Republic of the Philippines
Department of Education
REGION III- CENTRAL LUZON
SCHOOLS DIVISION OF NUEVA ECIJA
PEÑARANDA NATIONAL HIGH SCHOOL - Senior High School
Zamora Street, Poblacion I, Penaranda, Nueva Ecija
IMMERSION EVALUATION FORM
NAME OF STUDENT: KIM IRENE LITONG FERRER
STRAND: 12 TVL CAREME
A. WORK PERFORMANCE
1. Knowledge of work 10% _________
(Able to grasp as instructed)
2. Quantity of work 10% _________
(Can cope with the demand of additional
workload in a limited time)
3. Quality of work 10% _________
(Performs an assigned job as efficiently as possible)
4. Attendance 10% _________
(Follows assigned work schedule
Punctuality 10% _________
(Reports to work assignment on time)
B. PERSONALITY TRAITS
1. Physical Appearance 5% _________
(Personality well-groomed and always appropriately dressed)
2. Attitudes towards work 5% _________
(Always shows enthusiasm and interest)
3. Courtesy 5% _________
(Show respect for authority at all times)
4. Conduct 5% _________
(Observes rules and regulations of establishments)
5. Perseverance and Industriousness 5% _________
(Shows interactive and interest in work over
and above what is assigned)
6. Drive and Leadership 5% _________
(Inquisitive and aggressive)
7. Mental Maturity 5% _________
(Effective and calm under pressure)
8. Sociability 5% _________
(Can work harmoniously with other employees)
9. Reliability 5% _________
(Trusted to be left alone to use or operate equipment)
10. Possession of traits necessary 5% _________
for employment in this work
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TOTAL RATING 100% _______________
General impressions and observations of the immersion learner
________________________________________________________________________________________________
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Evaluated by: _______________________________ Verified by: _________________________________
Designation: ________________________________ Designation:________________________________
Signature/Date:______________________________ Signature/Date:_____________________________
Institution’s Stamp:
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