WORK IMMERSION PORTFOLIO

Submitted to
The Faculty of the
SENIOR HIGH SCHOOL
SCIENCE, TECHNOLOGY, ENGINEERING AND MATHEMATICS
ZAMBOANGA DEL NORTE NATIONAL HIGH SCHOOL
Turno Campus, Turno, Dipolog City 7100, Philippines

In partial fulfillment of the requirements in the

Work Immersion Subject
Academic Track- Science, Technology, Engineering and
Mathematics (STEM) Strand
School Year 2022-2023
 ZAMBOANGA DEL NORTE NATIONAL HIGH SCHOOL
Turno, Dipolog City, Philippines

PRE-IMMERSION REQUIREMENT CHECKLIST

 Requirements
Attend mandatory informational sessions/orientations/work immersion pre-
deployment seminar.
Submit Completed Memorandum of Agreement for Work Immersion Partnership to
WI Teacher/Coordinator that Includes:
 Start and End dates
 Your initials and signature
 Site supervisor initials and signature
* Please make sure that the form is completely filled out, physically signed, and
dated.
Submit completed/ filled out/signed/true copy of the following:
 Work Immersion Assessment Tool WI Application Form
 Application Letter WI Agreement/Instruction Form
 Resume with Recent Photo with white Student Ledger Form
Proof of Accident Insurance A4 folder/clearbook
 Parent’s Consent (reports compilation)
 Essay on How to Conduct oneself inside
the Partner Institution venue during the Dress Code:
work immersion period (before the Male: School uniform or
Female: School uniform
or white Polo
seminar) White Polo Black shoes with or
Black Slacks/pants: : without heels
 Pre-deployment Seminar Certificate Black leather or
 Essay on How to Conduct oneself inside rubber shoes
Socks: Black/white
the Partner Institution venue during the Belt when applicable
work immersion period (after the
seminar) School I.D
You may begin your work immersion after you have been notified that the
Memorandum of Agreement for Work Immersion Partnership has been signed by the
School Principal. You must notify WI Teacher of the date that you would start. An
Endorsement Letter will be issued upon completion of the preliminary requirements
and upon approval of the WI Teacher/Coordinator and the school Principal.

I certify that the above-required documents/requirements are complete and in order. The student is now
ready for a work immersion proper

CANDELARIA A. MERCADERA
Work Immersion Teacher
 ZAMBOANGA DEL NORTE NATIONAL HIGH SCHOOL
Turno, Dipolog City, Philippines

PRE-IMMERSION REQUIREMENT CHECKLIST

Written narrative on the profile of the company/business establishment (may contain

charts, photos, or illustrations

Submit Completed Memorandum of Agreement for Work Immersion Partnership to

WI Teacher/Coordinator that Includes:
 Start and End dates
 Your initials and signature
 Site supervisor initials and signature
* Please make sure that the form is completely filled out, physically signed, and dated.
PRE-IMMERSION REQUIREMENTS/INSTRUCTIONS:
 Work Immersion Assessment Tool WI Application Form
 Application Letter WI Agreement/Instruction Form
 Resume with Recent Photo with white Student Ledger Form
Proof of Accident Insurance
 Parent’s Consent A4 brown folder/clearbook
 Essay on How to Conduct oneself inside (reports compilation)
the Partner Institution venue during
the work immersion period (before the Dress code:
Male: School uniform Female: School uniform
seminar) or white Polo or white Polo
 Pre-deployment Seminar Slacks/pants: :Black Black shoes with heels
Black leather or rubber
 Essay on How to Conduct oneself inside shoes
the Partner Institution venue during Socks: Black/white
Belt when applicable
the work immersion period (after the
School I.D
seminar)
You may begin your work immersion after you have been notified that the
Memorandum of Agreement for Work Immersion Partnership has been signed by the
School Principal. You must notify WI Teacher of the date that you would start. An
Endorsement Letter will be issued upon completion of the preliminary requirements
and upon approval of the WI Teacher/Coordinator and the school Principal.

I certify that the above-required documents/requirements are complete and in order. The student is
now ready for a work immersion proper

CANDELARIA A. MERCADERA
Work Immersion Teacher
 ZAMBOANGA DEL NORTE NATIONAL HIGH SCHOOL
Turno, Dipolog City, Philippines

WORK IMMERSION APPLICATION FORM

Student’s Name:

Address:

Email Add: Mobile Number:

Outcome of initial contact with the

Potential Partner Institutions/ WI Site
WI Partner Institution
1.

2.

3.

4.

5.

Approved WI Partner Institution:

Contact Number:

Start Date: Expected Completion Date:

Name of Supervisor/Manager:

Contact Number:

By signing below, I acknowledge my understanding and agreement with the following:

 I will render a minimum of 80 hours of volunteer service to the approved Work Immersion
Partner Institution to partially fulfill the course requirements;
 I will follow the expectations for professional behavior as outlined in the Work Immersion
Program objectives; and
 I give permission to my on-site supervisor to provide evaluation information and additional
feedback about my performance to my WORK IMMERSION TEACHER/COORDINATOR.

__________________________________________ __________________________
Student’s Signature over printed name Date
 ZAMBOANGA DEL NORTE NATIONAL HIGH SCHOOL
Turno, Dipolog City, Philippines

APPLICATION LETTER

March 15, 2023

CELSA GAYAPA
Provincial Agriculturist
Provincial Agriculture Office
Turno, Dipolog City

MADAM :

I would like to apply in your institution for an on-the-job training for my work immersion experience.

Use this paragraph to mention briefly, any relevant experience or qualifications that make you
suitable for the On-the-job training. Bear in mind that your resume or CV will give a fuller account of
your qualification or experience, and this letter is designed to make the reader interested enough to
read the resume or CV. So be precise and highlight only the key areas of experience, skills and/or
training.

Use this paragraph to highlight why you want the training experience, what you hope to learn and in
what specific area of the field/area you want to be trained more.

Please find enclosed copy of my resume, which I hope will interest you. I am available for an
interview anytime at your convenience.

Thank you for your time and I am looking forward to be in your institution.

Respectfully yours,

CANDELARIA A. MERCADERA
Work Immersion Student
 ZAMBOANGA DEL NORTE NATIONAL HIGH SCHOOL
Turno, Dipolog City, Philippines

RESUME
CANDELARIA A. MERCADERA
Blk 4 Lot 15, Rufina Heights Subdivision
Lower Dicayas, Dipolog City 7100 Paste 2x2 recent
Telephone No. 17-5080
photo here
Mobile No. 09468509975
Birth Date: February 30, 1992
Birth Place: Polanco, Z.N.
Email: canmerc02@yahoo.com

OBJECTIVE: Being taught a good sense of responsibility early on life, I hope to create progressive
career in the Department of Agriculture, specializing in tissue culture.

EDUCATION
SHS: K to 12 Basic Education Curriculum Senior High School Student /Science, Technology,
Engineering and Mathematics
June 2016 – Present
ZNNHS Turno, Dipolog City

JHS:

Elem:

Subjects currently taken: General Chemistry 2 Work Immersion

General Physics 2 PE 4
Intro to Philo

WORK EXPERIENCE/ANY RELATED SCHOOL ACTIVITIES:

(NOTE: if you do not have work experience, mention any relevant school activities like scouting, tree
planting etc. and your role in the activity)

Drug Abuse Prevention & Information Parenting Skills

June 21, 2017
ZNNHS Turno Campus, Covered Court
Dipolog City

DUTIES AND RESPONSIBILITIES:

 Participate in the discussion.
  Committee Member

HOBBIES: Singing, playing badminton, swimming

OTHER SKILLS: Cooking. Baking, driving

COMPUTER SKILLS: MS Word, Excel, PowerPoint, etc.

LANGUAGES: English, Spanish, French, Chinese

SEMINARS AND TRAINING ATTENDED:

 ZAMBOANGA DEL NORTE NATIONAL HIGH SCHOOL
Turno, Dipolog City, Philippines

PARENT’S CONSENT AGREEMENT

Students participating in Work Immersion must sign this Consent Agreement Form to indicate
agreement with the terms and conditions found herein.

Name of Student:_______________________________________ LRN: _______________________

Track and Strand:_______________________, __________________________________________

I am voluntarily participating in the Work Immersion Program of Zamboanga del Norte

National High School, Senior High School Department, and I understand that the work
immersion program involves some element of risk. I agree that in consideration of ZNNHS-
SHS STEM sponsoring this activity as part of the course requirements for graduation and
allowing my participation, I (including my parents, guardians, and legal representatives) will
release, indemnity, and hold harmless the Zamboanga del Norte National High School, and
its administration, officers, employees, faculty, agents, successors, and assignees from
liability for any and all claims, demands rights or causes of action, present or future, resulting
from or arising out of any activity or travel conducted by or under the auspices of the
Zamboanga del Norte National High School Senior High School Work Immersion Program.

I understand that the School requires that all graduating Science, Technology and
Engineering and Mathematics (STEM) grade 12 students be covered by appropriate
accident insurance and that the student be financially responsible for such expenses. My
signature below verifies that I am covered by insurance.

I hereby grant Zamboanga del Norte National High School SHS STEM strand the absolute
and irrevocable right and permission, with respect to photographs taken or made by me or in
which I may be included with others; to use, re-use and publish the same in whole or in part
in any and all media including use on the world wide web, now or hereafter, and for any
purpose whatever the illustration, promotion, art, recruitment, publication, and advertising. I
also grant ZNNHS all rights of copyright to such photographs or images and documents, and
all rights to publish, market, or assign such photographs and images without compensation or
report to me.

I HAVE READ AND UNDERTAND THE ABOVE PROVISIONS AND AGREE TO BE BOUND
BY THEM AS INDICATED BY MY SIGNATURE BELOW.

_______________________________ __________________________
Student’s Signature Date

_______________________________ _________________________
Printed Student’s Name School Year/Semester

_____________________________________ __________________________
Parent/ Guardian Name & Signature Date
 ZAMBOANGA DEL NORTE NATIONAL HIGH SCHOOL
Turno, Dipolog City, Philippines

W.I. STUDENT LEDGER

Name : ___________________________________________

Address : ___________________________________________ Paste your 2x2 photo

here
____________________________________________

Contact Numbers: Telephone : _______________________

Cellular phone : ____________________
E-mail address : ___ __________

Name of STEM Work Immersion Teacher: CANDELARIA A. MERCADERA

Name of Partner Institution/Establishment: ___________________________

Name of Supervisor / Manager: ______________________________________

Telephone No/s.: _________________________________________________

Address: _________________________________________________________________

Services Offered: __________________________________________________

Work Immersion Program Training Period:

Date Started: _______________________ Expected date of completion: ____________

Reporting Days: _____________________

Department/s assigned:
__________________________________ ______________________________
__________________________________ ______________________________
In case of emergency, contact: ______________________________________
Phone/Cell phone Nos.: ____________________________________________

ZAMBOANGA DEL NORTE NATIONAL HIGH SCHOOL

Turno, Dipolog City, Philippines

WORK IMMERSION PROGRAM AGREEMENT AND INSTRUCTIONS

FORM
NOTE: FILL UP THIS FORM COMPLETELY AND ACCURATELY

Start Date End Date

Total Work No. of Days
Immersion Hours

STUDENT INFORMATION
Name ID No.
Address
Mobile No. Email address
Father’s Name
Mother’s Name
Parent’s Mobile No.
WORK IMMERSION SITE DESCRIPTION
Establishment Name
Manager’s Name
Company Address
Phone No:.
Regular Duty
Schedule
1.
Responsibilities in
the Work Immersion 2.
Site 3.
1.
Learning Objectives
2.
3.
I will SUBMIT my final report on
or before
Student Signature
Date
For Partner Institution Supervisor and Work Immersion Teacher
I acknowledge that the above information is accurate and valid and I agree to assume supervisory
responsibility for the WORK IMMERSION PROGRAM experience of the student as described.
Supervisor / Manager /
Name & Signature
 Date
Work Immersion Teacher Name
& Signature
CANDELARIA A. MERCADERA Date

ZAMBOANGA DEL NORTE NATIONAL HIGH SCHOOL

Turno, Dipolog City, Philippines

WORK IMMERSION PROGRAM WEEKLY REPORT LOG FORM

Student’s Name Partner
Institution
Starting Date End Date

Start End # of
Date Activities
Time Time Hours

Number of hours worked during this reporting period

Number of hours accumulated prior to this report
Total number of hours worked to date
What progress did you make toward completing the work immersion objectives?

Reflect on the activities you reported above. What meaningful experiences/learning did you have?

Student’s Name & Date

Signature
NOTE: Site Supervisor: Please verify the completed hours of work and duties and sign below.

Onsite Supervisor / Date

Manager’s Name &
Signature

ZAMBOANGA DEL NORTE NATIONAL HIGH SCHOOL

Turno, Dipolog City, Philippines

REACTION PAPER
1. What are the three most important STEM competencies that you used or put into
practice throughout the duration of your work immersion experience? Enumerate and
give examples of how these competencies were utilized.

2. What are the three most important skills you used or put into practice during the
experience? Enumerate and give examples of how these skills were used.

3. Was the work immersion a worthwhile experience? Explain why or why not. Would you
recommend this program to other students?

4. Did you feel educationally prepared for the experience? If yes, Why?
If not, what other competencies are needed in order for you to be more prepared for
the experience? What other measures can the Work Immersion teacher take to
prepare the students for the work immersion?

5. What recommendations can you give for the improvement of the Senior High Students
Work Immersion Program?
 ZAMBOANGA DEL NORTE NATIONAL HIGH SCHOOL
Turno, Dipolog City, Philippines

PARTNER INSTITUTION COORDINATOR’S EVALUATION

Name of Student: ____________________________________ Date: ________
TRACK AND ____________________________________ Subject: ________
STRAND:
Company Visit (Feedback from Partner Institution) Points
1. Grooming 1. _____
4 – reports to work well groomed all the time
3 – reports to work well groomed most of the time
2 – reports to work well groomed sometimes
1 – reports to work not well groomed
2. Attendance and Punctuality 2. _____
4 – never absent or late without good cause
3 – seldom absent or late without good cause
2 – frequently absent or late
1 – very irregular in attendance
3. Attitude towards training/learning
3. _____
4 – shows eagerness and enthusiasm for training
3 – shows some interest and enthusiasm for training
2 – shows little interest and enthusiasm for the training
1 – has no interest to learn
4. Ability to follow instruction
4 – use initiative in interpreting and following instructions 4. _____
3 – usually follow instructions with no difficulty
2 – needs repeated detailed instruction
1 – always needs repeated detailed instruction
5. Dependability 5. _____
4 – meets all obligation unfailingly without supervision
3 – meets obligations with very little supervision
2 – meets obligation under careful supervision
1 – frequently fails in obligation even under careful supervision
6. Work Skills 6. _____
4 – possesses the essential skills and related information for the work.
3 – possesses some skills and related information for the work.
2 – possesses very few skills and related information for the work.
1 – lacks the essential skills and related information for the work.
7. Quality of Work
7. _____
4 – have aptitude for doing neat and accurate output that exceeds the requirement.
3 – have aptitude for doing neat and accurate desired output.
2 – does the required amount of work satisfactorily.
1 - does the required amount of work unsatisfactorily.
8. Expense Consciousness
4 – extremely careful in the use of resources/ materials and equipment. 8. _____
3 – use good judgment in the use of resources/ materials and equipment.
2 – use average care in the use of resources/ materials and equipment.
1 – careless about the use of resources/ materials and equipment.
9. Observance of Rules
4 – always observe the rules of the office/company/institution. 9. _____
3 – seldom disregards the rules of the office/company/institution.
2 – frequently neglects the rules of the office/company/institution.
1 – very careless and neglectful of the rules of the office/company/institution.
10. Cooperation
4 – always cooperate eagerly and cheerfully. 10. ____
3 – usually cooperate eagerly and cheerfully.
2 – cooperates willingly when asked.
1 – cooperates reluctantly.

1.
2.
3.
4.
5.
6.
7.
 ZAMBOANGA DEL NORTE NATIONAL HIGH SCHOOL
Turno, Dipolog City, Philippines
Name of Student: ____________________________________ Date: ________
TRACK AND STRAND: ____________________________________ Subject: ________

SIR/MADAM:
Please incircle the number corresponding to the rating/assessment you wish to give so far to
the above-named student. Thank you very much for your cooperation.
Points
1. Grooming 1. ____
4 – reports to work well–groomed all the time
3 – reports to work well–groomed most of the time
2 – reports to work well–groomed sometimes
1 – reports to work not well groomed
2. Attendance and Punctuality 2. ____
4 – never absent or late without good cause
3 – seldom absent or late without good cause
2 – frequently absent or late
1 – very irregular in attendance
3. ____
3. Attitude towards training/learning
4 – shows eagerness and enthusiasm for training
3 – shows some interest and enthusiasm for training
2 – shows little interest and enthusiasm for the training
1 – shows no interest to learn
4. Ability to follow instruction 4. ____
4 – uses initiative in interpreting and following instructions
3 – usually follows instructions with no difficulty
2 – needs repeated detailed instruction
1 – always needs repeated detailed instruction 5. ____
5. Dependability
4 – meets all obligations unfailingly even without supervision
3 – meets obligations with very little supervision
2 – meets obligation under careful supervision
1 – frequently fails in obligation even under careful supervision 6. ____
6. Work Skills
4 – possesses the essential skills and related information for the work.
3 – possesses some skills and related information for the work.
2 – possesses very few skills and related information for the work.
1 – lacks the essential skills and related information for the work.
7. Quality of Work
7. ____
4 – has aptitude for doing neat and accurate output that exceeds the requirement.
3 – has aptitude for doing neat and accurate desired output.
2 – does the required amount of work satisfactorily.
1 – does the required amount of work unsatisfactorily.
8. Expense Consciousness
4 – is extremely careful in the use of resources/ materials and equipment. 8. ____
3 – uses good judgment in the use of resources/ materials and equipment.
2 – uses average care in the use of resources/ materials and equipment.
1 – is careless about the use of resources/ materials and equipment.
9. Observance of Rules
4 – always observes the rules of the office/company/institution. 9. ____
3 – seldom disregards the rules of the office/company/institution.
2 – frequently neglects the rules of the office/company/institution.
1 – is very careless and neglectful of the rules of the office/company/institution.
 10. Cooperation
4 – always cooperates eagerly and cheerfully. 10. ___
3 – usually cooperates eagerly and cheerfully.
2 – cooperates willingly when asked.
1 – cooperates reluctantly TOTAL ______
EVALUATOR’S SIGNATURE OVER PRINTED NAME: ____________________________

ZAMBOANGA DEL NORTE NATIONAL HIGH SCHOOL

Turno, Dipolog City, Philippines

WORK IMMERSION PROGRAM REPORT GUIDELINES

Upon completion of the work immersion, students are required to submit their Work Immersion
Portfolio in an A4 Folder or Clear Book. The Work Immersion Portfolio must be well organized (i.e.,
Table of Contents, Tabs included, information must be typed or legibly and professionally presented).
The Cover Page must include: name of student, name of work immersion site, course information
(e.g. STEM-12 LAVOISIER) and the semester/year. Portfolios must include the Pre-immersion
documents and all the other information, including samples of work completed during the work
immersion experience as found below:

I. Work Immersion Site Profile

1. Give the name of the Agency and describe the Work Immersion site including the history,
Vision, mission statement, Corporate Values, type of organization (e.g., corporation, private,
government agency, non-profit, etc.), customers, and services offered, as well as other
special features. Submit a vicinity map of the Work Immersion site with respect to the
school’s location.
2. Agency Personnel and Oversight Personnel
a. Provide an organizational chart and label the names of the key officers, managers,
board, etc. Also show your place in the Agency.
b. Give a brief description of the individuals that you interacted with (including your
Agency/company Supervisor) on a regular basis and indicate whether they are full-time,
part-time, seasonal, and/or volunteers.
3. Office Environment. Describe the location where you worked and how it contributes to the
overall mission of the agency. Provide a site layout. Describe the office space you were
assigned and explain how that influenced your experience.

II. Evaluation of Work Immersion Program Experience (REACTION PAPER): Answer the five questions
below in detail.
1. What are the three most important STEM competencies that you used or put into practice
throughout the duration of your work immersion experience? Enumerate and give examples of
how these competencies were utilized.
2. What are the three most important skills you used or put into practice during the experience?
Enumerate and give examples of how these skills were used.
3. Was the work immersion a worthwhile experience? Explain why or why not. Would you
recommend this program to other students?
4. Did you feel educationally prepared for the experience? If yes, Why?
If not, what other competencies are needed in order for you to be more prepared for the
experience? What other measures can the Work Immersion teacher take to prepare the
students for the work immersion?
5. What recommendations can you give for the improvement of the Senior High Students Work
Immersion Program?
 III. Samples of Work Completed: Illustrate the wide range and depth of your experience by
including numerous written and visual examples of work you completed.
A. Written examples: (e.g., hand-outs, correspondence prepared, relevant e-mails, agendas,
plans, timelines, etc.).
B. Visual examples: (e.g., photographs, promotional materials, maps, etc.)

ZAMBOANGA DEL NORTE NATIONAL HIGH SCHOOL

Turno, Dipolog City, Philippines

ZAMBOANGA DEL NORTE NATIONAL HIGH SCHOOL

SENIOR HIGH SCHOOL WORK IMMERSION PROGRAM
PARTNER INDUSTRY PROFILE
============================================================================
COMPANY/INDUSTRY DATA:

Name of Company/Office: ________________________________________________________________

Complete Address: ______________________________________________________________________

Contact Numbers: ________________________________; ______________________________________

(Landline) (Mobile)

Email Address: _________________________________________________________________________

Nature of Business: ______________________________________________________________________

Primary clientele: ________________________________________________________________________

Services Offered: ________________________________________________________________________

Skills/Competencies needed for the services offered: ____________________________________________

CONTACT PERSON INFORMATION SHEET:

Position: ______________________________________________________________________________

Title: MR. [ ] MS. [ ] MRS. [ ] DOCTOR [ ] OTHER TITLE: ____________________________________

Name: _________________________________, __________________________________ ____________

(Last Name) (First Name) (Middle Name)

Nickname: ______________ Birthday: __________________ Birth Place: __________________________

Address: ______________________________________________________________________________

Contact Nos. ____________________; _______________________; ______________________________

 (Landline) (Mobile) (Email)

Email Address: _________________________________________________________________________

_____________________________________
Signature student over Printed Name-Section
ZAMBOANGA DEL NORTE NATIONAL HIGH SCHOOL
Turno, Dipolog City, Philippines

LIST OF TASKS/ACTIVITIES DONE DURING WORK IMMERSION

Student’s Name Grade and Section

Immersion
School Site/Venue

Duration of Work Strand/

Immersion Specialization

Partner Institution Contact Number

Coordinator/ Focal Person

Work Immersion Teacher Contact Number

LISTS OF TASKS/ACTIVITIES
Tasks/Activities Time Allotment Actual Schedule Remarks
Competencies/
Requirement
PRE-IMMERSION:
1. essay on the how to
conduct oneself
inside the company/
business establish-
ment during the
Immersion period
A) Before the pre-
deployment seminar
B) After the pre-
deployment seminar
2. résumé
A) draft
B) final
3. application letter
A) draft
B) final
4. clearance and
insurance documents
5. Parent’s Consent
6. Work Immersion Pre-
deployment Seminar
7. Completion of the
MOA
8. Giving of Final Work
Immersion Partner
9. Submission of Pre-
immersion
requirements
10. Deployment
Schedule
DURING IMMERSION
1. Orientation
conducted by the
work immersion
partner
1. written narrative on
the profile of the
company/ business
establishment
(may contain charts,
photos, or
illustrations)

2. written report on the

activities performed

3. supervisor’s rating

8. organizational chart/
business process flow
chart/s
9. daily tasks record
10. supervisor’s rating
11. written narrative of
what have been
learned.

12. photos or
illustrations

POST IMMERSION

1. PORTFOLIO

a. accomplished forms
b. pictures of work site
and nonwritten
output/projects with
captions
c. illustrations of
activities performed
(as Needed)
d. weekly diary
(narrative/account of
learnings and achieve-
ments, issues faced and
corresponding resolutions)

e. sample written
output (if any)
f. Work Immersion
highlights
g. other relevant
pictures/documents

h. Gallery
i. updated résumé

j. reflection paper

2. Video about the

work immersion
activities/experiences

Students shall not be given other activities outside of those previously agreed
upon which are anchored on the stated competencies.

Certified true and correct:

Student’s Signature Parent’s

Over Printed Name __________________________ Signature Over ________________________
Printed Name
Industry
Work Immersion Supervisor’s
Teacher’s Signature Signature Over
Over Printed Name Printed Name
CANDELARIA A. MERCADERA ________________________