Republic of the Philippines

Department of Education
REGION IV-A CALABARZON
SCHOOLS DIVISION OF CITY OF SAN PEDRO
DISTRIC II

WORK IMMERSION SITE ASSIGNMENT

SITE :
WORK SCHEDULE :
No. OF HOURS :

DEPARTMENT/ UNIT Name of Student(s) Work Schedule

………………………………………………………………………………………………………..

WORK IMMERSION
Company/ Institution Acceptance Form

This is to certify that ___________________________________________________________ has been accepted

( Name of Student)
in our company _________________________________________________________________________________
( Name of Company/ Institution)
With address at _________________________________________________________________________________
( address of company/ institution)
for Work Immersion starting __________________________________ with pertinent information as follows:
( Date )
Department / Unit assigned : _____________________________________
Name of Immediate Supervisor : __________________________________
Contact Information : ____________________________________________
Work Schedule : ________________________________________________

__________________________________________________
Signature Over Printed Name of Company Representative
Student’s Copy

Pacita Complex Senior High School

Stand Alone SHS No. 19
Tirad Pass St. Pacita Complex, San Pedro Laguna
(02) 7720-5032 │342361@gmail.com
 Republic of the Philippines
Department of Education
REGION IV-A CALABARZON
SCHOOLS DIVISION OF CITY OF SAN PEDRO
DISTRIC II
WORK IMMERSION SITE ASSIGNMENT
SITE :
WORK SCHEDULE :
No. OF HOURS :

DEPARTMENT/ UNIT Name of Student(s) Work Schedule

………………………………………………………………………………………………………..

WORK IMMERSION
Company/ Institution Acceptance Form

This is to certify that ___________________________________________________________ has been accepted

( Name of Student)
in our company _________________________________________________________________________________
( Name of Company/ Institution)
With address at _________________________________________________________________________________
( address of company/ institution)
for Work Immersion starting __________________________________ with pertinent information as follows:
( Date )

Department / Unit assigned : _____________________________________

Name of Immediate Supervisor : __________________________________
Contact Information : ____________________________________________
Work Schedule : ________________________________________________

__________________________________________________
Signature Over Printed Name of Company Representative
Company Representative’s Copy

Pacita Complex Senior High School

Stand Alone SHS No. 19
Tirad Pass St. Pacita Complex, San Pedro Laguna
(02) 7720-5032 │342361@gmail.com