Republic of the Philippines

Department of Education
Region 1
Schools Division of Ilocos Norte
PIDDIG NATIONAL HIGH SCHOOL
Piddig

THE WORK IMMERSION PROGRAM

Work Immersion refers to the subject of the Senio High School Curriculum, which involves hands-

on experience on work simulation in which the learners can apply their competencies and acquired

knowledge relevant to their trach.

This subject will provide learners with opportunities to:

a. Become familiar with the workplace;

b. For employment simulation; and

c. Apply their competencies in their areas of specialization/applied subjects in authentic

environments.

To achieve the above objectives, Work Immersion is thus a requirement for graduation from

secondary education. Learners are immersed in actual work environments such as workshop offices and

laboratories in which their prior training is relevant.

 Republic of the Philippines
Department of Education
Region 1
Schools Division of Ilocos Norte
PIDDIG NATIONAL HIGH SCHOOL
Piddig

NAME: ____________________________________
STRAND: ____________________________________
DATE: ____________________________________

“How to Conduct Oneself Inside the Company/Business Establishment during

the Immersion Period”

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 Republic of the Philippines
Department of Education
Region 1
Schools Division of Ilocos Norte
PIDDIG NATIONAL HIGH SCHOOL
Piddig

Parents' / Guardian's Certification of Waiver / Permission

This is to certify that I am allowing my son/daughter ____________________________ to go on

Industry immersion for a minimum of 160 hrs. starting on _________________ until
_________________at________________________at________________________________ in partial
fulfillment of the requirements for the Senior High School.

It is understood that he abides by the rules and regulations that may be imposed by the
Supervisor/Staff-in-Charge for his welfare and safety.
I fully agree to waive any responsibility on the part of PIDDIG NATIONAL HIGH SCHOOL,
(industry) ______________________ the representative/s, in case of any untoward incident that may happen
to my Son/Daughter during the duration of the practicum.

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Name of Parent / Guardian

_____________________
Present Address

_____________________
Contact Number
 Republic of the Philippines
Department of Education
Region 1
Schools Division of Ilocos Norte
PIDDIG NATIONAL HIGH SCHOOL
Piddig

REPORT ON ACTIVITIES PERFORMED

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 Republic of the Philippines
Department of Education
Region 1
Schools Division of Ilocos Norte
PIDDIG NATIONAL HIGH SCHOOL
Piddig

SENIOR HIGH SCHOOL STUDENT/TRAINEE EVALUATION FORM

Name of the Trainee: ___________________________________Grade Level: ____Gender: ____Age: ____

Department: __________________________________________Specialization: ______________________
Cooperating Business Partner: ______________________________________________________________
Cooperating Business Address: _____________________________________________________________
Cover Date Period: _____________________________________Total Number of Hours: ______________

Direction for the Evaluator:

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

5 Outstanding 4 Very Satisfactory 3 Satisfactory 2 Fair 1 Needs Improvement

AREA EVALUATION POINTS
I. Vocational and Trade Skills _____________
1. Ability to meet the quality of work in relation to the quality of standards _____________
2. Work output quality in relation to work satisfaction _____________
3. Application of the acquired job knowledge and skills _____________
4. Care in handling supplies and materials Sub-total: _________
II. Work Qualities and Habits _____________
1. Always go to work on time _____________
2. Always show initiative in work _____________
3. Always show sense of reliability _____________
4. Has the ability to follow directions _____________
5. Application of the assignment industry-personal work Sub-total: ___________
III. Personal and Social Qualities _____________
1. Ability to show work together with other people _____________
2. Ability to control one’s emotions _____________
3. Shows a good level of self-confidence that is appropriate in the work _____________
4. Reaction to advice and to constructive criticisms _____________
5. Willingness to follow directions _____________
6. Capacity to adjust to changing situations and to new problems Sub-total: ___________
IV. Communication Skills
1. Ability in oral communication ____________
2. Ability in written communications ____________
3. Knowledge in related job vocabulary ____________
Sub-total: ___________
V. Public and Human Relations ____________
1. Ability to work harmoniously with immediate superiors ____________
2. Ability to work harmoniously with co-workers Sub-total: _________
 Republic of the Philippines
Department of Education
Region 1
Schools Division of Ilocos Norte
PIDDIG NATIONAL HIGH SCHOOL
Piddig

Comments:
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Descriptive Rating (DR) Numerical Rating (NR)
O Outstanding 90% - above
VS Very Satisfactory 85% - 89%
S Satisfactory 80% - 84%
FS Fairly Satisfactory 75% - 79%
D Did Not Meet Expectations 74% - below

Total Points Earned: ______________ Equivalent Descriptive Rating: ______________

Signed by:
_____________________ ______________________________ ____________
Name of Rater Position Date

Contents Noted:

EMERZON C. GUILLERMO, EdD CLARISSA S. PARAISO RIZALINA T. MANZANO, EdD

SHS Coordinator School-Industry Linkage Officer School Principal IV
 Republic of the Philippines
Department of Education
Region 1
Schools Division of Ilocos Norte
PIDDIG NATIONAL HIGH SCHOOL
Piddig

Insert
LOGO

COMPANY INFORMATION SHEET

Name of Company: _____________________________________________________________________

Address: ______________________________________________________________________________
Name of Owner: ________________________________________________________________________
Classification: __________________________________________________________________________
________Commercial Bank
________Telecommunications
________Educational Services
________Research Laboratories
________Hospital
________Health Care Services
________Cooperatives
________National Security Services
________Travel Services
________Work and Highways
________Others (pls. specify) _________________________________________________________

Front of the building Back of the building

NAME: _________________________________________
STRAND: _________________________________________
DATE: _________________________________________
 Republic of the Philippines
Department of Education
Region 1
Schools Division of Ilocos Norte
PIDDIG NATIONAL HIGH SCHOOL
Piddig

NARRATIVE REPORT ON COMPANY PROFILE

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DAILY TRAINING ACTIVITIES

Name: ___________________________________ Supervisor: ________________________________

Specialization: _____________________________ Supervisor’s Signature: _______________________
 Republic of the Philippines
Department of Education
Region 1
Schools Division of Ilocos Norte
PIDDIG NATIONAL HIGH SCHOOL
Piddig

Date Activities
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Date Activities
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Name: ___________________________________ Supervisor: ________________________________

Specialization: _____________________________ Supervisor’s Signature: _______________________
 Republic of the Philippines
Department of Education
Region 1
Schools Division of Ilocos Norte
PIDDIG NATIONAL HIGH SCHOOL
Piddig

WEEKLY REPORT ON ACTIVITIES PERFORMED

DATE ACTIVITIES
 Republic of the Philippines
Department of Education
Region 1
Schools Division of Ilocos Norte
PIDDIG NATIONAL HIGH SCHOOL
Piddig

NAME: _________________________________________
STRAND: _________________________________________
DATE: _________________________________________

REFLECTION PAPER

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 Republic of the Philippines
Department of Education
Region 1
Schools Division of Ilocos Norte
PIDDIG NATIONAL HIGH SCHOOL
Piddig

TRAINEE SELF ASSESSMENT

Answer the following question briefly:

1. Where you given orientation regarding the extent and scope of your work immersion?
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2. Who had given you orientation?
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3. Did the company provide you with the assistance when you were in doubt of your task? How?
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4. Were you able to get along with the employees of the company?
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5. Do you think that your training is relevant to your strand/specialization? Why?
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6. Did you learn additional skills and knowledge from your training?
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7. Explain how you were benefited from your training.
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8. Was there effective supervision of your training? Explain.

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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 1
Schools Division of Ilocos Norte
PIDDIG NATIONAL HIGH SCHOOL
Piddig

SENIOR HIGH SCHOOL | WORK IMMERSION DEPLOYMENT - SUPERVISORY PLAN

Date: ___________________________________ Teacher-in-Charge: ____________________________
Time: ___________________________________ Establishment: ________________________________

Observations:

Problems Encountered:

Action Taken:

Remarks:

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Trainee Leader
(Signature Over Printed Name)
Prepared by:

CLARISSA S. PARAISO LOUIE J. UBAY

School-Industry Linkage Officer Co-School-Industry Linkage Officer

Checked & Verified:

EMERZON C. GUILLERMO, EdD MARCOS T. ANTONIO, JR. RIZALINA T. MANZANO, EdD

SHS Coordinator Head Teacher III School Principal IV
 Republic of the Philippines
Department of Education
Region 1
Schools Division of Ilocos Norte
PIDDIG NATIONAL HIGH SCHOOL
Piddig

SUPERVISOR’ RATING
Name of the Trainee: ___________________________________Grade Level: ____Gender: ____Age: ____
Department: __________________________________________Specialization: ______________________
Cooperating Business Partner: ______________________________________________________________
Cooperating Business Address: _____________________________________________________________
Cover Date Period: _____________________________________Total Number of Hours: ______________

PART II. (To be filled up by a Representative where the

student is deployed). Standard Evaluator’s
JOB FACTOR Rating Rating
A. WORK PERFORMANCE 50%
1. Knowledge of work (able to grasp as instructed) 10%
2. Quality of work (can cope with the demand of additional unexpected work 10%
load in limited time)
3. Quality of work (performs an assigned job efficiently as possible) 10%
4. Attendance (follows assigned work schedule) 10%
5. Punctuality (reports to work assignment work schedule) 10%
B. PERSONALITY TRAITS 50%
1. Physical Appearance (personally well-groomed and always appropriate 5%
dress)
2. Attitude towards work (always shows enthusiasm and interest) 5%
3. Courtesy (shows respect authority at all times) 5%
4. Conduct (observes rules and regulations of establishment) 5%
5. Perseverance and industriousness (shows initiative and interest in work 5%
over and above what is assigned)
6. Drive and leadership (inquisitive and aggressive) 5%
7. Mental maturity (effective and calm under pressure) 5%
8. Sociability (can work harmoniously with other employees) 5%
9. Reliability (trusted to be left alone to use or operate office equipment) 5%
10. Possession of traits necessary for employment in kind of work. 5%
TOTAL RATING 100%
 Republic of the Philippines
Department of Education
Region 1
Schools Division of Ilocos Norte
PIDDIG NATIONAL HIGH SCHOOL
Piddig

Comments:
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Descriptive Rating (DR) Numerical Rating (NR)
O Outstanding 90% - above
VS Very Satisfactory 85% - 89%
S Satisfactory 80% - 84%
FS Fairy Satisfactory 75% - 79%
D Did Not Meet Expectations 74% - Below

Contents Noted:

EMERZON C. GUILLERMO, EdD CLARISSA S. PARAISO RIZALINA T. MANZANO, EdD

SHS Coordinator School-Industry Linkage Officer School Principal IV
 Republic of the Philippines
Department of Education
Region 1
Schools Division of Ilocos Norte
PIDDIG NATIONAL HIGH SCHOOL
Piddig

DAILY LOG OF ACTIVITIES AND TRAINING HOURS

Name of Trainee: ____________________________ Station/Agency: ___________________________

For the Month of: _________________________

SIGNATURE
Da AM AM PM PM OF
DATE NATURE OF WORK
y IN OUT IN OUT AUTHORIZED
PERSONNEL
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

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Signature Over Printed Name of Student Signature Over Printed Name of Authorized Personnel
 Republic of the Philippines
Department of Education
Region 1
Schools Division of Ilocos Norte
PIDDIG NATIONAL HIGH SCHOOL
Piddig

WORK
IMMERSION
GALLERY
 Republic of the Philippines
Department of Education
Region 1
Schools Division of Ilocos Norte
PIDDIG NATIONAL HIGH SCHOOL
Piddig

Before

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 Republic of the Philippines
Department of Education
Region 1
Schools Division of Ilocos Norte
PIDDIG NATIONAL HIGH SCHOOL
Piddig

During

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 Republic of the Philippines
Department of Education
Region 1
Schools Division of Ilocos Norte
PIDDIG NATIONAL HIGH SCHOOL
Piddig

After

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