COLLEGE OF PSYCHOLOGY
Quezon City
PSYCHOLOGY PRACTICUM APPLICATION FORM
November 2016
Student’s Name: Miraples Evelyn R. Course : BS Psychology
Nickname: Eve / Vell
Home Address: *** ***a 3 Republic Avenue, Quezon City.
Cel No._09264723778 Email address: *********@*****.***
Birthdate: August 28, 1996 Age:__20 Gender: Female
Civil Status: Single Height:_5’5 Weight: 48kgs
Special Skills:
In Case of emergency, please notify:
Name: Laarni R. Gatbunton Relation: Guardian
Home Address: 189 Area 3 Republic Avenue, Quezon City.
Cel No. 094********
Office Address:
Tel No.
2nd Floor, CAS Building, # 1 Esperanza St., Hilltop Mansion Subdivision, Lagro, Quezon City
Tel. Nos.: 935-2947 / 419-5363 / 418-4069 / 419-1288 Loc. 20 Telefax: 936-5515
COLLEGE OF PSYCHOLOGY
Quezon City
Evelyn R. Miraples
189 Area 3B Republic Avenue Quezon City
Mobile No.: 092********
Email Address: *********@*****.***
2013 – present Bachelor of Science in Psychology
Our Lady of Fatima University
Lagro, Quezon City
2009 – 2013 Mansalay Catholic High School
Mansalay Oriental Mindoro
2003 – 2009 Mansalay Central Elementary School
Mansalay Oriental Mindoro
October 11, 2016 Human sexuality and Filipino personality
Our Lady of Fatima University Quezon City
September 24, 2016 Two sides of the HeaRt
Our Lady of Fatima University Quezon City
September 24, 2016 Organizing an Inclusive Education
Our Lady of Fatima University Quezon City
August 30, 2016 Digit Ratio
Our Lady of Fatima University Quezon City
February 18, 2016 Current Trends in Guidance Counseling
Our Lady of Fatima University Quezon City
September 22, 2014 Strategic HR Innovation in the Corporate World
Our Lady of Fatima University Quezon City
November 2016 – December 2016 Clinical Setting
Clinic of the Holy Spirit Timog Avenue, Quezon City
July 2016 – September 2016 School Setting
Our Lady of Fatima University (Guidance Office)
Lagro, Quezon City
Age : 20 years old
Gender : Female
Weight : 48kgs
Height : 5 feet and 5 inches
Civil Status : Single
SKILLS
Knows how to conduct Psychological Test
Good in multitasking
Fast Learner
Computer Literate
Dr. Ronan S. Estoque
Program Head, College of Psychology
Our Lady of Fatima University – Quezon City
Telephone No. 936-55-15
Mrs. Joyce L. Padilla, MA
Faculty – College of Psychology
Our Lady of Fatima University – Quezon City
Telephone No. 936-55-15
Ms. Lourine Gatbunton
Manager Assistant, Rockwell
Miraples Evelyn R. January 5, 2017
APPLICATION FORM
Date Filed:
January 05, 2017
Name: Miraples_ Evelyn Renante
Last Name First Name Middle Name
Complete Address: 189 Area 3B Republic Avenue Quezon City.
Email Address : *********@*****.***
Facebook Account : ******.********@*****.***
Cell Phone Number/s: GLOBE/TM : __09264723778
We have read, studied and understood the contents of the Supervised Work Experience Program Handbook of Our Lady of Fatima University, College of Arts and Sciences during the Practicum Orientation Seminar conducted by the SWEP Office and will abide by the school policies therein printed.
Signature Over Printed Name Signature Over Printed Name
Student Parent/Guardian