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Republic of the Philippines

Department of Eductation
National Capital Region
LAS PIÑAS CITY NATIONAL SENIOR HIGH SCHOOL
DOÑA JOSEFA CAMPUS
Dona Josefa Ave., Dona Josefa Village, Almanza Uno, Las Piñas City

Purpose of Reference Book

Students:

 The book can be used as a source for motivation


 Overall information about rules / regulation from school and company
 Documentation and approval of lessons learned
 Feedback of performance level
 Reference book, even for the time after training
 Helpful for preparation of assessment
 Door opener for job application

School:

 Contains regulations and conditions regarding contract between school and student
 Information about curriculum and record of lessons learned
 Record of student attitudes

Company:

 Contains introduction of company in general


 Roles and regulation for training inside the company
 Record of performance during in-company training
 Feedback from student

Work Immersion Reference Book Page | 2


Republic of the Philippines
Department of Eductation
National Capital Region
LAS PIÑAS CITY NATIONAL SENIOR HIGH SCHOOL
DOÑA JOSEFA CAMPUS
Dona Josefa Ave., Dona Josefa Village, Almanza Uno, Las Piñas City

Content of Reference Book

1. Student Profile
a. Student details
b. Learned competencies
c. Expectations from immersion

2. Documents from School


a. Request for work immersion
b. Endorsement letter
c. Company acceptance from
d. Work immersion agreement & liability waiver
e. Curriculum

3. Documents from Company


a. Company Profile
b. Rules and Regulation

4. Training Plan
a. Attendance
b. Training Plan

5. Learning Journal

6. Evaluation

7. Student Documentation

8. Contact Details

Work Immersion Reference Book Page | 3


Republic of the Philippines
Department of Eductation
National Capital Region
LAS PIÑAS CITY NATIONAL SENIOR HIGH SCHOOL
DOÑA JOSEFA CAMPUS
Dona Josefa Ave., Dona Josefa Village, Almanza Uno, Las Piñas City

Student’s Profile

Name: ___________________________________________

Age: ____________________ Gender: _________________

Grade Level / Section: ______________________________

Specialization: ____________________________________

Birthday: ________________________________________

Contact no.: ______________________________________

Email Address / FB Account: ___________________________________________________

Address: ___________________________________________________________________

Immersion duration: ________________________________________________________________

What do I expect from this immersion?

___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

REQUEST FOR WORK IMMERSION

Work Immersion Reference Book Page | 4


Republic of the Philippines
Department of Eductation
National Capital Region
LAS PIÑAS CITY NATIONAL SENIOR HIGH SCHOOL
DOÑA JOSEFA CAMPUS
Dona Josefa Ave., Dona Josefa Village, Almanza Uno, Las Piñas City

_________________________
_________________________
_________________________
Sir / Madame:

This is to request permission from your good office to please allow, _________________________________________, a
Senior High School – Grade 12 students, to undergo a 80 hours WORK IMMERSION in your establishment to acquire
industrial ORIENTATION. The training period will start immediately upon your acceptance of the bearer under the terms
and conditions as stipulated in the duly accomplished memorandum of agreement hereto attached to your confirmation.
Moreover, a student evaluation is provided where a student is assessed on his / her performance, attitude and behavior to be
attested by the supervisor. The GAS Immersion Focal Person / Coordinator and teachers handling each technology area from
our school will visit your company / shop from time to time to find out how the students perform in the working area.

Thank you very much for your usual cooperation and assistance extended to the school.

ENDORSEMENT LETTER
Sir / Madame:

This is to introduce, ______________________________________________ who is a grade 12 Senior High School student


enrolled in our school under the K to 12 program with specialization in _________________________________________,
and to further endorse < his / her > application with your company to undergo WORK IMMERSION for a minimum of 80
hours as a requirement of the curriculum.

We believe that school must link up with the industry in order to update, upgrade and make the education of our youth more
relevant to the actual needs of the industry. It is in regard that we request you to give such opportunities to our students by
allowing them to do part time work with you company. Together with this letter is an Acceptance Form. We request that said
from be accomplished and returned to his office upon acceptance of our student in your company. We are confident that
given the opportunity, our student will be an asset to your company.

Thank you for the favorable action and we look forward to a more fruitful linkage with you.

Very truly yours,

Immersion – Focal Person


Noted:

Ignacio L. Son, Jr.


School Principal II

Work Immersion Reference Book Page | 5


Republic of the Philippines
Department of Eductation
National Capital Region
LAS PIÑAS CITY NATIONAL SENIOR HIGH SCHOOL
DOÑA JOSEFA CAMPUS
Dona Josefa Ave., Dona Josefa Village, Almanza Uno, Las Piñas City

ATTENDANCE SHEET

For the Month of: For the Month of:


Date Time Time Signature Date Time Time Signature
In Out of In Out of
No. of Superior No. of Superior
Hours Hours
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
21 21
22 22
23 23
24 24
25 25
26 26
27 27
28 28
29 29
30 30
31 31

LEARNING JOURNAL

Work Immersion Reference Book Page | 6


Republic of the Philippines
Department of Eductation
National Capital Region
LAS PIÑAS CITY NATIONAL SENIOR HIGH SCHOOL
DOÑA JOSEFA CAMPUS
Dona Josefa Ave., Dona Josefa Village, Almanza Uno, Las Piñas City

- Student shall input learnings (i.e. what has been learned, activities performed, problems encountered,
other comments) in this log book every week.
- At the end of the week, the student should ask his / her respective supervisor to sign.

Week 1: from __________________________ to _____________________________

Noted by immediate superior:

Week 2: from __________________________ to _____________________________

Noted by immediate superior:

LEARNING JOURNAL

Work Immersion Reference Book Page | 7


Republic of the Philippines
Department of Eductation
National Capital Region
LAS PIÑAS CITY NATIONAL SENIOR HIGH SCHOOL
DOÑA JOSEFA CAMPUS
Dona Josefa Ave., Dona Josefa Village, Almanza Uno, Las Piñas City

- Student shall input learnings (i.e. what has been learned, activities performed, problems encountered,
other comments) in this log book every week.
- At the end of the week, the student should ask his / her respective supervisor to sign.

Week 3: from __________________________ to _____________________________

Noted by immediate superior:

Week 4: from __________________________ to _____________________________

Noted by immediate superior:

Work Immersion Reference Book Page | 8


Republic of the Philippines
Department of Eductation
National Capital Region
LAS PIÑAS CITY NATIONAL SENIOR HIGH SCHOOL
DOÑA JOSEFA CAMPUS
Dona Josefa Ave., Dona Josefa Village, Almanza Uno, Las Piñas City

LEARNING JOURNAL
- Student shall input learnings (i.e. what has been learned, activities performed, problems encountered,
other comments) in this log book every week.
- At the end of the week, the student should ask his / her respective supervisor to sign.

Week 5: from __________________________ to _____________________________

Noted by immediate superior:

Work Immersion Reference Book Page | 9


Republic of the Philippines
Department of Eductation
National Capital Region
LAS PIÑAS CITY NATIONAL SENIOR HIGH SCHOOL
DOÑA JOSEFA CAMPUS
Dona Josefa Ave., Dona Josefa Village, Almanza Uno, Las Piñas City

LEARNING JOURNAL (SUMMARY)

Noted by immediate superior:

Work Immersion Reference Book Page | 10


Republic of the Philippines
Department of Eductation
National Capital Region
LAS PIÑAS CITY NATIONAL SENIOR HIGH SCHOOL
DOÑA JOSEFA CAMPUS
Dona Josefa Ave., Dona Josefa Village, Almanza Uno, Las Piñas City

WORK IMMERSION EVALUATION SHEET


Student Name:
Name of Company:
Address:
Specialization: Department Assigned:
Inclusive Date of Training: Number of Hours Required:

Standard Evaluator’s Evaluator’s


Rating Rating Rating School
JOB FACTORS Company (40%)
(60%)
A. WORK PERFORMANCE (50%) 10%
1. Knowledge of work (able to grasp as instructed) 10%
2. Quality of work (can cope with the demand of additional unexpected work 10%
load in a limited time)
3. Quality of work (performs an assigned job efficiently as possible) 10%
4. Attendance (follows assigned work schedule) 10%
5. Punctuality (reports to work assignment work schedule) 10%
B. PERSONALITY TRAITS
1. Physical Appearance (personally well groomed and always wears appropriate 5%
dress)
2. Attitude toward work (always shows enthusiasm and interest) 5%
3. Courtesy (shows respect for authority at all times) 5%
4. Conduct (observes rules and regulation of establishment) 5%
5. Perseverance and industriousness (shows initiative and interests in work over 5%
and above what is assigned)
6. Drive and leadership (inquisitive and aggressive) 5%
7. Mental maturity (effective and calm under pressure) 5%
8. Sociability (can work harmoniously with other employees) 5%
9. Reliability (trusted to be left alone to use or operate office equipment) 5%
10. Possession of traits necessary for employment in this kind of work. 5%
Note: Passing Rate is 75% 100%
PERCENTAGE
FINAL RATING

EVALUATOR’S SIGNATURE

Work Immersion Reference Book Page | 11


Republic of the Philippines
Department of Eductation
National Capital Region
LAS PIÑAS CITY NATIONAL SENIOR HIGH SCHOOL
DOÑA JOSEFA CAMPUS
Dona Josefa Ave., Dona Josefa Village, Almanza Uno, Las Piñas City

For the Company: For the School:

Trainee’s Immediate HR Personnel on Authorized Immersion Teacher Partnership Focal Person


Superior Representative

Immediate Supervisor’s Comments:

________________________________________________ ________________________________________

Immediate Supervisor’s Signature / Date Student’s Signature / Date

________________________________________

HR Supervisor’s Signature / Date

Work Immersion Reference Book Page | 12


Republic of the Philippines
Department of Eductation
National Capital Region
LAS PIÑAS CITY NATIONAL SENIOR HIGH SCHOOL
DOÑA JOSEFA CAMPUS
Dona Josefa Ave., Dona Josefa Village, Almanza Uno, Las Piñas City

MONITORING SHEET

Monitoring Comments Signature


Date

Over-all Immersion Teacher’s Comments / Findings / Suggestions:

_______________________________________________ ____________________________________

Immersion Teacher’s Signature / Date Student’s Signature / Date

__________________________________________

Partnership Focal Person’s Signature / Date

Work Immersion Reference Book Page | 13


Republic of the Philippines
Department of Eductation
National Capital Region
LAS PIÑAS CITY NATIONAL SENIOR HIGH SCHOOL
DOÑA JOSEFA CAMPUS
Dona Josefa Ave., Dona Josefa Village, Almanza Uno, Las Piñas City

APPENDICES

Work Immersion Reference Book Page | 14


Republic of the Philippines
Department of Eductation
National Capital Region
LAS PIÑAS CITY NATIONAL SENIOR HIGH SCHOOL
DOÑA JOSEFA CAMPUS
Dona Josefa Ave., Dona Josefa Village, Almanza Uno, Las Piñas City

CURRICULUM
GUIDE / MAP /
TRAINING PLAN

Work Immersion Reference Book Page | 15


Republic of the Philippines
Department of Eductation
National Capital Region
LAS PIÑAS CITY NATIONAL SENIOR HIGH SCHOOL
DOÑA JOSEFA CAMPUS
Dona Josefa Ave., Dona Josefa Village, Almanza Uno, Las Piñas City

COMPANY PROFILE (Brief Description)


Insert or Paste here!

Work Immersion Reference Book Page | 16


Republic of the Philippines
Department of Eductation
National Capital Region
LAS PIÑAS CITY NATIONAL SENIOR HIGH SCHOOL
DOÑA JOSEFA CAMPUS
Dona Josefa Ave., Dona Josefa Village, Almanza Uno, Las Piñas City

WORK IMMERSION PHOTO WITH CAPTION


Insert or Paste here!

Work Immersion Reference Book Page | 17


Republic of the Philippines
Department of Eductation
National Capital Region
LAS PIÑAS CITY NATIONAL SENIOR HIGH SCHOOL
DOÑA JOSEFA CAMPUS
Dona Josefa Ave., Dona Josefa Village, Almanza Uno, Las Piñas City

WORK IMMERSION CERTIFICATE OF COMPLETION


Insert or Paste here!

Work Immersion Reference Book Page | 18


Republic of the Philippines
Department of Eductation
National Capital Region
LAS PIÑAS CITY NATIONAL SENIOR HIGH SCHOOL
DOÑA JOSEFA CAMPUS
Dona Josefa Ave., Dona Josefa Village, Almanza Uno, Las Piñas City

Contact Details

Las Piñas City National Senior High School – Doña Josefa Campus
Address: Josefa Avenue, Doña Josefa Subdivision, Almanza Uno, Las Piñas City
Contact No.:

Contact Persons:

Ignacio L. Son, Jr.


Principal II
Contact Number: _____________________

Norelyn H. Data
GAS/Immersion Focal Person
Contact Number: _____________________

Ronald L. Araneta
Senior High School Coordinator
Contact Number: _____________________

GAS Teacher/ Adsiver


Contact Number: _____________________

Work Immersion Reference Book Page | 19


Republic of the Philippines
Department of Eductation
National Capital Region
LAS PIÑAS CITY NATIONAL SENIOR HIGH SCHOOL
DOÑA JOSEFA CAMPUS
Dona Josefa Ave., Dona Josefa Village, Almanza Uno, Las Piñas City

PARENT/GUARDIAN/CAREER CONSENT FORM


Instruction: Please complete the following, sign and return to:.
Miss Maria Elanie D. Bucayo Immersion Teacher

Name of student: _________________________ Age: ______________

Name of Parent/Guardian: ___________________________________

Address:__________________________________________________________
Mobile: _________________________________________________________

Family Doctor: __________________ Doctor’s Tel No: _________________


Does your child suffer from any medical conditions/allergies that the teacher/
coach should be aware of (including any current medication)? ______________

If YES Please provide details of medication that must be administered:

____________________________________________________________________________

Emergency contact details: (If different from above)

Name: ______________________________ Telephone no: _________________

Relationship to child: ________________________________________________

CONSENT (please read carefully)

a) I agree to my son/ daughter taking part in the Field Work/Immersion in


partial fulfilment of the Work Immersion Curriculum to develop the
independent and critical skills of the students.
b) I confirm to the best of my knowledge that my son/ daughter does not
suffer from any medical condition other than those listed above.
c) I fully support the work immersion undertaking of my son/daughter
through minimal financial cost and through my attendance/presence if so
desired.
d) I consent and fully responsible to my son/ daughter travelling by any form
of public transport, bus, jeepney or motor vehicle by land in the course of
fulfilling the 80 hours of on the job training.

Signed ___________________________
(Parent/ Guardian)

Date: _________________

Work Immersion Reference Book Page | 20


Republic of the Philippines
Department of Eductation
National Capital Region
LAS PIÑAS CITY NATIONAL SENIOR HIGH SCHOOL
DOÑA JOSEFA CAMPUS
Dona Josefa Ave., Dona Josefa Village, Almanza Uno, Las Piñas City

DAILY LEARNING JOURNAL


- Student shall input learning (i.e. what has been learned, activities performed, problems encountered,
other comments) in this log daily.

Date: ________________________

Work Immersion Reference Book Page | 21


Republic of the Philippines
Department of Eductation
National Capital Region
LAS PIÑAS CITY NATIONAL SENIOR HIGH SCHOOL
DOÑA JOSEFA CAMPUS
Dona Josefa Ave., Dona Josefa Village, Almanza Uno, Las Piñas City

Work Immersion Reference Book Page | 22

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