DR. CARLOS S.

LANTING COLLEGE
SHS - Basic Education Department

PORTFOLIO CHECKLIST

ACTIVITIES OUTPUT 1ST CHECKING DATE

COMPLETED
Pre-Immersion
Conduct Orientation Attends Orientation
Securing Clearance Medical Certificate
Documents
Officially listed in the Insurance
Policy
Barangay Clearance
Crafting Documents Resume
Student Data Sheet
Application Letter
Essay on how to conduct self
during immersion
Monitoring students’ Daily Time Record
progress
Immersion
Company orientation Narrative profile of the
company/business establishment
Photos and Illustrations of the
Company
Safety Evacuation Plan
(Illustration)/Safety & Hygiene
instructions
Organizational Chart
Tasking of Activities List of Activities/Task Done
Documenting of Diary of Activities
Activities
Performance Evaluation Supervisors Rating
Monitoring students’ Immersion Time Record
progress
Completion of Hours Immersion Hours Completed
Post-Immersion
Finalizing Portfolio Updated Resume
Pictures of work site with caption
Resignation Letter
Evaluation of Learning Self Evaluation Sheet
Experience
Monitoring students’ Parent’s Signed the Daily Time
progress Record with Date
Reflects on their Work Reflection Paper on learning
Immersion Experience experience
Exhibit of Work Gallery of SHS Immersion
Immersion Student Output
 DR. CARLOS S. LANTING COLLEGE
SHS - Basic Education Department

2x2
ID PICTURE

STUDENT DATA SHEET

Surname First Name Middle Name Sex Civil Status

o Male o Single
o Female o Married
Age: Date of Birth:
Religion: Place of Birth: Citizenship:
Height: Weight (kg): Blood Type:
Home Address:

Cellphone No: Telephone No:

Email address:

Name of Father: Name of Mother:

Occupation: Occupation:
Cellphone No: Cellphone No:

Name of Authorized Guardian: Cellphone No:

Education Name of School/College Year Attended

Elementary
Secondary

Any Medical Conditions:

Taking any medications: O Yes O No If YES what:

Allergies:
Organ Donor? O Yes O No

Special Skills: Talent: Hobbies:

Sports:
Strand&Section:
Course in College:
What schools have you applied to:

In case of Emergency Contact:

Name: Cellphone No: Relationship:

Home Address: