents to the beneficiaries
Timeliness of the Media Texts
Accuracy to the information
BROADCAST NEWS PRODUCTION 1 2 3 4 5
Script is adheres to the media laws and ethics
Execution of the intern
Editing, special effects, and other technical aspects application
PUBLIC SERVICE ANNOUNCEMENT 1 2 3 4 5
Appropriateness of the content to the present issues
Creative execution of the PSA
OTHER CONCERNS 1 2 3 4 5
Work Ethics
Personality Development
Human Relations
Strong Points Weak Points
Evaluated by:
Signature Over Printed Name/Position/Date
Republic of the Philippines
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES
OFFICE OF THE EXECUTIVE VICE PRESIDENT
OPEN UNIVERSITY
Sta. Mesa, Manila Tel. Nos. 716-78-32 to 45
PERFORMANCE EVALUATION SHEET
Name: Yr. & Sec.
Surname Given Name MI
I. PERSONALITY Points Rating
A. Personal Grooming
1. Neat overall appearance 10
2. Hair neatly combed
3. Nails properly trimmed and clean
B. Clothes
1. Dress suited for business trainees
a. Color not loud
b. Style becoming and appropriate for business
2. Shoes always clean
II. INDUSTRIOUSNESS/INITIATIVE/RESOURCEFULNESS
A. Industriousnes / Initiative 20
1. Perform his task conscientiously
2. Shows interest in his business/work
3. Is willing to do other task when ask; and
4. Offers his help to other in need
B. Resourcefulness
1. Finds out details about his work/business
2. Is not ashamed to ask questions on matters
he does not know
3. Is independent in his work
III. KNOWLEDGE AND APPLICATION OF BUSINESS
A. Understand and able to explain in form and 30
Structure of business
B. Understand the components and objectives of a
business plan
C. Able to identify the problem and formulate
possible solutions
D. Shows sign of effeciency and effectiveness
as future managers and entrepreneur
E. Communication skills both oral and written
IV. BUSINESS PRODUCTION / ACCOMPLISHMENTS 10
V. PR/ DEPORTMENT 20
1. Is courteous to employees and cliets and customers
2. Cooperates with his computer-workers in business
3.Shows interest in serving the client / customer of the company
4. Strives to create a good impression on the company’s
clients/ customers and people who go the office
5. Helps anyone who goes to the office with the business
purpose
6. Does not lose his temper even under trying conditions
IV. PUNCTUALITY / ATTENDANCE 10
TOTAL POINTS 100
(Evaluator’s signature over printed name)
Firm Address
