Psychology Internship Handbook Final

1
TABLE OF CONTENTS
Contents Page
Cover Page
General Details
ii
Table of Content
iii
Vision, Mission & Objectives

Vision Statement
Mission Statement
Objective
Admission
Health
Uniform
Personal Grooming
Work Schedule
11
Conduct
13
Discipline
14
Extension of Duty Hour
17
Repeat Internship
20
Monitoring
21
Internship Policies
Evaluation
Requirements & Grading System
21
22
Student Interns Pledge
24
Students Personal Status Evaluation
25
Internship Journal
Company Profile (Clinical)
26
Daily Journals
27-36
2
Journal of Whole Setting (1st Setting)
37
Company Profile (SpEd)
38
Daily Journals
39-48
Journal of Whole Setting (2nd Setting)
49
Company Profile (Educational)
50
Daily Journals
51-60
Journal of Whole Setting (3rd Setting)
61
Company Profile (I/O)
62
Daily Journals
63-72
Journal of Whole Setting (4th Setting)

Final Evaluation of Students-Intern Experience
73
74-75
2x2 ID Picture
Davao Doctors College
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:
_______________________________________________
_____________________________
Training Supervisor
Host Training Agency for School Setting:
_______________________________________________
_____________________________
Training Supervisor
Host Training Agency for Industrial Setting:
_______________________________________________
_____________________________
Training Supervisor
Host Training Agency for Special Education Setting:
_______________________________________________
_____________________________
Training Supervisor
PSYCHOLOGY PROGRAM
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College of Medical Entrepreneurship
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.
Vision, Mission and Objectives

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of the Psychology Internship Program

VISION STATEMENT
The Psychology Internship Program of Davao Doctors College is to
provide partners institutions with highly competent student-interns imbued
with the core values of excellence, service, integrity, empowerment, and
commitment.
MISSION STATEMENT
Davao Doctors College is committed to develop Psychology studentinterns who are God-loving, people-oriented, highly motivated, globally
competitive, adaptive to diverse cultures, and dedicated to the preservation
of national heritage.
Specifically, the Psychology Internship Program commits to provide
partner institution with:
1. Student- intern who are responsible and morally guided by ethical
principles;
2. Student-interns who exhibit ethics in the practice of psychological
evaluation, assessment, intervention and other work assigned;
3. Student-interns who can work well in a team environment and
maintain good working relationships with co-interns and employees in
the work setting;
4. Student-interns who can contribute to the workplace through quality service.
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
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learning which allows the student-interns to learn new techniques, develop

competencies and skills, to hone their capabilities in human relations and
social interaction, particularly on how to get along with their superiors and
co-workers.
In addition, the Internship Training Program provides an opportunity for
them to acquire good work attitude and ethical values in the practice of the
profession. These areas of development are necessary for the transformative
education of the students in the realization of the schools vision, mission,
and goals.
Specific Objectives:
The Internship period will be structured as a learning experience where
student-interns are to experience positive professional and personal
development through technical and ethical application of knowledge in the
practical fields of Psychology.
At the end of the internship period student-intern is expected to:
1. Gain insights and content knowledge in order to integrate the different
aspects of work and learning in the clinical, industrial and educational
settings;
2. Develop their abilities in psychometrics and diagnosis, clinical
interview and assessment, formulating social case history formats and
reports, integration of case findings, related diagnostic impression
based on findings, classification of psychological and pathological case,
and psychotherapies;
3. Gain experience and enhance their skills in clinical work and
management, the application of clinical methods to people with mental
health problems; and work as a team member in a clinical setting;
4. Have an opportunity to undergo the actual clinical work training
experience to have feel of what is reality in the chosen field; and
5. Be a practitioner collaborating effectively with colleagues and other
helping professionals, showing respect for others, and experiencing
work in the actual workplace.
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.
e) Wearing of rubber shoes, sandals, or slippers is strictly not allowed

in all four practicum settings (unless required by Training Site
Supervisor in the Clinical/SpEd setting).
MALES
a) Prescribed internship uniforms (one for Clinical/SpEd setting and
another one for Industrial/School setting).
b) Entirely black casual leather closed shoes with black socks.
c) The undershirt worn underneath the top uniform should be plain
white (not colored or no prints) and must not show beyond the
neckline or sleeves of the top uniform.
d) Male interns should have clean short haircut that doesnt cover the
ears. Changing of natural hair color is discouraged especially if the
shade is unnatural or outlandish.
e) Wearing of rubber shoes, sandals, or slippers is strictly not allowed
in all four practicum settings (unless required by your Training Site
Supervisor in the Clinical/SpEd setting).
4. Whenever you are in your internship uniforms, you are discouraged
from wearing excessive jewelry like necklaces, rings, pendants,
bracelets, brooch, earrings, anklets, etc. Wearing of wristwatch or
wedding ring (for married student-interns) is allowed.
IV.
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.
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4. Student-interns are advised to be modest in wearing make-up and

jewelry during duty hours whether in prescribed uniform or not.
V.
ASSIGNMENT OF PRACTICUM SITE

1. Selection of Host Training Agency (HTA)- A host training agency
is the identified internship site affiliated with Davao Doctors College
where student-interns will undergo internship in. In order for an
agency to be considered an internship site, it should meet the
following basic criteria:
a. It must be an agency that can meet the student-interns
training needs by providing them with supervised exposure to
psychological services in any of the following fields:
Education/School (Guidance, Counseling or Testing
Centers)
Industry (Human Resource Offices)
Clinical Psychology (Drug Treatment & Rehabilitation
Centers, Mental Health Centers, Hospitals)
Special Education (any agency catering to the special
needs of children or adults)
b. The agency must be duly recognized by its accrediting and
regulating body as constituted under the legalities of the
Republic of the Philippines.
c. The agency must voluntarily accommodate the studentinterns and willing to fulfill the terms and conditions stipulated
in the Memorandum of Agreement (MOA).
d. It is the duty of Davao Doctors College to select prospective
host training agencies as internship sites.
e. Student-interns cannot select on their own which agency they
want to undergo internship in, if the agency is not yet
affiliated with Davao Doctors College. They can help
recommend a prospective HTA for internship provided that
he/she will seek the approval of the Practicum Coordinator
and Psychology Program Chair prior to any engagement.
f. Prior to the start of the training program, orientation by the
representatives from the practicum sites shall be conducted.
2. Assignment of Student-Interns to HTAsStudent-interns are
assigned to one practicum site per setting. Since there are four
practicum settings, there will also be four HTAs to which the intern
will be assigned.
a. Practicum assignment is the responsibility of the Practicum
Coordinator and the Psychology Program Chair. HTAs can also
be involved in the screening process and selection of studentinterns.
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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
(40 hrs/week) for 4 weeks
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PSYCH 125B - Industrial Setting
PSYCH 125C Clinical Setting
PSYCH 125D Special Education Setting (40 hrs/week) for 4 weeks

Total:
640 hours/ semester
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
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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.
12. Tardiness A student-intern is considered LATE if he or she fails

to report to the assigned practicum site at the starting time of
his/her duty.
13. If a student-intern is late for three consecutive times, he/she will

have to render HALF-DAYEXTENSION.
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.
2. Public display of affection, which is contrary to acceptable moral

standards, is forbidden.
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3. Student-interns are to refrain from using words that are offensive,

vulgar, indecent and blasphemous.
4. Professional ethics must be observed at all times. This includes

safeguarding the HTAs and its clients confidentiality, respecting
their autonomy, seeking their approval and informed consent
whenever you are obtaining their participation in a proposed
activity.
5. Materials and equipment or any official property of the HTAs are to

be handled with utmost care. Should the student-intern cause
damages to HTAs properties, they will be asked to pay.
6. Smoking, gambling, drunkenness, possession of illegal drugs and

deadly weapons are strictly prohibited. Student-interns under the
influence of alcohol or prohibited drugs during duty hours or
seminars are subject to disciplinary action including expulsion from
the Internship Program.
7. The use of mobile phones is allowed but student-interns are strongly

advised to minimize use of mobile phones.
Making calls,
entertaining a call, text messaging should only be done during
break time and must not interrupt workflow or operations in the
training site. Phones should be in silent mode.
8. The use of personal electronic gadgets such as notebooks and

laptops is strictly not allowed unless required by the training
supervisor when its use serves an official purpose in the training
site (making a report, creating a document, etc.)
VIII.
DISCIPLINE
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1. The VP of Academic Affairs, the Dean of College of Medical

Entrepreneurship, the Psychology Program Chair and the Practicum
Coordinator reserve the right to:
a. Review and revise
internship program.
existing
policies
in
the
Psychology
b. Manage major violations of the policies

c. Investigate violations in the internship sites and enact proper
disciplinary actions.
2. Offenses or violations of the policies must be reported in writing to
the Practicum Coordinator.
3. Whenever a student-intern commits a minor or major offense,
he/she shall submit a written letter of explanation containing the
facts of the incident. The Program Coordinator countersigns this
letter.
4. For minor offenses committed by the student-intern, the Program
Coordinator reserves the right to enact appropriate disciplinary
actions.
5. For major offenses, the case shall be raised to the office of the
Psychology Program Chair, College Dean or the SPS Office.
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.
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f. Leaving the
permission.
assigned
practicum
site
without
official
g. Sleeping in the assigned training site during duty hours.

h. Cutting duty hours by logging out early or logging in late.
i. Reading of books which are not related to the internship
program such as comics, pocketbooks, and other reading
materials.
j. Extending breaks such as snack or lunch break.
k. Loitering in the assigned HTA.
l. Wearing of earrings by boys and multiple earrings by girls and
similar body piercing objects.
m. Other offenses similar to the forgoing
MAJOR OFFENSES
a. Repetition of minor offenses (5x or more)
b. Littering and/or pitting anywhere within the HTA.
c. Public display of affection in the HTA.
d. Defiance to the lawful orders of the HTA.
e. Recruiting or joining illegal organizations not recognized by
the HTA.
f. Uttering nasty words and making dirty signs inside the HTA.
g. Modifying computer settings, security hacking, cyber bullying
and engaging in cyber sex or viewing the same at the internet
section.
h. Circulating false information about the HTA, its officials, staff
and other clients.
i. Instigating, leading, participating in activities or any actions
that bring about disruption of administrative work, disciplinary
proceedings or any other school activity.
j. Acts of disrespect towards HTA authorities.
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k. Smoking, drinking liquor, gambling in any form/playing cards

within the HT and 200 meters away from the HTA.
l. Dishonesty.
m. Fighting inside the HTA or 200 meters way whether wearing
uniform or not.
n. Immorality such as engaging in lewd, indecent, obscene and
scandalous conduct whether inside or outside the HTA.
o. Use, possession, or trafficking of illegal drugs inside or outside
the HTA.
p. Stealing, shoplifting and asking or receiving money or
materials from others with threat or intimidation (extortion).
q. Coming to duty drunk or under the influence of drugs or
liquor.
r. Vandalism,
properties.
defacement
or
intentional
damage
to
HTA
s. All forms of cheating including plagiarism.

t. Forging or falsification of academic or official intern records
and documents of any kind.
u. All forms of bullying (physical, verbal, relational, reactive or
cyber bullying).
v. Any form of remarks, utterances, actions or discrimination
which is prejudicial to ones gender and physical or mental
condition or disability.
7. Classification of Sanctions
For Minor Offenses:
a) Submission of incident report should be submitted within 24
hours
b) Reprimand or admonition
c) Oral and written public apology to the parties concerned
d) Payment of actual damages inflicted
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e) Submission of reading assignment on a topic assigned by

thee Practicum Coordinator
f) Extension of duty
g) Such other sanctions as may be determined by the Program
Chair and Practicum Coordinator
h) Referral to the Guidance Center
For Major Offenses:
a) Submission of an incidental report or letter of explanation
b) Oral and written public apology to the parties concerned
c) Extension of duty hours
d) Submission of a reading assignment or a research on a topic
assigned by the Practicum Coordinator
e) Nullification of assessment or failure grade in the practicum
setting
f) Payment of actual damages inflicted
g) Denial of graduation privileges
h) Suspension with compulsory services
i) Disciplinary probation or closed supervision in the HTA
j) Dismissal from the Internship Program
k) Other sanctions as may be determined by the Program Chair,
College Dean, Prefect of Discipline or VP of Academic Affairs.
IX.
EXTENSION OF DUTY HOURS

1. A student-intern incurs extension as penalty for (1) offense
committed and (2) tardiness and absences.
2. Scheduling of extension is done at the end of a particular practicum
setting. A student-intern who incurs an extension must complete it
within the semester or within the specified time frame arranged by
the Practicum Coordinator.
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3. The Practicum Coordinator schedules the appropriate extension with

the student-intern. Student-intern who fails to notify the Practicum
Coordinator of a required extension of duty will not receive the
certificate of completion or practicum certificate and necessary
evaluation unless the extension has been completed.
4. Extension for Violation on the Uniform Policy

a) Non-wearing of the prescribed uniform
b) Wearing of printed or colored undershirt which can be seen at
the neckline or sleeves.
c) Wearing of shoes not prescribed by the Practicum Coordinator
or not required by the training site Supervisor.
d) Excessive make-up or jewelry
e) Outlandish hair color
Sanctions:
First offense:
Verbal reprimand
Second offense: Half-day extension

Third offense:
Fourth offense:
One-day extension
Two-day extension
5. Extension for Absences

Unexcused Absences:
Half-day absence:
One day absence:
Two-day absence:
Three-day absence:
one day extension

two days extension
three days extension
four days 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.
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6. Extension as Violation for Tardiness

First and Second Offense:
Verbal reprimand
Third Offense:
1 reading assignment
Fourth offense:
2 reading assignment
Fifth offense:
Half-day extension
7. It during the weekly interns meeting that the Practicum Coordinator

shall report the summary of absences, tardiness and other
violations where extension is appropriate sanction.
8. For student-interns who repeatedly incur sanctions for tardiness and

absences, the Practicum Coordinator shall summon the concerned
student-interns parents or the guardian for a conference.
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
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1. At the end of all four practicum assignments, a student-intern

has to submit a final report in the form of an ACTIVITY
PORTFOLIO compiling the following documents:
Pre-internship Forms & Requirements (Application
Letter, Recommendation Letter, Curriculum vitae,
Waiver of Claim, MOA)
Daily Internship Journals
Daily Activity Report
Weekly Activity Report
Daily Time Record
Documentation/Pictures
2. The final report should include the following:
a description of the internship site where you completed
the Internship Experience;
a description of the goals and job duties, including the
general background of clients served;
an analysis of progress on each of the identified goals;
major insights obtained in relation to ones job or career
Interests from the Internship Experience;
3. Student-interns shall submit written reports documenting the
tasks and training content, responsibilities given, learning
experiences from the tasks given, and the actual number of
hours rendered.
4. The DAILY JOURNAL and DAILY/WEEKLY ACTIVITY REPORT shall
include comments on areas such as:
human work- related aspects
leadership and management skills gained
valuing the importance of teamwork
insights in the workplace
work challenges and resolutions
description of key tasks and responsibilities
5. Accomplishing the daily record of attendance, activities,
experiences, and observations must be done with tact,
appropriateness and accuracy.
6. Student-interns shall submit the Final Report (Activity Portfolio) to
the Program Chair in hardbound for signature prior to
endorsement to VPAA.
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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
Personality traits and maturity

Professional behavior
Personal appearances and Good Grooming
Tidiness, Neatness and Orderliness
ATTENDANCE & PUNCTUALITY (10%)

regular presence
timeliness
3. All evaluations are due one (1) week after internship in a particular setting.
Completed evaluation forms must be enclosed in an envelope and must be handled
with confidentiality.
4. It is the student-interns responsibility to see that the evaluation form is given to the
Training Supervisor and turned in on time to the Practicum Coordinator.
XIV.
REQUIREMENTS AND GRADING SYSTEM

1. Davao Doctors College Psychology Internship Program shall use 6040 cut-off mark for this course. The Host Training Agency (HTA) will
provide the 70%, and 30% from the Internship Sending Agency
(ISA), hence computation of grades are as follows:
Host Training Agency (HTA) Evaluation
70%
Attendance and Punctuality
10%
Personality and Professionalism
20%
Attitude toward Work
35%
Work Performance
35%
Total
Internship Sending Agency (ISA) Evaluation
100%
30%
Attendance in Pre-Deployment Orientation
5%
Weekly Meetings and Professionalism
10%
Research Output (Case Study & Oral Defense)
40%
Attendance in In-campus formation seminars
10%
24
Activity Portfolio (Hardbound copy with Certificate of Completion)
30%
Attendance in Practicum Culminating Activity
5%
*Post Internship Program

*Recognition & Awards
*Fellowship Night
Total
100%
2. Best in Practicum this is awarded to the student who has:

a) Obtained the highest Practicum Grade with no grade lower
than 80% in any of the following:
Industrial setting
Clinical setting
Educational setting
Special Education
b) Has not incurred unexcused absences of more than 5% of
the total required duty hours.
c) No record of any disciplinary action involving major
offenses that could be a ground for disqualification
25

BS PSYCHOLOGY INTERNSHIP TRAINING PROGRAM
(An Activity Portfolio)
STUDENT- INTERNS PLEDGE
I hereby accept and commit myself to comply with the policies and procedures of the Practicum
training Program of Bachelor of Science in Psychology of the Davao Doctors College, Malvar Street,
Davao City, among which are the following:
That I shall embody the Vision, Mission and Goals of the Davao Doctors College, and the Vision,
Mission and Goals of the Department of Psychology of the Davao Doctors College which I shall
incorporate in my being in my entire practicum learning experiences in the four setting;
That I shall embrace the Internship Training Program knowing fully that it is envisaged to provide
a dynamic learning environment in which I shall be able to apply and expand my theoretical knowledge
and skills, develop critical thinking, so as to become competent and responsible professional;
That I shall devote myself to the agency duty elected by the Davao Doctors College and shall
respect the policies and procedures and value confidentiality in performance of my duty in the affiliation
centers
That I shall observe the sequences of internship training; observations, directed doings and
independent learning, and shall be open to comments, suggestions and recommendations of the intern
supervisor and agency supervisor;
That I shall comply with the required number of hours of internship training and exert my best
efforts to make my experiences worthwhile and worth remembering;
That I shall endeavor to keep a perfect attendance and shall observe punctuality in reporting to
the affiliation centers, attending consultation sessions weekly meetings and other activities during the
internship training;
That I shall subject myself to the evaluation and discipline of the intern supervisor to whom I
shall look up to as my mentor, guide, model, protector, counselor and friend
That I shall subject observe with all the integrity and channels and communication and
generously give feed back to the person-in-charge of the internship training;
That I shall accomplish scholarly reports/logbook and observe strictly dates of submission of such
records.
That whenever I have ideas and observations and even grievances and complaints, I shall being
bring these up to the intern supervisor and reason for such ideas. Once decision has been arrived at, it will
always be for the general good.
26
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:
Part Time Job

Personal Business
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
Skills & Competencies:
Students Signature
Company Profile (Clinical)

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
Signature of Site
Supervisor
28
Total Number of Hours:

Remarks:
Intern Signature:
Site Supervisor:
Internship Instructor:
PSYCHOLOGY PROGRAM
Daily Journal
Day 1
Date:
Interns Signature:
Site Supervisor:
Day 2
Date:
29
Interns Signature:
Site Supervisor:
PSYCHOLOGY PROGRAM
Daily Journal
Day 3
Date:
Interns Signature:
Site Supervisor:
Day 4
Date:
30
Interns Signature:
Site Supervisor:
PSYCHOLOGY PROGRAM
Daily Journal
Day 5
Date:
Interns Signature:
Site Supervisor:
Day 6
Date:
Interns Signature:
Site Supervisor:
31
PSYCHOLOGY PROGRAM
Daily Journal
Day 7
Date:
Interns Signature:
Site Supervisor:
Day 8
Date:
Interns Signature:
Site Supervisor:
32

PSYCHOLOGY PROGRAM
Daily Journal
Day 9
Date:
Interns Signature:
Site Supervisor:
Day 10
Date:
Interns Signature:
Site Supervisor:
PSYCHOLOGY PROGRAM
33
Daily Journal
Day 11
Date:
Interns Signature:
Site Supervisor:
Day 12
Date:
Interns Signature:
Site Supervisor:
PSYCHOLOGY PROGRAM
Daily Journal
Day 13
Date:
34
Interns Signature:
Site Supervisor:
Day 14
Date:
Interns Signature:
Site Supervisor:
PSYCHOLOGY PROGRAM
Daily Journal
Day 15
Date:
35
Interns Signature:
Site Supervisor:
Day 16
Date:
Interns Signature:
Site Supervisor:
PSYCHOLOGY PROGRAM
Daily Journal
Day 17
Date:
36
Interns Signature:
Site Supervisor:
Day 18
Date:
Interns Signature:
Site Supervisor:
PSYCHOLOGY PROGRAM
Daily Journal
Day 19
Date:
37
Interns Signature:
Site Supervisor:
Day 20
Date:
Interns Signature:
Site Supervisor:

PSYCHOLOGY PROGRAM
Journal of the Whole Setting
Date:
38
Interns Signature:
Site Sup.:
Company Profile (SpEd)
Practicum Setting:
Company Name:
Site Supervisor:
Position:
`
Telephone No:
Fax:
Email Add:
Hours Completed:
Date
AM
in
out
Extension:
PM
In Out
No. of
Hrs
Sign Site
Supervisor
39

Remarks:
Intern Signature:
Site Sup.:
Practicum Instructor:
PSYCHOLOGY PROGRAM
Daily Journal
Day 1
Date:
Interns Signature:
Site Supervisor:
40
Day 2
Date:
Interns Signature:
Site Supervisor:
PSYCHOLOGY PROGRAM
Daily Journal
Day 3
Date:
Interns Signature:
Site Supervisor:
Day 4
Date:
41
Interns Signature:
Site Supervisor:
PSYCHOLOGY PROGRAM
Daily Journal
Day 5
Date:
Interns Signature:
Site Supervisor:
Day 6
Date:
42
Interns Signature:
Site Supervisor:
PSYCHOLOGY PROGRAM
Daily Journal
Day 7
Date:
Interns Signature:
Site Supervisor:
Day 8
Date:
43
Interns Signature:
Site Supervisor:
PSYCHOLOGY PROGRAM
Daily Journal
Day 9
Date:
Interns Signature:
Site Supervisor:
Day 10
Date:
44
Interns Signature:
Site Supervisor:
PSYCHOLOGY PROGRAM
Daily Journal
Day 11
Date:
Interns Signature:
Site Supervisor:
Day 12
Date:
Interns Signature:
Site Supervisor:
45

PSYCHOLOGY PROGRAM
Daily Journal
Day 13
Date:
Interns Signature:
Site Supervisor:
Day 14
Date:
Interns Signature:
Site Supervisor:
46

PSYCHOLOGY PROGRAM
Daily Journal
Day 15
Date:
Interns Signature:
Site Supervisor:
Day 16
Date:
Interns Signature:
Site Supervisor:
PSYCHOLOGY PROGRAM
Daily Journal
47
Day 17
Date:
Interns Signature:
Site Supervisor:
Day 18
Date:
Interns Signature:
Site Supervisor:
PSYCHOLOGY PROGRAM
Daily Journal
Day 19
Date:
48
Interns Signature:
Site Supervisor:
Day 20
Date:
Interns Signature:
Site Supervisor:
PSYCHOLOGY PROGRAM
Date:
49
Intern Signature:
Site Sup.:
Company Profile (Educational)
Practicum Setting:
Company Name:
Site Supervisor:
Position:
`
Telephone No:
Fax:
Email Add:
Hours Completed:
Date
AM
in
out
Extension:
PM
In Out
No. of
Sign Site
Supervisor
50
Hrs

Remarks:
Intern Signature:
Site Sup.:
PSYCHOLOGY PROGRAM
Daily Journal
Day 1
Date:
51
Interns Signature:
Site Supervisor:
Day 2
Date:
Interns Signature:
Site Supervisor:
PSYCHOLOGY PROGRAM
Daily Journal
Day 3
Date:
52
Interns Signature:
Site Supervisor:
Day 4
Date:
Interns Signature:
Site Supervisor:
PSYCHOLOGY PROGRAM
Daily Journal
Day 5
Date:
53
Interns Signature:
Site Supervisor:
Day 6
Date:
Interns Signature:
Site Supervisor:
PSYCHOLOGY PROGRAM
Daily Journal
Day 7
Date:
Interns Signature:
Site Supervisor:
54
Day 8
Date:
Interns Signature:
Site Supervisor:
PSYCHOLOGY PROGRAM
Daily Journal
Day 9
Date:
Interns Signature:
Site Supervisor:
Day 10
Date:
55
Interns Signature:
Site Supervisor:
PSYCHOLOGY PROGRAM
Daily Journal
Day 11
Date:
Interns Signature:
Site Supervisor:
Day 12
Date:
56
Interns Signature:
Site Supervisor:
PSYCHOLOGY PROGRAM
Daily Journal
Day 13
Date:
Interns Signature:
Site Supervisor:
Day 14
Date:
57
Interns Signature:
Site Supervisor:
PSYCHOLOGY PROGRAM
Daily Journal
Day 15
Date:
Interns Signature:
Site Supervisor:
Day 16
Date:
58
Interns Signature:
Site Supervisor:
PSYCHOLOGY PROGRAM
Daily Journal
Day 17
Date:
Interns Signature:
Site Supervisor:
Day 18
Date:
Interns Signature:
Site Supervisor:
59

PSYCHOLOGY PROGRAM
Daily Journal
Day 19
Date:
Interns Signature:
Site Supervisor:
Day 20
Date:
Interns Signature:
Site Supervisor:
60

PSYCHOLOGY PROGRAM
Date:
Intern Signature:
Site Sup.:
Company Profile (I/O)
Practicum Setting:
Company Name:
Site Supervisor:
61
Position:
`
Telephone No:
Fax:
Email Add:
Hours Completed:
Date
AM
in
out
Extension:
PM
In Out
No. of
Hrs
Sign Site
Supervisor

Remarks:
Intern Signature:
Site Supervisor:
62
PSYCHOLOGY PROGRAM
Daily Journal
Day 1
Date:
Interns Signature:
Site Supervisor:
Day 2
Date:
Interns Signature:
Site Supervisor:
PSYCHOLOGY PROGRAM
Daily Journal
Day 3
63
Date:
Interns Signature:
Site Supervisor:
Day 4
Date:
Interns Signature:
Site Supervisor:
PSYCHOLOGY PROGRAM
Daily Journal
Day 5
Date:
64
Interns Signature:
Site Supervisor:
Day 6
Date:
Interns Signature:
Site Supervisor:
PSYCHOLOGY PROGRAM
Daily Journal
Day 7
Date:
65
Interns Signature:
Site Supervisor:
Day 8
Date:
Interns Signature:
Site Supervisor:
PSYCHOLOGY PROGRAM
Daily Journal
Day 9
Date:
66
Interns Signature:
Site Supervisor:
Day 10
Date:
Interns Signature:
Site Supervisor:
PSYCHOLOGY PROGRAM
Daily Journal
Day 11
Date:
67
Interns Signature:
Site Supervisor:
Day 12
Date:
Interns Signature:
Site Supervisor:
PSYCHOLOGY PROGRAM
Daily Journal
Day 13
Date:
Interns Signature:
Site Supervisor:
68
Day 14
Date:
Interns Signature:
Site Supervisor:
PSYCHOLOGY PROGRAM
Daily Journal
Day 15
Date:
Interns Signature:
Site Supervisor:
Day 16
Date:
69
Interns Signature:
Site Supervisor:
PSYCHOLOGY PROGRAM
Daily Journal
Day 17
Date:
Interns Signature:
Site Supervisor:
Day 18
Date:
70
Interns Signature:
Site Supervisor:
PSYCHOLOGY PROGRAM
Daily Journal
Day 19
Date:
Interns Signature:
Site Supervisor:
Day 20
Date:
71
Interns Signature:
Site Supervisor:
General Malvar St., Davao City
PSYCHOLOGY PROGRAM
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.
Defining field experience goals with the

Training Agencies was easy.
Field work assignments were readily understood
Field work assignments gave me sufficient
Responsibility
Fieldwork assignments were directly related to
the organizations purpose.
A great deal of satisfaction was derived from
the work assignments
Strongly
Agree
Agree
Disagree Strongly
Disagree
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
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? ________________________________________________________
__________________________________________________________________________
10. What are your career goals? __________________________________________________

__________________________________________________________________________
11. How did the internship affect your career plans? ___________________________________
_________________________________________________________________________
INTERNSHIP TRAINING DIRECTOR SUPERVISION
12. How many times did you meet with your internship training director for preparation of your
internship? ______hours before _______hours during _______hours after internship
73
13. Was the frequency of meetings adequate? _____ Yes _____ No. Explain: ___________
_________________________________________________________________________
14. Suggest relevant activities for future internships __________________________________
_________________________________________________________________________
TRAINING AGENCY SUPERVISION
None
Seldom
15. Guidance from the Training Agency Supervisor

was available.
_____
16. Instructions and comments were understandable _____
17. Responsibility was delegated to me
_____
_____
_____
_____
Usually
Always
_____
_____
_____
_____
_____
_____
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)
___________________________________________________________________________
Competency
VL
L
M
H
VH
1
2
3
4
5
___________________________________________________________________________
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
Preparation for internship

Writing skills
Ability to work independently
Thoroughness of your work
Dependability
Responsibility
Demonstrated creativity
Amount of completed work
Conveyed a professional attitude
Adaptability
Cooperated with supervisor
Work attendance
Punctuality
Conveyed a courteous attitude
Personal appearance
Maturity and growth
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
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:
74
____________________
Student-Intern
______________________
Training Agency Supervisor
______________________
Program Chair
75

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1

Vision, Mission & Objectives

Extension of Duty Hour

Student Interns Pledge

Students Personal Status Evaluation

Journal of Whole Setting (1st Setting)

Company Profile (SpEd)

Journal of Whole Setting (2nd Setting)

Company Profile (Educational)

Journal of Whole Setting (3rd Setting)

Company Profile (I/O)

Journal of Whole Setting (4th Setting)

Davao Doctors College

College of Medical Entrepreneurship

Vision, Mission and Objectives

of the Psychology Internship Program

learning which allows the student-interns to learn new techniques, develop

e) Wearing of rubber shoes, sandals, or slippers is strictly not allowed

4. Student-interns are advised to be modest in wearing make-up and

ASSIGNMENT OF PRACTICUM SITE

(40 hrs/week) for 4 weeks

PSYCH 125B - Industrial Setting

(40 hrs/week) for 4 weeks

PSYCH 125C Clinical Setting

(40 hrs/week) for 4 weeks

PSYCH 125D Special Education Setting (40 hrs/week) for 4 weeks

640 hours/ semester

12. Tardiness A student-intern is considered LATE if he or she fails

13. If a student-intern is late for three consecutive times, he/she will

2. Public display of affection, which is contrary to acceptable moral

3. Student-interns are to refrain from using words that are offensive,

4. Professional ethics must be observed at all times. This includes

5. Materials and equipment or any official property of the HTAs are to

6. Smoking, gambling, drunkenness, possession of illegal drugs and

7. The use of mobile phones is allowed but student-interns are strongly

8. The use of personal electronic gadgets such as notebooks and

1. The VP of Academic Affairs, the Dean of College of Medical

b. Manage major violations of the policies

g. Sleeping in the assigned training site during duty hours.

k. Smoking, drinking liquor, gambling in any form/playing cards

s. All forms of cheating including plagiarism.

e) Submission of reading assignment on a topic assigned by

EXTENSION OF DUTY HOURS

3. The Practicum Coordinator schedules the appropriate extension with

4. Extension for Violation on the Uniform Policy

Second offense: Half-day extension

5. Extension for Absences

one day extension

6. Extension as Violation for Tardiness

7. It during the weekly interns meeting that the Practicum Coordinator

8. For student-interns who repeatedly incur sanctions for tardiness and

1. At the end of all four practicum assignments, a student-intern

Personality traits and maturity

ATTENDANCE & PUNCTUALITY (10%)

REQUIREMENTS AND GRADING SYSTEM

Host Training Agency (HTA) Evaluation

Attendance and Punctuality

Personality and Professionalism

Attitude toward Work

Attendance in Pre-Deployment Orientation

Weekly Meetings and Professionalism

Research Output (Case Study & Oral Defense)

Attendance in In-campus formation seminars

Activity Portfolio (Hardbound copy with Certificate of Completion)