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2. INTERNSHIP PLAN

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OFFICE OF THE STUDENT INTERNSHIP

PROGRAM

Internship Work Plan


Personal Information

Full Name: Student ID No.:


Major/Field of Study: College/Campus:
Contact Information:
Email: Phone Number:

Internship Course Details


Internship Course Code: Course Description:
Number of Units: Total Number of Contact Hours:
Start Date: End Date:

Host Training Establishment and Internship Details


Company/Organization Name:
Duration of Internship
Start Date: End Date: Expected Number of Hours per Week:
Location of Internship:

Internship Supervisor/Manager
Name: Position/Title:
Contact Information:
Email: Phone Number:

Learning Objectives, Measurable Outcomes, and Activities


Please describe the learning objectives and the outcomes that are hoped to achieve during the
internship. As the intern, consider your personal and professional goals, specific skills you want to
develop, and knowledge you want to gain, and the corresponding activities for the internship program.

Learning Objective Measurable Activities Duration (Contact


Outcome(s) Hours/Weeks
OFFICE OF THE STUDENT INTERNSHIP
PROGRAM

Evaluation Method
Frequency of Evaluations:
Meeting Schedule with Supervisor:
Feedback Mechanisms:
Monitoring and Evaluation Forms to be Accomplished:
1. Student – Trainee’s Performance Appraisal Report (F-OSIP-PAR-004)
2. Student – Trainee’s Feedback Form (F-OSIP-STFF-006)
3. Training Supervisor’s Feedback Form (F-OSIP-TSFF-007)
4. Student Internship Monitoring Form (F-OSIP-SIMF-009)

By signing below, I acknowledge that I have read and understood the Internship Plan and agree to
fulfill the responsibilities outlined.

Student's Signature: Dept. Chairperson's Signature:


Date: Date:

OJT Supervisor's Signature: College Student Internship Coordinator's


Signature:
Date: Date:

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