1. Republic of the Philippines
ISABELA STATE UNIVERSITY
Echague, Isabela
Documentary Requirements for Student Internship Program in the Philippines
As per CMO No. 104, s. 2017
NAME OF HEI: __________________________ REGION: _______________________
ADDRESS: _____________________________ COLLEGE: ______________________
PROGRAM: _____________________
REPORT BEFORE THE ACTIVITY:
ACTIVITIES
COMPLIANCE
YES/NO REMARKS
1. Curriculum Requirement
2. Certificate of Program Compliance (COPC)
3. Name and Address of Host Training
Establishment (HTE) or Host Agency
4. Certification by the Dean or Program Chair
that Student is qualified to undergo OJT
5. MOA or its equivalent between ISU and the
HTE
6. Consent of the Parents/Guardians
7. Medical Clearance of the Students
8. Official Designation/Appointment of OJT
Coordinator
9. Fees/Funds
10. Insurance
11. Mobility of the Student (vehicles)
Owned by the HEI
Third Party of Subcontracting
Franchisee/Travel Agency/Tour Operator
12. LGUs/NGOs
13.
Conduct of Pre-Internship/OJT
Orientation to students
Consultation
Announcements
Briefing before the OJT
Learning Journals
Emergency Preparedness Plan
14. Expected Duration of the OJT :
From: ________ to ________
Certified Correct: Recommending approval:
_______________________ ________________________________
Personnel-In-Charge VP for Academic & Related Affairs
Reviewed by: Approved by:
_______________________ ________________________________
Dean or Program Head President/Head of HEI/Authorized
Representative
ISUE-ARA-Com-013b
Effectivity: September 1, 2013
Revision: 0
