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GUIDELINES FOR STUDENTS APPLYING FOR

WORK IMMERSION

WHO ARE QUALIFIED TO AVAIL THE WORK IMMERSION PROGRAM

1. Those who have completed and passed the specialization of the track and strand taken.
2. Those who are cleared from any liability monetary and have no pending/failing grades.
3. Those who are of good moral character.
4. Those who have submitted Application for Work Immersion.

RULES AND REGULATIONS DURING WORK IMMERSION

1. All learners undergoing immersion are required to report everyday to their Work Immersion
Teacher and Supervisor of the progress of their training program and to solve problems
encountered as well as to further develop their skills and know how.
2. All learners undergoing immersion are required to wear the official uniform. This was
recommended in order to save money for clothing as well as enhance their personality unless
deemed required by the Partner Institution to wearing a more decent and appropriate dress. In
addition, it will serve as the school identity.

REQUIREMENTS TO SUBMIT AFTER THE WORK IMMERSION

1. Work Immersion rating (2 copies)

2. Certification from the work immersion venue duly signed by the work immersion focal or the
authorized signatory and/or company representative.
3. Accomplished resume, application form and work immersion kit (Work Immersion
guidelines, Rating Sheet, Waiver, Application, Personal Information Form, Training
Agreement, Attendance Record )
4. Clearance Documents (Cedula, Barangay Clearance, NSO )
5. Portfolio
a. Written Narrative (profile of the company, activities performed, learnings )
b. Daily tasks record
c. Gallery of Photos/Illustrations of activities performed
d. Weekly diary
e. Reflection Paper

IMPORTANT: Students who reported to an office for his/her office training without the consent
and approval of the coordinator shall not be considered as VALID. He/she may be blacklisted
for immersion.
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PERSONAL INFORMATION FORM

SEX CIVIL
STUDENT’S NAME: STATUS
MALE SINGLE WIDOW/ER

DATE OF BIRTH: PLACE OF BIRTH: FEMALE MARRIED SEPARATED

COMPLETE ADDRESS:

HEIGHT: WEIGHT: TELEPHONE NO.

PERSON TO NOTIFY: TELEPHONE NO.

COMPLETE ADDRESS:

DEGREE/ UNITS
EDUCATION NAME OF SCHOOL INCLUSIVE DATES
EARNED
ELEMENTARY

JUNIOR HIGH

SENIOR HIGH

COLLEGE

POST GRADUATE

VOCATIONAL

TRACK & STRAND:

SECTION:

ADVISER:

WORK IMMERSION TEACHER/COORDINATOR:

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APPLICATION FOR WORK IMMERSION

Name: ______________________________________ Grade & Section: _______________
Date Started: ________________ Date Finished: ________________

SUBJECT/S TAKEN REMARKS TEACHER’S SIGNATURE

Grade/Sem:

Grade/Sem:

Grade/Sem:

This is to certify that the above are true and correct, that I passed all the requirements in
__________________ given by Gateways Institute of Science and Technology.

___________________ Approved by: _________________

Signature of Student School Principal
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TRAINING AGREEMENT/WAIVER

Name of Student: _____________________________________________________________

Work Immersion Venue:___________________ Address: ____________________________

The purpose of this memorandum is to set forth a plan for training the learner who is enrolled in Grade 12
of ant track/strand offered by Gateways Institute of Science and Technology as a pre-requisite for
completion of the Senior High School in order that maximum learning and job proficiency may be
achieved by the student trainee. A list of work experience under each unit of the course of study is
provided as the type of experience expected to be learned from the work immersion.

The student agrees to work and study diligently both when receiving business experience and
when attending school. The student also agrees to take advantage of every opportunity to improve the
skill, knowledge, and personality in order to qualify in his chosen occupation. It is understood that the
trainee will observe the same regulations which apply to other employees.

The workplace immersion venue and supervisor agree to work and assist our training center in
giving the students the well rounded training by assigning the students several phases of work during the
training period. Training sponsor usually supervisor or department head or senior clerk, may be
appointed to direct the students job training in each of the work assigned. At the end of the training
period, the employer will complete the WORK IMMERSION RATING SHEET which gives an
evaluation of the performance and personality of the student trainee.

The Work Immersion Teacher as well as the School Partnership Focal Person will assist the
employer in carrying out the training of the student. He will conduct the classroom instruction and
correlate these instructions received by the students to her actual immersion experiences. He shall confer
with the employer and visit the trainee at work in order to discover and correct the weaknesses of the
student trainee.

The parent or the guardian of the student has been informed about the program and permission
has been secured for the student to receive the classroom instruction and business experience in the actual
workplace.

The training period starts on the date (covering 60-100 hours) this agreement has been approved
and signed by the employer or his representative. The student will report in the office
from______to_______a.m./p.m. This training agreement may be terminated for a just cause by any
person named in this memorandum with the understanding that the notice will be given to all interested
parties.

_________________________ ___________________________________
Signature of Student Trainee Signature of Work Immersion Supervisor / Representative

_________________________ _______________________________
Signature of Parent / Guardian Signature of Work Immersion Teacher

_________________________ Date to Start: _________________

Signature of School Partnership Focal Person Date to End: __________________
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WORK IMMERSION RATING SHEET

ACADEMIC: ABM (ACCOUNTANCY, BUSINESS AND MANAGEMENT)

NAME OF STUDENT: _____________________________TRAINING STATION: ________________

DATE STARTED: _____________________________ DATE ENDED: __________________

Your constructive criticism enables us to provide better instructional training. Please encircle the
following trait as: (1) Excellent, (2) Very Satisfactory, (3) Satisfactory,
(4) Average, (5) Unsatisfactory.

PERSONAL TRAITS: SKILL PERFORMANCE:

Grooming 1 2 3 4 5 Grammar, Spelling 1 2 3 4 5

Personal Hygiene 1 2 3 4 5 Punctuation 1 2 3 4 5
Department (conduct) 1 2 3 4 5 Filing 1 2 3 4 5
Interest in Work 1 2 3 4 5 General Clerical 1 2 3 4 5
Cooperation 1 2 3 4 5 Proofreading 1 2 3 4 5
Resourcefulness 1 2 3 4 5 Office Machines 1 2 3 4 5
Adaptability 1 2 3 4 5 Bookkeeping 1 2 3 4 5
Computations 1 2 3 4 5

ABILITY TO: BUSINESS TECHNIQUES

Express oneself 1 2 3 4 5 Use of Telephone 1 2 3 4 5
Follow Directions 1 2 3 4 5 Use Source of Information 1 2 3 4 5
Take Criticism 1 2 3 4 5 Meeting People 1 2 3 4 5
Understand 1 2 3 4 5 Use of Office Supplies 1 2 3 4 5
Instruction

Remarks: (Suggestions/Comments/Commendation)
1. Please list suggestions for the improvement of the student trainee.
2. Please list the good point of the student trainee.

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

______________________________________________ ________________________
Signature over Printed Name of Employer/Representative Position
(Training Station)

______________________________________________ Date: ___________________

Signature over Printed Name of Training Coordinator
(GIST)
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WORK IMMERSION RATING SHEET

TVL: ICT (INFORMATION & COMMUNICATIONS TECHNOLOGY)

NAME OF STUDENT: _____________________________TRAINING STATION: ________________

DATE STARTED: _____________________________ DATE ENDED: __________________

Your constructive criticism enables us to provide better instructional training. Please encircle the
following trait as: (1) Excellent, (2) Very Satisfactory, (3) Satisfactory,
(4) Average, (5) Unsatisfactory.

PERSONAL TRAITS: SKILL PERFORMANCE:

Grooming 1 2 3 4 5 Install Computer Systems 1 2 3 4 5

Personal Hygiene 1 2 3 4 5 and Networks
Deportment (conduct) 1 2 3 4 5 Configure Computer 1 2 3 4 5
Interest in Work 1 2 3 4 5 Systems & Networks
Cooperation 1 2 3 4 5 Maintain Computer 1 2 3 4 5
Resourcefulness 1 2 3 4 5 Systems and Networks
Adaptability 1 2 3 4 5 OHS Procedures 1 2 3 4 5
Diagnose and Troubleshoot 1 2 3 4 5
Computer Systems

ABILITY TO:
Express oneself 1 2 3 4 5
Follow Directions 1 2 3 4 5
Take Criticism 1 2 3 4 5
Understand 1 2 3 4 5
Instruction

Remarks: (Suggestions/Comments/Commendation)
1. Please list suggestions for the improvement of the student trainee.
2. Please list the good point of the student trainee.

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

______________________________________________ ________________________
Signature over Printed Name of Employer/Representative Position
(Training Station)

______________________________________________ Date: ___________________

Signature over Printed Name of Training Coordinator
(GIST)
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WORK IMMERSION RATING SHEET

TVL: HE (HOME ECONOMICS)

NAME OF STUDENT: _____________________________TRAINING STATION: ________________

DATE STARTED: _____________________________ DATE ENDED: __________________

Your constructive criticism enables us to provide better instructional training. Please encircle the
following trait as: (1) Excellent, (2) Very Satisfactory, (3) Satisfactory,
(4) Average, (5) Unsatisfactory.

PERSONAL TRAITS: SKILL PERFORMANCE:

FBS (Food & Beverage Services)
Grooming 1 2 3 4 5 Prepare the Dining Room 1 2 3 4 5
Personal Hygiene 1 2 3 4 5 Restaurant Area for Service
Department (conduct) 1 2 3 4 5 Welcome Guests and Take 1 2 3 4 5
Interest in Work 1 2 3 4 5 Food and Beverage Order
Cooperation 1 2 3 4 5 Promote Food & Beverage 1 2 3 4 5
Resourcefulness 1 2 3 4 5 Products
Adaptability 1 2 3 4 5 Provide Food and Beverage 1 2 3 4 5
Services
Receive and Handle 1 2 3 4 5
Concern
OTHER COMPETENCIES
ABILITY TO: Culinary 1 2 3 4 5
Express oneself 1 2 3 4 5 Bartending 1 2 3 4 5
Follow Directions 1 2 3 4 5 Front Office Procedures 1 2 3 4 5
Take Criticism 1 2 3 4 5 Baking 1 2 3 4 5
Understand 1 2 3 4 5 Communication Skills 1 2 3 4 5
Instruction Computational Fluency 1 2 3 4 5

Remarks: (Suggestions/Comments/Commendation)
1. Please list suggestions for the improvement of the student trainee.
2. Please list the good point of the student trainee.

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

______________________________________________ ________________________
Signature over Printed Name of Employer/Representative Position
(Training Station)

______________________________________________ Date: ___________________

Signature over Printed Name of Training Coordinator
(GIST)