Republic of the Philippines

DEPARTMENT OF EDUCATION
Region IV-A CALABARZON
Division of Rizal

SAPANG ELEMENTARY SCHOOL

Sapang,Binangonan, Rizal

WORK IMMERSION PERFORMNACE EVALUATION

Name: ____________________________________ Grade and Section: _______________
Track/ strand: ______________________________ Inclusive Period: _________________
Company: ___________________________________________________________________________
Address: ____________________________________________________________________________

Directions: This form seeks your objective, honest evaluation and fair evaluation of the work immersion
student’s performance. Please check the item to indicate your rating according to the scale below.

5 – Excellent

4- Very Satisfactory

3- Satisfactory

2- Fair

1- Poor

A. WORK HABIT 5 4 3 2 1
1. Reports on time and regularly..
2. Performs task without much supervision.
3. Practice self-discipline in his/her work.
4. Demonstrates dedication and commitment to the tasks assigned to
him/her.
5. Actively listen to supervisor / co- trainee
Work Habits Ave:
Total /5
B. WORK SKILLS
1. has a good
2. Shows flexibility in the process of going through his/her tasks
3. Manifests precision/exactness in the accomplishment of tasks.
4. Accepts suggestions to the problem
5. Accomplished tasks on time
6 Handles carefully the work assigned to him/ her..
Work/Skills Ave:
Total /6
C. INTERPRETATION
1. shows respect and courtesy in dealing with peers and superiors.
2. willingly helps others in the performance of their tasks.
3. Shows appreciation and gratitude to any form of assistance granted
to him/her
4. capable of learning from and listening to co-workers.
5. Shows emotional maturity.
 6. Shows self- confidence and always groomed.
7. Is receptive to suggestions.
Interpersonal/ Social Skills Total 7 Ave
:
Ave
:

Kindly give some strong points of the student-trainee

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Please give some suggestions and comments for improvement.

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

General Comment:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Rated by:

_______________________________
Immediate Supervisor

Date Signed: ___________________

Noted;

______________________________
Administrator/ Manager

Date Signed: ___________________