MARINDUQUE MIDWEST COLLEGE

Senior High School Department

Gasan, Marinduque

Telephone: 342-1014/ Telefax: 342-1378

WORK IMMERSION EVALUATION FORM

Name of Immersion Site

Student
Grade/Strand Duration of Work
Immersion
Track

Purpose:

Your evaluation is requested guide the work immersion coordinator in determining a fair grade to be
given to the student-trainee assigned in your company/industry. It is also intended to make the student-trainee
aware of his/her strengths and areas of improvement.

Timetable:

To enable us to monitor the progress of the student-trainee, it is requested that an evaluation be done
after 72 hours of training and after the compilation of his/her assignment in your industry/company.

Procedure:

1. It is suggested that the student-trainee’s immediate supervisor evaluates his/her performance.

2. The evaluator should accomplish the evaluation form then rate the student as objectively as possible.

3. After filling in the form, the evaluator should discuss the results of his/her evaluation with the
student-trainee.

4. The accomplishment evaluation form should be returned to the immersion coordinator.

Using the following criteria, choose the appropriate score from the rubric as per the evaluation
descriptors that reflects your assessment of the student’s work.

VISION: MMC envision itself as a world class educational institution which develops and nurtures learners who are God-loving,
critical thinkers, productive, responsive and committed to serve the less privileged.
MISSION: MMC commits its resources through an integrated program of human information which recognizes the parameters of quality education
that will develop God-loving, self-disciplined, competent and productive Filipino citizens.
 MARINDUQUE MIDWEST COLLEGE
Senior High School Department
Gasan, Marinduque

Telephone: 342-1014/ Telefax: 342-1378

DAILY TIME RECORD

for the month of ________________

Name of Student: __________________________________

Grade / Strand: ____________________________________

DAY MORNING AFTERNOON

Time In Time Out Time In Time Out
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30

VISION: MMC envision itself as a world class educational institution which develops and nurtures learners who are God-loving,
critical thinkers, productive, responsive and committed to serve the less privileged.
MISSION: MMC commits its resources through an integrated program of human information which recognizes the parameters of quality education
that will develop God-loving, self-disciplined, competent and productive Filipino citizens.
 MARINDUQUE MIDWEST COLLEGE
Senior High School Department
Gasan, Marinduque

Telephone: 342-1014/ Telefax: 342-1378

JOB INTERVIEW EVALUATION

Applicant’s Name: ________________________________ Date: ___________________

APPEARANCE Poor Fair Average Good Superior

Dress
Grooming
Body Language
Eye Contact

CHARACTERISTICS Poor Fair Average Good Superior

Assertive
Maturity
Professional
Verbal/Persuasive/Delivery
Ability to learn/open

Overall Evaluation

Additional Comments:

VISION: MMC envision itself as a world class educational institution which develops and nurtures learners who are God-loving,
critical thinkers, productive, responsive and committed to serve the less privileged.
MISSION: MMC commits its resources through an integrated program of human information which recognizes the parameters of quality education
that will develop God-loving, self-disciplined, competent and productive Filipino citizens.
 MARINDUQUE MIDWEST COLLEGE
Senior High School Department
Gasan, Marinduque

Telephone: 342-1014/ Telefax: 342-1378

LIST OF TASKS/ACTIVITIES TO BE DONE DURING WORK IMMERSION

Name of Student Immersion Site

Grade/Strand Duration of Work

Immersion

Competencies Tasks/Activities Time Allotment Actual Schedule Remarks

Students shall not be given other activities outside of those previously agreed upon, which are anchored on the
stated competencies.

Certified true and correct:

_______________________________ ___________________________________
Student Signature Over Printed Name Parent’s Signature Over Printed Name

______________________________ ___________________________________
Work Immersion Coordinator’s Industry Supervisor’s Signature Over Printed Name
Signature over Printed Name

VISION: MMC envision itself as a world class educational institution which develops and nurtures learners who are God-loving,
critical thinkers, productive, responsive and committed to serve the less privileged.
MISSION: MMC commits its resources through an integrated program of human information which recognizes the parameters of quality education
that will develop God-loving, self-disciplined, competent and productive Filipino citizens.
 MARINDUQUE MIDWEST COLLEGE
Senior High School Department
Gasan, Marinduque

Telephone: 342-1014/ Telefax: 342-1378

WORK IMMERSION ACCEPTANCE FORM

This is to certify that ____________________________________ has been accepted in your office for
Work Immersion starting __________________ to ___________________ with pertinent information as
follows:

Office Assigned: _________________________________________________

Name of Immediate Supervisor: ____________________________________

Contact Information: ____________________________________________

Work Schedule: Monday, Wednesday and Friday, 8 AM-12 NN

___________________________________________
Signature Over Printed Name of Immediate Supervisor

VISION: MMC envision itself as a world class educational institution which develops and nurtures learners who are God-loving,
critical thinkers, productive, responsive and committed to serve the less privileged.
MISSION: MMC commits its resources through an integrated program of human information which recognizes the parameters of quality education
that will develop God-loving, self-disciplined, competent and productive Filipino citizens.