HOLY ANGEL SCHOOL OF CALOOCAN INC.

Hillcrest Village, Camarin Rd., Caloocan City

SENIOR HIGH SCHOOL DEPARTMENT

WORK IMMERSION PROGRAM S.Y. 2019-2020

Work Immersion Performance Appraisal

Student’s Name: ________________________________ Strand: _______________________

Specific Role/Task: ____________________________________________________________
Work Immersion Venue/Partner Institution: _________________________________________
Address: _______________________________________Contact No.: ___________________
Work Immersion Partner Supervisor: ________________________________
Work Immersion Teacher: __________________________________
*TO BE ANSWERED BY WORK IMMERSION PARTNER SUPERVISOR

Direction: Put a check (√) on your assessment. Kindly refer to the legend for your choices.
Legend:
Numerical Scale Verbal Interpretation
5 Outstanding
4 Very Satisfactory
3 Satisfactory
2 Fair
1 Needs Improvement
N/A Not Applicable

INDICATORS 5 4 3 2 1 N/A REMARKS

Overall Attitude
Attendance
Punctuality
Quality of Work
Appearance
Dependability
Ability to Follow Written Instructions
Ability to Follow Safety Procedures
Initiative in Anticipating Work
Worked Well with Others (Team)
Total

Training Period: ______________ to _________________ Total No. of Hours Rendered: ______________

Work Immersion Partner Supervisor:

________________________________
Signature over Printed Name Date: ____________________