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ANNEX C: Prescribed Template for the list of Tasks/Activities to be done during Work Immersion

Name of
Arjay A. Mercado Grade and Section 12- STEM A
Student

University of Northern Balay Taripato, Magsingal,


School Immersion Site
Philippines Ilocos Sur

Science,
Track Academic Track Strand/Specialization Technology,Engineering and
Mathematics (STEM)

Duration of
80 hours (March 18-
Work
29,2018)
Immersion

School Partnerships Valeriana G. Roque,


Contact Number
Focal Person RSW

Work Immersion
Dr. Elmarie T. Rin Contact Number +63 975 5606 162
Teacher

LIST OF TASKS/ACTIVITIES

Competencies Tasks/ Activities Time Allotment Actual Schedule Remarks

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 18, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 19, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 20, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the Perform and 8 hours March 21, 2019


work of a Provide basic
Unlicensed
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 22, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 25, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 26, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provode basic
Unlicensed 8 hours March 27, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 28, 2019
Home and
assistive personnel
Nursing Care
(UAP)

Students shall not be given other activities outside of those previously agreed upon, which are
anchored on the stated competencies.
ANNEX C: Prescribed Template for the list of Tasks/Activities to be done during Work Immersion

Name of
Juana L. Doga-ong Grade and Section 12- STEM A
Student

University of Northern Balay Taripato, Magsingal,


School Immersion Site
Philippines Ilocos Sur

Science,
Track Academic Track Strand/Specialization Technology,Engineering and
Mathematics (STEM)

Duration of
80 hours (March 18-
Work
29,2018)
Immersion

School Partnerships Valeriana G. Roque, Contact Number


Focal Person RSW

Work Immersion Dr. Elmarie T. Rin Contact Number +63 975 5606 162
Teacher

LIST OF TASKS/ACTIVITIES

Competencies Tasks/ Activities Time Allotment Actual Schedule Remarks

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 18, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 19, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 20, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the Perform and 8 hours March 21, 2019


work of a Provide basic
Unlicensed
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 22, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 25, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 26, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provode basic
Unlicensed 8 hours March 27, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 28, 2019
Home and
assistive personnel
Nursing Care
(UAP)

Students shall not be given other activities outside of those previously agreed upon, which are
anchored on the stated competencies.
ANNEX C: Prescribed Template for the list of Tasks/Activities to be done during Work Immersion

Name of Kristina Cassandra P.


Grade and Section 12- STEM C
Student Corpuz

University of Northern Balay Taripato, Magsingal,


School Immersion Site
Philippines Ilocos Sur

Science,
Track Academic Track Strand/Specialization Technology,Engineering and
Mathematics (STEM)

Duration of
80 hours (March 18-
Work
29,2018)
Immersion

School Partnerships Valeriana G. Roque,


Contact Number
Focal Person RSW

Work Immersion
Chase Mark Suyat Contact Number +63 921 7068 650
Teacher

LIST OF TASKS/ACTIVITIES

Competencies Tasks/ Activities Time Allotment Actual Schedule Remarks

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 18, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 19, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 20, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the Perform and 8 hours March 21, 2019


work of a Provide basic
Unlicensed
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 22, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 25, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 26, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provode basic
Unlicensed 8 hours March 27, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 28, 2019
Home and
assistive personnel
Nursing Care
(UAP)

Students shall not be given other activities outside of those previously agreed upon, which are
anchored on the stated competencies.
ANNEX C: Prescribed Template for the list of Tasks/Activities to be done during Work Immersion

Name of
Jerrizza M. Chan Grade and Section 12- STEM C
Student

University of Northern Balay Taripato, Magsingal,


School Immersion Site
Philippines Ilocos Sur

Science,
Track Academic Track Strand/Specialization Technology,Engineering and
Mathematics (STEM)

Duration of
80 hours (March 18-
Work
29,2018)
Immersion

School Partnerships Valeriana G. Roque, Contact Number


Focal Person RSW

Work Immersion Chase Mark Suyat Contact Number +63 921 7068 650
Teacher

LIST OF TASKS/ACTIVITIES

Competencies Tasks/ Activities Time Allotment Actual Schedule Remarks

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 18, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 19, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 20, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the Perform and 8 hours March 21, 2019


work of a Provide basic
Unlicensed
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 22, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 25, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 26, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provode basic
Unlicensed 8 hours March 27, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 28, 2019
Home and
assistive personnel
Nursing Care
(UAP)

Students shall not be given other activities outside of those previously agreed upon, which are
anchored on the stated competencies.
ANNEX C: Prescribed Template for the list of Tasks/Activities to be done during Work Immersion

Name of
Janella Marie B. Cerna Grade and Section 12- STEM C
Student

University of Northern Balay Taripato, Magsingal,


School Immersion Site
Philippines Ilocos Sur

Science,
Track Academic Track Strand/Specialization Technology,Engineering and
Mathematics (STEM)

Duration of
80 hours (March 18-
Work
29,2018)
Immersion

School Partnerships Valeriana G. Roque,


Contact Number
Focal Person RSW

Work Immersion
Chase Mark Suyat Contact Number +63 921 7068 650
Teacher

LIST OF TASKS/ACTIVITIES

Competencies Tasks/ Activities Time Allotment Actual Schedule Remarks

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 18, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 19, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 20, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the Perform and 8 hours March 21, 2019


work of a Provide basic
Unlicensed
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 22, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 25, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 26, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provode basic
Unlicensed 8 hours March 27, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 28, 2019
Home and
assistive personnel
Nursing Care
(UAP)

Students shall not be given other activities outside of those previously agreed upon, which are
anchored on the stated competencies.
ANNEX C: Prescribed Template for the list of Tasks/Activities to be done during Work Immersion

Name of
Daphne Gonzalo Grade and Section 12- STEM C
Student

University of Northern Balay Taripato, Magsingal,


School Immersion Site
Philippines Ilocos Sur

Science,
Track Academic Track Strand/Specialization Technology,Engineering and
Mathematics (STEM)

Duration of
80 hours (March 18-
Work
29,2018)
Immersion

School Partnerships Valeriana G. Roque,


Contact Number
Focal Person RSW

Work Immersion
Chase Mark Suyat Contact Number +63 921 7068 650
Teacher

LIST OF TASKS/ACTIVITIES

Competencies Tasks/ Activities Time Allotment Actual Schedule Remarks

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 18, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 19, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 20, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the Perform and 8 hours March 21, 2019


work of a Provide basic
Unlicensed
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 22, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 25, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 26, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provode basic
Unlicensed 8 hours March 27, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 28, 2019
Home and
assistive personnel
Nursing Care
(UAP)

Students shall not be given other activities outside of those previously agreed upon, which are
anchored on the stated competencies.
ANNEX C: Prescribed Template for the list of Tasks/Activities to be done during Work Immersion

Name of
Francess Corrine P. Fines Grade and Section 12- STEM C
Student

University of Northern Balay Taripato, Magsingal,


School Immersion Site
Philippines Ilocos Sur

Science,
Track Academic Track Strand/Specialization Technology,Engineering and
Mathematics (STEM)

Duration of
80 hours (March 18-
Work
29,2018)
Immersion

School Partnerships Valeriana G. Roque,


Contact Number
Focal Person RSW

Work Immersion
Chase Mark Suyat Contact Number +63 921 7068 650
Teacher

LIST OF TASKS/ACTIVITIES

Competencies Tasks/ Activities Time Allotment Actual Schedule Remarks

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 18, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 19, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 20, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the Perform and 8 hours March 21, 2019


work of a Provide basic
Unlicensed
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 22, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 25, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 26, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provode basic
Unlicensed 8 hours March 27, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 28, 2019
Home and
assistive personnel
Nursing Care
(UAP)

Students shall not be given other activities outside of those previously agreed upon, which are
anchored on the stated competencies.
ANNEX C: Prescribed Template for the list of Tasks/Activities to be done during Work Immersion

Name of
Jessy A. Baňaga Grade and Section 12- STEM B
Student

University of Northern Balay Taripato, Magsingal,


School Immersion Site
Philippines Ilocos Sur

Science,
Track Academic Track Strand/Specialization Technology,Engineering and
Mathematics (STEM)

Duration of
80 hours (March 18-
Work
29,2018)
Immersion

School Partnerships Valeriana G. Roque,


Contact Number
Focal Person RSW

Work Immersion Dr. Raynlda T.


Contact Number +63 975 7515 103
Teacher Rambuyon

LIST OF TASKS/ACTIVITIES

Competencies Tasks/ Activities Time Allotment Actual Schedule Remarks

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 18, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 19, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 20, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the Perform and 8 hours March 21, 2019


work of a Provide basic
Unlicensed
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 22, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 25, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 26, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provode basic
Unlicensed 8 hours March 27, 2019
Home and
assistive personnel
Nursing Care
(UAP)

To experience the
Perform and
work of a
Provide basic
Unlicensed 8 hours March 28, 2019
Home and
assistive personnel
Nursing Care
(UAP)

Students shall not be given other activities outside of those previously agreed upon, which are
anchored on the stated competencies.

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