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Pre Work Immersion Evaluation Form

This document is an evaluation form for a senior high school pre-work immersion from Colonia Divina Integrated School in the Philippines. It collects information on the student such as name, age, learner reference number, track, and strand/specialization. Teachers are asked to check boxes to indicate if students have mastered core competencies, can apply skills and knowledge, show professionalism, and follow safety procedures. Requirements are also listed such as attending pre-immersion classes, having a resume, work attire, consent forms, and medical documents. Signatures are needed from the specialization teacher, class adviser, work immersion teacher, and head teacher to pass the evaluation.
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100% found this document useful (1 vote)
639 views2 pages

Pre Work Immersion Evaluation Form

This document is an evaluation form for a senior high school pre-work immersion from Colonia Divina Integrated School in the Philippines. It collects information on the student such as name, age, learner reference number, track, and strand/specialization. Teachers are asked to check boxes to indicate if students have mastered core competencies, can apply skills and knowledge, show professionalism, and follow safety procedures. Requirements are also listed such as attending pre-immersion classes, having a resume, work attire, consent forms, and medical documents. Signatures are needed from the specialization teacher, class adviser, work immersion teacher, and head teacher to pass the evaluation.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education
Region VI- Western Visayas
Division of Sagay City
District of Sagay IX
Colonia Divina Integrated School

SENIOR HIGH SCHOOL PRE-WORK IMMERSION EVALUATION FORM


Name of Student: ………………………………………………………………… Age:
………….
Learner’s Reference Number: ………………………………………………………. Sex: …………
SHS Track: …………………………………………………………………………………………
Strand/Specialization: ……………………………………………………………………………….
Work Immersion Company: …………………………………………………………………………………
- - - - - - - - - - - - - - - - - - - DO NOT WRITE BEYOND THIS LINE - - - - - - - - - - - - - - - - - -
Instruction: Please check the boxes if it is applicable to the student applying for Work Immersion. In
order to pass the evaluation, student should gain at least 3 checks per teacher.
For Specialization Teacher/Trainer:
 Learned the core competencies in his/her chosen specialization.
 Mastered at least the minimum skills required in the chosen field of immersion.
 Can apply his/her learnings in school to the chosen field of work.
 Shows professionalism in doing his/her job.
 Can understand and follow safety procedures while working.

For Class Adviser:


 Can follow simple instructions and can do it with his/her own.
 Can be trustworthy in bringing the name of the school and of the agency.
 With good and acceptable behavior in workplace and public place.
 With no bad behavioral records in school and in community.
 With complete academic and financial clearance.
For Work Immersion Teacher:
 Attended Pre-Immersion Classes
 Resume with White Short Folder & Fastener
 Work Immersion Attire/Personal Protective Equipment
 Parents’ Consent Form
 Physical Check-up
 Proper Hair Cut for boys and no bright hair colors for girls.
 No earrings for boys and proper earrings for girls
 No body tattoos
 Nails are properly cut and no nail polish

Additional Requirements (If needed)


 Medical Certificate  Green/Yellow Card  School ID/Nameplate

………………………………………………… …………………………………………………
Trainer’s Signature Adviser’s Signature

………………………………………………… …………………………………………………
Work Immersion Teacher’s Signature Head Teacher’s Signature

…………………………………………………

Address: Purok Pilar, Brgy Colonia Divina, Sagay City, Negros Occidental
Contact Number: +639959785920/+639392827354
Email Address: [email protected]
Republic of the Philippines
Department of Education
Region VI- Western Visayas
Division of Sagay City
District of Sagay IX
Colonia Divina Integrated School
School Principal’s Signature

Address: Purok Pilar, Brgy Colonia Divina, Sagay City, Negros Occidental
Contact Number: +639959785920/+639392827354
Email Address: [email protected]

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