500591-1

Republic of the Philippines

Department of Education
Region I – ILOCOS NORTE
SCHOOLS DIVISION OF ILOCOS NORTE
FLORENTINO CAMAQUIN INTEGRATED SCHOOL

WORK IMMERSION
HANDBOOK

Republic of the Philippines

Department of Education
Region I – ILOCOS NORTE
SCHOOLS DIVISION OF ILOCOS NORTE
FLORENTINO CAMAQUIN INTEGRATED SCHOOL
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WORK IMMERSION REPORT AND HANDBOOK APPROVAL SHEET

TO WHOM IT MAY CONCERN:

This Work Immersion Report Handbook of ________________________ who is
enrolled in Florentino Camaquin Integrated School is hereby accepted and approved as
partial fulfillment of the requirements for graduation on this ______ day of
________________, 20____.

Recommending Approval:

SHERWIN JOY J. DE LA CRUZ

Work Immersion Teacher

APPROVED:
SHERRY MEI ISIP
SHS Coordinator

AMIEL DEXTER B. SARMIENTO

School Principal II

Republic of the Philippines

Department of Education
Region I – ILOCOS NORTE
SCHOOLS DIVISION OF ILOCOS NORTE
FLORENTINO CAMAQUIN INTEGRATED SCHOOL

INDUSTRY IMMERSION ENDORSEMENT LETTER

___________________
DATE
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_________________________________
_________________________________
_________________________________

Sir/Ma’am:

This is to introduce ____________________________ a Grade 12 ______________________ Senior High

School student enrolled in our school under the K to 12 programs, and to further endorse his/her application
with your company to undergo Work Immersion for 240 hours as a requirement of the curriculum.

We believe that schools must link up with industry in order to update, upgrade and make the education of
our youth more relevant to the actual needs of the industry. It is in this regard that we request you to give
such opportunities to our students by allowing them to do part time work with your company. Together with
this letter is an Acceptance Form. We request that said form be accomplished and returned to this office
upon acceptance of our student in your company. We are confident that given the opportunity, our student
will be an asset to your company.

Thank you for the favorable action and we look forward to a more fruitful linkage with you.

Very truly yours,

SHERWIN JOY J. DE LA CRUZ

Work Immersion Teacher

Noted:

AMIEL DEXTER B. SARMIENTO

School Principal II

Republic of the Philippines

Department of Education
Region I – ILOCOS NORTE
SCHOOLS DIVISION OF ILOCOS NORTE
FLORENTINO CAMAQUIN INTEGRATED SCHOOL

____ __________________________________________________________________________
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COMPANY ACCEPTANCE FORM

This is to certify that ____________________________ is accepted in our company,

____________________________ with address at ____________________________ for Work Immersion
starting _________________ to _________________.

Signed this ______ day of __________________, 20___.s

________________________________
Company Authorized Representative

______________________________________________________________________________

Republic of the Philippines

Department of Education
Region I – ILOCOS NORTE
SCHOOLS DIVISION OF ILOCOS NORTE
FLORENTINO CAMAQUIN INTEGRATED SCHOOL

TRAINEE INFORMATION SHEET

I. PERSONAL DATA
______________________________________________________________________________
Family Name Given Name Middle Name
Track/Strand: __________________________________________________________________
Permanent Address: _____________________________________________________________
Present Address: ________________________________________________________________
Telephone: __________________________________ CP no.: ____________________________
Date of Birth: __________________________________________________________________
Age: _____ Gender: ______________ Civil Status: __________ Religion: ___________________
Height: _________ Weight: _________ Blood Type: __________

II. FAMILY DATA

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Father’s Name: _______________________________ Occupation: _______________________

Date of Birth: ________________________________ Place of Birth: ______________________
Mother’s Name: ______________________________ Occupation: _______________________
Date of Birth: ________________________________ Place of Birth: ______________________
Parent’s Address: _______________________________________________________________
Telephone no.: _______________________________ CP no.: ____________________________
Present Guardian: _______________________________________________________________
Relationship: ___________________________________________________________________
His/Her Address: ________________________________________________________________
Telephone no.: _______________________________ CP no.: ____________________________

IN CASE OF EMERGENCY, PLEASE CONTACT:

Name: ________________________________________________________________________
Relationship: ___________________________________________________________________
Address: ______________________________________________________________________
Contact no.: ___________________________________________________________________

Republic of the Philippines

Department of Education
Region I – ILOCOS NORTE
SCHOOLS DIVISION OF ILOCOS NORTE
FLORENTINO CAMAQUIN INTEGRATED SCHOOL

COMPANY INFORMATION SHEET

Name of Company: __________________________________________________

Address: ___________________________________________________________

Telephone no.: ______________________________________________________

Name/s of Owner: ___________________________________________________

Company Classification:
______ Commercial Bank
______ Telecommunications
______ Educational Services
______ Research Laboratories
______ Hospital
______ Health Care Services
______ Cooperatives
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______ National Security Services

______ Travel Services
______ Works and Highways
______ Food Establishment/Restaurant
______ Others (pls. specify) _____________________

Total no. of Employees: ___________________

Republic of the Philippines

Department of Education
Region I – ILOCOS NORTE
SCHOOLS DIVISION OF ILOCOS NORTE
FLORENTINO CAMAQUIN INTEGRATED SCHOOL

DAILY LOG OF ACTIVITIES AND TRAINING HOURS

NAME OF TRAINEE: _________________________ STATION/AGENCY: ____________________

FOR THE MONTH OF: _______________________

DAY A.M A.M P.M P.M NATURE OF WORK SIGNATURE OF

IN OUT IN OUT AUTHORIZED
PERSONNEL
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_______________________________ ____________________________________
Signature of Student Signature of Manager/Authorized Personnel
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Republic of the Philippines

Department of Education
Region I – ILOCOS NORTE
SCHOOLS DIVISION OF ILOCOS NORTE
FLORENTINO CAMAQUIN INTEGRATED SCHOOL

TRAINEE EVALUATION FORM

Name of Trainee: __________________________ Year Level: ____Gender: ____ Age: ______

Strand: __________________________________ Specialization: ________________________
Immersion Partner: _____________________________________________________________
Immersion Partner Address: ______________________________________________________
Cover Date Period: ____________________________ Total Number of Hours: _____________

*Please rate the acquired skills of the trainee in various areas by indicating its corresponding
points.

RATING SCALE:
RATING DESCRIPTIVE RATING
1 Needs Improvement Performance does not meet the required standard.
Major improvements needed.
2 Fair Performance partially meets the required standard.
Less than satisfactory, could be doing better.
3 Satisfactory Performance has met the required standard. Can
perform duties with minimal supervision.
4 Very Satisfactory Performance has met the required standard. Can
perform duties with/without supervision.
5 Outstanding Performance exceeds the required standard.

A. TEAM WORK 1 2 3 4 5
1. Consistently works with others to accomplish goals and tasks.
2. Treats all team members in a respectful courteous manner.
3. Actively participates in activities and assigned tasks as required.
4. Willingness to work with team members to improve team
collaboration on a continuous basis.
5. Considers the feedback and views of team members when
completing an assigned task.
6. Is capable of learning from and listening to co-workers.
B. COMMUNICATION
1. Actively listens to supervisor and/or co-workers.
2. Comprehends written and oral information.
3. Consistently delivers accurate information both written and
oral.
4. Reliably provides feedback as required, both internally &
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externally.
C. ATTENDANCE AND PUNCTUALITY
1. Is punctual on a regular basis.
2. Reports regularly.
3. Informs supervisor in a timely manner when absenteeism and
tardiness occur.
D. PRODUCTIVITY/RESILIENCE
1. Consistently delivers quality results.
2. Ability to meet deadlines and manages time well.
3. Ability to multi-task
4. Ability to work around problems and obstacles in a stressful
situation in order to achieve the required task.
5. Fully understands the linkage or connection between his/her
task to previous, intervening and subsequent tasks.
6. Time management is effective and efficient.
7. Efficiently informs supervisor of any challenges or barriers
relevant to given task or assignment.
E. INITIATIVE/PROACTIVITY
1. Ability to complete assignments without being reminded by
his/her supervisors and/or others.
2. Successfully completes tasks independently and consistently.
3. Seeks additional support when necessary.
4. Recognizes and takes appropriate action to effectively address
problems and opportunities.
5. Engages in continuous learning.
6. Contributes new ideas and always seeking ways to improve the
department/ organization.
F. JUDGMENT / DECISION MAKING
1. Analyzes problems effectively
2. Demonstrates the ability to make creative and effective
solutions to problems.
3. Demonstrates good judgment in handling routine problems.
4. Manifests thoroughness and precise attention to details.
G. DEPENDABILITY/RELIABILITY
1. Ability to follow through and meet required deadlines.
2. Is personally accountable for his/her actions.
3. Adapts effectively to changes in the work environment.
4. Displays a consistent level of high performance.
H. ATTITUDE
1. Offers assistance willingly.
2. Make a positive contribution to morale
3. Shows sensitivity to and consideration for other’s feelings.
4. Accepts constructive criticism positively.
5. Shows emotional maturity.
6. Shows poise, self-confidence and is always well-groomed.
7. Practices self-discipline in his/her work.
8. Shows appreciation and gratitude for any form of assistance
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granted to him/ her by others.

9. Shows pride in work.
I. PROFESSIONALISM
1. Respects authorities.
2. Uses all tools, equipment and machines responsibly.
3. Performs tasks without much supervision.
4. Follows all policies and procedures
5. Shows tact in dealing with different people he/she comes in
contact with.
6. Practices self-discipline in his/her work.
7. Maintain appropriate physical appearance in the workplace in
the work environment.
J. SKILLS
1. Ability to meet the quality of work in relation to the quality of
standards.
2. Work output quality relation to work satisfaction.
3. Application of the acquired job knowledge and skills.
4. Care in handling supplies and materials.
TOTAL

General Total

Comment:
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________

DESCRIPTIVE RATING (DR) NUMERICAL RATING (NR)

Advance (A) 90% - above
Proficient (P) 85% - 89%
Approaching Proficiency (AP) 80% - 84%
Developing (D) 75% - 79%
Beginning (B) 74% - below

Total Points Earned: ______________________ Equivalent Descriptive Rating: ______________

Signed by:

____________________________` _______________________ ____________

Name of Rater Position Date
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Noted by:

SHERWIN JOY J. DE LA CRUZ ____________

Work Immersion Teacher Date

Republic of the Philippines

Department of Education
Region I – ILOCOS NORTE
SCHOOLS DIVISION OF ILOCOS NORTE
FLORENTINO CAMAQUIN INTEGRATED SCHOOL

TRAINEE SELF ASSESSMENT

Answer the following questions briefly:

1. Were you given orientation regarding the extent and scope of your Work Immersion?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
2. Who had given you orientation?
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_________________________________________________________________________________
_________________________________________________________________________________
3. Did the company provide you with assistance when you were in doubt of your task?How?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
4. Were you able to get along well with the employees of the company?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
5. Do you that your training is relevant to your strand/specialization? Why?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
6. Did you learn additional skills and knowledge from your training?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
7. Explain how you were benefitted from your training.
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
8. Was there effective supervision of your training? Explain.
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
9. Please give your recommendations/suggestions for the improvement of the Work Immersion
program of the school?
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
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Republic of the Philippines

Department of Education
Region I – ILOCOS NORTE
SCHOOLS DIVISION OF ILOCOS NORTE
FLORENTINO CAMAQUIN INTEGRATED SCHOOL

___________________________________________________
(Name of Company)
__________________________
(Address)

Certification and Clearance

TO WHOM IT MAY CONCERN:

This is to certify that the contents of this Work Immersion Report and Handbook of
_________________________________ who had undergone Work Immersion in this establishment, are
true and correct to the best of our knowledge and belief.
Hence, a clearance has been granted to him/her from any property and money responsibility and
other accountabilities.
Given and signed this _______ day of ________________, 20____ at
________________________________.
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____________________________________
PRINTED NAME OF MANAGER & SIGNATURE