SCHOOLS DIVISION OFFICE

Quezon City
NOVALICHES HIGH SCHOOL
Lakandula Street, T. S. Cruz Subdivision, Brgy. San Agustin,
Novaliches, Quezon City

WORK IMMERSION EVALUATION SHEET

NAME OF STUDENT: ______________________________________________
POSITION / TITLE: ______________________________________________
NAME OF THE COMPANY: ______________________________________________
PERIOD COVERED: ______________________________________________

PURPOSE:
Your evaluation is requested to guide the work immersion coordinator in determining a fair
grade to be given to the student-trainee assigned in your company. It is also intended to make the
student-trainee aware of his/her strength and areas of improvement.

TIMETABLE:
To enable us to monitor the progress of the student-trainee, it is requested that an evaluation
be done after the 40 hours of training and after the completion of his/her assignment in your
company.

PROCEDURE:
1. It is suggested that the student-trainee’s immediate supervisor evaluates his/her
performance.
2. The evaluator should accomplish the evaluation form then rate the student as objectively
as possible.
3. After filling in the form, the evaluator should discuss the result of his/her evaluation with
the student-trainee.
4. The accomplishment evaluation form should then be awarded to the immersion
coordinator.
Using the scale below, rate the student in each item by writing the number that corresponds to
the trainee on the space provided on the right side.

5 – OUTSTANDING 3 – GOOD 1 – NEEDS IMPROVEMENT

4 - VERY GOOD 2 – FAIR

I. WORK ATTITUDE AND HABITS (25 points)

 Courtesy in dealing with superior and peers __________
 Patience and diligence in performing assigned task __________
 Punctuality and regularity in attendance __________
 Neatness of the report submitted on the scheduled time __________
 Punctuality in submitting reports to assigned task __________

II. WORK KNOWLEDGE (25 points)

 Technical knowledge __________
 Relate the theories to actual experience __________
 Open to constructive criticism __________
 Open to suggestion __________
 Discreet, capable of observing silence __________

III. PERSONALITY AND PERSONAL APPEARANCE (25 points)

 Reports for work always neat and well – groomed __________
 Reports for work in proper attire __________
 Shows poise and self confidence __________
 Shows emotional maturity __________
 Can easily deal with co-workers __________

IV. PROFESSIONAL COMPETENCE (25 points)

 Performance of work (as a whole) __________
 Clearly understands instructions __________
 Shares sound suggestion to problem __________
 Can cope up with the prescribed ethical standards __________
 Speaks audibly in a well-modulated voice __________

TOTAL POINTS __________

_________________________________________
Signature over Printed Name of the Evaluator

___________________________________
Position

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Date