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Log Book, Report Format PG

The Summer Internship Manual for the Master of Science in Clinical Psychology at CHRIST University outlines the requirements for preparing an internship report, including the structure, evaluation criteria, and necessary documentation. Students are expected to maintain a clinical daily log, submit a comprehensive final report, and receive evaluations from supervisors. The report must demonstrate originality, relevance, and practical applications of the learning experience during the internship.

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0% found this document useful (0 votes)
178 views12 pages

Log Book, Report Format PG

The Summer Internship Manual for the Master of Science in Clinical Psychology at CHRIST University outlines the requirements for preparing an internship report, including the structure, evaluation criteria, and necessary documentation. Students are expected to maintain a clinical daily log, submit a comprehensive final report, and receive evaluations from supervisors. The report must demonstrate originality, relevance, and practical applications of the learning experience during the internship.

Uploaded by

vrushika.parag
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Summer Internship Manual

Master of Science in Clinical Psychology

Department of Psychology

CHRIST (Deemed to be University)

Bengaluru - 560029

APRIL 2025
INTERNSHIP REPORT

After completion of Internship, the student should prepare a comprehensive report to indicate
what he has observed and learnt in the training period. The student may contact the site
Supervisor/ Faculty Mentor for assigning special topics and problems and should prepare the
final report on the assigned topics. Daily diary/clinical daily log sheet will also help to a great
extent in writing the report since much of the information has already been incorporated by
the student into the daily diary. The training report should be signed by the Internship
Supervisor, and Faculty Mentor. The Internship report will be evaluated on the basis of
following criteria:

i. Originality.
ii. Adequacy and purposeful write-up.
iii. Organization, format, drawings, sketches, style, language etc.
iv. Variety and relevance of learning experience.
v. Practical applications, relationships with basic theory and concepts taught in the course.

The University expects every student to take the report preparation seriously and submit an
excellent project report at the end of internship.

The final report includes the weekly report and final report:

Weekly report:
Use the Clinical daily log sheet to make note of daily clinical work done and consolidate it on
a weekly basis. The consolidated document has to be uploaded on LMS for review by the
Department supervisor.
Format of the Final Report
The report shall have the following parts.
● Title Page
● Declaration of the Student
● Declaration of the Guide (get signature from HOD and Guide from University)
● Letter from the University
● Certificate/letter from Organization
● Acknowledgments
● Contents page
● Introduction
● Aims and Objectives of the Internship
● Reasons for choosing the organization/internship place
● Profile of the Organization
● Organizational structure
● Roles and responsibilities;
 Duration
 Tasks undertaken
 Task Analysis (Tasks undertaken and tasks analysis should not be less than 25
pages)
 Challenges/limitations of the Internship
 Retrospection/Conclusion
 Appendices

 Case Studies (Three), in the prescribed format

Style Sheet: The format for the internship report


 Title page: Centered and Bold – 14 & 12 – Times New Roman
 Logo of the university in title page: black, uniform in size
 Page numbers: Roman numerals
o Do not number the contents page
o Start numbering from ‘Introduction’
 Language:
o Narrative in first person
Clinical Daily Log Sheet:

WEEK ________________ Date From : __/__/____ To: __/__/____

Date Patient Demographics Chief Session Role & Responsibilities


(e.g. gender, age, Complaints No. (Observation/ Assessment/Case
ethnicity) Intake)

WEEKLY SUMMARY:

Learning:

Challenges:

Goals for following week:

SITE SUPERVISION LOG


TRAINEE: __________________________

SITE SUPERVISOR: __________________________

Sl Date Assessment/ Therapy/ Case No. of Supervisor’s


No Discussion Hours Signature
Intern Evaluation Form
We thank you for your valuable time and contribution to the professional growth and
development of our students. We request you to kindly fill this form to understand their
strengths and areas that need improvement.

Name of the Student:

Period of internship: From..................to..........................

Total hours of internship:

Assessment domains

(Please rate the student in the following areas on a scale of 1-5, 1= Poor, 5 = Excellent). Use
NA if the domain has not been assessed or is not applicable

Domains Rating

Professional standards and Ethics

Basic theoretical knowledge of psychopathology and psycho diagnostics

Supervision (Seeks and makes use of supervision)


Psychological Assessment Skills

Diagnostic Skills

Case conceptualization and planning intervention

Attitude towards supervisor, colleagues and clients

Motivation and readiness to learn

Efficiency and time management

Areas of strength

Areas for improvement

Any other comments/ suggestions

Name of the Supervisor: _______________________________

Signature:___________________

Internship site: ______________________________________

Date:______________________
FRONT PAGES - INTERNSHIP REPORT
Internship Final report
A Practical record Submitted in Partial Fulfillment of the
Requirements for the completion of the course

INTERNSHIP (MPS 372)

Masters
in
Clinical Psychology

By

Name of the candidate


(Reg. No. 20....)

Under the Supervision of

Name of the supervisor


Designation
School of Psychological Sciences
CHRIST (Deemed to be University)
Bengaluru, Yeshwanthpur campus

APRIL, 2025

Requirements for the Award of the Degree of

APPROVAL OF INTERNSHIP REPORT

The Final report submitted by …………..Name and reg.no……. to the department of

Psychology, CHRIST (Deemed to be University), Bangalore Yeshwanthpur Campus, is

approved.

Examiners:

1. ___________________ ___________________

2. ___________________ ___________________

Supervisor:

___________________
Place: Bengaluru

Date:

CERTIFICATE

This is to certify that the report submitted by ..................... (Reg. No...............) is a record of

work done by him/her during the academic year 2024-2025 under my supervision. -------

Name---- has satisfactorily completed the Course in INTERNSHIP (MPS372) in partial

fulfilment of the Masters in Clinical Psychology as prescribed by the Department of

Psychology, CHRIST (Deemed to be University), Bengalure Yeshwantpur Campus in the

academic year 2024-2025.

This work has not been submitted for the award of any degree, diploma, associateship,

fellowship or other title. I hereby confirm the originality of the work and that there is no

plagiarism in any part of the document.

Place: Bengaluru

Date: ………………… Supervisor Name


Designation
Department of Psychology
CHRIST (Deemed to be University)
Bengaluru, Yeshwanthpur campus
STUDENT DECLARATION

I, …..Name …… hereby declare that the final report I submitted is a record of original work

undertaken by me for the completion of the course internship. I have completed this

internship under the supervision of Dr. …………………….., Assistant Professor,

Department of Psychology.

I also declare that this report has not been submitted for the award of any other degree,

diploma, associateship, fellowship or title. I hereby confirm the originality of the work and

that there is no plagiarism in any part of the report.

Place: Bengaluru
Date:
Student Name
Reg No:
Department of Psychology
CHRIST (Deemed to be University)
Bengaluru Yeshwanthpur campus

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