ABSTRACT

This is a one (1) page abstract describing your objectives in your chosen practicum job and its correlation to preferred course in college, practicum experience, and conclusion (conclusion is your final evaluation if your objectives are achieved and backed up with a brief explanation)

PRACTICUM OBJECTIVES

State your objectives and the skills and knowledge you expect to learn and experience after finishing your practicum.

Table of contents

Abstract ………………………………………………………………………………………… i

Objectives ………………………………………………………………………………………. i

Table of Contents ……………………………………………………………………………… ii

Practicum Forms

Form A: Student’s Information Sheet ………………………………………………..…… 1

Form B: Letter to Parents …………………………………………………………………. 2

Form C: Letter to Company

Form D: Practicum Agreement Form

Form E: Student’s Safety Contract

Form F: Student Performance Evaluation Form

Form G: Daily Attendance Sheet

Form H: Weekly Status Report

Form I: Documentation

Form J: OJT Evaluation by the Student

Certificate

Practicum Experience

Practicum Outcome Assessment

Acknowledgements

FORM A: Student’s Information Sheet

Name of Student: ________________________________ Yr. & Sec: ______

Father’s Name: ____________________________________ Profession: _____________________________ highest Educational attainment: __________________________ School: ____________________________Mother’s Name: ____________________________________ Profession: _____________________________ highest Educational attainment: __________________________ School: ____________________________

Dear Student:Please answer the following questions honestly. This will help you decide if

the career you are considering at this point suits your skills and interest.1. What career do you wish to pursue in the future?

1st choice: ____________________________________2nd choice: ___________________________________

2. Cite (2) reasons why you are considering to pursue that career in the future?

(a) ___________________________________________________________(b) ___________________________________________________________

3. What course do you want to take up in college?1st choice: ____________________________________2nd choice: ___________________________________

4. Why do you want to take this up in college?(a) ___________________________________________________________(b) ___________________________________________________________

5. What school do you prefer to go to in college?1st choice: ____________________________________2nd choice: ___________________________________

6. Is there anyone in particular whom you consider as significant and/or influential in your career choice? Give the name and state the reason.( ) NONE

( ) YES: __________________________________________________________ Reason: _______________________________________________________7. In relation to your chosen career, is there anyone in particular whom you

look up to (someone you want to follow or emulate)? Give the name and state the reason. ( ) NONE

( ) YES: _________________________________________________________ Reason: _______________________________________________________

FORM D: Practicum Agreement Form

AGREEMENT BETWEEN THE COMPANY AND THE STUDENT

To be completed by the student prior to the beginning of the training signed by

both the student and the company representative and a copy submitted to both

the Subject Teacher and the immediate supervisor

Company Name: _______________________________________________

Complete Address: ______________________________________________

Building Floor: ______________________ Department/Room: _________

Phone number: _________________________

Immediate Job Supervisor Name: __________________________________

Position: _____________________________

Work Period: Beginning Date ___________ Ending Date_______________

Type and Description of work:

_________________________________________________________________________________

_________________________________________________________________________________

____________________________________________________________

_____________________________ _____________________________________

Immediate Job Supervisor Student Signature over printed name Signature / Date Year and Section

FORM E: Student’s Safety Contract

I will:

ABIDE by the rules and regulations that may be imposed by my immediate Supervisor/Staff-in-Charge for my welfare and safety;

report directly to my supervisor at all times.

OBSERVE THE SAFETY FIRST ATTITUDE AT ALL TIMES;

CONDUCT myself in a RESPONSIBLE MANNER at all times;

follow all instructions given by my supervisor;

keep my work station clean and organized;

know where to get help and how to work with safety equipment;

know the location of first aid and fire fighting devices;

observe all necessary precautions during my service;

NEVER do anything that will endanger my life and my co-workers’;

perform task assigned to me diligently;

only be working in the area I am allowed to; and

be a RESPONSIBLE CLARETIAN AT ALL TIMES

I, ___________________________________ have read and agree to follow the

SAFETY REMINDERS and REGULATIONS written above and all other

additional written and verbal instructions and precautionary measures

that may be imposed by my supervisor during my On – the – Job –

Training.

Student’s Name & Signature: ______________________________________

Parent’s Name & Signature: _______________________________________

Supervisor’s Name & Signature: ____________________________________

Form F: Student Performance Evaluation Form

NAME OF STUDENT: _____________________________________________________

COMPANY NAME: __________________________

Please evaluate your apprentice by rating each criterion on a scale from 1 to 10. Write the corresponding number under the Rating column.

Criteria for EvaluationExcellent (10pts), Very Good (8 pts), Good (6 pts), Fair (4 pts) Rating

1. Attendance and Punctuality (10%)- regularity of attendance to report for work.

2. Attitude towards work (15%) – willingness to do tasks assigned to him and observance of proper etiquette in dealing with everyone in the office.

3. Dependability (15%) – ability to perform and finish the assigned work as instructed.

4. Quality of work (15%) –the accuracy and neatness of the delivered task.

5. Quantity of work (10%) – the rate and volume of work he can get done within a specified amount of time.

6. Honesty and Humility (15%) – ability to seek assistance when he feels he needs more instructions.

7. Judgment (10%) – Ability to plan logically and make decisions to get work done.

8. Flexibility (5%) –Capacity to adapt to any working condition or situations he is assigned.

9. Communication skills (5%) - Ability to effectively communicate orally.

10. Conduct (10%) - Demonstrates Filipino Christian values, professional work ethics necessary in a science and technology-based workplace.

Remarks:About the student: ___________________________________________________

About the OJT Program: _____________________________________________

EVALUATOR (Name/Signature/date): _______________________________________

Please return this form upon completion to the student in a SEALED COMPANY ENVELOPE with affix signature of the evaluator on the flap on or before December 2, 2011.

FORM G: Daily Attendance Sheet

Inclusive Dates: __________________________

Student Name: _____________________________

Company Name: ____________________________

Date In Out In Out # of Hours

Oct 27 8:00 12:00 4

Oct 28 1:00 4:00 3

Oct 29 9:00 2:00 5

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

Total Number of Hours: _________________

Certified Correct By:

____________________________Immediate Job Supervisor

Signature over Printed Name

Notes: Time cards are permissible as a replacement for this form.

FORM H: Weekly Status Report

Inclusive Dates: ____________________________

Student Name: ______________________________

Company Name: _____________________________

Date Task Report

October 27 ……………………..

October 28……………………..

FORM I: Documentation

Please include four pictures:

Caption Caption

Caption Caption

FORM J: OJT Evaluation by the Student

Student Name: ________________________________ ________

Practicum Instructor: ________________________________________

Immediate Job Supervisor: ___________________________________

Company Name: ___________________________________________

Answer the following questions on a separate sheet.

A. Has the practicum experience helped you choose a course for college? Why or why not?

B. Which experiences in school were of the most value during the Practicum?

C. What could your company/job supervisor have done to improve your practicum experience?

D. If you could have done something to improve your practicum experience more? What would it be?

E. What skills or knowledge were required in your OJT that:

1. You were prepared to do:

2. You were NOT prepared to do:

F. What other skills or learning experiences would have helped in the Practicum?

G. What suggestions can you make to help improve the Practicum Program?

Practicum Experience

Describe your tasks, duties and responsibilities and the experiences gained from your job and prom the people directly involved in it. Explain how your job is related to your objectives and to your preferred course.

Practicum Outcome Assessment

State a brief assessment or evaluation if your expectations (objectives) were achieved. Explain your own evaluation.

Acknowledgements

Thank the people and organization that became part of your practicum.

(Project General Format)

NOTE: PLEASE DO NOT INCLUDE THIS IN YOUR REPORT.

DELETE TEXTS IN RED INK

EDIT TEXTS IN BLUE INK.

I. Company Background

1. Company History

2. Mission/Vision

II. Project Report should observe the following specifications:

1. Margins: Left = 1.5” Right = 1.0”

Top = 1.0” Bottom = 1.0”

2. Font:

Font Name: Text Times New Roman Font Size: 12

Font Style: Regular (Use italics in emphasizing some texts)

Headings: Times New Roman/ 12/ Bold

3. Line Spacing

Paragraphs: Single-spaced / In-between paragraphs: Double-spaced.

4. Paper Size: 8-½ - 11 inch white bond paper.

Reminders:

1. Students belonging to the same company may have the same chapter 1.

2. Do NOT submit your Practicum Report in a folder, use a black clip.

3. Number of pages:

4. Rating Criteria:

(Project Title Page Format)

On-the-Job-Training Project

In Partial Fulfillment

Of the Requirements For

Science and Technology IV– Practicum

Submitted to

Ms. Bea Marie G. Villaverde

Science and Technology 3 Teacher

Claret School of Quezon City

STUDENT NAMEYear and Section

10 December 2012