ASHI WORK IMMERSION Portfolio

Republic of the Philippines
Department of Education
Region IV-A (CALABARZON)
Division of Cavite
AMAYA SCHOOL OF HOME INDUSTRIES
Sahud-Ulan, Tanza, Cavite
WORK
IMMERSION
Reference Book
This belongs to:
Name of Student
Track / Strand / Specialization / Section
Work Immersion Reference Book Page 1

Division of Cavite
Purpose of Reference Book
Students:
 The book can be used as a source for motivation

 Overall information about rules /regulation from School and company
 Documentation and approval of lessons learned
 Feedback of performance level
 Reference book, even for the time after training
 Helpful for preparation for assessment
 Door opener for job application
School:
 Contains regulations and conditions regarding contract between school and student
 Information about curriculum and record of lessons learned
 Record of students performance
 Record of students attitudes
Company
 Contains Introduction of company in general

 rules and regulation for training inside the company
 record of performance during in-company training
 feedback from student

Division of Cavite
Content of Reference Book
1. Student Profile
a. Student details
b. Learned competencies
c. Expectations from immersion
2. Documents from School

a. Request for work immersion
b. Endorsement letter
c. Company acceptance form
d. Work immersion agreement & liability waiver
e. Curriculum
3. Documents from Company

a. Company Profile
b. Rules and Regulations
4. Training Plan
a. Attendance
b. Training Plan
5. Learning Journal
6. Evaluation
7. Student Documentation
8. Contact Details
Division of Cavite
Student’s Profile
Name: _______________________________________________
Age: _________________________ Gender : ______________
Grade Level / Section : __________________________________
Specialization : ________________________________________
Birthday: _____________________________________________
Contact no.: __________________________________________
Email Address / FB Account : _________________________________________________________
Address: __________________________________________________________________________
Immersion duration: ________________________________________________________________
What do I expect from this immersion?

Division of Cavite
APPLICATION FOR WORK IMMERSION

___________________________
___________________________
___________________________
Sir/ Madame:
This is to request permission from your good office to please allow, __________________________, a
Senior High School – Grade 12 student, to undergo a 240 hours WORK IMMERSION in your establishment to
acquire industrial ORIENTATION. The training period will start immediately upon your acceptance of the bearer
under the terms and conditions as stipulated in the duly accomplished memorandum of agreement hereto
attached for your confirmation. Moreover, a student evaluation is provided where a student is assessed on his/
her performance, attitude and behavior to be attested by the supervisor. The Industry Linkage Coordinator and
teachers handling each technology area from our school will visit your company/shop from time to time to find
out how the student perform in the working area.
Thank you very much for your usual cooperation and assistance extended to the school.
ENDORSEMENT LETTER
Sir/ Madame:
This is to introduce, ____________________________ , who is a grade 12 Senior High School student enrolled
in our school under the K to 12 program with specialization in ______________________________ , and to
further endorse < his/her > application with your company to undergo WORK IMMERSION for a minimum of 400 hours as
a requirement of the curriculum.
We believe that schools must link up with industry in order to update, upgrade and make the education of our youth more
relevant to the actual needs of the industry. It is in this regard that we request you to give such opportunities to our students
by allowing them to do part time work with your company. Together with this letter is an Acceptance Form. We request that
said form be accomplished and returned to this office upon acceptance of our student in your company. We are confident
that given the opportunity, our student will be an asset to your company.
Thank you for the favorable action and we look forward to a more fruitful linkage with you.
Very truly yours,
JOANNA LEE A. RICAFRENTE

Work Immersion Coordinator
Noted:
LUIS G. VIÑEGAS
School Principal IV

Division of Cavite
COMPANY ACCEPTANCE FORM
This is to certify that ____________________________

accepted in our company ____________________________
with address at ________________________________
for Work Immersion starting ______________________________
Signed this ______day of _______________, 20___.
__________________________________
Company Authorized Representative
LIABILITY WAIVER
I am fully aware of the duties and responsibilities I will undertake through the Work Immersion
Program with cooperating industry through the request of Amaya School of Home Industries:
I recognize the authority of my cooperating industry which I may be placed and submit myself to all
the rules and regulations that may be imposed upon myself the following duties.
I renounce and waive any claim against the cooperating industry and the AMAYA SCHOOL OF HOME
INDUSTRIES for any injury that I may sustain/loss that I suffer, personal/financial in the performance
of my duties / function.
Name of Student: ___________________________

Signature: _____________________________________
Date: __________________________________________

Division of Cavite
PARENTAL/GUARDIAN’S CONSENT
And I, the minor’s parent and/or legal guardian, allow my son/daughter to undergo work immersion
for a minimum of 400 hours starting on __________________ until __________________ at
___________________________________________________ in partial fulfillment of the
requirements for Senior High School.
It is understood that he/she abides by the rules and regulations that may be imposed by the
Supervisor/Staff-in-Charge for his/her welfare and safety.
I fully agree to waive any responsibility on the part of Amaya School of Home Industries, in case of
any untoward incident that may happen to my son/daughter during the duration of the WORK
IMMERSION.
Name of Parent/Legal Guardian: _____________________________

Signature: ________________________________________________
Date: ________________________________________________

Division of Cavite
ATTENDANCE SHEET
For the Month of : For the Month of :
Signature Signature
Time No. of Time No. of
Date Time In of Date Time In of
Out Hours Out Hours
Superior Superior
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
21 21
22 22
23 23
24 24
25 25
26 26
27 27
28 28
29 29
30 30
31 31

Division of Cavite
ATTENDANCE SHEET
For the Month of : For the Month of :
Signature Signature
Time No. of Time No. of
Date Time In of Date Time In of
Out Hours Out Hours
Superior Superior
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
21 21
22 22
23 23
24 24
25 25
26 26
27 27
28 28
29 29
30 30
31 31

Division of Cavite
LEARNING JOURNAL
- Student shall input learnings (i.e what has been learned, activities performed, problems encountered, other
comments) in this logbook every week.
- At the end of the week, the student should ask his/her respective supervisor to sign.
Week 1: from _____________________ to _____________________
Noted by immediate superior:
Week 2: from _____________________ to _____________________

Division of Cavite
LEARNING JOURNAL
Week 3: from _____________________ to _____________________
Week 4: from _____________________ to _____________________

Division of Cavite
LEARNING JOURNAL
Week 5: from _____________________ to _____________________
Week 6: from _____________________ to _____________________

Division of Cavite
LEARNING JOURNAL
Week 7: from _____________________ to _____________________
Week 8: from _____________________ to _____________________

Division of Cavite
LEARNING JOURNAL (SUMMARY)

Division of Cavite
WORK IMMERSION EVALUATION SHEET

Student Name :
Name of Company :
Address :
Specialization: Department Assigned:
Inclusive Date of Training: Number of Hours Required:
Standard Evaluator’s Evaluator’s

JOB FACTORS Rating Rating Rating
Company School
(60%) (40%)
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 load in a 10%
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 wears appropriate 5%
dress)
2. Attitude towards work (always shows enthusiasm and interest) 5%
3. Courtesy (shows respect for authority at all times) 5%
4. Conduct (observes rules and regulations of establishment) 5%
5. Perseverance and industriousness ( shows initiative and interests in work over and 5%
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 this kind of work. 5%
Note: Passing Rate is 75%. 100%
PERCENTAGE
FINAL RATING
EVALUATOR’S SIGNATURE
For the Company: For the School:

JOANNA LEE A. RICAFRENTE
HR Personnel or
Trainee’s Immediate Superior Immersion Teacher Partnership Focal Person
Authorized Representative

Division of Cavite
Immediate Supervisor’s Comments:
Immediate Supervisor’s Signature/Date Student’s Signature/Date
HR Supervisor’s Signature/Date

Division of Cavite
MONITORING SHEET
Monitoring
Comments Signature
Date
Over-all Immersion Teacher’s Comments / Findings / Suggestions:
Immersion Teacher’s Signature/Date Student’s Signature/Date
Work Immersion Coordinator Signature/Date

Division of Cavite
APPENDICES

Division of Cavite
TRAINING PLAN

Division of Cavite
List of Tasks/ Activities
Name of Student Grade and Section

School Immersion Site
Track Strand/Specialization
Duration of Work
Immersion
School Partnership
Focal Person
Work Immersion
Teacher
Competencies Tasks/ Time Allotment Actual Schedule Remarks

Activities
Certified true and correct:
_______________________________ _______________________________
Student’s Signature Over Printed Name Parent’s Signature Over Printed Name
_______________________________ _______________________________
Work Immersion Teacher’s Signature Industry Supervisor’s Signature Over
Printed Name Printed Name

Division of Cavite
COMPANY PROFILE (Brief Description)

Division of Cavite
WORK IMMERSION PHOTO WITH CAPTION

Division of Cavite
WORK IMMERSION CERTIFICATE OF COMPLETION

Division of Cavite
Contact Details

Address: Barangay Sahod-Ulan, Tanza, Cavite
Contact No.: 481-72-68
Contact Persons:
JOANNA LEE A. RICAFRENTE ELIANETH M. CARINGAL

Work Immersion Coordinator Senior High School Coordinator
Contact Number: 09263172732 Contact Number: 09173908453
NOEL R. CABALIN
Industry Linkage Coordinator
Contact Number: 09981236315
All Rights Reserved.

ASHI
April 2019

ASHI WORK IMMERSION Portfolio

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ASHI WORK IMMERSION Portfolio

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Republic of the Philippines

This belongs to:

Track / Strand / Specialization / Section

Work Immersion Reference Book Page 1

Purpose of Reference Book

 The book can be used as a source for motivation

 Contains Introduction of company in general

Work Immersion Reference Book Page 2

Content of Reference Book

2. Documents from School

3. Documents from Company

Age: _________________________ Gender : ______________

Grade Level / Section : __________________________________

Contact no.: __________________________________________

Email Address / FB Account : _________________________________________________________

Immersion duration: ________________________________________________________________

What do I expect from this immersion?

Work Immersion Reference Book Page 4

APPLICATION FOR WORK IMMERSION

Very truly yours,

JOANNA LEE A. RICAFRENTE

Work Immersion Reference Book Page 5

COMPANY ACCEPTANCE FORM

This is to certify that ____________________________

Name of Student: ___________________________

Work Immersion Reference Book Page 6

Name of Parent/Legal Guardian: _____________________________

Work Immersion Reference Book Page 7

Work Immersion Reference Book Page 8

Work Immersion Reference Book Page 9

Week 1: from _____________________ to _____________________

Noted by immediate superior:

Week 2: from _____________________ to _____________________

Noted by immediate superior:

Work Immersion Reference Book Page 10

Week 3: from _____________________ to _____________________

Noted by immediate superior:

Week 4: from _____________________ to _____________________

Noted by immediate superior:

Work Immersion Reference Book Page 11

Week 5: from _____________________ to _____________________

Noted by immediate superior:

Week 6: from _____________________ to _____________________

Noted by immediate superior:

Work Immersion Reference Book Page 12

Week 7: from _____________________ to _____________________

Noted by immediate superior:

Week 8: from _____________________ to _____________________

Noted by immediate superior:

Work Immersion Reference Book Page 13

LEARNING JOURNAL (SUMMARY)

Work Immersion Reference Book Page 14

WORK IMMERSION EVALUATION SHEET

Standard Evaluator’s Evaluator’s

For the Company: For the School:

Work Immersion Reference Book Page 15

Immediate Supervisor’s Comments:

Immediate Supervisor’s Signature/Date Student’s Signature/Date

Work Immersion Reference Book Page 16

Over-all Immersion Teacher’s Comments / Findings / Suggestions:

Immersion Teacher’s Signature/Date Student’s Signature/Date

Work Immersion Coordinator Signature/Date

Work Immersion Reference Book Page 17

Age: ___________ Gender :

Week 1: from _ to _

Week 2: from _ to _

Week 3: from _ to _

Week 4: from _ to _

Week 5: from _ to _

Week 6: from _ to _

Week 7: from _ to _

Week 8: from _ to _