Psychology Internship Handbook Final
Psychology Internship Handbook Final
Psychology Internship Handbook Final
TABLE OF CONTENTS
Contents Page
Cover Page
General Details
ii
Table of Content
iii
Mission Statement
Objective
Admission
Health
Uniform
Personal Grooming
Work Schedule
11
Conduct
13
Discipline
14
17
Repeat Internship
20
Monitoring
21
Internship Policies
Evaluation
Requirements & Grading System
21
22
24
25
Internship Journal
Company Profile (Clinical)
26
Daily Journals
27-36
2
37
38
Daily Journals
39-48
49
50
Daily Journals
51-60
61
62
Daily Journals
63-72
73
74-75
2x2 ID Picture
PSYCHOLOGY
PROGRAM
College of Medical
Entrepreneurship
Name: _____________________________________________________________
Date Signed: ________________________________________________________
Semester: ____________________
School Year 20 ______ to 20 _______
_____________________________
(Signature over printed name)
Davao Doctors College Registrar
For Admission to:
Host Training Agency for Clinical Setting:
_______________________________________________
_____________________________
(Signature over printed name)
Training Supervisor
Host Training Agency for School Setting:
_______________________________________________
_____________________________
(Signature over printed name)
Training Supervisor
Host Training Agency for Industrial Setting:
_______________________________________________
_____________________________
(Signature over printed name)
Training Supervisor
Host Training Agency for Special Education Setting:
_______________________________________________
_____________________________
(Signature over printed name)
Training Supervisor
Davao Doctors College
PSYCHOLOGY PROGRAM
4
Framework
The Psychology Internship Program involves working in settings that
provide clinical, behavioral, psycho-educational, or other professional
psychological services in exchange for academic credit, training and
supervision from various internship agencies.
The Internship Experience has been an opportunity valued by many
Psychology students at Davao Doctors College, Inc. for over a decade now.
Senior students enroll to spend a semester, off campus in an applied setting
where they gain first hand exposure to critical issues in the work place. The
Psychology Department believes that such an experience can provide
students with valuable practical training not available in the classroom and
assist them in making important career decisions.
The Internship Guidelines represent the rules and regulations intended
to promote a disciplined environment conducive for the development of
students as ethical practitioners of Psychology in the future.
The purpose of this handbook is to acquaint students with the
implementing rules and regulations they need to observe and follow and
other relevant information about the objectives of the Psychology Internship
Program in honing sensible and capable future professionals.
Students will familiarize themselves with these rules and regulations,
internship requirements and rules on proper conduct and discipline for the
successful implementation of the program.
OBJECTIVES
The main objective of the Internship Training Program is to expose
student-interns to the actual work environment, in order to train them to be
technically competent, socially committed, and morally motivated to meet
the challenges and demands of the profession.
The Internship Training Program serves as a challenge for studentinterns to apply their knowledge of the subject-matter and the theories they
have acquired through classroom training. This is another dimension of
6
Internship Policies
I.
ADMISSION
1. The student must have completed 95% of his/her academic courses
from first year to third year both in the major and minor courses in
order to be considered eligible for the Psychology Internship
Program.
2. Only eligible and officially enrolled students are admitted to the
Psychology Internship Program.
3. Students are required to attend the Internship Orientation
scheduled by the Internship Coordinator and approved by the
Program Chair.
4. Students should submit the following necessary documents to the
Practicum Coordinator for evaluation purposes before they are
deployed to different host training agencies:
a. Medical certificate from the School Physician
b. Certificate of Mental Health Fitness from the Guidance
Counselor
c. Waiver of Claim
d. Resume with 4 pcs. 2x2 ID picture
e. Police Clearance
f. Other documents required by the training agency
5. Student-interns
must
have
passed
the
Pre-Internship
Comprehensive Examination prior to deployment to different
internship sites. In the event of student failure in the said exam, the
Practicum Coordinator may dispense a removal exam to the student
and/or impose extension/reading assignment depending on the
degree of failure.
6. Student-interns must have a copy of the Internship Handbook and
are required to bring it with them during the entire course of the
Psychology Internship Program. The Internship Coordinator will be
checking the handbook during the Weekly Interns Meeting as well.
Sanction: Failure to bring the internship handbook on duty would mean one
reading assignment to be submitted on the next Weekly Interns Meeting.
7. At the end of the Psychology Internship Program, the studentinterns are expected to accomplish the following requirements:
a. Daily Internship Journals
b. Daily Time Record (DTR)
c. Others documents required by the training agency
Sanction: Students who fail to accomplish these requirements at the end of
the internship program will receive a failing remark in the assessment by
Sending Agency (SA).
II.
HEALTH
All aspiring student-interns must be physically, mentally, and
emotionally fit, as contained in the physical and psychological
examination certified by the School Physician and Guidance Counselor,
respectively.
In the event that a student receives a medical diagnosis of a
communicable disease, Davao Doctors College reserves the right to
evaluate the case and decide whether or not the student-Intern will be
allowed to continue with his/her internship experience.
III.
UNIFORM/DRESSCODE
1. Internship uniforms must be worn with respect and dignity. Studentinterns must wear the prescribed uniform, Psychology pin and
nameplate during duty hours, seminars and classes.
2. Student interns who are not in their prescribed uniforms during
duty hours, seminars or classes will be considered absent.
3. The wearing of prescribed internship uniforms must be observed at
all times except when the Training Agency Supervisor requires
otherwise. In this case, the Student-Interns are obliged to inform
the Internship Coordinator of the matter in order to avoid sanctions.
FEMALES
a) Prescribed internship uniforms (one for Clinical/SPED setting and
another one for Industrial/School setting).
b) Entirely black casual closed shoes with or without black socks.
c) Wearing of medium-heeled shoes at least one-inch heel is allowed.
Wearing of black flat shoes is allowed.
d) Hair should be well-groomed. Female interns with long hair must tie
their hair with a hair band or any hair paraphernalia. Changing of
natural hair color to outlandish shades is strictly prohibited.
PERSONAL GROOMING
1. Student-interns coming to their assigned internship site for duty
hours must be well-groomed.
2. Student-interns coming to their respective internship sites during
non-duty hours should dress decently.
Student-interns are
prohibited to wear:
Torn shirts and pants
Sando and sleeveless shirts/blouses
Short pants, athletic or city shorts, leggings, jeggings or
similar styles
Clothes with plunging necklines
Clothes with spaghetti straps
Mini skirts and pants with hemlines above the knee
See-through shirts/body fit blouses and dresses.
Tube, hanging and backless blouses
Slippers or flat, backless rubber sandals (e.g. Havaianas,
Flipflops and the like).
3. If the training site implements non-uniform days (wash days), the
student-intern must be in business attire unless not required by
their respective training site supervisors. In the latter case, casual/
civilian attire will do.
10
11
b. Practicum assignment is based on several factors. Studentinterns are individually evaluated based on the following:
Result of Pre-Internship Comprehensive Exam
Result of Medical Exam
Result of Basic Personality and Work Attitude Inventory
Distance of the HTA
Other qualifying standards set by the HTA
c. Once a student-intern is assigned to an HTA, a studentintern cannot change a practicum assignment once it
has been posted unless he/she has a valid reason for
doing so.
d. Reasons for the change in practicum assignment can be
considered valid if they fall under one of the following
conditions:
The Training Site Supervisor shares a degree of
consanguinity or affinity with the student-intern.
Incompatibility of the student-intern with the HTA by
reasons which are medical, legal or religious in nature.
e. In the case where a student-intern wishes to request a change
in his/her practicum assignment, the request must be made
ten (10) working days before the starting date of internship
and the student must write a letter of explanation addressed
to the Practicum Coordinator. Only when the reason for
change in practicum assignment is assessed to be valid will
the Practicum Coordinator permit the change in practicum
assignment.
3. In every practicum assignment, the Psychology Program ensures
that (1) the student-intern receives adequate supervision from the
assigned staff of the HTA, and (2) the tasks are carefully selected to
meet each students training needs and interests.
4. The nature of exposure of the student-interns shall be in the areas
of Educational, Industrial, Clinical, and Special Education.The
content of their internship assignment should be practical and
substantial, which includes comprehension, analysis, evaluation,
and application of theories and classroom learning.
VI.
WORK SCHEDULE
1. The student-intern shall undergo Internship in one semester with a
minimum of 160 work hours or 20 working days in each Host
Training Agency (HTA).
PSYCH 125A School Setting
12
2. Should the student register in all four (4) courses, he will get the
total 12 units course credits. For each three-unit credit course the
student will complete 160 hours of field work.
3. The default scheduled time of duty is 8 hours per day, ideally from
8:00 AM to 5:00 PM on Mondays to Fridays. The student-interns are
required to inform the Program Chair and the Practicum Coordinator
of their official working hours and working days in the HTA. In the
event that the HTA does not follow the normal 8 to 5 shift, it is
mandatory that the student-interns inform the Program Coordinator
of their official working hours.
4. Student-interns are required to use the Daily Time Record (DTR) and
keep an accurate time log throughout the internship. His/Her
Internship Supervisor should verify the hours on the time log by
signing it daily. The Practicum Coordinator will be countersigning
the DTR during the weekly interns meeting.
5. Student-interns are required to stay inside the premises of their
HTAs while on duty unless their Training Supervisor instructs them
to do internship work outside the office (For instance, in the Clinical
or SpEd settings where there might be structured learning outdoor
activities with the residents/clients).
6. Anyone who is caught outside of their respective HTAs during official
duty hours without official permission will be considered absent.
7. Excused Absences Excuse slips should be submitted by the
student-intern to the Practicum Coordinator. An absence will only be
considered excused if the reason behind it falls under any of the
following provisions:
a) Physical illness
b) Death of a family member
c) The student is selected as a department, college or school
representative in an academic or extracurricular activity.
d) Others (victims of calamity, family emergency, etc.)
8. Unexcused Absences A student-intern has to provide proof that
validates the absence as excused. Without any proof or if the
13
reason for absence does not fall in the provisions cited in #7, a
student-interns absence is considered unexcused and merits a
corresponding sanction.
9. The number of allowable unexcused absences is five (5).
10. Student-interns must not incur more than 5 consecutive
unexcused absences otherwise, the student-intern will be dropped
from the assigned training site and will be advised to repeat
enrollment to the practicum program.
11. Student-interns must complete the 640-hour internship within
the period of one semester, including all the extensions and
sanctions incurred. In the event that a student is not able to
complete the required number of duty hours in one semester, the
student-intern must consult with the practicum coordinator and
program chair to make necessary arrangements and comply with
the remaining number of duty hours. The student-interns grade in
the Sending Agency Evaluation and Training Agency Evaluation will
not be released until the student-intern accomplishes the remaining
number of practicum hours.
VII.
CONDUCT
1. All student-interns are expected to respect authority and to be
courteous in dealing with their fellow interns, employees, staff,
maintenance, security personnel and visitors.
14
VIII.
DISCIPLINE
15
existing
policies
in
the
Psychology
6. Classification of Offenses
MINOR OFFENSES
a. Habitual Tardiness (3 or more)
b. Non observance of prescribed uniform/dress code
c. Using electronic gadget and mobile phones to play games
while on duty.
d. Smoking in or near the internship site or other public places
while in practicum uniform.
e. Wearing of internship uniform in public places such as movie
houses, malls, bars, marketplaces and any public places
where the practicum uniform is not the suited attire.
16
f. Leaving the
permission.
assigned
practicum
site
without
official
17
defacement
or
intentional
damage
to
HTA
18
19
Verbal reprimand
One-day extension
Two-day extension
Excused Absences:
The student-intern who incurs an excused absence shall make up
for the number of hours that he/she missed in the practicum site.
20
Verbal reprimand
Third Offense:
1 reading assignment
Fourth offense:
2 reading assignment
Fifth offense:
Half-day extension
X.
REPEAT INTERNSHIP
A student-intern is advised to repeat enrollment to the Internship
Program if he/she:
1. Failed in the Evaluation by HTA
2. Failed in the Final Practicum Grade
3. Incurs a total extension of duty hours equivalent to 30 days
XI.
POST-INTERNSHIP REQUIREMENTS
21
22
XII.
MONITORING
1. To ensure the effectiveness of the internship program, the following
are the monitoring activities to be implemented:
Random checking of Internship Journal and Daily Activity.
Weekly consultation meeting of Student-Interns and the
Practicum Coordinator
Unannounced visit by the Practicum Coordinator to HTA to
gather timely feedback
Weekly check-up of regular daily attendance via daily time
record (DTR)
Conducting
in-campus
formation
seminars
and
enhancement
programs
to
supplement
on-the-job
experience with learning.
XIII.
EVALUATION
1. The Student-Intern Performance Evaluation Formis provided
and should be completed by the Training Supervisor of the HTA. In
cases where there are two Training Supervisors in one HTA, two
evaluation forms are used and the average of the two will be the
grade of the student-intern.
2. The student-interns OJT performance will be evaluated according to
the following criteria:
WORK PERFORMANCE (35%)
Knowledge theories and techniques
Application of theories and techniques
Ability to Communicate
Ability to Impart Instructions
Ability to Seek, Accept and Profit from Directions
Quality of work output
Efficiency of work output
ATTITUDE TOWARD WORK (35%)
Positive and Optimistic
Enthusiastic and Dynamic
Diligent and Industry
Engagement and Productivity
Sincere an Open-minded
Dependable| and Credibility
Effectiveness and Efficiency
PERSONALITY & PROFESSIONALISM (20%)
23
70%
10%
20%
35%
Work Performance
35%
Total
Internship Sending Agency (ISA) Evaluation
100%
30%
5%
10%
40%
10%
24
30%
5%
100%
25
Subscribed and sworn to be me this 13 th day of November 2014 at Davao Doctors College, gen. Malvar
Street, Davao City.
________________
Student- Intern
________________
Internship Coordinator
Program Chair
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Student Personal Status Evaluation
Name:
Age:
Current Address:
Current Year:
Permanent Address:
Education Support:
Contact No.
Gender:
Parent Support
Scholarship
Others:
Educational Attainment:
School Name
Attended
Year
College:
High School:
Elementary:
In case of Emergency
Parents/Guardian Name:
Relationship:
Permanent Address:
Training Attended:
Title of Seminar
Contact No.
Telephone No.
Current Address:
Venue
27
Students Signature
Contact Information:
Fax:
Email Add:
Hours Completed:
Date
AM
in
out
Extension:
PM
In Out
No. of
Hrs
Signature of Site
Supervisor
28
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 1
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 2
Date:
29
Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 3
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 4
Date:
30
Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 5
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 6
Date:
Interns Signature:
Site Supervisor:
31
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 7
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 8
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
32
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 10
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
33
Daily Journal
Day 11
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 12
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 13
Date:
34
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 14
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 15
Date:
35
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 16
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 17
Date:
36
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 18
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 19
Date:
37
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 20
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
38
Interns Signature:
Site Sup.:
Internship Instructor:
Company Profile (SpEd)
Practicum Setting:
Company Name:
Site Supervisor:
Position:
`
Telephone No:
Contact Information:
Fax:
Email Add:
Hours Completed:
Date
AM
in
out
Extension:
PM
In Out
No. of
Hrs
Sign Site
Supervisor
39
Site Sup.:
Practicum Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 1
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
40
Day 2
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 3
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 4
Date:
41
Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 5
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 6
Date:
42
Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 7
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 8
Date:
43
Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 9
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 10
Date:
44
Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 11
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 12
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
45
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 14
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
46
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 16
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
47
Day 17
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 18
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 19
Date:
48
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 20
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Journal of the Whole Setting
Date:
49
Intern Signature:
Site Sup.:
Internship Instructor:
Company Profile (Educational)
Practicum Setting:
Company Name:
Site Supervisor:
Position:
`
Telephone No:
Contact Information:
Fax:
Email Add:
Hours Completed:
Date
AM
in
out
Extension:
PM
In Out
No. of
Sign Site
Supervisor
50
Hrs
Site Sup.:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 1
Date:
51
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 2
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 3
Date:
52
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 4
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 5
Date:
53
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 6
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 7
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
54
Day 8
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 9
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 10
Date:
55
Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 11
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 12
Date:
56
Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 13
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 14
Date:
57
Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 15
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 16
Date:
58
Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 17
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 18
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
59
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 20
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
60
Intern Signature:
Site Sup.:
Internship Instructor:
Company Profile (I/O)
Practicum Setting:
Company Name:
Site Supervisor:
61
Position:
`
Telephone No:
Contact Information:
Fax:
Email Add:
Hours Completed:
Date
AM
in
out
Extension:
PM
In Out
No. of
Hrs
Sign Site
Supervisor
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
62
PSYCHOLOGY PROGRAM
Daily Journal
Day 1
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 2
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 3
63
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 4
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 5
Date:
64
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 6
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 7
Date:
65
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 8
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 9
Date:
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Interns Signature:
Site Supervisor:
Internship Instructor:
Day 10
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 11
Date:
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Interns Signature:
Site Supervisor:
Internship Instructor:
Day 12
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 13
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
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Day 14
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 15
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 16
Date:
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Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 17
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 18
Date:
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Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Daily Journal
Day 19
Date:
Interns Signature:
Site Supervisor:
Internship Instructor:
Day 20
Date:
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Interns Signature:
Site Supervisor:
Internship Instructor:
DAVAO DOCTORS COLLEGE, INC
General Malvar St., Davao City
COLLEGE OF MEDICAL ENTREPRENEURSHIP
PSYCHOLOGY PROGRAM
Journal of the Whole Setting
Date:
72
Intern Signature:
Site Supervisor:
Instructor Instructor:
Final Evaluation of Student-Intern Internship Experience
Date:
Direction: This evaluation is intended to assess our partner agencies and our internship program as
whole. Thus, we would like you to be honest in answering the questions, explanation and self confession
experience is encouraged to solicit direct information. This information will be use for the betterment of
this internship program.
GOALS:
1.
2.
3.
4.
5.
Strongly
Agree
Agree
Disagree Strongly
Disagree
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6.
List the most important assignments and explain why they were significant.
__________________________________________________________________________
__________________________________________________________________________
7.
List the least important assignments and explain why they were significant.
_________________________________________________________________________
_________________________________________________________________________
PERSONAL GOALS:
8.
Indicate your personal goals and explain and how they were accomplished.
__________________________________________________________________________
__________________________________________________________________________
9.
How did your Internship Training Director and Training Agency Supervisor help you maintain
your personal goals? ________________________________________________________
__________________________________________________________________________
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13. Was the frequency of meetings adequate? _____ Yes _____ No. Explain: ___________
_________________________________________________________________________
14. Suggest relevant activities for future internships __________________________________
_________________________________________________________________________
TRAINING AGENCY SUPERVISION
None
Seldom
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Usually
Always
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18. I would recommend this internship to others. Why or why not? _______________________
_________________________________________________________________________
PERSONAL ASSESSMENT
Direction: Rate you performance level on these competencies using the scale below where:
1 VL (Very Low); 2 L (Low); 3 M (Moderate) ; 4 H (High); 5 VH (Very High)
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Competency
VL
L
M
H
VH
1
2
3
4
5
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16.
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SUMMARY
Your comments regarding the internship experience are very important to your Internship Training
Director and Training Agency Supervisor and to the internship office. Please share your opinions,
suggestions, constructive criticisms and positive remarks for future reference.
Would you be willing to be quoted or write a brief article to be published on or off campus regarding the
value of internships? ________ Yes ______ No. _____ Other decision.
REPORTED BY:
ATTESTED BY:
NOTED BY:
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____________________
Student-Intern
______________________
Training Agency Supervisor
______________________
Program Chair
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