Age: ___________________________ Course: _____________________________________ Company: _______________________ Department Assigned to: ______________________ Supervising Staff: ___________________ Date Started: _______________________ Internship Period: From _________ To _________ Total Hours (Weekly): _______________ A. ACCOMPLISHED ACTIVITIES Day
Nature of Activity
Task/Assignment Received From
Remarks
B. Knowledge/Skills Gained and/or Difficulties Encountered for the Period