Republic of the Philippines

EULOGIO “Amang” RODRIGUEZ

INSTITUTE OF SCIENCE AND TECHNOLOGY
Nagtahan, Sampaloc, Manila

COLLEGE OF HOSPITALITY AND TOURISM MANAGEMENT

Practicum Checklist of Requirements

Name: _ ______________________ __________ Date: _________________________

Year/Course: ____________________________________ Professor: _____________________

Time: __________________ Day: _ _________ _ Room: _____________________________

A. Phase I Pre-Practicum Requirements

___________ Resume
___________ COR (Copy of Registration)
___________ Physical Examination
___________ Pregnancy Test (for Female Students)
___________ Recommendation Letter

B. Phase II Practicum Requirements

___________ Letter of Acceptance (Industry Partner)
___________ Acceptance Form (Duly Signed by OJT Student and
Immediate Supervisor)
___________ Notarized Waiver (Industry Partner and School)
___________ Notarized Memorandum of Agreement /Memorandum
of Understanding

Note***
(Phase I documentation must be obtained to release Recommendation Letter from the dean’s
office)

Reviewed and Recommended by:

___________________
LOIDA R. BANZUELO
Practicum Teacher
Approved by:

_________________________________
MS. MARIA RHODA D. DINAGA
Dean
 Republic of the Philippines
EULOGIO “Amang” RODRIGUEZ
INSTITUTE OF SCIENCE AND TECHNOLOGY
Nagtahan, Sampaloc, Manila

COLLEGE OF HOSPITALITY AND TOURISM MANAGEMENT

Practicum Checklist of Requirements

Name: _____ ______________________________ Date: _________________________

Year/Course: ____________________________________ Professor: _____________________

Time: ____________________ Day: ______________ Room: ________________________

C. Phase III Practicum Requirements

___________ Pre-OJT Requirement Form (With Picture, Passport size)
___________ Learning Journal (Weekly and Summarized)
___________ Attendance Form (Duly signed by Practicum Teacher
every meeting)
___________ Performance Evaluation Form
___________Certificate of Completion
___________ Portfolio of OJT Requirements

Note***
(To be signed and checked by the Practicum Subject Teacher prior to submission to the Dean’s
office for acknowledgement)

Reviewed and Recommended by:

__________________
LOIDA R. BANZUELO
Practicum Teacher

Approved by:

_________________________________
MS. MARIA RHODA D. DINAGA
Dean
 Republic of the Philippines
EULOGIO “Amang” RODRIGUEZ
INSTITUTE OF SCIENCE AND TECHNOLOGY
Nagtahan, Sampaloc, Manila

COLLEGE OF HOSPITALITY AND TOURISM MANAGEMENT

Student’s Information Form

Student Number:_____________
Name:__________________________________Course Year & Section___________________
Address:_____________________________________________________________________
Contact No:______________________Email Address:_____________________________
Name of Company:__________________________________________________________
Address:_____________________________________________________________________
Training Supervisor:__________________________________________________________
Designation/Position: _________________________________________________________
Contact Numbers(landline):_________________________Cellphone No.:___________
Student’s Training Schedule:___________________________________________________
Date of completion of the Training:____________________________________________

Republic of the Philippines

EULOGIO “Amang” RODRIGUEZ
INSTITUTE OF SCIENCE AND TECHNOLOGY
 Nagtahan, Sampaloc, Manila

COLLEGE OF HOSPITALITY AND TOURISM MANAGEMENT

Recommendation Letter

Date

___________________________
___________________________
___________________________

Dear ____________________:
Greetings!
This is to introduce _______________________________ a bona fide student of this institution
taking up a Bachelor of Science in Hospitality Management.
He/She is required to undergo 600 hours of on-the-job training this second semester as a pre-
requisite for graduation. In this regard, we wish to recommend him/her to undergo the necessary
training, particularly in:
Hotel
● Food and Beverage Department

● Kitchen Department

● Front Office Department

● Bar Area

● Sales and Marketing Department

● Housekeeping Department

● Human Resource Department

● Concierge

In relation to this, may we request your good office to give__________________ an opportunity

to undergo training in your establishment effective ___________ __________. Rest assured that
the practicum trainee and our institution will comply with your policies.
Thank you very much in anticipation of a mutually beneficial working relationship.

Very truly yours,

____________________
MARIA RHODA D. DINAGA
Dean

Republic of the Philippines

 EULOGIO “Amang” RODRIGUEZ
INSTITUTE OF SCIENCE AND TECHNOLOGY
Nagtahan, Sampaloc, Manila

COLLEGE OF HOSPITALITY AND TOURISM MANAGEMENT

APPROVAL AND ACKNOWLEDGEMENT OF

PRACTICUM TRANING

This is to acknowledge receipt of the request to allow your student, Mr./Ms.

______________________________________________ enrolled in BS Hospitality

Management to have his/her practicum training in our company. This further certifies that

Mr./Ms. ___________________ has been accepted to undergo and complete his/her Three

Hundred (300) hours practicum training.

The following are the particulars of his/her work assignment.

Job Description: ________________________________________________________________

Department/ Section:

Immediate Supervisor/Reporting to: ________________________________________________

Working Days & Hours:

From: _____________________________________ to _________________________________

Printed Name & Signature of Industry Practicum

Coordinator:__________________________________________________________________________
Designation:

Department:

Email Address:

Contact Number:

Company Name and Address:

Note: Please RETURN to the Office of academic-industry Linkages 3 days after the approval of
the practicum. (This must be filled by the Industry partner.)
 Republic of the Philippines
EULOGIO “Amang” RODRIGUEZ
INSTITUTE OF SCIENCE AND TECHNOLOGY
Nagtahan, Sampaloc, Manila

COLLEGE OF HOSPITALITY AND TOURISM MANAGEMENT

ACCEPTANCE FORM

Date:_______________________

This is to certify that Mr. /Mrs. ________________________________________, a BS-

Hospitality Management student of Eulogio Amang Rodriguez Institute of Science and
Technology, has been accepted into our company and will undergo his his/her training for
Three hundred (300) hours.

Please be informed of the following details of his/her assignment:

Title/Position:_________________________________________________________________________

Job Description:_______________________________________________________________________

Department:/Section:__________________________________________________________________

Immediate Supervisor:

Working Days and hours:

NO. of Hours to Complete: Designation:

Effective Date:________________________________________________________________________

________________________________________
Name and Signature of Immediate Supervisor

Position:____________________________________________________________________________

Department:_________________________________________________________________________

Contact Number: _____________________________________________________________________

Email Address: _______________________________________________________________________

Company Name: _____________________________________________________________________

Address: ____________________________________________________________________________
 Republic of the Philippines
EULOGIO “Amang” RODRIGUEZ
INSTITUTE OF SCIENCE AND TECHNOLOGY
Nagtahan, Sampaloc, Manila

COLLEGE OF HOSPITALITY AND TOURISM MANAGEMENT

HPCHOSPR-HOSPITALITY PRACTICUM

STUDENT TRAINEE’S PERFORMANCE EVALUATION FORM

Name of Student:________________________________________________________

Cooperating Hotel: ________________________________________________

Period Covered: _______________________________________________________

Direction: The statement below represents the expected skills and other personal qualities of Bachelor of
Science in Hospitality Management student. Please rate the trainee accordingly by checking the
appropriate box with the corresponding points relative to the acquired knowledge and skills. The Five
Point Likert scale below will guide your rating.

POINTS VERBAL INTERPRETATION EVALUATION SCALE GRADE

5 Excellent 4.20-5.00 1.00

4 Very Good (VG) 3.40-4.19 1.25
3 Good (G) 2.60-3.39 1.50
2 Fair (F) 1.80-2.59 1.75
1 Poor (P) 1.00-1.79 2.00
AREA 1: VOCATIONAL / TRADE SKILLS
5 4 3 2 1
(25%)
1.1 Quality of work ability to meet Quality of
Standard
1.2 Application of acquired knowledge and skills
1.3 Ability to use tools and equipment properly
1.4 Ability to work safely, effectively, and efficiently
Weighted Mean

AREA 2: WORK QUALITIES AND HABITS 5 4 3 2 1

2.1 Industry personal application to assigned work
2.2 Reliability
2.3 Initiative
2.4 Punctuality
2.5 Ability to follow direction
Weighted Mean

AREA 3: PERSONAL AND SOCIAL

5 4 3 2 1
QUALITIES
3.1 Cooperative- ability to work together with other
people
3.2 Self-Control- ability to control emotions
3.3Poise- demonstrate level of self-confidence
appropriate for the job
3.4 Reaction to advice and constructive criticism
3.5 Willingness to follow direction
3.6 Adaptability- capacity to adjust to new problem
and changing situations
Weighted Mean

AREA 4: COMMUNICATION SKILLS 5 4 3 2 1

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4.1 Ability in oral communication
4.2 Ability in written communication
4.3 Knowledge of vocabulary related to the job
Weighted Mean

AREA 5: PERSONAL RELATIONSHIP 5 4 3 2 1

5.1 Ability to work harmoniously with co-workers
5.2 Ability to work harmoniously with immediate
supervisor
Weighted Mean

COMMENTS:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
_____________________________________________________________________

Grand Mean: ____________ Equivalent

Grade:__________

__________________________ _______________________
EVALUATOR LOIDA R. BANZUELO
(Signature over printed Name) Practicum Adviser

Noted by:

_______________________
MARIA RHODA D. DINAGA
Dean

(Republic of the Philippines

City of Manila ) S.S.
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2
x--------------------------x
 STUDENT INTERNSHIP AND LIABILITY WAIVER

I, _________________________________, Filipino, of legal age, single and resident of

______________________________________ after being sworn to in accordance with law,
hereby depose and that:

1. I am _4th_ year college student at Eulogio “Amang” Rodriguez Institute of Science

and Technology (EARIST) located at Nagtahan Street, Sampaloc Manila taking up
BS- Hospitality Management.
2. As part of the curriculum, I have to undergo a course-related on – the – job training in
a cooperating agency accredited by the school.
3. I authorized my school to collect, use and share and process my personal data with
the cooperating agency for the purpose of my on-the-job training, I understand that
my personal data is protected by R.A. 10173
4. I will undergo and finifh the required 300 hours of on-the-job training course and
shall assume the training beginning on ___________________
and ending on _________________.
5. I will assume any job or responsibilities relative to my training which I may be tasked
to do by the cooperating agency, ___________________
and shall submit myself to all the rules and regulations imposed by it in connection
thereto;
6. I shall exercise due diligence and care in the performance of any task assigned to me.
7. I understand that I am fully and personally responsible for my own safety and actions
during my on-the-job training and I recognized that I may be at risk at contacting
Covid-19 or any related illness.
8. I understand and agree that any culpable violation of the rules and regulations
imposed in connection with my training will result to termination from my duty and
withdrawal from my subject _______________________
9. To the extent allowed by laws and policies, I hereby renounce and waive any and all
claims against the cooperating agency, _______________________ and Eulogio
“Amang” Rodriguez Institute of Science and Technology and its personnel, for any
injury of whatever nature, that I may sustain or suffer arising from my negligence
while and during my on-the-job training with said cooperating agency.
10. I hereby affirm that I have executed this instrument of my own freewill, without
force, intimidation, or violence upon my person.

IN WITNESS WHEREOF, I have here unto set my hand this _________________ at

_____________, Philippines.

Affiant (Signature Over Printed Name)

With parental consent:

(Signature Over Printed Name)

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