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DEPARTMENT OF MEDICAL TECHNOLOGY Second Term, AY 2014-2015 COMMUNITY AND PUBLIC HEALTH FIELDWORK Individual Reflections Name of Intern: ___________________________ 4__MT Group # _______ Barangay Assignment: _____________________________ Output # (please indicate): (1) (2) (3) Inclusive Dates (Tuesdays/ Saturdays) Activities/ Tasks/ Responsibilities Problem(s) Encountered Action(s) Taken Personal Reflection(s) Prepared by: Noted by: Intern’s Name Alvin Rey F. Flores, RMT, MPH (with signature) Faculty Field Preceptor

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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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