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FM-AA-INT-22

Rev. 0
01-Feb-2017

WEEKLY MONITORING PLAN


PANGASINAN STATE UNIVERSITY

START DATE END DATE

This form must be submitted to the office a week before your actual visitation. No authority to travel will be approved without this form.

DAY Date NAME OF COMPANY TO BE VISITED DETAILED PLAN

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

PREPARED BY:

___________________________________
Internship / Practicum Subject Instructor

Date: _______________________________

NOTED BY: APPROVED BY:

___________________________________ ___________________________________
Campus Internship Coordinator Campus Executive Director

Date: _______________________________ Date: _______________________________

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