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DALUBHASAAN NG LUNGSOD NG LUCENA

(Formerly City College of Lucena)


Isabang, Lucena City
Bachelor of Science in Social Work Program

WEEKLY TIME SHEET

Name of Affiliate Mary Ann O. Ostonal

Placement Dalubhasaan g Lungsod ng Lucena

Name of Agency Supervisor Ms. Flordelisa N. Escultura

Name of School Field Instructor Mr. Cesar N. Jose

Days of Agency Field Placement

Number of working hours per


week

Dates Covered

Date Activities Hours Supervisor’s comment


Month/Day/Year Worked

Weekly total number of hours: __________________

Student Date ______________________


Mary Ann O. Ostonal

Agency Supervisor Date ______________________

Ms. Flordelisa N. Escultura

School Field Date ______________________


Instructor
Mr. Cesar N. Jose
(Signatures over printed name)

SUMMARY OF HOURS RENDERED DURING FIELD INSTRUCTION I


Field Instruction 1. 1ST Semester, AY 2019-2020

TIME SHEET
FI 1, 1 ST SEMESTER, AY 2019-2020
DALUBHASAAN NG LUNGSOD NG LUCENA
(Formerly City College of Lucena)
Isabang, Lucena City
Bachelor of Science in Social Work Program

Name of Affiliate Mary Ann O. Ostonal


Contact Number 09306250035
Placement Area Dalubhasaan ng Lungsod ng Lucena
Agency Supervisor Ms. Flordelisa N. Escultura
School Field Instructor Mr. Cesar N. Jose

Date Total hours


From To

GRAND TOTAL

I certify to the correctness of the above information.

Student Date ______________________


Mary Ann O. Ostonal

Noted:

Agency Supervisor Date ______________________


Ms. Flordelisa N. Escultura

School Field Date ______________________


Instructor
Mr. Cesar N. Jose
(Signatures over printed name)

TIME SHEET
FI 1, 1 ST SEMESTER, AY 2019-2020

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