Republic of the Philippines

Department of Education
Region II – Cagayan Valley
Schools Division Office of Cagayan
CLAVERIA NATIONAL HIGH SCHOOL

February 21, 2024

HON. LUCILLE ANGELUS G. YAPO

Local Chief Executive
Municipality of Claveria
Claveria, Cagayan

Madam:

This is to request permission from your good office to please allow ___
Senior High School - Grade 12 students of the Claveria National High
School (please see attached list of work immersion students), to undergo 80
hours (April 1-12, 2024) of WORK IMMERSION in your company/agency
to acquire industrial orientation. The training period will start immediately
upon your acceptance of the bearer under the terms and conditions as
stipulated in the duly accomplished memorandum of agreement hereto
attached for your confirmation.
Moreover, a student evaluation is provided where a student is to be assessed
on his/her performance, attitude and behavior to be attested by the
supervisor. The Immersion Teacher and Trainer handling each field of
specialization from our school will visit your establishment from time to time
to find out how the student perform in the working area.
Your favorable action is highly appreciated and we look forward to a more
fruitful linkage with you.

Very Truly Yours,

JEROME P. AGCAOILI
Teacher III, Work Immersion Teacher
Noted:

Address: Purok Sta Rosa, Malilitao, Claveria, Cagayan Philippines, 3519

Telephone Nos./CP nos.: (GLOBE) 09175471973 and 09171268697
DepEd Tayo – Division of Cagayan [email protected] deped-sdocagayan.com.ph

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 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division Office of Cagayan
CLAVERIA NATIONAL HIGH SCHOOL
HARRY B. COLLADO PhD
Principal I, Work Immersion Focal Person
February 21, 2024

SANDRO P. BATTUNG
SFO IV, Officer-in-Charge
Bureau of Fire Protection-Claveria
Claveria, Cagayan

Sir:

This is to request permission from your good office to please allow ___
Senior High School - Grade 12 students of the Claveria National High
School (please see attached list of work immersion students), to undergo 80
hours (April 1-12, 2024) of WORK IMMERSION in your company/agency
to acquire industrial orientation. The training period will start immediately
upon your acceptance of the bearer under the terms and conditions as
stipulated in the duly accomplished memorandum of agreement hereto
attached for your confirmation.
Moreover, a student evaluation is provided where a student is to be assessed
on his/her performance, attitude and behavior to be attested by the
supervisor. The Immersion Teacher and Trainer handling each field of
specialization from our school will visit your establishment from time to time
to find out how the student perform in the working area.
Your favorable action is highly appreciated and we look forward to a more
fruitful linkage with you.

Very Truly Yours,

JEROME P. AGCAOILI
Teacher III, Work Immersion Teacher

Address: Purok Sta Rosa, Malilitao, Claveria, Cagayan Philippines, 3519

Telephone Nos./CP nos.: (GLOBE) 09175471973 and 09171268697
DepEd Tayo – Division of Cagayan [email protected] deped-sdocagayan.com.ph

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 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division Office of Cagayan
CLAVERIA NATIONAL HIGH SCHOOL
Noted:
HARRY B. COLLADO PhD
Principal I, Work Immersion Focal Person
LIST OF WORK IMMERSION VENUES
Track StrandWork Work Name of Learner
Immersion Immersion
Venue Supervisor
Academic HUMSS LGU-Claveria Hon. Lucille 1. Erica Joy G. Galit
(Mayor’s Office) Angelus G. 2. Kristel Joy E.
Yapo, Ancheta
Municipal 3. Kyla P. Allagadan
Mayor
LGU-Claveria Donna A. 1. Danica Veraño
(Human Salacup, 2. Sharyna Frich D.
Resource and HRMO Ancheta
Management
Office)
LGU-Claveria Zyrell Viloria, 1. Cyris Irelle J.
(Municipal MSWDO Antonio
Social Welfare 2. Imee G. Ventura
and 3. Irene G. Ventura
Development 4. Julia Andrea A.
Office) Leal
5. Cecille T.
Segismundo
6. Klarisse Joyce B.
Acdal
7. Brettnile A. Keine
Leaño
BFP-Claveria Sandro P. 1. Mark Jhosua M.
Battung, SFO Ventura
IV/Officer-in- 2. Emil G. Agustin
Charge 3. Daniel A.
Duldulao
4. Justine Q.
Guererro
Address: Purok Sta Rosa, Malilitao, Claveria, Cagayan Philippines, 3519
Telephone Nos./CP nos.: (GLOBE) 09175471973 and 09171268697
DepEd Tayo – Division of Cagayan [email protected] deped-sdocagayan.com.ph

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 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division Office of Cagayan
CLAVERIA NATIONAL HIGH SCHOOL
5. Justine A. Alog
6. Michael Rich A.
Ramos
7. Jeremy S. Quilit
8. Marcellino L.
Andallo Jr.
9. Jordan A. Olivas
10. Jhan Rich G.
Cadang
11. Jhun Loyde D.
Gatcho
Barangay Hon. Arnel A. 1. Marvin E. Lacro
Malilitao Baided, 2. Rexzy F.
Punong Villanueva
Barangay 3. Mary Jane Abad
4. Clarissa Mae
Arcala
5. Julie Ann
Ballesteros
6. Mark David
Sagun

Address: Purok Sta Rosa, Malilitao, Claveria, Cagayan Philippines, 3519

Telephone Nos./CP nos.: (GLOBE) 09175471973 and 09171268697
DepEd Tayo – Division of Cagayan [email protected] deped-sdocagayan.com.ph

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 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division Office of Cagayan
CLAVERIA NATIONAL HIGH SCHOOL

ANNEX C: Prescribed Template for the List of Tasks/Activities to be

done during the Work Immersion
Name of Grade and Grade 12-Pioneers
Student Section
School Claveria National High School Immersion
Site
Track Academic Strand/ Humanities and Social
Specialization Sciences (HUMSS)
Duration
of Work 80 Hours
Immersion
School Partnership Harry B. Collado PhD Contact 09175471973
Focal Person Number
Work Immersion Jerome P. Agcaoili Contact 09175560174
Teacher Number
LIST OF TASK/ACTIVITIES
COMPETENCIES TASKS/ACTIVITIES TIME ACTUAL REMARKS
ALLOTMENT SCHEDULE
OBSERVE The student: 16 hours April 1-2,
PROPER WORK •Be at the workplace 2024
ETHICS 10-15 minutes before the
time;
•Follow instructions
carefully from the direct
supervisor;
•Observe and follow rules
and regulations of the
workplace / industry;
•Know and perform your
duties and
responsibilities
accordingly;

Address: Purok Sta Rosa, Malilitao, Claveria, Cagayan Philippines, 3519

Telephone Nos./CP nos.: (GLOBE) 09175471973 and 09171268697
DepEd Tayo – Division of Cagayan [email protected] deped-sdocagayan.com.ph

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 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division Office of Cagayan
CLAVERIA NATIONAL HIGH SCHOOL
•Observe and practice
confidentiality in the
workplace/industry; and
Observe and practice
working with the team.
SAFETY IN THE •Do exactly as directed by 16 hours April 3-4,
WORKPLACE your immediate 2024
supervisor;
•Be observant of the do’s
and don’ts of the
workplace/industry; and
•Know and practice your
bounds/limits as per
instruction by your
immediate supervisor.
SENSITIVITY TO •Be observant and 8 hours April 5, 2024
CULTURES AND respectful of the different
PRACTICES cultures and practices of
your clients, supervisors
and co- workers;
•ALWAYS respect people
in authority ,co-workers
and clients; and
•Think before talking
about culture and
religion.
FILING AND •File and arrange 16 hours April 8-9,
ARRANGING OF documents as per 2024
DOCUMENTS instruction by the
immediate supervisor;
and
•Encode the data’s
gathered from survey as
directed by the immediate
supervisor.
•Present portfolio with 24 hours April 10-12,
EVALUATING the week diary entries; 2024
THE WORK •Compare and contrast
IMMERSION school and work
application of skills,
knowledge and attitudes;
•Write an updated
resume reflecting your
Work Immersion
experience; and

Address: Purok Sta Rosa, Malilitao, Claveria, Cagayan Philippines, 3519

Telephone Nos./CP nos.: (GLOBE) 09175471973 and 09171268697
DepEd Tayo – Division of Cagayan [email protected] deped-sdocagayan.com.ph

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 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division Office of Cagayan
CLAVERIA NATIONAL HIGH SCHOOL
•Reflect and write about
your Work Immersion
experience.
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 Industry Supervisor’s Signature Over

PARENTAL / GUARDIAN’S CONSENT

I, the trainee’s parent and/or legal guardian, allow my son/daughter to
undergo Work Immersion for 80 hours starting on April 1, 2024 until April
12, 2024 at the _________________________________________________________
in partial fulfilment of the requirements for Senior High School K-12
Program.
It is understood that he/she abides by the rules and regulations that may
be imposed by the Supervisor/Staff-in-Charge for his/her welfare and
safety.
I fully agree to waive any responsibility on the part of the aforementioned
company/agency in case of any untoward incident that may happen to my
son/daughter during the duration of the WORK IMMERSION.

Parent’s Signature Over Printed Name

Date of Signature:____________________

WORK IMMERSION AGREEMENT AND LIABILITY WAIVER

Address: Purok Sta Rosa, Malilitao, Claveria, Cagayan Philippines, 3519

Telephone Nos./CP nos.: (GLOBE) 09175471973 and 09171268697
DepEd Tayo – Division of Cagayan [email protected] deped-sdocagayan.com.ph

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 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division Office of Cagayan
CLAVERIA NATIONAL HIGH SCHOOL
I am fully aware of the duties and responsibilities I will undertake through
the Work Immersion Program with the cooperating company.
I recognize the authority of my cooperating company which I may be placed
and submit myself to all the Rules and Regulations that may be imposed
upon myself following the duties.
I renounce and waive any claim against the cooperating company and for
any injury that I may sustain/suffer, personal/financial in the performance
of my duties/function.

Student’s Signature Over Printed Name

Date of Signature:____________________

February 22, 2024

___________________________
___________________________
___________________________

Dear Parents,

In view of DepEd Order No. 30, Series of 2017 titled as “Guidelines for Work
Immersion”, we would like request your presence for the Work Immersion
Orientation for this year’s implementation of the aforementioned program on
February 23, 2024 at one o’clock in the afternoon to be held at the Grade
12-Pioneer classroom.
Moreover, we will be discussing the following agenda:
1. Work Immersion Guidelines
2. Parent’s/Guardian’s Consent
3. List of Tasks/Activities
4. Other Matters
Your attendance speaks volume of the success of this endeavor.
Thank you very much!
Address: Purok Sta Rosa, Malilitao, Claveria, Cagayan Philippines, 3519
Telephone Nos./CP nos.: (GLOBE) 09175471973 and 09171268697
DepEd Tayo – Division of Cagayan [email protected] deped-sdocagayan.com.ph

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 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division Office of Cagayan
CLAVERIA NATIONAL HIGH SCHOOL

Very truly yours,

JEROME P. AGCAOILI
Teacher III, Work Immersion Teacher

Noted by:
MARIBELL G. ALCAYDE PhD
Head Teacher I

Approved by:
HARRY B. COLLADO PhD
Principal I

Address: Purok Sta Rosa, Malilitao, Claveria, Cagayan Philippines, 3519

Telephone Nos./CP nos.: (GLOBE) 09175471973 and 09171268697
DepEd Tayo – Division of Cagayan [email protected] deped-sdocagayan.com.ph

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