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Republic of the Philippines

Region X
WESTEASTERN PHILIPPINE COLLEGE, INC.
Zapacan, Balo-i Lanao Del Norte
wepcibaloi2009@gmail.com

WORK IMMERSION PERFORMANCE APPRAISAL


STUDENT’S NAME: ________________________________________ STRAND: ______________
Partner Institution: ______________________________________________________________
Address: ______________________________________________________________________
Work Immersion Supervisor: ______________________________________________________
Training period: _____________ to ____________ Total No. of Hours Rendered: ___________
Directions: For each behavioral item listed within the competency bands, with 5 being the most
and 1 is the least, please select the evaluation most suited.
Student’s signature: __________________________________________ Date: ________________

Work Immersion Supervisor’s signature over printed name: __________________________________

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