individual reflections format

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DEPARTMENT OF MEDICAL TECHNOLOGYSecond Term, AY 2014-2015COMMUNITY AND PUBLIC HEALTH FIELDWORK

Individual Reflections

Name of Intern: ___________________________ 4__MTGroup # _______ Barangay Assignment: _____________________________Output # (please indicate): (1) (2) (3)

Inclusive Dates(Tuesdays/Saturdays)Activities/Tasks/ResponsibilitiesProblem(s)EncounteredAction(s)TakenPersonalReflection(s)

Prepared by:Noted by:

Interns NameAlvin Rey F. Flores, RMT, MPH(with signature)Faculty Field Preceptor

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