National Capital Region

Division of City Schools-Valenzuela

Lingunan Senior High School
F. Dulalia St., Lingunan, Valenzuela City

LIST OF TASKS/ ACTIVITIES TO BE DONE DURING WORK IMMERSION

Name of Grade and
Student Section
School Immersion
Site
Track Strand/
Specialization
Duration of
Work
Immersion

School Contact
Partnerships Number
Focal Person
Work Contact
Immersion Number
Teacher

LIST OF TASKS/ ACTIVITIES

Time Actual
Tasks/ Activities Remarks
Allotment Schedule

Observe classroom
procedures

Help the partner

teacher/ coach in
checking the output of
the students

Give assistance in
preparing the
Instructional Materials of
the partner
teacher/coach

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

Certified true and correct:

_____________________________ ____________________________
Student’s Signature Over Printed Name Parent’s Signature Over Printed Name

____________________________ ___________________________
Work Immersion Teacher’s Signature Trainer’s Signature Over
Over Printed Name Printed Name