DOLE - ROIII GOVERNMENT INTERNSHIP PROGRAM (GIP)

21RO3-AUR-LONE-0
NAME OF INTERN: ______________________ OFFICE ASSIGNED: _____________________________
MONTH:_______________________________ MONTH:_______________________________ MONTH:_______________________________
MORNING AFTERNOON DAILY MORNING AFTERNOON DAILY MORNING AFTERNOON DAILY
DAYS DAYS DAYS
IN OUT IN OUT TOTAL IN OUT IN OUT TOTAL IN OUT IN OUT TOTAL
1 1 1
2 2 2
D 3 3 3
A 4 4 4
5 5 5
I 6 6 6
L 7 7 7
8 8 8
Y 9 9 9
10 10 10
11 11 11
12 12 12
13 13 13
T 14 14 14
I 15 15 15
16 16 16
M 17 17 17
E 18 18 18
19 19 19
20 20 20
21 21 21
22 22 22
R 23 23 23
24 24 24
E 25 25 25
C 26 26 26
27 27 27
O 28 28 28
R 29 29 29
30 30 30
D 31 31 31
I HEREBY CERTIFY THAT THE ABOVE RECORDS ARE TRUE AND I HEREBY CERTIFY THAT THE ABOVE RECORDS ARE TRUE AND I HEREBY CERTIFY THAT THE ABOVE RECORDS ARE TRUE AND
CORRECT. CORRECT. CORRECT.

Covering 1-15 of the month Covering 16-31 of the month Covering 1-15 of the month Covering 16-31 of the month Covering 1-15 of the month Covering 16-31 of the month

1 Intern's signature Intern's signature Intern's signature Intern's signature Intern's signature Intern's signature

_______________________ _______________________ _______________________ _______________________ _______________________ _______________________

Name & signature of Name & signature of Name & signature of Name & signature of Name & signature of
Supervisor Supervisor Supervisor Supervisor Supervisor Name & signature of Supervisor