Date of Submissi ON Documents Date Submitt ED Status Signatu RE

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BIO10 REQUIREMENTS CHECKLIST

AY 2015-16: 2ND Semester


NAME: ________________________________________________
DATE OF
SUBMISSI
ON

DOCUMENTS

BS Biology

DATE
SUBMITT
ED

STATUS

SIGNATU
RE

Pre assessment Internship Form


Resume with picture
Practicum Planning Form
Registration Card AY 2015-16-2nd Sem
(photocopy)

Endorsement Letter (received copy)


Student Waiver (signed by
parent/guardian)
Weekly
1
4th Week of Nov
Reports
2
1st Week of Dec
3
2nd Week of Dec
4
1ST Week of Jan
5
2nd Week of Jan
6
3rd Week of Jan
7
4th Week of Jan
8
1st Week of Feb
9
2nd Week of Feb
10
3rd Week of Feb
11
4th Week of Feb
12
1st Week of Mar
Narrative Report: Summary of Over-all
Experience
Evaluation of Practicum Experience
Documentation of the Internship
Tasks/Activities
Compilation of all documents

LETTER
A
B

MEANING
Complete
Incomplete

I, __________________________________________, hereby acknowledge that I have read


carefully and understand the requirements in BIO10- Biology Practicum; I am
informed during practicum orientation that I have to accomplish and submit the
above documents on time as partial fulfillment of the course in order to have a
passing grade.

____________________________
SIGNATURE OVER PRINTED NAME

DATE: _______________________

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