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Document Type: Document Code EAL-F10

FORM
ISO 9001:2015 Revision No. 00
Document Title: Effective Date October 07, 2019
STUDENT INTERN QUALIFICATION CHECKLIST
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Name of Student:

Department: Contact No: Email Address

Program Applied for:

Please put a check ( ) on the column which best describes you.


CRITERIA YES NO REMARKS
1. Must be a Filipino citizen
2. Degree
A. Bachelor (Completed at least 75%)
B. Associate (Completed at least 50%)
3. At least 18 years old at the time of internship
4. Passed the pre-practicum or internship requirements of the
university (certificate of eligibility from the registrar)
5. Good academic standing as certified by the dean or program
chairperson
6. Physically, Psychologically and emotionally fit ( medical
certificate)
7.Aticulate in English
8. Submitted Parents /Guardian Consent

Evaluated by:

_______________________________________
SIAP/SIPP Coordinator

Checked by:

___________________________________
EALO, Chair Date:___________________

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