Karin Clinical Setting Lucban

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Manuel S.

Enverga University Foundation


Lucena City
Granted Autonomous Status
CHED CEB Res. 076-2009

17 June, 2019

HON. ARMANDO V. ABUTAL


Acting Mayor, Municipality of Lucban
Municipal Hall of Lucban
Lucban, Quezon

MS. MUTYA M. RADA, RSW


MSWDO, Center for Women and Child at Risk in Need of Special Protection
Shelter for Youth Offenders and Crisis Center
Lucban, Quezon

MS. JOSEPHINE J. ROBELO, RSW


Center Head, Center for Women and Child at Risk in Need of Special Protection
Shelter for Youth Offenders and Crisis Center
Lucban, Quezon

Dear Sir and Mesdames:

I am Joy C. Valdoria, a fourth year Bachelor of Science in Psychology student having the Old
College Curriculum in Manuel S. Enverga University Foundation. In partial fulfillment of the
requirements for this degree, I am required to undergo the Practicum/On-The-Job Training
(OJT)/Internship for a minimum of 150 hours starting June 2019 – July 2019.

In view thereof, I would like to apply as a trainee in your institution because I firmly believe that
the training and experience I will acquire will broaden my knowledge, skills and values in my
future profession.

Thank you for your consideration of my letter of application.

Respectfully yours,

_______________________
JOY C. VALDORIA
Student Intern
09218180345

COLLEGE OF ARTS AND SCIENCES


University Site, Red-V, Lucena City, Philippines; Tel No. (042)710-3171; arts_mseuf@yahoo.com
Manuel S. Enverga University Foundation
Lucena City
Granted Autonomous Status
CHED CEB Res. 076-2009

STUDENT AGREEMENT AND LIABILITY WAIVER

KNOW ALL MEN BY THESE PRESENTS:

This Student Agreement and Liability Waiver made and executed this June 2019 at
University Site, Lucena City by Joy C. Valdoria, Filipino, and resident of 93 Quezon Avenue
St., Brgy. 2, Sariaya, Quezon and her mother Alicia C. Valdoria, of legal age and resident of 93
Quezon Avenue St., Brgy. 2, Sariaya, Quezon.

Witnesseth

THAT above-named student will undergo an internship program with the CENTER FOR
WOMEN AND CHILD AT RISK IN NEED OF SPECIAL PROTECTION for a maximum
of 150 hours as part of her academic requirements.

THAT the University is granting permission for the student to undergo said practical training at
the above-mentioned institution subject to the following terms and conditions:

1. During the period of his/her community volunteerism, the University shall not provide
financial assistance to the student;

2. The Student shall abide by all rules and regulations imposed by the practicum professor
and the University and shall exercise care and diligence in the performance of his/her
tasks during the internship program;

3. The University shall not in any way be held liable for injuries and/or accidents the
student may suffer during the duration of his/her internship;

4. The University shall be held free from any liability for damage or injury to third parties
which may be due to the intentional or negligent acts of the Student;

5. This agreement and liability waiver shall be in effect from June 2019 – July 2019.
IN WITNESS WHEREOF, we have affixed our signatures here unto on the date and
place mentioned above.

_________________________ _________________________
ALICIA C. VALDORIA JOY C. VALDORIA
Parent/Guardian Student Intern

COLLEGE OF ARTS AND SCIENCES


University Site, Red-V, Lucena City, Philippines; Tel No. (042)710-3171; arts_mseuf@yahoo.com
Manuel S. Enverga University Foundation
Lucena City
Granted Autonomous Status
CHED CEB Res. 076-2009

17 June, 2019

HON. ARMANDO V. ABUTAL


Acting Mayor, Municipality of Lucban
Municipal Hall of Lucban
Lucban, Quezon

MS. MUTYA M. RADA, RSW


MSWDO, Center for Women and Child at Risk in Need of Special Protection
Shelter for Youth Offenders and Crisis Center
Lucban, Quezon

MS. JOSEPHINE J. ROBELO, RSW


Center Head, Center for Women and Child at Risk in Need of Special Protection
Shelter for Youth Offenders and Crisis Center
Lucban, Quezon

Dear Sir and Mesdames:

This is to inform you that permission is hereby granted to our daughter, Joy C. Valdoria to
participate in the Practicum/On-The-Job Training as a requirement of the Old College
Curriculum in the Bachelor of Science in Psychology program of the College of Arts and
Sciences.

We understand that the said training will cover 150 training hours, which will be conducted in
the Center for Women and Child at Risk in Need of Special Protection located at Lucban,
Quezon from June 2019 – July 2019.

We understand further that the Faculty Coordinator-in-charge will monitor the performance of
the student through site visit and that an immediate supervisor within the institution will take all
the necessary precautions to keep my daughter safe.

Thank you for your kind assistance in meeting my daughter’s training requirements and I hereby
my full consent so that she can graduate from her program.

Very truly yours,

_____________________
ALICIA C. VALDORIA

_____________________
Date

COLLEGE OF ARTS AND SCIENCES


University Site, Red-V, Lucena City, Philippines; Tel No. (042)710-3171; arts_mseuf@yahoo.com
Manuel S. Enverga University Foundation
Lucena City
Granted Autonomous Status
CHED CEB Res. 076-2009

17 June, 2019

HON. ARMANDO V. ABUTAL


Acting Mayor, Municipality of Lucban
Municipal Hall of Lucban
Lucban, Quezon

MS. MUTYA M. RADA, RSW


MSWDO, Center for Women and Child at Risk in Need of Special Protection
Shelter for Youth Offenders and Crisis Center
Lucban, Quezon

MS. JOSEPHINE J. ROBELO, RSW


Center Head, Center for Women and Child at Risk in Need of Special Protection
Shelter for Youth Offenders and Crisis Center
Lucban, Quezon

Dear Sir and Mesdames:

This refers to the requirement of the Old College Curriculum of the Bachelor of Science in
Psychology program of Manuel S. Enverga University Foundation for students to undergo the
Clinical Practicum/On-The Job Training for a minimum of 150 hours in City Social Welfare
and Development Lucena.

In view of this, we would like to request Joy C. Valdoria to have her Practicum/On-The-Job
Training in your institution. In this manner, he/she will have the opportunity to apply her
theoretical knowledge in actual practice.

We firmly believe that your company your institution can provide relevant exposure to future
psychology practitioners, thus ensuring the continuous supply of highly qualified personnel for
local and global needs.

We would highly appreciate whatever assistance you could extend to us that would eventually be
both beneficial to the student and your institution.

Thank you very much and we look forward to your kind consideration and support.

Very truly yours,

__________________________________
MARCO ANTONIO RODAS, MaEd
Practicum Supervisor
Psychology Program

__________________________________
CLAUDIA ODETTE J. AYALA, Ph.D.
Dean, College of Arts and Sciences

COLLEGE OF ARTS AND SCIENCES


University Site, Red-V, Lucena City, Philippines; Tel No. (042)710-3171; arts_mseuf@yahoo.com
Manuel S. Enverga University Foundation
Lucena City
Granted Autonomous Status
CHED CEB Res. 076-2009

TRAINING AGREEMENT

Our agency/institution/establishment through the undersigned department Acting Mayor


Hon. Armando V. Abutal, MSWDO Ms. Mutya M. Rada, RSW and Center Head Ms.
Josephine J. Robelo, RSW hereby submits to the following training provisions with the
COLLEGE OF ARTS AND SCIENCES through its Dean as follows:

1. That the CAS student trainee, Joy C. Valdoria, will report for work on the following schedule:

DAY TIME IN TIME OUT


MONDAY 8:00AM 5:00PM
TUESDAY 8:00AM 5:00PM
WEDNESDAY 8:00AM 5:00PM
THURSDAY 8:00AM 5:00PM
FRIDAY 8:00AM 5:00PM

2. That the above-mentioned CAS student-trainee shall perform the following tasks in our
agency/institution/establishment:

ETHICAL AND LEGAL STANDARDS, INDIVIDUAL AND CULTURAL DIVERSITY,


PROFESSIONAL VALUES, ATTITUDES, AND BEHAVIORS, COMMUNICATION,
INTERPERSONAL SKILLS, AND SUPERVISION, PROFILING, TEST
ADMINISTRATION, TEST EVALUATION, SENSITIVITY TRAINING AND GROUP
DYNAMICS

3. That the above-mentioned CAS student-trainee is not allowed to work on overtime or during
holidays, Saturdays and Sundays.

4. That our agency/institution/establishment thru the undersigned department head/student trainer


takes responsibility of the above-mentioned CAS student under the “principle of loco parentis”.

5. That our agency/institution/establishment through the undersigned department head/student


trainer takes responsibility of the above-mentioned CAS student while he/she is on scheduled
duty or performing official functions/work outside the confines of our office under the “principle
of loco parentis”.

6. That our agency/institution/establishment through its department head/student trainer shall


comply with school evaluation requirements for student trainee/s.

________________________________ ____________________________________
MARCO ANTONIO RODAS, MaEd HON. ARMANDO V. ABUTAL
Practicum Supervisor Acting Mayor, Municipality of Lucban
Psychology Program

________________________________ ____________________________________
CLAUDIA ODETTE J. AYALA, Ph.D. MS. MUTYA M. RADA, RSW
Dean, College of Arts and Sciences MSWD Officer, Center for Women and
Child at Risk in Need of Special Protection

____________________________________
MS. JOSEPHINE J. ROBELO, RSW
MSWD Officer, Center for Women and
Child at Risk in Need of Special Protection

COLLEGE OF ARTS AND SCIENCES


University Site, Red-V, Lucena City, Philippines; Tel No. (042)710-3171; arts_mseuf@yahoo.com

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