GOVERNMENT INTERSHIP PROGRAM

ACCOMPLISHMENT REPORT

COVERING THE PERIOD OF: ___________

NAME OF THE INTERN: ______________________

NAME OF THE EMPLOYER (AGENCY/ LGU): ____________________

AREA OF ASSINGMENT: ___________________________________________

(office/Department/Division/Unit/Baranggay)
NAME OF THE SUPERVISOR: _______________________

POSITION/ DESIGNATION: ____________________________

DATE ACCOMPLISHMENT

_____________________________ _________________________________

Printed Name & Signature of intern Printed Name & Signature of Supervisor