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Intern Information Sheet

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P ICTURE

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ACLC SORSOGON
COLLEGE OF HOSPITALITY AND TOURISM MANAGEMENT
INTERN INFORMATION SHEET (IIS)

NOTE: This information sheet should be accomplished by every incoming intern/OJT under the
College of Hospitality and Tourism Management. Data gathered will be used for their pre-internship
evaluation and orientation.

I. PERSONAL

Name : ____________________________________
Student No. : ____________________________________
Date of Birth : ____________________________________
Address : ____________________________________
Age/Gender/Status : _________/_____________/_____________
Religious Affiliation : ____________________________________
Mobile Phone No. : ____________________________________
Email Address : ____________________________________
Pre-Identified Company : ____________________________________
Internship Position Target : ____________________________________
In Case of Emergency (Contact Person)
Name: ______________________ Contact No. _____________________

II. PRE-INTERNSHIP PREPARATION (Basis for Student Project Portfolio)

I. Academic Institution Year Graduated


Primary : _______________________ _____________
Secondary : _______________________ _____________
Tertiary : _______________________ _____________

II. Trainings/Seminar/Workshop Attended/Facilitated


Title Organizer Date
________________________ ______________________________ __________
________________________ ______________________________ __________
________________________ ______________________________ __________
________________________ ______________________________ __________
III. Research Conducted
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
IV. Community Service (State nature and organization)
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
V. Membership in any Organization (Extra Curricular)
_________________________________________________________________
_________________________________________________________________
VI. Honors, Scholarships, Awards Received
_________________________________________________________________
_________________________________________________________________
(Please use separate paper if necessary)

I hereby certify that all the information indicated above is true and correct.

______________________
Name and Signature

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