Department of Education

Division of Bukidnon
CABULOHAN-PARADISE NATIONAL HIGH SCHOOL
Alae, Manolo Fortich, Bukidnon

Work Immersion Evaluation Form

Student’s Name: _________________________________________________________Grade and Section: _________________________

Track: _____________________________________________________________________Strand/ Specialization: _____________________
Immersion Site:___________________________________________________________Duration of Work Immersion: _____________
TO THE RATER
This rating will represent your appraisal of the student’s actual performance during the work immersion. All characteristics may not apply
to each student because of the great diversity in the opportunities for employment: therefore, if a category cannot be rated OBJECTIVELY,
please make the comment “NOT OBSERVED/NOT APPLICABLE”. Please rate the student employee’s performance in the areas listed, using
the rating scale below.
4 - Exceeds Expectations
3- Meets Expectations
2- NI- Needs Improvement
1- N/A- Not Observable/Applicable

Competencies Employer’s WIT Comments

Rating Rating
I. SKILLS AND KNOWLEDGE:
 The students has the required skills or
knowledge of work procedures/ the
degree that he uses his skills and
knowledge of work/the understanding of
the job responsibilities and the goals.
II. WORK OUTPUT/EFFICIENCY
QUANTITY OF WORK:
 Ability to meet desired work output
especially on those parts of the job where
supervision is remote. Consider not only
regular duties but also how promptly he
completes “extra” or rush assignments
OUALITY OF WORK:
 Ability to meet the quality requirements
of his/her job-accuracy, skill,
thoroughness, neatness.
III. INITIATIVE
 The work immersion student could make
constructive suggestions, complete jobs
without being reminded and seek out and
learn new tasks
IV. TEAMWORK / COOPERATION
 The student performs his/her job well
and shows consideration for the work of
his/her superior and co-workers that the
work of the unit is expedited and the
groups objectives are attained
V. DEPENDABILITY:
 The student does his/her work with little
or no follow up and the extent to which
the student delivers results as expected.
 VI. SELF-MANAGEMENT / LEADERSHIP
ABILITY:
 The student organizes time and
resources, set appropriate goals and
meet deadlines;
 He/she effectively displays leadership
qualities.

VII. GENERAL BEHAVIOR:

1. GENERAL DISCIPLINE / DECORUM
 The student adheres to company rules
and regulations, policies, standard
operating procedures; general
orderliness of approach and execution of
tasks
2. ATTENDANCE
 Students punctuality and consistency in
his/her attendance
VIII. CONCERN / COMMITMENT TO THE
COMPANY:
 The student shows concern to the
company.
IX. EMOTIONAL MATURITY
 The Student has capacity to adapt to new
situations, insight into self, objectivity,
self-control, appropriateness of behavior
to situations
Average
Equivalent Grade

General Comments and Suggestions (includes areas of strength and areas needing improvement):
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Employer’s signature over printed name Date

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Work Immersion Teacher signature over printed name Date