Beruflich Dokumente
Kultur Dokumente
Department of Health
CARAGA REGIONAL HOSPITAL
Surigao City
I. Parties Involved:
Student Name ___________ Site: Site Name: Caraga Regional Hospital HR Office
Student ID# ____________ Supervisor’s Name:
Mailing Address _________ Mailing Address: Rizal Street, Brgy Washington, SC
Phone Number __________ Phone Number: 826-1575 (loc) 113
Email Address __________ Email/Fax, if available: crhpersonnel@gmail.com
II. Duration:
The Work Immersion Plan is in accordance to the MOA between Caraga Regional Hospital and
__(school name)______.
III. Hours:
On site schedule is from Monday to Friday, from 8 AM to 12 Noon and 1 PM to 5 PM. On the other
hand, work output that the HR unit will require from the student shall be accredited as hours.
V. Student Responsibilities
The students as an immersee has no employee-employer relationship with the organization.
However, since the immersion is a simulation program for real work, the student is expected to
have the following responsibilities,
B. Feedback – Provide regular feedback sessions with the immerse and use coaching materials for
the feedbacking if possible.
C. Final Evaluation – The format for the final written evaluation shall be provided by the school.
The supervisor shall only rate the student intern in accordance to the form. However, as the
Republic of the Philippines
Department of Health
CARAGA REGIONAL HOSPITAL
Surigao City
agency has established a set of materials for the student immersee to use, these shall be
utilized as well if possible.
VII. Credit
Hands-on (credited per hour)
CERAE (8 hours if completely accomplished, 4 hours if not)
Interview output (8 hours if completely accomplished, 4 hours if not)
Training design (8 hours if completely accomplished, 4 hours if not)
Participation in testing (8 hours if all tests are participated, 4 hours if not)
Work Immersion Learners Tool (8 hours if filled up according to applicability, 4 hours if not)
Competencies Interviewing skill, Conceptual and analytical thinking skill, attention to details,
to be counseling skills
developed
Agreement Signatures:
(Student) (Supervisor)