Work Immersion Evaluation Form

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Republic of the Philippines

Department of Education
BATO SCHOOL OF FISHERIES
Bato, Leyte

WORK IMMERSION PERFORMANCE EVALUATION FORM

Student: __________________________________________ Grade & Section: 12- Gelidium


Track/Strand: ______________________________________
Partner Agency/Company: ___________________________
Period Covered: ____________________________________
Total Immersion Hours Complied: _____________________

Direction: This form seeks your objective, honest and fair evaluation of the student’s performance during the work
immersion. Please check the box corresponding to your rating in each item using the scale below:
5-Outstanding
4-Very Satisfactory
3-Satisfactory
2-Unsatisfactory
1-Poor
O VS S US P
PERFORMANCE INDICATORS/ITEMS
5 4 3 2 1
1. Reports to work on time and regularly
2. Reports to work in proper uniform/attire and good grooming
3. Accepts responsibility and volunteers for an assignment
4. Establishes rapport with the personnel he/she is associated with
5. Cooperates with co-trainees with job related concerns
6. Shows respect to his/her co-trainees, employees and superiors
7. Has a great deal of initiative and enthusiasm to learn the job
8. Learns job detail quickly
9. Performs the job without needing close supervision
10.Finds way to do the job better
11.Follows jib instructions correctly
12.Performs job with ease and self-confidence
13.Finishes job on time
14.Prepares/submits report accurately and punctually
15.Makes worthwhile suggestions
16.Courteous and considerate clients
17.Observes agency/company rules and regulations
18.Exhibits orderly and safe working habits
19.Exhibits proper work ethics
20.Shows the potential of becoming a good employee/worker someday
TOTAL POINTS
AVERAGE RATING (total points /no.of items)
EQUIVALENT GRADE

Rated by: Conforme:


____________________________________ ____________________________________
Signature of Rater Over Printed Name Signature of Student Over Printed Name
____________________________________
Position/Designation

Date: ____________________________

Noted:

AUREA B. PONFERRADA
Work Immersion Teacher

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