Republic of the Philippines

Department of Education
Region 2
Division of Cagayan
Claveria School of Arts and Trades

Senior High School

WORK IMMERSION STUDENT'S EVALUATION FORM
Name: Training Period:
Partner Institution:

Instructions: This form seeks your objective, honest and fair evaluation of the Work Immersion (WI) Learner's performance.
Please indicate your rating on each criterion by writing the numerical rating using the scale indicated below. Your feedbacks to
our students will greatly help in improving their skills in their chosen specialization.

Performance Evaluation Ratings:

98 - 100 = Excellent: Performance is extraordinary and exceptional.
92 - 97 = Very Satisfactory: Performance exceeds normal standards in all critical factors within position and category
consistently and competently.
86 - 91 = Satisfactory: Good solid performance. Performance meets all normal requirements within position and
category in a competent manner.
80 - 85 = Fair: Areas of needed improvement. Total performance periodically or regularly falls short of expectations.
75 - 79 = Poor: Performance is clearly inadequate. Learner demonstrated an inability or unwillingness to improve or
meet expectations. Performance is not acceptable for position held within that category.

Actual Rating (To

CRITERIA be accomplished by the WI
Supervisor)
PROCESS
Learn skills and procedures relevant to set competencies within the given time.
Follows and applies job instructions correctly.
Works in an orderly manner.
Demonstrates safe work habits at all times.
Performs work assignment correctly without close supervision.
Makes timely decision based on appropriate information.
Maintains objectivity in situations of conflict/challenges.
Performs job with ease and self-confidence.
AVERAGE

Page 1 of 18
Republic of the Philippines
Department of Education
Region 2
Division of Cagayan
Claveria School of Arts and Trades

Senior High School

TRAINING PLAN
Track: ACADEMIC
Strand: ACCOUNTANCY, BUSINESS AND MANAGEMENT School Year: 2018 - 2019
ACTIVITIES TIME FRAME EXPECTED RESULT REMARKS/STATUS
A. Preparation of request letters for approval by the July 16 - 20, 2018 Prepared all request letters and served them to partner
partner institution institutions.
B. Serving of request letter to partner institutions July 23 - 27, 2018
C. Preparation of materials for the orientation of
parents
Prepares all materials needed for the orientation of
1. Parents' consent/Students' waiver October, 2018
parents within the specified dates.
2. Programme for the orientation
3. PowerPoint presentation
Conducts the parents' orientation on work immersion
D. Parents' orientation on work immersion matters October 19, 2018
matters effectively and efficiently.
E. Preparation of Memorandum of Agreement and Prepares all memoranda of agreement and all other
November 5 - 9, 2018
its attachments documents/attachments within the set dates
F. Signing of MOA between the partner institution Accomplishes the signing of MOA to all partner
November 12 - 16, 2018
and the school institutions within the specified dates.
G. Pre-immersion activity 1. conducts the pre-immersion orientation to students
2. guides the students in securing in securing and
1. Understanding work immersion
accomplishing forms
November 5 - 16, 2018 3. provides a checklist containing things to do and
2. Appreciating the importance of credentials documents needed for pre-immersion, during, and after
immersion
November 5 - 16, 2018

ACTIVITIES TIME FRAME EXPECTED RESULT REMARKS/STATUS

3. Discussion of Portfolio 4. validates the accomplished forms
ACTIVITIES TIME FRAME EXPECTED RESULT REMARKS/STATUS
Prepares and compiles all the documents needed for
H. Compilation/preparation of work immersion
November 16, 2018 submission in the division office within the specified
documents to be sumitted to the division office
dates
I. Deployment/endorsement of work immersion Endorses all the work immersion students to the partner
November 19, 2018
students to partner institutions institutions
J. Submission of work immersion documents to the Submitted all the work immersion documents to the
November 27 , 2018
division office division office within the speified dates.
1. coordinates with the partner institutions
K. Work immersion proper/monitoring of student 2. monitors' the students' progress
Nov. 19 to Dec. 21, 2018
performance 3. provides interventions for students
4. provides general supervision to the students
1. guides the students in presenting and discussing their
L. Post immersion activity
portfolio
1. Guiding the students in preparing their final Jan. 2 to Feb. 8, 2018 2. guides the students in reflecting about their work
portfolio immersion experiences
2. Portfolio presentation 3. evaluates the students in their work immersion.

Prepared: Noted: Approved:

JOEVANNIE D. CACATIAN ANTONETTE B. BALANAY CORAZON A. LLAPITAN, Ph.D

Work Immersion Teacher, ABM Head Teacher VI, SHS Coordinator Secondary School Principal II
Republic of the Philippines
Department of Education
Region 2
Division of Cagayan
Claveria School of Arts and Trades

Senior High School

WORK IMMERSION PROGRAM DEPLOYMENT SUMMARY

Strand: ACCOUNTANCY, BUSINESS AND MANAGEMENT School Year: 2018 - 2019

Inclusive Dates of Work Immersion: Nov. 19 to Dec. 21, 2018
NAME OF PARTNER INSTITUTION NAME OF STUDENTS
JENNY P. ALANG
Landbank of the Philippines - Sanchez Mira Branch ALAINA U. ADENA
APRIL JOY A. AGBUCAR
HANNAH MARREY P. AGCAOILI
Philippine National Bank - Sanchez Mira Branch SANILYN A. ALUPAY
ABEGAIL P. ARELLANO
ERICKA D. MACANAYA
LGU Claveria - Accounting Office
XYLENE JYLA P. CARIÑO
LGU Claveria - Treasury Office LEANN JOY D. CONSTANTINO
ALDRIN MARK G. PALACAY
Grassroots Multi-Purpose Cooperative
KYLE BERNADINE B. TOMAS
Farmers' Multi-Purpose Cooperative CHRISTIAN JHAY R. FLORES
DIANA JESSICA D. TAGALA
Agri-Based Multi-Purpose Cooperative JOHANA ANN CAMILLE L. MARUQUIN
MA. ANGELICA O. FAILANO
DIVINA GRACE P. PADASDAO
Sta. Praxedes Multi-Purpose Cooperative
JHESSA MAE P. YABES
FE M. VISPERAS
Taggat Sur Multi-Purpose Cooperative
DANICA G. DIZA
MARVIN JAY C. AGCAOILI
Claveria Water District
RUTHIE FAYE M. VALENTE
Sanchez Mira Water District JANELLE IRISH V. TOLENTINO
TOTAL 22

Prepared:

JOEVANNIE D. CACATIAN
Work Immersion Teacher - ABM

Noted:

ANTONETTE B. BALANAY
Head Teacher VI, SHS Coordinator
Republic of the Philippines
Department of Education
Region 2
Division of Cagayan
Claveria School of Arts and Trades

Senior High School

WORK IMMERSION STUDENT'S EVALUATION FORM

Name: Partner Institution: ____________________________

Training Period from: to: ___________________________________________

Instruction: Please rate the practicum performance of the student(s) based on the following criteria, using the
equivalent rating below, put a check mark below the desired rating. Your positive criticism will enable us to
provide better instruction and training.

Legend: Equivalent Rating:

1 - Excellent 96 - 100
2 - Very Satisfactory 91 - 95
3 - Satisfactory 85 - 90
4 - Fair 80 - 84
5 - Unsatisfactory below 80

I. PERSONAL TRAIT 1 2 3 4
Grooming
Suitability of dress
Personal hygiene
Deportment
Possess personality for the job
Interest in work
Cooperation
Initiative
Punctuality
Office personnel relations
Values (office ethics)
Attendance
Trustworthiness
Sub-rating

II. SKILLS PERFORMANCE

Oral communication skill
Encoding skills
Computer operation skill
Records filing skill
Clerical work
Written communication skill
Use of office machines and equipment
Creativity and innovativeness
Sub-rating

II. WORK QUALITIES

Follow direction
Take criticisms
Understand instruction
Attend details
Requires absolute minimum supervision
Perform other assignment as may be assigned by the imme
Sub-rating

IV. OFFICE MANAGEMENT TECHNIQUES

Use of office telephone/cell phone
Use sources of information
Use of office resources
Public relations (good human relationship within the office
Office housekeeping/management
Sub-rating

General Work Immersion Evaluation Rating: _________

1. Please list good points about the work immersion student

ORM

____________________
_____________________

wing criteria, using the

cism will enable us to

5
Republic of the Philippines
Department of Education
Region 2
Division of Cagayan
Claveria School of Arts and Trades

Senior High School

WORK IMMERSION PROGRAM DEPLOYMENT SUMMARY

Track: ACADEMIC Grade and Section: XII - ATHENA
Strand: ACCOUNTANCY, BUSINESS, AND MANAGEMENT Duration of Work Immersion: 20 DAYS (160 HRS.)
Inclusive Dates: NOV. 19 - DEC. 21, 2018

Partner Institution/Agency/Department and

Competency/Tasks/Activity No. of Students Name of Students
Contacts
1. understand the procedure in opening a savings and current
account (including atm account).
2. differentiate the different types of savings and current
accounts. JENNY P. ALANG MARICHU DAGDAGAN
Branch Manager
3. identify and understand the major services offered by the 3 ALAINA U. ADENA Landbank of the Philippines - Sanchez Mira
bank APRIL JOY A. AGBUCAR Branch Centro 2, Sanchez Mira,
4. immerse with the culture of the bank. Cagayan
5. practice bank's office decorum.
6. apply the accounting principles and procedures in
preparing financial statements.
7. expose in general bank's transactions.
8. assist in the section assigned to the work immersion GLENDA C. MACALMA
student. HANNAH MARREY P. AGCAOILI Branch Manager
9. practice courtesy to clients and employees. 3 SANILYN A. ALUPAY
Philippine National Bank - Sanchez Mira Branch
10. observe company policies at all times. ABEGAIL P. ARELLANO Centro 1, Sanchez Mira, Cagayan
11. practice proficiency in the job/work assigned.
12.
1. perform
apply themiscellaneous
accounting job-related
principlesduties
and asprocedures
assigned. in
preparing financial statements.
2. prepare disbursement vouchers.
Republic of the Philippines
Department of Education
Region 2
Division of Cagayan
Claveria School of Arts and Trades

Senior High School

DAILY ACCOMPLISHMENT REPORT

Work Immersion Student: ____________________________________Cooperating Supervisor: _________________
Partner Institution: __________________________________________Inclusive Dates: ________________________

Date Day Accomplishments Competency

Total
Prepared: Noted:

____________________________________________
Immersion Student's Signature over Printed Name Supervisor's Signature over Printed Name
public of the Philippines
epartment of Education
Region 2
Division of Cagayan
School of Arts and Trades

nior High School

COMPLISHMENT REPORT
Cooperating Supervisor: _________________________
Inclusive Dates: ________________________________

No. of Working
Hours
Supervisor's Signature over Printed Name
Republic of the Philippines
Department of Education
Region 2
Division of Cagayan
Claveria School of Arts and Trades

Senior High School

WORK IMMERSION STUDENT'S EVALUATION FORM
Name: Training Period:
Partner Institution:

Instructions: This form seeks your objective, honest and fair evaluation of the Work Immersion (WI) Learner's performance.
Please indicate your rating on each criterion by writing the numerical rating using the scale indicated below. Your feedbacks to
our students will greatly help in improving their skills in their chosen specialization.

Performance Evaluation Ratings:

98 - 100 = Consistently Exceeds Expectations
92 - 97 = Often Exceeds Expectations
86 - 91 = Meets Requirements
80 - 85 = Needs Improvement
75 - 79 = Not Acceptable
I. WORK ETHICS/ATTITUDE ACTUAL RATING
1. offers assistance and support to co-workers
2. meets attendance and punctuality expectations
3. observes proper grooming and office decorum
4. maintains good working relationship with co-workers
5. maintains self-control under stressful situations
6. displays positive outlook and pleasant manner
7. undertakes self-development activities
AVERAGE
II. WORK QUALITIES ACTUAL RATING
1. prioritizes and plans work activities
2. able to minimize distractions
3. works in an organized manner
4. able to multi-task and balance competing demands
5. shows an openness and eagerness to learn from others
6. manifests efficiency and effectiveness towards assigned tasks
7. accepts criticisms and feedbacks
8. follows directions from the immediate supervisor
9. performs work assignment correctly without needing close ssupervision
AVERAGE
III. JOB KNOWLEDGE AND COMPETENCY ACTUAL RATING
1. exhibits good listening and comprehension
2. competent in required job skills and knowledge
3. possesses knowledge in using the computer, telephone, and other equipment
4. employs strategies in filing records and sorting documents
5. able to accomplish clerical works with efficiency and effectiveness
6. possesses encoding skills
7. employs creativity and innovativeness
AVERAGE

General Work Immersion Evaluation Rating: ___________

1. Please list positive feedbacks on the performance of the work immersion student.

2. Please list points for improvement for the work immersion student.

Page 15 of 18
3. Please provide overall comment/assessment on the performance of the work immersion student.

For the Evaluator:

Signature over Printed Name

Page 16 of 18
Republic of the Philippines
Department of Education
Region 2
Division of Cagayan
Claveria School of Arts and Trades

Senior High School

WORK IMMERSION STUDENT'S EVALUATION FORM
Name: Training Period:
Partner Institution:

Instructions: This form seeks your objective, honest and fair evaluation of the Work Immersion (WI) Learner's performance.
Please indicate your rating on each criterion by writing the numerical rating using the scale indicated below. Your feedbacks to
our students will greatly help in improving their skills in their chosen specialization.

Performance Evaluation Ratings:

5 = Consistently Exceeds Expectations
4 = Often Exceeds Expectations
3 = Meets Requirements
2 = Needs Improvement
1 = Not Acceptable
I. WORK ETHICS/ATTITUDE ACTUAL RATING
1. offers assistance and support to co-workers
2. meets attendance and punctuality expectations
3. observes proper grooming and office decorum
4. maintains good working relationship with co-workers
5. maintains self-control under stressful situations
6. displays positive outlook and pleasant manner
7. undertakes self-development activities
AVERAGE
II. WORK QUALITIES ACTUAL RATING
1. prioritizes and plans work activities
2. able to minimize distractions
3. works in an organized manner
4. able to multi-task and balance competing demands
5. shows an openness and eagerness to learn from others
6. manifests efficiency and effectiveness towards assigned tasks
7. accepts criticisms and feedbacks
8. follows directions from the immediate supervisor
9. performs work assignment correctly without needing close ssupervision
AVERAGE
III. JOB KNOWLEDGE AND COMPETENCY ACTUAL RATING
1. exhibits good listening and comprehension
2. competent in required job skills and knowledge
3. possesses knowledge in using the computer, telephone, and other equipment
4. employs strategies in filing records and sorting documents
5. able to accomplish clerical works with efficiency and effectiveness
6. possesses encoding skills
7. employs creativity and innovativeness
AVERAGE

General Work Immersion Evaluation Rating: ___________

1. Please list positive feedbacks on the performance of the work immersion student.

2. Please list points for improvement for the work immersion student.

Page 17 of 18
3. Please provide overall comment/assessment on the performance of the work immersion student.

For the Evaluator:

Signature over Printed Name

Page 18 of 18