Work Immersion: Reference Book

Republic of the Philippines
DEPARTMENT OF EDUCATION
National Capital Region
DIVISION OF TAGUIG CITY AND PATEROS
BAGUMBAYAN NATIONAL HIGH SCHOOL
MLQ St., Bagumbayan, Taguig City
SENIOR HIGH SCHOOL
WORK
IMMERSION
Reference Book
This belongs to:
Name of
Republic ofStudent
the Philippines
Track MLQ St., Bagumbayan,
/ Strand Taguig
/ Specialization City
/ Section
SENIOR HIGH SCHOOL
SENIOR HIGH SCHOOL
Content of Reference Book
1. Student Profile
a. Student details
b. Learned competencies
c. Expectations from immersion
2. Documents from School

a. Request for work immersion
b. Endorsement letter
c. Company acceptance form
d. Work immersion agreement & liability waiver
e. Curriculum
3. Documents from Company

a. Company Profile
b. Rules and Regulations
4. Training Plan
a. Attendance
b. Training Plan
5. Learning Journal
6. Evaluation
7. Student Documentation
8. Contact Details
SENIOR HIGH SCHOOL
Student’s Profile
Name: _______________________________________________
Age: _________________________ Gender : ______________
Grade Level / Section : __________________________________
Specialization : ________________________________________ PASSPORT SIZE
Birthday: _____________________________________________
Contact no.: __________________________________________
Email Address / FB Account : _________________________________________________________
Address: __________________________________________________________________________
Immersion duration: ________________________________________________________________
In case of Emergency person to contact:
Name: _________________________
Relation: ____________
Contact No.:________________
SENIOR HIGH SCHOOL
Learned Competencies
What do I expect from this immersion?

SENIOR HIGH SCHOOL
REQUEST FOR WORK IMMERSION
___________________________
___________________________
___________________________
Sir/ Madame:
This is to request permission from your good office to please allow, __________________________ , a
Senior High School – Grade 12 student, to undergo a 80 hours WORK IMMERSION in your establishment to
acquire industrial ORIENTATION. The training period will start immediately upon your acceptance of the
bearer under the terms and conditions as stipulated in the duly accomplished memorandum of agreement
hereto attached for your confirmation. Moreover, a student evaluation is provided where a student is assessed
on his/ her performance, attitude and behavior to be attested by the supervisor. The Immersion Coordinator
and teachers handling each technology area from our school will visit your company/shop from time to time to
find out how the student perform in the working area.
Thank you very much for your usual cooperation and assistance extended to the school.
ENDORSEMENT LETTER
October 15, 2018
ALBERT MARIÑO
Officer In-Charge
Office of the Director
Department of Science and Technology
Science Education Institute
Sir/ Madam:
This is to endorse Glorene Mae R. Moreno of Accountancy Business and Management (ABM) grade 12 senior
high school students of Bagumbayan National High School with required 80 hours for work immersion.
Very truly yours,
JENIFFER C. VERZOSA
Head, Senior High School
SENIOR HIGH SCHOOL
This is to certify that
_______________________
Name of Student
has been accepted in our company
___________________________
Company Name
with address at
__________________________________________________________
For WORK IMMERSION

starting ______________________________ to __________________________.
Signed this ________day of _______________, 20___.
__________________________________
Company Authorized Representative
SENIOR HIGH SCHOOL
LIABILITY WAIVER
I am fully aware of the duties and responsibilities I will undertake through the Work Immersion
Program with cooperating industry through the request of Bagumbayan National High School:
I recognize the authority of my cooperating industry which I may be placed and submit myself to all
the rules and regulations that may be imposed upon myself the following duties.
I renounce and waive any claim against the cooperating industry and the BAGUMBAYAN NATIONAL
HIGH SCHOOL for any injury that I may sustain/loss that I suffer, personal/financial in the
performance of my duties / function.
Name of Student: ___________________________
Signature: _____________________________________
Date: __________________________________________
PARENTAL/GUARDIAN’S CONSENT
And I, the minor’s parent and/or legal guardian, allow my son/daughter to undergo work immersion
for a minimum of eighty (80) hours starting on __________________ until __________________ at
___________________________________________________ in partial fulfillment of the
requirements for Senior High School.
It is understood that he/she abides by the rules and regulations that may be imposed by the
Supervisor/Staff-in-Charge for his/her welfare and safety.
I fully agree to waive any responsibility on the part of Bagumbayan National High School and Mc
Donalds, in case of any untoward incident that may happen to my son/daughter during the
duration of the WORK IMMERSION.
Name of Parent/Legal Guardian: _______________________ Contact Number: _______________

Signature: __________________________________________
Date : ____________________________________________________
SENIOR HIGH SCHOOL
ATTENDANCE SHEET
For the Month of : For the Month of :
Signature
No. of Signature No. of
Date Time In Time Out Date Time In Time Out of
Hours of Superior Hours
Superior
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
21 21
22 22
23 23
24 24
25 25
26 26
27 27
28 28
29 29
30 30
31 31

SENIOR HIGH SCHOOL
LEARNING JOURNAL
- Student shall input learnings (i.e what has been learned, activities performed, problems encountered, other
comments) in this logbook every week.
- At the end of the week, the student should ask his/her respective supervisor to sign.
Day 1: from _____________________ to _____________________
Noted by immediate superior:
Day 2: from _____________________ to _____________________

SENIOR HIGH SCHOOL
LEARNING JOURNAL
Day 3: from _____________________ to _____________________
Day 4: from _____________________ to _____________________

SENIOR HIGH SCHOOL
LEARNING JOURNAL
Day 5: from _____________________ to _____________________
Day 6: from _____________________ to _____________________

SENIOR HIGH SCHOOL
LEARNING JOURNAL
- Student shall input learnings (i.e what has been learned, activities performed, problems encountered,other
Day 7: from _____________________ to _____________________
Day 8: from _____________________ to _____________________

SENIOR HIGH SCHOOL
LEARNING JOURNAL
Day 9: from _____________________ to _____________________
Day 10: from _____________________ to _____________________

SENIOR HIGH SCHOOL
WEEKLY LEARNING JOURNAL (SUMMARY)
WEEK NARRATIVE REPORT

SENIOR HIGH SCHOOL
Student Name :
Name of Company :
Address :
Specialization:
Inclusive Date of Training:
WORK IMMERSION EVALUATION SHEET

Standard Evaluator’ Evaluator’
JOB FACTORS Rating s s
Rating Rating
Company School
(60%) (40%)
A. WORK PERFORMANCE ( 50%)
1. Knowledge of work(able to grasp as instructed) 10%
2. Quality of work(can cope with the demand of additional unexpected work 10%
load in a limited time)
3. Quality of work(performs an assigned job efficiently as possible) 10%
4. Attendance (follows assigned work schedule) 10%
5. Punctuality (reports to work assignment work schedule) 10%
B. PERSONALITY TRAITS ( 50% )
1. Physical Appearance (personally well groomed and always wears 5%
appropriate dress)
2. Attitude towards work (always shows enthusiasm and interest) 5%
3. Courtesy (shows respect for authority at all times) 5%
4. Conduct (observes rules and regulations of establishment) 5%
5. Perseverance and industriousness ( shows initiative and interests in work 5%
over and above what is assigned)
6. Drive and leadership (inquisitive and aggressive) 5%
7. Mental maturity (effective and calm under pressure) 5%
8. Sociability (can work harmoniously with other employees) 5%
9. Reliability (trusted to be left alone to use or operate office equipment) 5%
10. Possession of traits necessary for employment in this kind of work. 5%
Note: Passing Rate is 75%. 100%
PERCENTAGE
FINAL RATING
EVALUATOR’S SIGNATURE
For the Company: For the School:
GENESIS JULYUS T.
AGCAOILI
Trainee’s Immediate HR Personnel or

Immersion Teacher Partnership Focal Person
Superior Authorized Representative
SENIOR HIGH SCHOOL
Immediate Supervisor’s Comments:
Immediate Supervisor’s Signature/Date Student’s Signature/Date
HR Supervisor’s Signature/Date

SENIOR HIGH SCHOOL
MONITORING SHEET
Monitoring
Comments Signature
Date
Over-all Immersion Teacher’s Comments / Findings / Suggestions:
Immersion Teacher’s Signature/Date Student’s Signature/Date
Partnership Focal Person’s Signature/Date

SENIOR HIGH SCHOOL
CURRICULUM
GUIDE /
TRAINING PLAN

SENIOR HIGH SCHOOL
CURRICULUM GUIDE
Insert or Paste here!

SENIOR HIGH SCHOOL
TRAINING PLAN

SENIOR HIGH SCHOOL
COMPANY PROFILE (Brief Description)


SENIOR HIGH SCHOOL
WORK IMMERSION PHOTO WITH CAPTION

SENIOR HIGH SCHOOL
CERTIFICATE OF COMPLETION

Work Immersion: Reference Book

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Republic of the Philippines

This belongs to:

Content of Reference Book

2. Documents from School

3. Documents from Company

Immersion duration: ________________________________________________________________

In case of Emergency person to contact:

What do I expect from this immersion?

REQUEST FOR WORK IMMERSION

Very truly yours,

has been accepted in our company

For WORK IMMERSION

Signed this ________day of _______________, 20___.

Name of Parent/Legal Guardian: _______________________ Contact Number: _______________

Republic of the Philippines

Day 1: from _____________________ to _____________________

Noted by immediate superior:

Day 2: from _____________________ to _____________________

Noted by immediate superior:

Republic of the Philippines

Day 3: from _____________________ to _____________________

Noted by immediate superior:

Day 4: from _____________________ to _____________________

Noted by immediate superior:

Republic of the Philippines

Day 5: from _____________________ to _____________________

Noted by immediate superior:

Day 6: from _____________________ to _____________________

Noted by immediate superior:

Republic of the Philippines

Day 7: from _____________________ to _____________________

Noted by immediate superior:

Day 8: from _____________________ to _____________________

Noted by immediate superior:

Republic of the Philippines

Day 9: from _____________________ to _____________________

Noted by immediate superior:

Day 10: from _____________________ to _____________________

Noted by immediate superior:

Republic of the Philippines

WEEKLY LEARNING JOURNAL (SUMMARY)

WEEK NARRATIVE REPORT

Republic of the Philippines

WORK IMMERSION EVALUATION SHEET

For the Company: For the School:

Trainee’s Immediate HR Personnel or

Immediate Supervisor’s Comments:

Immediate Supervisor’s Signature/Date Student’s Signature/Date

Republic of the Philippines

Over-all Immersion Teacher’s Comments / Findings / Suggestions:

Immersion Teacher’s Signature/Date Student’s Signature/Date

Partnership Focal Person’s Signature/Date

Republic of the Philippines

Republic of the Philippines

Republic of the Philippines

Republic of the Philippines

COMPANY PROFILE (Brief Description)

Republic of the Philippines

WORK IMMERSION PHOTO WITH CAPTION

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Signed this day of _____, 20_.

Name of Parent/Legal Guardian: _________ Contact Number: _

Day 1: from _ to _

Day 2: from _ to _

Day 3: from _ to _

Day 4: from _ to _

Day 5: from _ to _

Day 6: from _ to _

Day 7: from _ to _

Day 8: from _ to _

Day 9: from _ to _

Day 10: from _ to _