The study conducted to determine the relationship between academic preparation and job competency among respiratory graduates of University of Perpetual Help System. The level of academic preparation was assessed in terms of knowledge, skills and attitude as perceived by the respondents. The level of job competency of the respiratory graduates as rated by the employer was also determined. Results show respondents agreed that knowledge, skills and attitude learned fool highly prepared them for work as respiratory therapist. The employer strongly agreed that the graduates are competent enough to work as respiratory therapists. Respondent's perceptions on the level of academic preparation in terms of knowledge and attitude are similar regardless of age, gender, year graduated and board performance. However, perception of the respondents differs in terms of skills when grouped according to work experience. The academic n of the school in terms of knowledge and attitude does not affect the respondent's competency. This implies that the more skillful the student, the better his job competency in the workplace is.