TECHNOLOGICAL INSTITUTE OF THE PHILIPPINES

REQUEST FOR ON-THE-JOB TRAINING ENDORSEMENT LETTER

Company Name : ___________________________________________________________________________________________

Company Address: __________________________________________________________________________________________

Contact Person : ___________________________________________________________________________________________

Position : ___________________________________________________________________________________________

Telephone No./s : ______________________________________________________ Email Address : _____________________

Student Name : ______________________________________________________ Course/Year : _____________________

Contact No. : _______________________ Email Address : _________________ Student No. : ____________________

CLASS SCHEDULE FOR THE CURRENT SEMESTER TIME ALLOTTED FOR OJT

SUBJECT UNITS SECTION TIME DAYS ROOM DAYS TIME

PSYCHOLOGICAL TESTS(to be filled-out by the Guidance Counselor)

PHYSICAL EXAMINATION(to be filled-out by the School Physician)

OJT PRE-DEPLOYMENT BRIEFING(to be filled-out by OJT In-Charge))

Referral Letter Issued by / Date Referral Letter Received by / Date Noted / Approved by:

Signature of OJT In-Charge Student’s Signature Department Chair / Dean

Endorsed for Psychological Tests andPhysical Examination by:

_______________________________________ Signature of OJT In-Charge

Note: please attach the following:

1. Bio-Data or Resume in TIP prescribed format ___________2. Photocopy of school ID ___________3. Photocopy Current Student Registration Form ___________4. Parents Waiver Form ___________

T I P - V P A A - 0 4 8Revision Status/Date: 2/2010 June 10