Commonwealth High School

Ecol St., Commonwealth, Quezon City

Name of Student : Grade/Section :

School : Immersion Site :
Track : Specialization :
Duration of Work Immersion : 80 Hours

School Partnerships Focal Person : Contact Number :

Work Immersion Teacher : Contact Number :

LIST OF TASKS/ACTIVITIES

Time
Competencies Tasks/Activities Actual Schedule Remarks
Allotment

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

Certified Correct:

Student's Signature Over Printed Name Parent's Signature Over Printed Name

Work Immersion Teacher's Signature Industry Partner's Signature

Over Printed Name Over Printed Name
 Republic of the Philippines
Department of Education
National Capital Region
Schools Division Office
COMMONWEALTH HIGH SCHOOL
Quezon City, 2nd District, Metro Manila

WORK IMMERSION EVALUATION SHEET

Name of Student :
Student's Position Title :
Name of the Company :
Period Covered :

Purpose:
You evaluation is requested to guide the work immersion coordinator in determining
a fair grade to be given to the student-trainee assigned in your company. It is also intended to make
the student-trainee aware of his/her strengths and areas of improvement.

Time Table:
To enable us to monitor the progress of the student-trainee, it is requested that an
evaluation to be done after the 80 hours of training and after the completion of his/her assignment in
your company.

Procedure:
1. It is suggested that the student-trainee's immediate superior evaluates his/her performance.
2. The evaluator should accomplish the evaluation from the rate the students as objectively
as possible.
3. After filling in the form, the evaluator should discuss the results of his/her evaluation with the
student-trainee.
4. The accomplishment evaluation form should then be awarded to the immersion coordinator.

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

Certified Correct:

Student's Signature Over Printed Name Parent's Signature Over Printed Name

Work Immersion Teacher's Signature Industry Supervisor's Signature

Over Printed Name Over Printed Name
 Using the scale below, rate the student in each item. Write the number that corresponds to
your trainee on the space provided on the right hand side:

5 - Outstanding 3 - Good 1 - Needs Improvement

4 - Very Good 2 - Fair

I. WORK ATTITUDES AND HABITS (25 POINTS)

1.1 Courtesy in dealing with superiors and peers
1.2 Patience and diligence in performing assigned tasks
1.3 Punctuality and regularity in attendance
1.4 Neatness of the reports submitted on the scheduled time.
1.5 Punctuality in submitting reports to assigned task.

II. WORK KNOWLEDGE (25 POINTS)

2.1 Technical Knowledge
2.2 Relate the theories to actual experience
2.3 Open to constructive criticism
2.4 Open suggestion
2.5 Discreet, capable of observing prudent silence

III. PERSONALITY AND PERSONAL APPEARANCE (25 POINTS)

3.1 Reports for work always neat and well-groomed
3.2 Reports for work properly attire
3.3 Shows poise and self-confidence
3.4 Shows emotional maturity
3.5 Can easily deal with co-workers

IV. PROFESSIONAL COMPETENCE (25 POINTS)

4.1 Performance of work (as a whole)
4.2 Readily understands instructions
4.3 Shares sound suggestions to problem
4.4 Can cope up with prescribed ethical standards
4.5 Speaks audibility in well-moduled voice

TOTAL POINTS:

Signature over Printed Name of Evaluator

Position

Date