BORANG PEMANTAUAN HIGHLY IMMERSIVE PROGRAMME (HIP)

FASA 3

1 Name of State

2 Name of PPD

3 Name of School

4 Name of Head Master

5 School enrolment

6 No of English Teachers

7 Total no of teachers

8 Level of Immersiveness

Tick to indicate

In class Out of Class Extra Class Outreach

9 Immersive activites conducted by school

Fill in to complete

10 Title of activites

11 Objective of activites

All students/a specific group of students

12 Activity/ies suited for

13 No and percentage of students involved

14 Outcomes of activities

Evidence of student participation in language

activity/Evidence of students using language
15
(oral or written form) - all forms of audios videos
and pictures are accepted.

School Head Teachers Students Parents/Community

Describe role(s) of the above in the activities

16
conducted

SISC+ SIP+ FasiLinus

17 Contribution(s) of the above in immersive activity

Outcomes of dialog prestasi at school or district

18 levels. sekolah/PPD. - information from school
head.

19 Success Stories
20 Name of Outreach partner

Evidence of student particiation / use of

21
language

22 Overall feedback of the Outreach programme

Self Assessment Tool

Please fill in overall mean scores of the following

School Head Teachers Parents Students

OVERALL FEEDBACK

NAME OF OFFICER DATE OF VISIT

 BORANG PEMANTAUAN HIGHLY IMMERSIVE PROGRAMME (HIP)

FASA 1 19 APRIL HINGGA 6 MEI 2016

1 Name of State

2 Name of PPD

3 Name of School

4 Name of Head Master

5 School enrolment

6 No of English Teachers

7 Total no of teachers

8 Level of Immersiveness

Tick to indicate

In class Out of Class Extra Class Outreach

9 Immersive activites conducted by school

Fill in to complete

10 Title of activites

11 Objective of activites

All students/a specific group of students

12 Activity/ies suited for

13 No and percentage of students involved

14 Outcomes of activities

Evidence of student participation in language

activity / Evidence of students using language
15
(oral or written form) - all forms of audios videos
and pictures are accepted.

School Head Teachers Students Parents/Community

Describe role(s) of the above in the activities

16
conducted

SISC+ SIP+ FasiLinus

17 Contribution(s) of the above in immersive activity

Outcomes of dialog prestasi at school or district

18 levels. sekolah/PPD. - information from school
head.

19 Success Stories
20 Name of Outreach partner

Evidence of student particiation / use of

21
language

22 Overall feedback of the Outreach programme

Self Assessment Tool

Please fill in overall mean scores of the following

School Head Teachers Parents Students

OVERALL FEEDBACK

NAME OF OFFICER DATE OF VISIT

 BORANG PEMANTAUAN HIGHLY IMMERSIVE PROGRAMME (HIP)

FASA 1 19 APRIL HINGGA 6 MEI 2016

1 Name of State

2 Name of PPD

3 Name of School

4 Name of Head Master

5 School enrolment

6 No of English Teachers

7 Total no of teachers

8 Level of Immersiveness

Tick to indicate

In class Out of Class Extra Class Outreach

9 Immersive activites conducted by school

Fill in to complete

10 Title of activites

11 Objective of activites

All students/a specific group of students

12 Activity/ies suited for

13 No and percentage of students involved

14 Outcomes of activities

Evidence of student participation in language

activity / Evidence of students using language
15
(oral or written form) - all forms of audios videos
and pictures are accepted.

School Head Teachers Students Parents/Community

Describe role(s) of the above in the activities

16
conducted

SISC+ SIP+ FasiLinus

17 Contribution(s) of the above in immersive activity

Outcomes of dialog prestasi at school or district

18 levels. sekolah/PPD. - information from school
head.

19 Success Stories
20 Name of Outreach partner

Evidence of student particiation / use of

21
language

22 Overall feedback of the Outreach programme

Self Assessment Tool

Please fill in overall mean scores of the following

School Head Teachers Parents Students

OVERALL FEEDBACK

NAME OF OFFICER DATE OF VISIT

 BORANG PEMANTAUAN HIGHLY IMMERSIVE PROGRAMME (HIP)

FASA 1 19 APRIL HINGGA 6 MEI 2016

1 Name of State

2 Name of PPD

3 Name of School

4 Name of Head Master

5 School enrolment

6 No of English Teachers

7 Total no of teachers

8 Level of Immersiveness

Tick to indicate

In class Out of Class Extra Class Outreach

9 Immersive activites conducted by school

Fill in to complete

10 Title of activites

11 Objective of activites

All students/a specific group of students

12 Activity/ies suited for

13 No and percentage of students involved

14 Outcomes of activities

Evidence of student participation in language

activity / Evidence of students using language
15
(oral or written form) - all forms of audios videos
and pictures are accepted.

School Head Teachers Students Parents/Community

Describe role(s) of the above in the activities

16
conducted

SISC+ SIP+ FasiLinus

17 Contribution(s) of the above in immersive activity

Outcomes of dialog prestasi at school or district

18 levels. sekolah/PPD. - information from school
head.

19 Success Stories
20 Name of Outreach partner

Evidence of student particiation / use of

21
language

22 Overall feedback of the Outreach programme

Self Assessment Tool

Please fill in overall mean scores of the following

School Head Teachers Parents Students

OVERALL FEEDBACK

NAME OF OFFICER DATE OF VISIT

 BORANG PEMANTAUAN HIGHLY IMMERSIVE PROGRAMME (HIP)

FASA 1 19 APRIL HINGGA 6 MEI 2016

1 Name of State

2 Name of PPD

3 Name of School

4 Name of Head Master

5 School enrolment

6 No of English Teachers

7 Total no of teachers

8 Level of Immersiveness

Tick to indicate

In class Out of Class Extra Class Outreach

9 Immersive activites conducted by school

Fill in to complete

10 Title of activites

11 Objective of activites

All students/a specific group of students

12 Activity/ies suited for

13 No and percentage of students involved

14 Outcomes of activities

Evidence of student participation in language

activity / Evidence of students using language
15
(oral or written form) - all forms of audios videos
and pictures are accepted.

School Head Teachers Students Parents/Community

Describe role(s) of the above in the activities

16
conducted

SISC+ SIP+ FasiLinus

17 Contribution(s) of the above in immersive activity

Outcomes of dialog prestasi at school or district

18 levels. sekolah/PPD. - information from school
head.

19 Success Stories
20 Name of Outreach partner

Evidence of student particiation / use of

21
language

22 Overall feedback of the Outreach programme

Self Assessment Tool

Please fill in overall mean scores of the following

School Head Teachers Parents Students

OVERALL FEEDBACK

NAME OF OFFICER DATE OF VISIT

BORANG RESPONDEN HIGHLY IMMERSIVE PROGRAMME (HIP)

RESPONDEN :

Items

There is an immersive English environment in the

1
school.

Students are given the opportunity to use the

2
language actively in school.

Weaker students are given the opportunity to

3
participate actively.

All members of the school are involved in the

4
activity/ies.

BORANG RESPONDEN HIGHLY IMMERSIVE PROGRAMME (HIP)

RESPONDEN :

Items

There is an immersive English environment in the

1
school.

Students are given the opportunity to use the

2
language actively in school.

Weaker students are given the opportunity to

3
participate actively.
 All members of the school are involved in the
4
activity/ies.

BORANG RESPONDEN HIGHLY IMMERSIVE PROGRAMME (HIP)

RESPONDEN :

Items

There is an immersive English environment in the

1
school.

Students are given the opportunity to use the

2
language actively in school.

Weaker students are given the opportunity to

3
participate actively.

All members of the school are involved in the

4
activity/ies.

BORANG RESPONDEN HIGHLY IMMERSIVE PROGRAMME (HIP)

RESPONDEN :

Items

There is an immersive English environment in the

1
school.

Students are given the opportunity to use the

2
language actively in school.
 Weaker students are given the opportunity to
3
participate actively.

All members of the school are involved in the

4
activity/ies.

BORANG RESPONDEN HIGHLY IMMERSIVE PROGRAMME (HIP)

RESPONDEN :

Items

There is an immersive English environment in the

1
school.

Students are given the opportunity to use the

2
language actively in school.

Weaker students are given the opportunity to

3
participate actively.

All members of the school are involved in the

4
activity/ies.
RAMME (HIP)

Tick to indicate your response to the statements below relating to the HIP activities

Not at all Somewhat

RAMME (HIP)

Tick to indicate your response to the statements below relating to the HIP activities

Not at all Somewhat

RAMME (HIP)

Tick to indicate your response to the statements below relating to the HIP activities

Not at all Somewhat

RAMME (HIP)

Tick to indicate your response to the statements below relating to the HIP activities

Not at all Somewhat

RAMME (HIP)

Tick to indicate your response to the statements below relating to the HIP activities

Not at all Somewhat

atements below relating to the HIP activities being carried out

Mostly Fully Agree

atements below relating to the HIP activities being carried out

Mostly Fully Agree

atements below relating to the HIP activities being carried out

Mostly Fully Agree

atements below relating to the HIP activities being carried out

Mostly Fully Agree

atements below relating to the HIP activities being carried out

Mostly Fully Agree