Professional Documents
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STUDENT INTERNSHIP
ABROAD PROGRAM MANUAL
Pursuant to CMO 22, Series of 2013 Revised Policies,
Standards, and Guidelines on Student Internship
Abroad Program (SIAP)
a
VISION
Center of Academic Excellence Delivering Quality Service to All
MISSION
Capiz State University is committed to provide advanced knowledge and
innovation; develop skills, talents and values; undertake relevant research,
development and extension services; promote entrepreneurship and
environmental consciousness; and enhance industry collaboration and
linkages with partner agencies.
GOALS
■■ Globally competitive graduates
■■ Institutionalized research culture
■■ Responsive and sustainable extension services
■■ Maximized profit of viable agro-industrial business ventures
■■ Effective and efficient administration
Capiz State University
STUDENT INTERNSHIP
ABROAD PROGRAM MANUAL
Pursuant to CMO 22, Series of 2013 Revised Policies,
Standards, and Guidelines on Student Internship
Abroad Program (SIAP)
FOREWORD
C
apiz State University believes
that the true essence of building
the dreams and changing the
lives of students is not solely
anchored on the inculcation of knowledge
based on theories and principles. The
university deems that the transfer of
knowledge should not only be confined
inside the classroom. Rather, learning has
to extend outside of the four walls for the
purpose of providing authentic learning
experiences to students in preparation for
their career and future. Thus, knowledge
and skills acquired through instructions
should be put into actual practice to
give value and vitality to what is being
learned. Giving opportunities therefore
to CapSU students to be immersed in the
international scene of internship is one of the best avenues for the University to
realize its vision of becoming the center of academic excellence delivering quality
service to all and to address the need for globalization.
This manual on Student Internship Abroad contains the policies, guidelines
and procedures of the University in deploying students to practice their chosen
disciplines in the international arena. The University’s initiative behind the
piece of work is in strong adherence to the Commission on Higher Education’s
Memorandum Order No. 22 series of 2013 containing the Revised Policies,
Standards and Guidelines on “Student Internship Abroad Program” (SIAP).
It is hoped that this manual would serve as a guide to the administration, faculty,
supervisors, students, and international partner agencies in the attainment of the
goals of the internship program.
T
he Student Internship Abroad
Program of the Commission
on Higher Education is a very
brilliant initiative that Capiz
State University has to fully commit.
This is based on the fact that it is one
of the best and most effective media
for opening new and broader horizons
for CapSU students to venture outside
the premises of the University. The
necessity of sending out and exposing
students to the international level and
standards of work can effect beneficial
changes in perspectives as soon-to-be
professionals in their respective fields of
discipline. Exposure therefore to genuine
learning experiences is something that
could not be measured and replaced.
The knowledge, work skill competencies, ethics, standards, values, and human
relations can be best learned, developed, and heightened in realistic contexts
through actual exposure to the target workplace. Hence, it is with unwavering
belief that acquired learning can be strongly strengthened if students are made
to apply what they learned from attending their classes in the real international
milieu of work. This Student Internship Abroad Manual is a significant instrument
in order to realize the objectives of the internship program abroad of the
University. It contains clear and detailed explanations of the to’s and how to’s
before, during, and after the international internship of CapSU students. It serves
as the bible of the administration, internship coordinators, students, parents, and
partner international agencies to fully understand their roles and responsibilities
as indicated in the manual. May this Student Internship Abroad Manual be of
great use as our beloved Capiz State University continues its pursuit of providing
academic excellence to all CapSUnians.
FOREWORD
PREFACE
RATIONALE 1
DEFINITION OF TERMS 4
OBJECTIVES OF THE STUDENT INTERNSHIP 8
ABROAD PROGRAM
General Objectives of the Program 8
Specific Objectives of CAPSU-SIAP 8
SCOPE AND COVERAGE 9
IMPLEMENTING GUIDELINES 10
Requirements for Parties Involved 10
Capiz State University 10
Foreign Host Establishments or Organization 10
(FHE/Os)
Student Interns 11
OBLIGATIONS/RESPONSIBILITIES OF PARTIES 12
Capiz State University 12
For Intern 13
For CHED Endorsement to BI 13
For Report 14
Foreign Host Establishments or Organizations 14
(FHE/Os)
Student Interns 16
Parent/Guardian/Spouse 17
Commission on Higher Education (CHED) 17
The Chairperson 17
CHED Regional Offices 17
Office of Student Services (OSS) 17
International Affairs Service (IAS) 18
CHED Legal Services (CLS) 18
FEES AND CHARGES 19
PROCEDURE 19
Application for SIAP Participation 19
Application for CHED Endorsement to BI 19
Report 21
MEMORANDUM OF AGREEMENT (MOA) FOR 21
THE PARTIES INVOLVED
MONITORING AND EVALUATION 22
OFFENSES 23
Violation by the Higher Education Institutions 23
Grounds for Blacklisting FHE/Os 24
Violation of Student Interns 25
SANCTIONS 25
INVESTIGATION OF COMPLAINTS 26
APPENDICES
SIAP Internship Plan ii
SIAP Feedback Form iv
Procedural Guidelines in the Implementation of vii
the SIAP
Format for the SIAP Memorandum of Agreement x
Performance Monitoring Instrument xviii
SIAP Evaluation Form xx
Students Monthly Journal Report xxii
Student Internship Agreement xxiii
Letter of Intent xxiv
AUTHORS xxv
STUDENT INTERNSHIP ABROAD PROGRAM MANUAL
RATIONALE
1
CAPIZ STATE UNIVERSITY
2
STUDENT INTERNSHIP ABROAD PROGRAM MANUAL
3
CAPIZ STATE UNIVERSITY
4
STUDENT INTERNSHIP ABROAD PROGRAM MANUAL
5
CAPIZ STATE UNIVERSITY
6
STUDENT INTERNSHIP ABROAD PROGRAM MANUAL
7
CAPIZ STATE UNIVERSITY
8
STUDENT INTERNSHIP ABROAD PROGRAM MANUAL
9
CAPIZ STATE UNIVERSITY
10
STUDENT INTERNSHIP ABROAD PROGRAM MANUAL
Student Interns
11
CAPIZ STATE UNIVERSITY
OBLIGATIONS/RESPONSIBILITIES OF PARTIES
12
STUDENT INTERNSHIP ABROAD PROGRAM MANUAL
For Intern:
13
CAPIZ STATE UNIVERSITY
For Report:
Annual Report per Academic Year on the implementation of SIAP to
include the following:
14
STUDENT INTERNSHIP ABROAD PROGRAM MANUAL
15
CAPIZ STATE UNIVERSITY
c. Hospitalization benefit;
d. Roundtrip ticket of the student interns (open booking for
return ticket);
e. Monthly allowance based on prevailing living standards of
the host country; and
f. Overtime/excess allowance or other applicable scheme per
existing law of the host country when performing internship
duties on a holiday (for a maximum of four hours) in excess
of the regular eight hours with due consideration to the
health and safety of the interns.
10. Ensure that the provisions specified in the Memorandum of
Agreement are fully covered.
Student Interns
16
STUDENT INTERNSHIP ABROAD PROGRAM MANUAL
Parent/Guardian or Spouse
17
CAPIZ STATE UNIVERSITY
18
STUDENT INTERNSHIP ABROAD PROGRAM MANUAL
PROCEDURE
19
CAPIZ STATE UNIVERSITY
20
STUDENT INTERNSHIP ABROAD PROGRAM MANUAL
Report
1. The internship program should not be less than three (3) months
but not more than twelve (12) months as dictated by program
requirements;
2. Roundtrip ticket of the student interns;
3. Monthly Allowance based on prevailing living standards of the
host country;
4. Compensatory overtime/excess allowance or other applicable
21
CAPIZ STATE UNIVERSITY
See Appendix D for the MOA coverage for Student Internship Abroad
Program (SIAP).
22
STUDENT INTERNSHIP ABROAD PROGRAM MANUAL
OFFENSES
23
CAPIZ STATE UNIVERSITY
The following are the ground for the blacklisting of Foreign Host
Establishments or Organizations:
24
STUDENT INTERNSHIP ABROAD PROGRAM MANUAL
SANCTIONS
25
CAPIZ STATE UNIVERSITY
INVESTIGATION OF COMPLAINTS
26
APPENDICES
CAPIZ STATE UNIVERSITY
APPENDIX A
I. INTRODUCTION
During the internship program, the students are assigned to different areas and venue. While in the Foreign Host
Establishment/Organizations (FHEs/Os), the students are given actual work experience in various departments
that may be determined and agreed upon by the University, FHE/Os or the student trainee.
The curriculum is designed in a way that the students acquire practical knowledge, basic concepts, skills, work
values in recognized Foreign Host Establishment or Organizations in host countries.
II. GOALS/OBJECTIVES
The exposure to the different work situations is provided to enable the students experience and observe the
practical application of theories learned in the school.
At the end of the internship program, the students should be able to:
1. Identify key positions in the industry and related operations to their corresponding tasks and responsibilities;
2. Define the standard operational procedure in each of the department assigned;
3. Identify and operate the equipment, facilities and lay-out design in each of the department assigned;
4. Perform required skills and techniques necessary in the execution of operational procedures of the
assigned tasks in accordance with the existing workplace, health and safety standards;
5. Analyze and evaluate operational procedure in each task and recommend any appropriate course of action
to be taken to improve procedures.
A. List of Documents for the Student Internship as Stipulated in CMO No. 22, s. 2013.
After the application period, orientation and pre-internship seminars shall be set. Training
expectations, guidelines, rules and regulations, course requirements shall be discussed. An open
forum provides a venue for clarifications on certain issues. The speakers from the FHE/Os may be
invited to share their insights, expectations and experiences.
C. Internship Contract
The culmination of the internship program is the evaluation of student performance. The evaluation
should contain the following:
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STUDENT INTERNSHIP ABROAD PROGRAM MANUAL
E. Certification
A certification with the logo issued by the FHE/Os issued to student after the completion of the
designated number of hours. The certification bears the seal, signed by the FHE/Os authorized
representative.
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CAPIZ STATE UNIVERSITY
APPENDIX B
Dear Respondent:
The Commission on Higher Education – Office of Student Services would like to seek your assistance by way
answering the questioner. The purpose of the study is to assess the extent of implementation of the Student
Internship Abroad Program (SIAP) and improve the monitoring and evaluation system. We will appreciate it very
much if you will submit the filled-up questioner to be concerned CHEDRO.
Kindly tick the square for the appreciate answer or write in the blanks provided. Your answers will be treated
confidentially.
A. Institution Profile
Name of Institution and Address: __________________________________
Institutional Code: ____________________________________________
____________________________________________
____________________________________________
4. Did you post procedures for applying for internship program abroad?
Yes Where? ____________________________________________
No Why not? ____________________________________________
____________________________________________
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STUDENT INTERNSHIP ABROAD PROGRAM MANUAL
5. On the average how many training partners do you have in one year?
B. Institution Profile
6. Please state how many students per establishment, how long and what kind of establishment and training
did they usually get?
No. of No. of
Kind of establishment Course Line of work
months students
• Hotels
• Restaurants
• Retail Store
• Cruise ship
No. of No. of
Kind of establishment Course Line of work
months students
• Electronics Firm
• Farms
• Swimming club
7.3 Did you conduct debriefing for students who came back from internship?
Yes
No Why not? _________________________________________
8. What were the problems/constraints encountered with students in the conduct of the SIAP? Kindly rank
according to repeated occurrence with 1 as the numerous.
_________ Non-compliance with the training contract
_________ Financial constraints
_________ Family concerns
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CAPIZ STATE UNIVERSITY
10. What were the problems/constraints encountered with training partners in the conduct of the SIAP? Kindly
rank according to repeated occurrence with 1 as above 3 occurrences; 2 as less than 2;1 as zero.
_________ Non compliance with the provisions in the memorandum of agreement
_________ Late compliance with the provisions of the memorandum of agreement
_________ Others. Please state.
______________________________________________________
______________________________________________________
______________________________________________________
11. Cite and rank the suggestions to improve the HEIs handling internship abroad program according to your
institution’s priority.
_________ Conduct training programs for coordinators by using proceeds of development fee
_________ Disseminate brochures, and other advocacy materials.
_________ include provisions in the memorandum of agreement
_________ Revise the training plan
_________ Other, please specify.
______________________________________________________
______________________________________________________
______________________________________________________
11.1 Kindly rank according to need, the suggested training programs which should be conducted for the
improvement of SIAP implementation:
_________ Briefing and de-briefing seminars for students trainees and parents
_________ Preparation of Memorandum of Agreement and enforcement.
_________ Others. Please state. ______________________________
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STUDENT INTERNSHIP ABROAD PROGRAM MANUAL
APPENDIX C
HEI
Compliance all the requirements
Submits the notarized letter of intent at least 15
working days prior to the departure
CHED
For evaluation
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CAPIZ STATE UNIVERSITY
APPENDIX C
HEI
Writes a letter of request for • Duly Notarized
Endorsement duly notarized with the MOA w/ FHE /Os w/
Required documentations specific obligations/
responsibilities and
the assurance of fully
responsibility over the
students while having
CHED their internship abroad
For evaluation • List of students
intending to undergo
internship with their
documents:
■■ Notarized
Application letter
■■ Transcript of Records
w/ seal
CHED notifies
compliance ■■ Passport (photocopy)
HEIs
■■ Training Permit
issued by host
country
■■ Medical Certificate
(Original)
■■ School Certificate of
Student’s eligibility
• Upon compliance CHED prepares the ■■ Flight Details
endorsement to BI to be signed by the
CHAIRPERSON and notifies HEI to pick
up the some once signed to be brought to
BI.
• Only HEI authorized liaison personnel
will be allowed to transact with CHED
Bureau of Immigration
Clears the students name
Prior to their departure.
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STUDENT INTERNSHIP ABROAD PROGRAM MANUAL
APPENDIX C
CHED
for evaluation REQUIRED DOCUMENTS:
■■ Executive Summary
HEI containing among
At the end of the internship period, the others the strength of
HEI submits the required documents for
the program and areas
report
of improvement
■■ Accomplished SIAP
evaluation
CHED ■■ Summary of Student
for evaluation
Learning Experiences
■■ Status of students who
are enrolled in the
internship abroad
NO ■■ Report on complaints
CHED notifies and grievances of
compliance
HEIs
student interns or FHE/
Os, including the action
YES taken to address such
grievances
■■ Report on disciplinary
Upon compliance, CHED prepares the
acknowledgement letter to be signed sanction of student
by the Executive Directory and/ or OSS interns found guilty
Director of violating any of the
provisions contained in
these guidelines
■■ Any other necessary
Consolidates and analyzes report for documents
policy recommendation improvement
authenticated by the
Philippine Foreign
service Post as may be
required by CHED
CHED validates compliance on-site
NO YES
CHED notifies Notifies HEIs &
compliance
HEIs finalize report
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CAPIZ STATE UNIVERSITY
APPENDIX D
MEMORANDUM OF AGREEMENT
The Memorandum of Agreement (MOA) may include among others, the following provisions:
This section states the big picture of why and how the parties came together and includes:
V. EXCLUSION OF PARTNERSHIP
The parties hereto expressly agree that nothing contained or implied in the AGREEMENT shall constitute
a partnership or joint venture within the parties hereto or any of them do not constitute nor be deemed to
constitute any Party as an affiliate to any Party for any purpose whatsoever.
VII. REMEDIES
No remedy confirmed by any of the provisions of the AGREEMENT is intended to be excluded of any other
remedy which is otherwise available by law, equity statue or otherwise and each and any other remedy
shall be cumulative and shall be in addition to every other remedy given hereunder or not hereafter existing
by law, equity, statute or otherwise.
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STUDENT INTERNSHIP ABROAD PROGRAM MANUAL
VIII. SEVERANCE
If any provision of the AGREEMENT or part thereof is rendered void, illegal or unenforceable by any
legislation to which it is subject, it shall be rendered void, illegal or not enforceable only to that extent and
no further.
IX. CONFIDENTIALITY
The AGREEMENT, as well as its terms and conditions herein shall be held in strict confidence and that
no portion or part hereof may be reproduced or be revealed to any personnel or entity other that the
signatories herein or their authorized representative.
X. SEPARABILITY
The invalidity or unenforceability of any provision of the AGREEMENT shall not affect or impair other
provisions that are otherwise valid, binding and effective.
Any change in, or modification in the provision of this agreement shall be made in writing duly signed and
confirmed by the parties as to the effectivity of the modification/s and/or changes/s.
XIII. DURATION
This segment identifies the effective date of the AGREEMENT, its term (if there is one), and how the
agreement can be modified or terminated.
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CAPIZ STATE UNIVERSITY
SAMPLE MOA
MEMORANDUM OF AGREEMENT
This Memorandum of Agreement is made and entered into by and between __________________________,
the Training Partner for Student Internship Abroad Program (SIAP) and with business address located
at __________________________________ represented by _________________________________,
____________________________ hereinafter referred to as the Foreign Host Establishment (FHE).
-and-
Higher Education Institutions (HEI) - refer to educational institutions, private or public, undertaking operations
of higher education program/s with an organized group of students pursuing defined studies in higher education,
receiving instructions from teachers, usually located in a building or group of buildings in particular site specifically
intended for educational purposes.
Foreign Host Establishments/Organizations (FHEs/Os) - refer to duly recognized or registered entities in the
country of destination as training venues for student interns.
Student Interns - refer to tertiary students enrolled in the Philippines schools duly qualified to undergo internship
program.
Philippine Foreign Service Post (PFSP) - refers to the Philippine Embassy or Philippine Consulate General that
has jurisdiction over the territory or place where Foreign Host Establishments are located.
1. The FHE shall develop, in collaboration with the University an Internship Plan for the student intern
specifying among others the goals and objectives, student outcomes, knowledge, skills and competencies
that the student intern should acquire in the area of assignment and schedule of activities;
2. FHE shall physically present and register the student intern at the nearest Philippine Foreign Service
Post within 48 hours upon arrival in the host country. Registration of the student interns must include the
following:
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STUDENT INTERNSHIP ABROAD PROGRAM MANUAL
3. FHE shall provide Supervised Applied Learning Experience for student interns in accordance with agreed
internship Plan, Internship Contract and schedule of activities;
4. FHE shall prohibit the students from working part-time or outside the establishment and avoid any non-
related function/training inside the hotels, such as carpentry, janitorial, and housekeeping.
Work Schedule: ___________________________________________________________
5. FHE shall assign a competent Intern Supervisor/Mentor responsible for the implementation of all phases
of the Internship Plan;
6. FHE shall assist students who encounter problems during internship period;
8. FHE shall assist for departure upon completion of the training or premature termination;
9. FHE shall issue Certificate of Completion of Internship of the student interns after completion of program;
10. The FHE shall execute trainee contract with qualified Student -Trainee of the University with the following
benefits upon signing of the contract
a. Monthly allowance of _________ based on prevailing living standards of the host country, without
any further deductions aside from attendance;
b. Compensatory overtime/excess allowance or other applicable scheme per existing law of the host
country when performing internship duties on a holiday (for maximum of four hours) in excess of the
regular eight hours with due consideration to the health and safety of the interns;
c. Free duty meals. Off duty meals are excluded;
d. Free uniform to the students and its laundry.
e. Free laundry of 60 pieces per month during the training period.
f. Decent and habitable dormitories with the following features:
• Accessible to workplace;
• Comfortable bedrooms that provide security and privacy to the student;
• Separate dormitories for male and female students
• Acceptable laundry area, receiving, dining, toilet, storage /cabinet facilities;
• Internet access
• Adequate supply of water and electricity;
• Locker that is secured/safety deposit box.
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CAPIZ STATE UNIVERSITY
11. At the end of the internship period, the FHE shall transmit to the University the following documents:
a. Certificate of completion
b. Duly accomplished evaluation sheet; and
c. Other pertinent report, information, and/or documents which may be required.
1. The University shall assume full responsibility over the students while having their internship abroad
program;
2. The University in collaboration with FHE shall develop an Internship Plan for the student intern;
3. The University conducts an initial visit/inspection of their partner FHE and representative office to ensure
safety of the students;
4. The University shall document and submit inspection report indicating among others the accreditation and
qualifications to DFA Consular Affairs through CHED of their partner FHE.
5. The University shall pre-qualify student interns in accordance with the requirements from the receiving
FHE;
6. The University shall facilitate the processing of the documents on behalf of the student intern;
7. The University shall conduct general orientation and pre-departure briefing for qualified student interns in
the presence of their parents/guardians/spouse;
8. The University shall assign regular and qualified faculty member or any authorized Internship Coordinator
who will be responsible for all of the student internship programs implementation, monitoring and evaluation;
9. The University shall monitor and evaluate the performance and welfare of student interns and immediately
attend to their complaints and grievances by coordinating with FHE,CHED, Philippine Foreign Service Post
and other concerned government authorities;
10. The University shall collate monthly journal of experience from the interns;
11. The University shall conduct debriefing and post evaluation of the student interns upon their return;
12. The University shall impose disciplinary sanction on student interns found guilty of violating any of the
provisions contained in these guidelines;
13. The University shall report any irregularities of the establishments or organizations or violations as provided
in the guidelines of the Department of Labor and Employment (DOLE) and R.A 7610, to IACAT through
CHED.
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STUDENT INTERNSHIP ABROAD PROGRAM MANUAL
4.1. Violation of any of the provision of the MOA and the CHED CMO;
4.2. Changing provisions of signed Internship Contract without the consent;
4.3. Non-compliance with prescribed Internship Plan;
4.4. Giving student interns allowances lower than the prevailing living standards of the host country;
4.5. Withholding the allowances and practicum reports of students interns without cause;
4.6. Overcharging and making illegal deductions from student interns’ allowances without just cause;
4.7. Placing student interns in prohibited internship venues;
4.8. Allowing minor student to join the program;
4.9. Allowing Filipino student interns to go abroad without passing CHED; and
4.10. Such other acts similar or analogous to the foregoing and activities classified as human trafficking
under R.A. 9208 and such other similar issuances that is in violation of the provisions herein.
The following are the grounds for termination of internship program to the students. Should the
student fail to comply with the guidelines of the FHE/O or fail to complete the ________ months
training, through no fault of the FHE/O, the student shall compensate the expenses to the
establishment and will be repatriated to Philippines on their own cost.
4.11. Failure to meet FHE/O standards under the agreed hotel staff and trainee guidelines.
4.12. Inappropriate behavior in the FHE/O site or in the hotel staff accommodation.
4.13. Unprofessional work ethic and behavior within the FHE/O towards guests or any other staff members.
4.14. Students are not allowed to ride a 2-wheel motorbike nor drive any vehicle.
4.15. Students are required to have a travel insurance for medical, accidents and death repatriation.
4.16. Student who have committed theft, tip pocketing, malversation, physical fight, pregnancy, fraud,
frequent absenteeism, insubordination or any form of civil/criminal offenses inside or outside hotel
premises will be immediately terminated and shall pay corresponding damages to the hotel, guest or
complainant.
V. EXCLUSION OF PARTNERSHIP
The parties hereto expressly agree that nothing contained or implied in the AGREEMENT shall constitute a
partnership or joint venture between the parties hereto or any of them do not constitute nor be deemed to
constitute any Party as an affiliate to any party for any purpose whatsoever.
Notice under the AGREEMENT may be delivered by hand, by registered mail (which shall be airmailed if possible)
to the address.
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CAPIZ STATE UNIVERSITY
VII. REMEDIES
No remedy confirmed by any of the provisions of the AGREEMENT is intended to be excluded of any other
remedy which is otherwise available by law, equity statue or otherwise and each and any other remedy shall be
cumulative and shall be in addition to every other remedy given hereunder or not hereafter existing by law, equity,
statute or otherwise.
VIII. SEVERANCE
If any provision of the AGREEMENT or part thereof is rendered void, illegal or unenforceable by any legislation to
which it is subject, it shall be rendered void, illegal or not enforceable only to that extent and no further.
IX. CONFIDENTIALITY
The AGREEMENT, as well as its terms and conditions herein shall be held in strict confidence and that no portion
or part hereof may be reproduced or be revealed to any personnel or entity other that the signatories herein or
their authorized representative.
X. SEPARABILITY
The invalidity or unenforceability of any provision of the AGREEMENT shall not affect or impair other provisions
that are otherwise valid, binding and effective.
Any change in, or modification in the provision of this agreement shall be made in writing duly signed and
confirmed by the parties as to the effectivity of the modification/s and/ or changes/s.
The AGREEMENT shall be governed by and construed according to the laws of the Republic of the Philippines.
The AGREEMENT constitutes the entire agreement between the parties, their successors and assignees.
Any and all matters or things that the parties may have agreed, but have not reduced in writing herein, shall be
void and ineffective.
XIII. DURATION
This Memorandum of Agreement shall be valid for a period of six (6) months from date of execution unless sooner
terminated by any parties by giving thirty (30) days written notice.
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STUDENT INTERNSHIP ABROAD PROGRAM MANUAL
IN WITNESS THEREOF, the parties have hereunto signed this agreement this__________ day of
________________ 2018 at ___________________.
WITNESSESS
________________________ ________________________
________________________ ________________________
________________________ ________________________
________________________ ________________________
________________________ ________________________
________________________ ________________________
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CAPIZ STATE UNIVERSITY
APPENDIX E
PERFORMANCE MONITORING
Please rate the Student’s overall practicum performance according to the rating scale below:
1 = Did not meet job requirements. Significant performance improvement urgently needed.
2 = met minimum job requirements. Work improvement plan was needed to bring performance
to a satisfactory level.
3 = Met normal job requirements with few exceptions. Improvements in performance needed in
one or more elements.
4 = Fully met job requirements. Performance was what was expected of a person in his/her
position.
5 = Exceeded job requirements. Students performance was impressive, exceeded what is
normally expected in his position.
NA = Not Applicable
CRITERIA/RATING 1 2 3 4 5
Work Habits
1. Punctual
2. Courtesy
3. Reports regularly
4. Performs tasks without much supervision
5. Practices self-discipline in his/her work
6. Demonstrates dedication and commitment to the tasks assigned to him/her
Work Habits Total/Average
Work Skills
1. Demonstrates the ability to operate machines needed on the job
2. Handles the details of the work assigned to him/her
3. Shows flexibility (whenever the need arises) in the process of going through his/her task
4. Manifests thoroughness and precise attention to details
5. Fully understands the linkage or connection between his / her task to previous,
intervening and subsequent tasks
6. Usually comes up with sound suggestions to problems
7. Shows creativity in producing new ideas for progress and innovations of the business.
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CAPIZ STATE UNIVERSITY
APPENDIX F
Training Company:
Contact Person:
ASSIGNMENT
Position: Rater/Supervisor:
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STUDENT INTERNSHIP ABROAD PROGRAM MANUAL
Remarks: ________________________________________________________________________________
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CAPIZ STATE UNIVERSITY
APPENDIX G
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
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STUDENT INTERNSHIP ABROAD PROGRAM MANUAL
APPENDIX H
a. That I shall abide by the company/school rules and regulations and shall comply with those imposed for the
program. Otherwise, I shall be excluded from further participation;
b. That I shall exercise care and diligence in any task assigned to me;
c. That I shall renounce and waive my claim against the school/industry/establishment for any injury I suffer,
personal or pecuniary, in the performance of my duties or functions while under training;
d. That I shall be made answerable for any and all liabilities for damages for property or injury to third person
which may be caused by my intentional or negligent act while in the course of my training.
_________________________________
Signature of Student over Printed Name
_________________________________
Signature of Parent/Guardian/Spouse
over Printed Name
Subscribed and Sworn to me before this day of 2017, Affiant exhibiting his/her Residence Certificate
No. issued at on
Notary Public
Doc. No.
Page No.
Book No.
Series of
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CAPIZ STATE UNIVERSITY
APPENDIX H
June 2, 2018
The Manager
XYZ Company
Madam/Sir:
My name is Juan J. Dela Cruz, 21 years old and a Bachelor of Science in Agriculture student of Capiz State
University, Dumarao Satellite College. One of my greatest dreams is to be a recipient of the Student Internship
Abroad Program (SIAP) and travel abroad. I am excited about this opportunity to widen my perspective and
broaden my horizon. I am applying to (Company’s name) as an intern this (term) .
I believe that as a driven learner armed with my determination to acquire relevant training where I can apply the
theories I learned in the four walls of classroom, I can surpass the challenges that I may encounter during the
duration of my internship abroad.
This undertaking would give me a chance to apply my knowledge while experiencing a different culture, meeting
different race and working with diverse individuals with unique characters. I am also a consistent honor student
and student leader with good moral character. (You may also include other skills which suits you to the internship
program offered by the FHE/O).
Sincerely,
xxiv
STUDENT INTERNSHIP ABROAD PROGRAM MANUAL
APPENDIX H
AUTHORS
xxv
CAPIZ STATE UNIVERSITY
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