Republic of the Philippines

DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OFFICE URDANETA CITY
CASABULA NATIONAL HIGH SCHOOL
Urdaneta City, Pangasinan

WORK IMMERSION FORM

2ND Semester, SY 2019 – 2020

Name: __________________________________________________________________
Track: __________________________________________________________________
Strand: _________________________________________________________________
School: _________________________________________________________________
Name of Principal: ________________________________________________________
Name of Head Teacher/
School Partnership Focal Person: ____________________________________________
Name of Work Immersion Teacher: __________________________________________
__________________________________________
Number of Work Immersion Hours: ___________________________________________
Duration of Work Immersion: _______________________________________________
Schedule (Days/Time): _____________________________________________________
Work Immersion Venue: ___________________________________________________
Work Immersion Address: __________________________________________________
Head of the Work Immersion Venue: _________________________________________
Position: ________________________________________________________________
Name of Work Immersion
Partner Institution Supervisor: _______________________________________________
Position: ________________________________________________________________

_____________________________________________________
Signature Over Printed Name
 WORK IMMERSION PORTFOLIO

Work Immersion Experience 1: My Orientation with the Real World to Work

A. Objectives:
At the end of the activity, I should be able to:
1. have an overview of the work immersion program;
2. define significant terms;
3. recognize the importance of human relations in the workplace; and
4. appreciate values in work and work ethics.

B. Tasks/Activities:
Based on the orientation conducted by the Head Teacher/Immersion Focal
Person, write your expectation from your school, your work immersion facility/venue
and yourself.

Indicators My Expectations
School

Work Immersion Facility/venue

Yourself

C. What I Learned

Recall the meaning of…… Terms

Work Immersion

Work immersion venue

School partnership focal person

Work immersion teacher

Work immersion partner institution

supervisor

Portfolio

D. Sharing my Thoughts
Directions: Write at least 5 sentences about your analysis and insights on your
work immersion.

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

WEEK # INCLUSIVE ACTIVITIES PERFORMED

DATES

MY INSIGHTS/THOUGHTS ABOUT MY WORK

ISSUES/CONCERNS FACED
 SOLUTIONS DONE

Work Immersion Experience 2: Getting to Know the Real World of Work

A. Objectives:
At the end of the activity, I should be able to:
 1.familiariza with the nature of the business;
2. be acquainted with the people in the workplace;
3. identify the different offices that make up the work environment; and
4. identify my tasks.

B. The WORKPLACE
Describe and illustrate the following:
NATURE OF THE BUSINESS

DESCRIPTION OF THE PRODUCTS/SERVICES

TARGET CLIENTELLE

ORGANIZATIONAL STRUCTURE
 C. People in the Workplace

Name of Persons in the Workplace Office/Department Position/Designation

D. My Mentors

GETTING TO KNOW MY MENTORS

My Immersion Teacher: My Immersion Teacher’s Expectations

Name: __________________________________
__________________________________
 My Work Immersion Partner Institution My Work Immersion Partner Institution
Supervisor Supervisor’s Expectations

Name: ___________________________________
___________________________________

E. My Tasks

My tasks/activities to be done during the work immersion.

MY TASKS/ACTIVITIES

F. Sharing My Thoughts

Directions: Write at least 5 sentences about your feelings and insights on your first
day in the work immersion venue.

G. Documentation/My Photos During My First Day in the Work Immersion Venue

(Put Caption)

The Façade of My Work Immersion Venue

 My Mentors

My Workplace

WORK IMMERSION PORTFOLIO

Work Immersion Experience 3: My Observations in the Workplace

A. Objectives
At the end of the activity, I should be able to:
 1. observe the safety, maintenance, quality assurance, customer satisfaction and
housekeeping of the workplace; and
2. participate on the safety, maintenance, quality assurance, customer satisfaction
and housekeeping of the workplace.

B. Up-keeping in the Workplace

AREAS WHAT DID I OBSERVE IN THE HOW DID I PARTICIPATE?

WORKPLACE?

Safety

Maintenance

Quality Assurance

Customer Satisfaction

Housekeeping

C. Sharing My Thoughts

Directions: Write at least 5 sentences about your feelings and insights on the
safety, maintenance, quality assurance, customer satisfaction and housekeeping
of the workplace.
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
____________________________________________________________

__________________________________________________________________
______
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OFFICE URDANETA CITY
CASABULA NATIONAL HIGH SCHOOL
Urdaneta City, Pangasinan

Name of Students Birthday Parents/Guardian Address

Abriam, Shawn Michael B. August 14, 2000 Mrs. Yolanda E. Abriam Casantaan, Urdaneta City
Ajito, Sharwin May 22, 2001 Mrs. Linda M. Ajito Casantaan, Urdaneta City
Bautista, Christofer A. December 12, Mr. and Mrs. Camilo Bautista Bolaoen, Urdaneta City
1999 Sr.
Bergado, Adison September 23, Mr. Lito D. Santiago Casantaan, Urdaneta City
1997
Dela Cruz, John Joseph G. February 24, Mr. and Mrs. Genaro Dela Bolaoen, Urdaneta City
2001 Cruz Sr.
Nabua, Alberto P. November 20, Mr. and Mrs. Hilario Nabua Bolaoen, Urdaneta City
1998
Amolacion, Charmel B. May 12, 2001 Mr. and Mrs. Charlie Casantaan, Urdaneta City
Amolacion
Bazarte, Jennifer August 3, 2001 Mr. Fernando Cabiles Casantaan, Urdaneta City
Ms. Maria Luz Bazarte
Dacurong, Marykris C. December 8, Mr. and Mrs. Romulo Casantaan, Urdaneta City
1999 Dacurong
Esteves, Josephine C. March 12, 2001 Mr. and Mrs. Juan D. Esteves Casantaan, Urdaneta City
Gadaza, Cherry Ann T. July 10, 2001 Ms. Maria Garcia Casantaan, Urdaneta City
Marayan, Ma. Laica Mae C. May 3, 1998 Ms. Marisil C. Marayan Casantaan, Urdaneta City
Padua, Ronna Mae B. June 18, 2001 Mr. and Mrs. Marcelo A. Bolaoen, Urdaneta City
Padua Jr.
Versola, Valarie G. November 17, Mr. and Mrs. Ruben P. Casantaan, Urdaneta City
2000 Versola
Eguita, Joselito A. May 7, 1982 Mrs. Marcelina Eguita Casantaan, Urdaneta City