Republic of the Philippines

Department of Education
REGION II – CAGAYAN VALLEY
SCHOOLS DIVISION OF CAGAYAN
BAGGAO SOUTH DISTRICT
IMURUNG NATIONAL HIGH SCHOOL
Annex F

Work Immersion Evaluation Sheet

Name of Student-Trainee:
Work Immersion Venue: IMURUNG NATIONAL HIGH SCHOOL
(Please rate the students based on the given areas. Write the numeric value on the column rating)
AREA 5 4 3 2 1 RATIN
G
WORK ATTITUDES/HABITS
Attitude Outstanding Very Average Somewhat No Interest/
towards Interest/ Interested Interest/ Indifferent Patience
Work Patience / Patience
Patience
Courtesy Naturally Oftentimes Show courtesy Show Needs
polite and show but slightly respect but improvemen
respectful politeness arrogant to arrogant to t to courtesy
to and superiors/peer superiors/
superiors/ respect to s Peers
peers superiors/
Peers
Dependabilit Completely Above Usually Sometimes Unreliable
y dependable average dependable careless
Initiative Self-starter Show Show initiative Frequently Needs to be
initiative sometimes needs told what to
most of prompting do
the time
Interpersona Always Often work Sometimes Some Major
l skills work well well with works well interperson interperson
with others others with others al al difficulties
difficulties
Punctuality Never been Seldom Sometimes Oftentimes Very poor
and late or late or late or absent late or attendance
Attendance absent absent absent
PERSONAL APPERANCE
Grooming Well- Display Shows good Seldom Needs
groomed good grooming and manifest improvemen
and wears grooming seldom use good t in
uniform all and wears uniform grooming grooming
the time uniform and seldom
most of wears

Address: Imurung, Baggao, Cagayan

Telephone Nos.: 09171101034
Email Address: 300433@deped.gov.ph
Website: https://sites.google.com/deped.gov.ph/imurungnhs
 Republic of the Philippines
Department of Education
REGION II – CAGAYAN VALLEY
SCHOOLS DIVISION OF CAGAYAN
BAGGAO SOUTH DISTRICT
IMURUNG NATIONAL HIGH SCHOOL
the time uniform

PERSONAL COMPETENCE
Judgment Exceptionall Above Average At ties uses Consistently
y mature average poor poor
judgment judgment
Productivity Highly Above Expected level Less the Low
productive average in of productivity expected productivity
productivit
y
Quality of Excellent Very good Average Below Very poor
work average
OVERALL RATING TOTAL:
MEAN:

To compute for the mean:

MEAN = Total Score/10 (No. of Items)
To get the Percentage Rating, refer to the table below:
Mean Interval Percentage Mean Percentage Mean Percentage
Rating Interval Rating Interval Rating
5.00 - 100 3.79-3.89 89 2.58-2.68 78
4.89-4.99 99 3.68-3.78 88 2.47-2.57 77
4.76-4.88 98 3.57-3.67 87 2.36-2.46 76
4.67-4.77 97 3.46-3.56 86 2.25-2.35 75
4.56-4.66 96 3.35-3.45 85 2.14-2.24 74
4.45-4.55 95 3.24-3.34 84 2.03-2.13 73
4.34-4.44 94 3.13-3.23 83 1.92-2.02 72
4.23-4.33 93 3.02-3.12 82 1.81-1.91 71
4.12-4.22 92 2.91-3.01 81 1.70-1.80 70
4.01-4.11 91 2.80-2.90 80 1.00-1.69 69
3.90-4.00 90 2.69-.79 79
Student’s Rating: _______________

Describe the student’s strong points:

Describe the student’s areas that need improvement:

JESSY P. GANAB
Work Immersion Teacher Signature Over

Address: Imurung, Baggao, Cagayan

Telephone Nos.: 09171101034
Email Address: 300433@deped.gov.ph
Website: https://sites.google.com/deped.gov.ph/imurungnhs
 Republic of the Philippines
Department of Education
REGION II – CAGAYAN VALLEY
SCHOOLS DIVISION OF CAGAYAN
BAGGAO SOUTH DISTRICT
IMURUNG NATIONAL HIGH SCHOOL
Printed Name Student’s Signature
Date: Date:

Annex F

Work Immersion Evaluation Sheet

Name of Student-Trainee:
Work Immersion Venue: IMURUNG NATIONAL HIGH SCHOOL
(Please rate the students based on the given areas. Write the numeric value on the column rating)
AREA 5 4 3 2 1 RATIN
G
WORK ATTITUDES/HABITS
Attitude Outstanding Very Average Somewhat No Interest/
towards Interest/ Interested/ Interest/ Indifferent Patience
Work Patience Patience Patience
Courtesy Naturally Oftentimes Show Show Needs
polite and show courtesy respect but improvement
respectful to politeness but slightly arrogant to to courtesy
superiors/ and arrogant superiors/
peers respect to to Peers
superiors/ superiors/
Peers peers
Dependabilit Completely Above Usually Sometimes Unreliable
y dependable average dependable careless
Initiative Self-starter Show Show Frequently Needs to be
initiative initiative needs told what to
most of sometimes prompting do
the time
Interpersonal Always work Often work Sometimes Some Major
skills well with well with works well interpersonal interpersonal
others others with difficulties difficulties
others
Punctuality Never been Seldom Sometimes Oftentimes Very poor
and late or late or late or late or attendance
Attendance absent absent absent absent
PERSONAL APPERANCE
Grooming Well- Display Shows Seldom Needs
groomed good good manifest improvement
and wears grooming grooming good in grooming

Address: Imurung, Baggao, Cagayan

Telephone Nos.: 09171101034
Email Address: 300433@deped.gov.ph
Website: https://sites.google.com/deped.gov.ph/imurungnhs
 Republic of the Philippines
Department of Education
REGION II – CAGAYAN VALLEY
SCHOOLS DIVISION OF CAGAYAN
BAGGAO SOUTH DISTRICT
IMURUNG NATIONAL HIGH SCHOOL
uniform all and wears and grooming
the time uniform seldom and seldom
most of use wears
the time uniform uniform

PERSONAL COMPETENCE
Judgment Exceptionall Above Average At ties uses Consistently
y mature average poor poor
judgment judgment
Productivity Highly Above Expected Less the Low
productive average in level of expected productivity
productivity productivity
Quality of Excellent Very good Average Below Very poor
work average
OVERALL RATING TOTAL:
MEAN:

To compute for the mean:

MEAN = Total Score/10 (No. of Items)
To get the Percentage Rating, refer to the table below:
Mean Interval Percentage Mean Percentage Mean Percentage
Rating Interval Rating Interval Rating
5.00 - 100 3.79-3.89 89 2.58-2.68 78
4.89-4.99 99 3.68-3.78 88 2.47-2.57 77
4.76-4.88 98 3.57-3.67 87 2.36-2.46 76
4.67-4.77 97 3.46-3.56 86 2.25-2.35 75
4.56-4.66 96 3.35-3.45 85 2.14-2.24 74
4.45-4.55 95 3.24-3.34 84 2.03-2.13 73
4.34-4.44 94 3.13-3.23 83 1.92-2.02 72
4.23-4.33 93 3.02-3.12 82 1.81-1.91 71
4.12-4.22 92 2.91-3.01 81 1.70-1.80 70
4.01-4.11 91 2.80-2.90 80 1.00-1.69 69
3.90-4.00 90 2.69-.79 79
Student’s Rating: _______________

Describe the student’s strong points:

Describe the student’s areas that need improvement:

Address: Imurung, Baggao, Cagayan

Telephone Nos.: 09171101034
Email Address: 300433@deped.gov.ph
Website: https://sites.google.com/deped.gov.ph/imurungnhs
 Republic of the Philippines
Department of Education
REGION II – CAGAYAN VALLEY
SCHOOLS DIVISION OF CAGAYAN
BAGGAO SOUTH DISTRICT
IMURUNG NATIONAL HIGH SCHOOL

Industry partner Work Immersion Coordinator Student’s Signature

Signature Over Printed Name
Date: Date:

Address: Imurung, Baggao, Cagayan

Telephone Nos.: 09171101034
Email Address: 300433@deped.gov.ph
Website: https://sites.google.com/deped.gov.ph/imurungnhs