Documente Academic
Documente Profesional
Documente Cultură
Presented to:
EDWINA A.NATIVIDAD, PhD.
Student-Teaching supervisor
OCCIDENTAL MINDORO STATE COLLEGE
Mamburao Campus
DELIALYN V. NUÑEZ
Student-Teacher
March 2019
Republic of the Philippines
OCCIDENTAL MINDORO STATE COLLEGE
Mamburao Campus
Tables of Contents
I – Title Page
II – Acknowledgment
III – Dedication
a. Insight
a. Lesson Plan
c. Pupil’s Output
d. DTR
e. Clearance
VI – Narration of Experience
a. Insight
VII – Permit
VIII - Documentation
Republic of the Philippines
OCCIDENTAL MINDORO STATE COLLEGE
Mamburao Campus
II. ACKNOWLEDGEMENT
Republic of the Philippines
OCCIDENTAL MINDORO STATE COLLEGE
Mamburao Campus
III. DEDICATION
Republic of the Philippines
OCCIDENTAL MINDORO STATE COLLEGE
Mamburao Campus
a. INSIGHT
Republic of the Philippines
OCCIDENTAL MINDORO STATE COLLEGE
Mamburao Campus
c. Pupil’s Output
(ito po ung evaluation nung demo,kung wala, maggawa gawaan n lng kau.)
Republic of the Philippines
OCCIDENTAL MINDORO STATE COLLEGE
Mamburao Campus
d. DTR
Republic of the Philippines
OCCIDENTAL MINDORO STATE COLLEGE
Mamburao Campus
CLEARANCE FORM
FEBRUARY 8, 2019
This is to inform you that DELIALYN V. NUÑEZ is cleared from all the requirements in
by your institution.
Respectfully yours,
ROWENA POBLETE
Cooperating Teacher
Attested by:
EDUARDO B. PARAHINOG
Cooperating Principal
Republic of the Philippines
OCCIDENTAL MINDORO STATE COLLEGE
Mamburao Campus
VI – Narration of Experience
a. Insight
Republic of the Philippines
OCCIDENTAL MINDORO STATE COLLEGE
Mamburao Campus
VII – Permit
Republic of the Philippines
OCCIDENTAL MINDORO STATE COLLEGE
Mamburao Campus
VII – Documentation
Republic of the Philippines
OCCIDENTAL MINDORO STATE COLLEGE
Mamburao Campus
List of the main duties that the intern will perform and approximate percent on time on
each duty.
DUTY % TIME IN DUTY
1.
2.
3.
4.
NOTE: This form serves as a formal agreement among the intern, the site
supervisor and the internship coordinator.
Republic of the Philippines
OCCIDENTAL MINDORO STATE COLLEGE
Mamburao Campus
INTERNSHIP WORKPLAN
NAME: DATE:
Internship Site:
Approximate Start Date: Approximate End Date:
Objective #1
NAME: DATE:
Internship Site:
Hours Completed:
2.
3.
4.
5.
The following report accurately describes the internship activities completed to date:
Intern: ___________________________________________ Date: ________________
I have read the attached report and concur with its content:
Site Supervisor: ____________________________________ Date:________________
Republic of the Philippines
OCCIDENTAL MINDORO STATE COLLEGE
Mamburao Campus
NAME: DATE:
Internship site:
1. Setting
The setting was good because…
2. Site Supervisor
The greatest contribution made by the site was supervisor…
4. Self- Assessment
The most important thing I learned was…
5. General
The internship experience can be strengthened by…
Note: This Analysis need NOT be shared with the site supervisor.
Republic of the Philippines
OCCIDENTAL MINDORO STATE COLLEGE
Mamburao Campus
NAME: DATE:
Internship Site:
Date of Internship:
Brief Description of the Division or Unit of Organization where you completed work:
Signature of Intern:
Area of Performance 5 4 3 2 1
questions.
Have you discussed this evaluation with the student intern? _____Yes _____No