Republic of the Philippines

Department of Education
Region II
Schools Division of Isabela
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UGAD HIGH SCHOOL
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Sto. Domingo, Echague, Isabela

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DEPED ORDER 30, S. 2017 ___________________________________________________________

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 ANNEX C. TRAINING PLAN for IMMERSION PROPER
Name of Grade and Section Grade 12
Student
School UGAD HIGH Immersion Site PHILIPPINE
SCHOOL NATIONAL
School RECHELLE A. DAÑOS Contact 09553767690 POLICE
Partnerships Number Track ACADEMIC Strand/Specialization HUMANITIES
Focal Person AND SOCIAL
Immersion NELSON B. PINTANG Contact 09166820761 SCIENCES
Teacher Number STRAND
MARIVIC. F. GARCIA 09163130365 Duration of 80
Work
Immersion
 COMPETENCIES TASKS/ACTIVITIES TIME ACTUAL REMARKS REMARKS:
ALLOT SCHEDULE
MENT
appraise the value Write a reflection on _____________________________________________________
of social equity gender equality and
and gender equality social justice as observed
in the context in the work immersion _____________________________________________________
of participatory environment
development
HUMSS_CSC12III _____________________________________________________
h-j-14

appreciate the value Engage and or initiate _____________________________________________________

of applying social and civic activities
social sciences in demonstrating proper _____________________________________________________
community action social skills and conduct
initiatives
HUMSS_CSC12IV _____________________________________________________
e-h-21
Examine how With good governance as
decentralization basis, jot down how each _____________________________________________________
affects governance office works as a unit
HUMSS_PG12-IIa- with emphasis on
b-3 decentralization and _____________________________________________________
governance.
Explain and Evaluate and note
demonstrate the experiences on working _____________________________________________________
benefits with people on the
of collaboration and organization.
cooperation
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HUMSS_MCT12-
If-g-4 _____________________________________________________

Students shall not be given other activities outside of those previously _____________________________________________________
agreed upon, which are anchored on the stated competencies.
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Certified true and correct:
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Student’s Signature Over Printed Name Parent’s Signature Over Printed Name _____________________________________________________

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Work Immersion Teacher’s Signature Industry Supervisor’s Signature
Over Printed Name Over Printed Name
SUPERVISOR’S NOTE: WORK IMMERSION ATTENDANCE SHEET

_____________________________________________________ AM PM
Date Signature Signature Remarks
_____________________________________________________ IN OUT IN OUT

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 WORK IMMERSION MONITORING SHEET
WORK IMMERSION ATTENDANCE SHEET

Date Day
AM PM
Date Signature Signature Remarks Done?
IN OUT IN OUT Activity Activity Description Remarks
(Y/N)

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Student’s Signature-Over-Printed-Name Supervisor’s Signature-Over-Printed-Name
 WORK IMMERSION MONITORING SHEET
Date Day
Date Day
Done?
Done? Activity Activity Description Remarks
Activity Activity Description Remarks (Y/N)
(Y/N)

_______________________________ ______________________________
______________________________ _______________________________ Student’s Signature-Over-Printed-Name Supervisor’s Signature-Over-Printed-Name
Student’s Signature-Over-Printed-Name Supervisor’s Signature-Over-Printed-Name

WORK IMMERSION MONITORING SHEET

WORK IMMERSION MONITORING SHEET
 Date Day Date Day

Done? Done?
Activity Activity Description Remarks Activity Activity Description Remarks
(Y/N) (Y/N)

______________________________ _______________________________ ______________________________ _______________________________

Student’s Signature-Over-Printed-Name Supervisor’s Signature-Over-Printed-Name Student’s Signature-Over-Printed-Name Supervisor’s Signature-Over-Printed-Name

WORK IMMERSION MONITORING SHEET WORK IMMERSION MONITORING SHEET

 Date Day Date Day

Done?
Activity Activity Description Remarks
(Y/N)

______________________________ _______________________________
Student’s Signature-Over-Printed-Name Supervisor’s Signature-Over-Printed-Name

WORK IMMERSION MONITORING SHEET

 Done? (Y/N)
Activity Activity Description Remarks
(Y/N)

______________________________ _______________________________
Student’s Signature-Over-Printed-Name Supervisor’s Signature-Over-Printed-Name
______________________________ _______________________________
Student’s Signature-Over-Printed-Name Supervisor’s Signature-Over-Printed-Name

WORK IMMERSION MONITORING SHEET

WORK IMMERSION MONITORING SHEET
Date Day
Date Day
Activity Activity Description Done? Remarks
Activity Activity Description Done? Remarks
 (Y/N) (Y/N)

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Student’s Signature-Over-Printed-Name Supervisor’s Signature-Over-Printed-Name Student’s Signature-Over-Printed-Name Supervisor’s Signature-Over-Printed-Name

WORK IMMERSION MONITORING SHEET WORK IMMERSION MONITORING SHEET

Date Day Date Day

Activity Activity Description Done? Remarks Activity Activity Description Done? Remarks
 (Y/N) (Y/N)

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Student’s Signature-Over-Printed-Name Supervisor’s Signature-Over-Printed-Name Student’s Signature-Over-Printed-Name Supervisor’s Signature-Over-Printed-Name

WORK IMMERSION MONITORING SHEET

WORK IMMERSION MONITORING SHEET
Date Day
Date Day
Activity Activity Description Done? Remarks
Activity Activity Description Done? Remarks
 (Y/N) Done?
Activity Activity Description Remarks
(Y/N)

______________________________ _______________________________
Student’s Signature-Over-Printed-Name Supervisor’s Signature-Over-Printed-Name
______________________________ _______________________________
Student’s Signature-Over-Printed-Name Supervisor’s Signature-Over-Printed-Name

WORK IMMERSION MONITORING SHEET

WORK IMMERSION MONITORING SHEET

Date Day
Date Day
 Done? Done?
Activity Activity Description Remarks Activity Activity Description Remarks
(Y/N) (Y/N)

______________________________ _______________________________ ______________________________ _______________________________

Student’s Signature-Over-Printed-Name Supervisor’s Signature-Over-Printed-Name Student’s Signature-Over-Printed-Name Supervisor’s Signature-Over-Printed-Name

WORK IMMERSION MONITORING SHEET

WORK IMMERSION MONITORING SHEET
Date Day
 Date Day

Done?
Activity Activity Description Remarks
(Y/N)

______________________________ _______________________________
Student’s Signature-Over-Printed-Name Supervisor’s Signature-Over-Printed-Name