Republic of the Philippines

Department of Education
Region X
DIVISION OF CAGAYAN DE ORO
Fr. William Masterson Road
Upper Balulang, Cagayan de Oro City

WORK IMMERSION STUDENT’S PERFORMANCE EVALUATION REPORT

Name of Student:_____________________________________________________________
Student’s Position Title:___________________________________________________
Work Immersion Venue: _______________________________________________________
Work Immersion Supervisor:___________________________________________________
Work Immersion Period:_______________________________________________________

Please check the number that corresponds to your assessment to the work performance of the work immersion student
assigned to your supervision. Thank you.
5 – Outstanding 4 – Very Good 3- Good 2 – Fair 1 – Needs Improvement
AREA OF ASSESSMENT 5 4 3 2 1

WORK ATTITUDES AND HABITS ( 25 POINTS)

Shows courtesy in dealing with superiors and peers.

Demonstrates patience and diligence in performing assigned tasks.

Observes punctuality and regularity in attendance.

Ensures neatness of the reports submitted on the scheduled time.

Observes punctuality in submitting reports to assigned task.

AVERAGE

WORK KNOWLEDGE / COMPETENCIES ( 25 POINTS)

Demonstrates effective technical knowledge and competencies.

Translates learned theories to actual work practice.

Demonstrates willingness to accept suggestion and constructive criticism.

Has the initiative to do things as the need arises.

AVERAGE

PERSONALITY AND DISPOSITION ( 25 POINTS)

Reports to work neat and is well groomed.

Wears appropriate attire.

Demonstrates confidence at work.

Builds rapport and positive relationship with others.

Demonstrates emotional maturity570

AVERAGE

GENERAL AVERAGE

_____________________________________________________ ________________
NAME AND SIGNATURE OF WORK IMMERSION SUPERVISOR DATE