Schools Division Office

City of Mandaluyong
ISAAC LOPEZ INTEGRATED SCHOOL
Ilino Cruz St., Vergara, City of Mandaluyong
ilis_vergara@yahoo.com
531-7974/275-6831

WORK IMMERSION STUDENTS PERFORMANCE

STUDENTS NAME: _________________________ STRAND: __________

Partner Institution: ___________________________________________________________________

Address: _______________________________________________ Contact #________________

Work Immersion Supervisor: ______________________________ Position: __________________

Training Period ________to _____________ Total number of hours: __________

Direction: For each behavioral item listed within the competency given, with 5 being the most and 1 is
the least, please select the evaluation that most suited.

5 Outstanding Performance exceeds the required standard

4 Very Satisfactory
3 Satisfactory
2 Fair
1 Need Improvement
N/A Not applicable
Performance fully met job requirements. Was able to
perform what was expected of a person in his/her
position.
Performance has met required standards. Can perform
duties with minimal supervision.
Performance partially meets the required standard. Less
than satisfactory could be doing better.
Performance does not meet the required standard.
Major improvement needed.
Performance indicator is not relevant to the job.

COMPETENCIES 5 4 3 2 1
Team Work
1. Consistently work with others to accomplish goals and tasks.
2. Willing to work with team members to improve team
collaboration on a continuous basis.
3. Actively participate in activities and assign tasks required.
4. Treats all team member in a respectful manner.
5. Consider the feedback and views of other team members.
Team work total scores/5
COMPETENCIES 5 4 3 2 1
COMMUNICATION
1. Actively listen to supervisors and co -workers.
2. Comprehends written and oral information.
3. Consistently delivers accurate information both written and
oral.
4. Reliably provide feedback as required , both internal and
external.
COMMUNICATION TOTAL SCORE/4
COMPETENCIES 5 4 3 2 1
ATTENDANCE AND PUNCTUALITY
1. Is punctual on a regular basis.
2. 2.Maintain good attendance
3. 3. Inform supervisors when absenteeism and tardiness may
occur.
ATTENDANCE AND PUNCTUALITY TOTAL SCORE/3
 COMPETENCIES 5 4 3 2 1
INITIATIVE/VISIONARY
1. Completes assignments with minimum supervision.
2. Completes task independently and consistently.
3. Recognizes and takes immediate action to effectively
address problems and opportunities.
4. Engages in continuous learning.
5. Contributes new ideas and shares skills to improve
department/organization.
Initiative/Visionary total score/5
COMPETENCIES 5 4 3 2 1
JUDGEMENT/DECISION MAKING
1. Analyzes problems effectively
2. Has the ability to make creative and effective solutions to
problems.
Judgement /Decision making total score/2

COMPETENCIES 5 4 3 2 1
PRODUCTIVITY/RESILIENCE
1. Consistently produce quality results.
2. Meets deadline and manage time wisely.
3. Can do a multitasking.
4. Can work under pressure .
5. Effective and efficient in time management.
6. Efficiently informs supervisor of any challenge and hindrance
related to given tasks or assignment.
PRODUCTIVITY /RESILIENCE TOTAL SCORE/6

GENERAL EVALUATION:

What can you say about the overall performance of the trainee?

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Which area /assignment does he/she excel the most?

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

What are his/her weak and strong points as a trainee?

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
_____________________________________________________________________________

Student’s Signature______________ Date: _________

Work Immersion Supervisor’s Signature over Printed Name: ____________________

Prepared by:

Concepcion B. Floro
Immersion Teacher
 Summary of Scores

TEAM WORK WEIGHTED AVERAGE

COMMUNICATION
ATTENDANCE & PUNCTUALITY
PRODUCTIVITY/RESILIENCE
INITIATIVE/VVISIONARY
JUDGEMENT/DECISION MAKING
Over-all Weighted Average
Equivalent Grade

Transmutation Table

Computed Weighted Average Equivalent Grade

4.20-5.00 100
4.19-3.40 95
2.60-3.39 90
1.80-2.59 85
1.00-1.79 80