INTERNSHIP PRE-DEPLOYMENT REQUIREMENTS CHECKLIST

BA Communication Program
_ESSU Guiuan Campus
2nd Semester S.Y. 2022-2023
Certificate of Vaccination
Eligibility to Notarized LABORATORY CERTIFICATE Attach Vax
Undergo Parents’ TEST RESUTS HEALTH OF Card Photo
Names Internship REGISTRATION Consent AND MEDICAL INSURANCE ACCIDENT READINESS
No. RESUME
(Last Name, First Name, M.I) *Check if FORM *Check if CERTIFICATE (PhilHealth ID INSURANCE ISSUED BY
with with No. or Photo) THE
certificate of Parent’s GUIDANCE
Eligibility Consent COUNSELOR

1 AMADO , WILMER         
2 AÑANO , IAN JAY T.         
NIÑO         
3 AVENDANIO , CHRISTIAN D.
4 BADOCDOC , MARVIN Y.         
5 BERNARDO , HECTOR P         
6 ESPAÑOLA , CLARENCE         
7 OGANA , ALBERT S.         
8 PENAPIT , LIMUEL V.         
9 QUIJANO , PATRICK A.         

10 BIANES , JELYN C.         
LOURIE         
11 CABANILLAS , ANN P
12 CALVADORES , ESPERANZA E.         

Prepared: Noted: Received:

MELANIE G. DELDA MERLA D. DURAN, Ed.D., Ph.D. LUCILA CABALLA-HABAC,ME

OJT Adviser/Program Head College Dean Internship Program Director

Office of the Director for the Internship Program

Borongan City 6800
[email protected]
09475830459
 INTERNSHIP PRE-DEPLOYMENT REQUIREMENTS CHECKLIST
BA Communication Program
_ESSU Guiuan Campus
2nd Semester S.Y. 2022-2023
Certificate of Vaccination
Eligibility to Notarized LABORATORY CERTIFICATE Attach Vax
HEALTH
Undergo Parents’ TEST RESUTS OF READINESS Card Photo
Names INSURANCE ACCIDENT
No. Internship RESUME REGISTRATION Consent AND MEDICAL ISSUED BY
(Last Name, First Name, M.I) (PhilHealth ID No. INSURANCE
*Check if with FORM *Check if CERTIFICATE THE
or Photo)
certificate of with Parent’s GUIDANCE
Eligibility Consent COUNSELOR
     
13 CAYOSA , LYCA JEAN P.   
14 DAGAMPAT , RACHEL C.         
15 LUMAGBAS , AILYN T.         
16 NAVIDAD , JOCELYN N.         
JOSEPHINE         
17 ODRON , ROSE G.
18 PAGUILANAN , ROCHELLE A.         
19 PAMERO , HANNAH JUNE N.         
20 QUIRANTE , CRISTINE M.         
MA.         
21 SALAS , ANTONETTE L.
RHEA VONA         
22 TABAGO , ROSE L.
23 TAMBULOGAN , ROWENA B.         
24 YARZO , MEKAILA C.         
25 OROCAY , FATIMA C.      
Prepared: Noted: Received:

MELANIE G. DELDA MERLA D. DURAN, Ed.D., Ph.D. LUCILA CABALLA-HABAC,ME

OJT Adviser/Program Head College Dean Internship Program Director

Office of the Director for the Internship Program

Borongan City 6800
[email protected]
09475830459