Republic of the Philippines

Department of Education
REGION III – Central Luzon
TARLAC CITY SCHOOLS DIVISION
BARAS-BARAS HIGH SCHOOL

__________________________________________________________________________________

Name of Student:____________________________________
Track/Strand: ____________________________________
Place of Immersion/ Department: ______________________
Date/Period of Immersion: ____________________________
Please evaluate the students based on the indicated behavioral statement using the scale:

Observed

Rarely Observed (RO)

3- Always observed (AO)

Not Observed (NO)

Always Observed
2 – Sometimes observed (SO)
1 – Rarely observed (RO)

Sometimes
0 – Not observed (NO)

(AO)

(SO)
COMMUNICATION
Communicates in a respectful manner.
Writes in clear and concise manner
Actively listen to others to ensure a full understanding of what they are saying.
RELATIONSHIP BUILDING
Maintains good working relationship to achieve the objectives
Works collaboratively with others to achieve goals and objectives
Encourage others to work collaboratively
Respects and acknowledge the contribution of others
Deals with difficult situations quickly and effectively
ETHICS AND PROFESSIONALISM
Acts in respectful manner to others regardless of gender, age, race, ability, sexual
orientation, culture or religious beliefs
Maintains professional standards of ethics and integrity
Respect privacy and confidentiality of others
Leads by example to demonstrate respectful behavior for the workplace
Dresses properly and appropriately; observes proper grooming
Observes punctuality and regularity
CREATIVITY AND INNOVATION
Demonstrate creativity when dealing with problems and identifying solutions
Displays adaptability and flexibility
Manifest thoroughness and precise attention to details; usually comes up with suggestions to
problems
SELF MANAGEMENT
Recognize needs for assistance and request help
Prioritize work and respects timeliness when completing tasks
Pursues learning and development opportunities
Recognize barriers to work productivity and takes action to minimize these barriers
Leads by example
Manage resistance to change

_________________________ ________________________
Signature over printed name Signature over printed name
(Ratee) (Rater)