Department of Education

Region VI – Western Visayas

Division of Aklan
BACAN NATIONAL HIGH SCHOOL
Bacan, Banga, Aklan

STUDENT’S IMMERSION PERFORMANCE RATING

Name of Student: ________________________________________________________
Area: ________________________________________________________
Name of the Cooperating Agency: ___________________________________________
Address of the Agency : ___________________________________________________
Training Started :_________________________________________________________
Training Completed : ______________________________________________________
No. of Hours Required: ____________________________________________________
No. of Hours Attended: ____________________________________________________

For the Supervising Officer/Authority of the Cooperating Agency, please indicate the grade of
the Immersion student assigned to your agency using the performance rating indicated below:

95 – 100 Excellent 85 – 89 Very Good 75-79 Fair

90-94 Outstanding 80 -84 Good 70-74 Poor

Also, please indicate the average grade and your remarks about the Immersion student’s
performance.
Descriptive Rating Numeric Rating
Attendance and Punctuality
Courtesy and Good manners
Leadership and Industriousness
Personal Relationship
Knowledge and Skills on the Job
Awareness of Safety Practices
Compliance of Company Regulations
Reliability
Workmanship
Average Grade

Remarks: ____________________________________________________________________

_____________________________________________________________________________

_____________________________________

Name and Signature of the Industry Manager/ Supervisor/Owner