REPUBLIC OF THE PHILIPPINES

REGION V
DIVISION OF MASBATE PROVINCE

WORK IMMERSION PERFORMANCE APPRAISAL

(AMADOR-BELLO HIGH SCHOOL)
STUDENT NAME : STRAND:
Partner Institution: Address:
Contact No. : Work Immersion Supervisor :
Position: Training Period total No. of Hours rendered

Directions : For each behavioral item listed within the competency bonds, with 5 being the m
is the least, Please select the evaluation most suited.
9

5 Outstanding Performances exceed the required standard.

Very Performance fully met job requirements. Was able to perform what
4 Satisfactory we expected of a person in his/her position.
Performance has met the required standard. Can perform duties
3 Satisfactory
with minimal supervision
Performance partially meets the required standard. Less than
2 Fair
satisfactory could be doing better.
Needs Performance does not meet the required standard. Major
1 Improvement Improvement needed.

COMPETENCIES 5 4 3 2 1
TEAM WORK
1. Consistently works with others to accomplish goals and tasks.
2. Treats all team members in a respectful courteous manner.
3. Actively participates an activities and assigned tasks required.
4. Willing to work with team members to improve team collaboration
on a continuous basis.
5.Considers the feedback and views of team members when
completing an assigned task.
TEAM WORK Total Score/5

COMMUNICATION 5 4 3 2 1
1. Actively listens to supervisor and/or co-workers.
2. Comprehends written and oral information.
3. Consistently delivers accurate informations both written and oral.
4. Reliably provides feedback as required, both internally and externally.
COMMUNICATION Total Score/4

ATTENDANCE & PUNCTUALITY 5 4 3 2 1

1. Is punctual on a regular basis.
2. Maintains good attendance.
3. Informs supervisor in a timely manner when absenteeism and
tardiness may occur.
ATTENDANCE & PUNCTUALITY Total Score/3

PRODUCTIVITY/RESILIENCE 5 4 3 2 1
1. Consistently produces quality results.
2. Meets deadlines and manages time well.
3. Can do multitasking.
4. Can work under pressure and delivers the required tasks.
5. Effective and efficient in time management.
6. Efficiently informs supervisor of any challenge or hindrance relate
given task or assignment.
PRODUCTIVITY/RESILIENCE Total Score/6
REPUBLIC OF THE PHILIPPINES
REGION V
DIVISION OF MASBATE PROVINCE

INITIATIVE/PROACTIVITY 5 4 3 2 1
1. Completes assignments with minimum supervision.
2. Completes tasks independently and consistently.
3. Seeks support as need arises.
4. Recognizes and takes immediate action to effectively address
problems and opportunities.
5. Engages in continuous learning.
6. Contributes new ideas and shares skills to improve the departmen
organization.
INITIATIVE/PROACTIVITY Total Score/6
JUDGMENT/DECISION MAKING 5 4 3 2 1
1. Analyzes problems effectively.
2. Has the ability to make creative and effective solutions to proble
3. Demonstrates good judgment in handling routine problems.
JUDGMENT/DECISION MAKING Total Score/3
DEPENDABILITY/RELIABILITY 5 4 3 2 1
1. Has the ability to follow through and meet deadlines.
2. Has commitment for his/her action.
3. Can adjust easily to changes in workplace.
4. Displays high level of performance at all times.
DEPENDABILITY/RELIABILITY Total Score/4
ATTITUDE 5 4 3 2 1
1. Offers assistance willingly.
2. Shows a positive work attitude.
3. Shows sensitivity to and considerations for other's feelings.
4. Accepts criticism positively.
5. Shows pride in work.
ATTITUDE Total Score/5
PROFESSIONALISM 5 4 3 2 1
1. Respects persons in authority.
2. Uses all tools, equipment and facilities responsibly.
3. Follows all policies and procedures when issues and conflicts arise
4. Physical appearance conforms with the workplace and placement rules.
PROFESSIONALISM Total Score/4

OVER-ALL RATINGS WEIGHTED

AVERAGE

REPUBLIC OF THE PHILIPPINES

REGION V
DIVISION OF MASBATE PROVINCE

SUMMARY OF SCORES

WEIGHTED
CRITERIA AVERAGE
TEAM WORK
COMMUNICATION
ATTENDANCE AND PUNCTUALITY
PRODUCTIVITY/RESILIENCE
INTIATIVE/PROACTIVITY
JUDGMENT/DECISION MAKING
DEPENDABILITY/RELIABILITY
ATTITUDE
PROFESSIONALISM
Over-All Weighted Average
Equivalent Grade
REMARKS : (Comments/Suggestions)

Student's Signature: Date:

Work Immersion Supervisor's Signature over Printed Name:

Transmutation Table
Equivalent
Computed Weighted Average Grade
4.20 - 5.00 100
3.40 - 4.19 95
2.60 - 3.39 90
1.80 - 2.59 85
1.00 - 1.79 80
n the competency bonds, with 5 being the most and 1
 REPUBLIC OF THE PHILIPPINES
REGION V
DIVISION OF MASBATE PROVINCE

WORK IMMERSION PERFORMANCE APPRAISAL

(LGU OF BALENO, MASBATE)
STUDENT NAME : STRAND:
Partner Institution: Address:
Contact No. : Work Immersion Supervisor :
Position: Training Period total No. of Hours rendered

Directions : For each behavioral item listed within the competency bonds, with 5 being the m
is the least, Please select the evaluation most suited.

5 Outstanding Performances exceed the required standard.

Very Performance fully met job requirements. Was able to perform what
4 Satisfactory we expected of a person in his/her position.
Performance has met the required standard. Can perform duties
3 Satisfactory
with minimal supervision
Performance partially meets the required standard. Less than
2 Fair
satisfactory could be doing better.
Needs Performance does not meet the required standard. Major
1 Improvement Improvement needed.

COMPETENCIES 5 4 3 2 1
TEAM WORK
1. Consistently works with others to accomplish goals and tasks.
2. Treats all team members in a respectful courteous manner.
3. Actively participates an activities and assigned tasks required.
4. Willing to work with team members to improve team collaboration
on a continuous basis.
5.Considers the feedback and views of team members when
completing an assigned task.
TEAM WORK Total Score/5

COMMUNICATION 5 4 3 2 1
1. Actively listens to supervisor and/or co-workers.
2. Comprehends written and oral information.
3. Consistently delivers accurate informations both written and oral.
4. Reliably provides feedback as required, both internally and externally.
COMMUNICATION Total Score/4

ATTENDANCE & PUNCTUALITY 5 4 3 2 1

1. Is punctual on a regular basis.
2. Maintains good attendance.
3. Informs supervisor in a timely manner when absenteeism and
tardiness may occur.
ATTENDANCE & PUNCTUALITY Total Score/3

PRODUCTIVITY/RESILIENCE 5 4 3 2 1
1. Consistently produces quality results.
2. Meets deadlines and manages time well.
3. Can do multitasking.
4. Can work under pressure and delivers the required tasks.
5. Effective and efficient in time management.
6. Efficiently informs supervisor of any challenge or hindrance relate
given task or assignment.
PRODUCTIVITY/RESILIENCE Total Score/6
REPUBLIC OF THE PHILIPPINES
REGION V
SCHOOL DIVISION OF MASBATE

INITIATIVE/PROACTIVITY 5 4 3 2 1
1. Completes assignments with minimum supervision.
2. Completes tasks independently and consistently.
3. Seeks support as need arises.
4. Recognizes and takes immediate action to effectively address
problems and opportunities.
5. Engages in continuous learning.
6. Contributes new ideas and shares skills to improve the departmen
organization.
INITIATIVE/PROACTIVITY Total Score/6
JUDGMENT/DECISION MAKING 5 4 3 2 1
1. Analyzes problems effectively.
2. Has the ability to make creative and effective solutions to proble
3. Demonstrates good judgment in handling routine problems.
JUDGMENT/DECISION MAKING Total Score/3
DEPENDABILITY/RELIABILITY 5 4 3 2 1
1. Has the ability to follow through and meet deadlines.
2. Has commitment for his/her action.
3. Can adjust easily to changes in workplace.
4. Displays high level of performance at all times.
DEPENDABILITY/RELIABILITY Total Score/4
ATTITUDE 5 4 3 2 1
1. Offers assistance willingly.
2. Shows a positive work attitude.
3. Shows sensitivity to and considerations for other's feelings.
4. Accepts criticism positively.
5. Shows pride in work.
ATTITUDE Total Score/5
PROFESSIONALISM 5 4 3 2 1
1. Respects persons in authority.
2. Uses all tools, equipment and facilities responsibly.
3. Follows all policies and procedures when issues and conflicts arise
4. Physical appearance conforms with the workplace and placement rules.
PROFESSIONALISM Total Score/4

OVER-ALL RATINGS WEIGHTED

AVERAGE

REPUBLIC OF THE PHILIPPINES

REGION V
DIVISION OF MASBATE PROVINCE

SUMMARY OF SCORES

WEIGHTED
CRITERIA AVERAGE
TEAM WORK
COMMUNICATION
ATTENDANCE AND PUNCTUALITY
PRODUCTIVITY/RESILIENCE
INTIATIVE/PROACTIVITY
JUDGMENT/DECISION MAKING
DEPENDABILITY/RELIABILITY
ATTITUDE
PROFESSIONALISM
Over-All Weighted Average
Equivalent Grade
REMARKS : (Comments/Suggestions)

Student's Signature: Date:

Work Immersion Supervisor's Signature over Printed Name:

Transmutation Table
Equivalent
Computed Weighted Average Grade
4.20 - 5.00 100
3.40 - 4.19 95
2.60 - 3.39 90
1.80 - 2.59 85
1.00 - 1.79 80

Prepared by:
Sgd. GLADYS ANGELA B. VALDEMORO
Work Immersion Teacher

Approved:
Sgd. RICHARD C. BASAS
Principal I
n the competency bonds, with 5 being the most and 1