Republic of the Philippines

Region X
Schools Division of Misamis Oriental
St. Peter’s College of Misamis Oriental, Inc.
15 de Septiembre St., Brgy. 3, Balingasag, Misamis Oriental
th

SENIOR HIGH SCHOOL DEPARTMENT

SCHOOL YEAR 2022-2023

WORK IMMERSION EVALUATION FORM

Name of Student: Vallejos, Freyja Dane M.

Track/Strand: HUMSS (Humanities and Social Sciences)
Immediate Supervisor: Frienly M. Sinogaya
Place of Immersion/Department: NCDC
Date/Period of Immersion: April 11, 2023

Please evaluate the student based on the indicated behavioral statements using
Always Sometimes Rarely Not
the scale; Observed Observed Observed Obser
3-Always Observed(AO) (AO) (SO) (RO) ved
2-Sometimes Observed(SO) (NO)
1-Rarely Observed(RO)
0-Not Observed (NO)
COMMUNICATION
Communicates in a respectful manner.
Writes in a clear and concise manner.
Actively listens to other to ensure a full understanding of what they are saying.
COMMUNICATION TOTAL SCORE/3
RELATIONSHIP BUILDING
Maintains good working relationship to achieve objectives.
Works collaboratively with others to achieve goals and objectives.
Encourages other to work collaboratively.
Respects and acknowledges the contributions of others.
Deals with difficult situations quickly and effectively.
RELATIONSHIP BUILDING TOTAL SCORE/5
ETHICS AND PROFFESIONALISM
Acts in a respectful manner to others regardless of gender, age, race, ability,
sexual orientation, culture or religious beliefs.
Maintains professional standards of ethics and integrity.
Respects privacy and confidentiality of others.
Leads by example to demonstrate respectful behavior for the workplace.
Dresses properly and appropriately; observes proper grooming.
Observes punctuality and regularity.
ETHICS AND PROFFESIONALISM TOTAL SCORE/6
CREATIVITY AND INNOVATION
Demonstrates creativity when dealing with problems and identifying solution.
Displays adaptability and flexibility.
Manifest thoroughness and precise attention to details; usually comes up with
Suggestions to problems.
CREATIVITY AND INNOVATION TOTAL SCORE/3
SELF MANAGEMENT
Recognized need for assistance and requests help.
Prioritizes work respects timeliness when completing tasks.
Pursues learning and development opportunities.
Recognizes barriers to work productivity and takes action to minimize these
barriers.
Leads by example.
Manages resistance to change.
SELF MANAGEMENT TOTAL SCORE/5
CORE VALUES
Maka-Diyos
Expresses one’s spiritual beliefs while respecting the spiritual beliefs of others.
Shows adherence to ethical principles by upholding truth.
Maka-tao
Is sensitive to individual, social and cultural differences.
Demonstrates contribution toward solidarity.
Maka-kalikasan
Cares the environment and utilizes resources wisely, judiciously, and
economically.
Maka-Bansa
Demonstrates pride in being a Filipino; exercises the rights and responsibilities of
a Filipino citizen.
Demonstrates appropriate behavior in carrying out activities in the school,
Community and country.
CORE VALUES TOTAL SCORE/7
Note: Passing rate is 75%
FINAL RATING (SCORE X 100%)

Comments/Remarks:

Evaluated by: Date Accomplished

Signature over Printed Name

Attested By:

MITCHILINE M. ZABALLERO
LGU- Balingasag Admin Officer IV/HRMO-OIC

RIZZA MAE C. QUILACIO

SPCMOI Work Immersion Coordinator

NIEZL JIA O. ERMITA

SPCMOI SHS Principal