COMPETENCIES 5 4 3 2 1

COMMUNICATION
1. Actively listens to supervisor and/or co-workers.
2. Comprehends written and oral information.
3.3. Demonstrates
Consistently delivers accurate
food judgment in information both written
handling routine and oral.
problems.
4. JUDGEMENT/DECISION
Reliably provides feedback as required,
MAKING Totalboth internally and
Score/3
externally.
DEPENDABILITY/RELIABILITY 5 4 3 2 1
COMMUNICATION Total Score/5 1
ATTENDANCE
1. AND
Has the ability to PUNCTUALITY
follow through and meet deadlines. 5 4 3 2 1
2. Has commitment for his/her action.
1. Is punctual on a regular basis.
3. Can adjust easily to changes in workplace.
2. Maintains good attendance.
4. Displays high level of performance at all times.
3. Informs supervisor in a timely manner when absenteeism and
DEPENDABILITY/RELIABILITY
tardiness may occur. Total Score/4
ATTITUDE ATTENDANCE AND PUNCTUALITY Total Score/3 5 4 3 2 1
PRODUCTIVITY/RESILIENCE 5 4 3 21 1
1. Offers assistance willingly.
1. Consistently produces quality results.
2. Shows a positive work attitude.
2. Meets deadlines and manages time well.
3. Shows sensitivity to and consideration for other’s feelings.
3. Can do multitasking.
4. Accepts criticism positively.
4. Can work under pressure and delivers the required tasks.
5. Shows pride in work.
5. Effective and efficient in time management.
ATTITUDE Total Score/5
6. Efficiently informs supervisor of any challenge or hindrance
PROFESSIONALISM 5 4 3 2 1
related to given task or assignment.
1
1. Respects persons in authority.
PRODUCTIVITY/RESILIENCE Total Score/6
2. Uses all tools, equipment and facilities responsibly.
INITIATIVE/PROACTIVITY 5 4 3 2 1
3.1. Follows
Completesall policies and procedures
assignments when
with minimum issues and
supervision.
conflict Arises.
2. Completes tasks independently and consistently.
4. Physical appearance conforms with the workplace
3. Seeks support as need arises.
and placement rules.
4. Recognizes and takes immediate action to effectively address
problems and PROFESSIONALISM
opportunities. Total Score/4
5. Engages in continuous learning Weighted
6. Contributes newOVER ideas ALL shares skills to improve the Average
and RATING
department/organization.
INITIATIVE/PROACTIVITY Total Score/6
JUDGEMENT/DECISION MAKING 5 4 3 2 1
1. Analyzes problems effectively.
2. Has the ability to make creative and effective solutions to
problems.
 SUMMARY OF SCORES

WEIGHTED
CRITERIA
AVERAGE
TEAM WORK
COMMUNICATION
ATTENDANCE & PUNCTULAITY
PRODUCTIVITY/RESILIENCE
INITIATIVE/PROACTIVITY
JUDGEMENT/DECISION MAKING
DEPENDABILITY/RELIABILITY
ATTITUDE
PROFESSIONALISM
Over-All Weighted Average
Equivalent Grade
REMARKS: (Comments/Suggestions)
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
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__________________

Student’s Signature: ___________________________ Date: ___________________

Work Immersion Supervisor’s Signature over Printed Name: _________________________

Transmutation Table
Computed Weighted Average Equivalent Grade
4.20 – 5.00 100
3.40 – 4.19 95
2.60 – 3.39 90
1.80 – 2.59 85
1.00 – 1.79 80
 WORK IMMERSION PERFORMANCE APPRAISAL

STUDENT’S NAME: __________________________________ STRAND: ________________

Partner Institution: ______________________________________________________________
Address: ______________________________________ Contact No. _____________________
Work Immersion Supervisor: ___________________________ Position: __________________
Training Period: ______________ to _________________ Total No. of Hours Rendered: ______

Directions. For each behavioral item listed within the competency bands, with 5 being the
most and 1 is the least, please select the evaluation most suited.

5 Outstanding Performance exceeds the required standard.

Performance fully met job requirements. Was able to
4 Very Satisfactory
perform what was expected of a person in his/her position.
Performance has met the required standard. Can perform
3 Satisfactory
duties with minimal supervision.
Performance partially meets the required standard. Less
2 Fair
than satisfactory could be doing better.
Performance does not meet the required standard. Major
1 Needs Improvement
Improvements needed.

NA Not Applicable Performance indicator is nor relevant to the job.

COMPETENCIES 5 4 3 2 1

TEAM WORK
1. Consistently works with others to accomplish goals and tasks.
2. Treats all team members in a respectful courteous manner.
3. Actively participates in activities and assigned tasks required.
4. Willing to work with team members to improve team
collaboration on a continuous basis.
5. Considers the feedback and views of team members when
completing an assigned task.
TEAM WORK Total Score/5