Republic of the Philippines
Department of Education
SCHOOLS DIVISION OF NEGROS ORIENTAL
SANTA CATALINA DISTRICT 1
ELIGIO T. MONTE DE RAMOS HIGH SCHOOL
WORK IMMERSION PERFORMANCE APPRAISAL
STUDENT’S NAME: STRAND:
Partner Institution:
Address: Contact Number:
Work Immersion Supervisor: Position:
Training Period: Total Number of Hours Rendered:
Direction: For each behavioral item listed within the competency bands, with 5 being the highest and 1 the lowest,
please select the evaluation most suited.
5 Outstanding Performance exceeds the required standard.
4 Very Satisfactory Performance fully met job requirements. Was able to perform
what was expected of a person in his/her position.
3 Satisfactory Performance has met the required standard. Can perform duties
with minimal supervision.
2 Fair Performance partially meets the required standard. Less than
satisfactory; could be doing better.
1 Needs Improvement Performance does not meet required standard. Major
improvement is needed.
NA Not Applicable Performance indicator is not relevant to the job.
COMPETENCY 5 4 3 2 1
TEAMWORK
1. Consistently works with others to accomplish goals and tasks.
2. Treat all team members in a respectful and courteous manner.
3. Actively participates in activities and assigned tasks required.
4. Willing to work with team members to improve team collaboration on a continuous
basis.
5. considers the feedback and views of team members when completing an assigned task.
TEAMWORK Total Score/5
COMPETENCY 5 4 3 2 1
COMMUNICATION
1. Actively listens to supervisors and/or co-workers.
2. Comprehends written and oral information.
3. Consistently delivers accurate information both written and oral.
4. Reliably provides feedback as required, both internally and externally.
COMMUNICATION Total Score/4
COMPETENCY 5 4 3 2 1
ATTENDANCE AND PUNCTUALITY
1. Is punctual on a regular basis.
2. Maintains good attendance.
3. Informs supervisor in timely manner when absenteeism and tardiness may occur.
ATTENDANCE AND PUNCTUALITY Total Score/3
COMPETENCY 5 4 3 2 1
PRODUCTIVITY/RESILIENCE
1. Consistently produces quality results.
2. Meets deadlines and manages time well.
3.Can do multitasking.
4. Can work under pressure and delivers the required tasks.
5. Effective and efficient in time management.
6. Efficiently informs supervisor of any challenge or hindrance related to given task or
assignment.
PRODUCTIVITY/RESILIENCE Total Score/6
COMPETENCY 5 4 3 2 1
INITIATIVE/PROACTIVITY
1. Completes assignments with minimum supervision.
2. Completes tasks independently and consistently.
3. Seeks support as need arises.
4. Recognizes and takes immediate action to effectively address problems and
opportunities.
5.Engages in continuous learning.
6. Contributes new ideas and shares skills to improve the department/organization.
INITIATIVE/PROACTIVITY Total Score/6
COMPETENCY 5 4 3 2 1
JUDGEMENT/DECISION-MAKING
1. Analyzes problems effectively.
2. Has the ability to make creative and effective solutions to problems.
3. Demonstrates good judgement in handling routine problems.
JUDGEMENT/DECISION-MAKING Total Score/3
COMPETENCY 5 4 3 2 1
DEPENDABILITY/RELIABILITY
1. Has the ability to follow through and meet deadlines.
2. Has commitment for his/her action.
3. Can easily adjust to changes in workplace.
4. Always displays high level of performance.
DEPENDABILITY/RELIABILITY Total Score/4
COMPETENCY 5 4 3 2 1
ATTITUDE
1. Offers assistance willingly.
2. Shows positive work attitude.
3. Shows sensitivity to and consideration for other’s feelings.
4. Accepts criticism positively.
5. Shows pride in work.
ATTITUDE Total Score/5
COMPETENCY 5 4 3 2 1
PROFESSIONALISM
1. Respects person in authority.
2. Uses tools, equipment, and facilities responsibly.
3. Follows all policies and procedures when issues and conflict arise.
4. Physical appearance conforms with the workplace and placement rules.
PROFESSIONALISM Total Score/4
SUMMARY OF SCORES
CRITERIA WEIGHTED
AVERAGE
TEAMWORK
COMMUNICATION
ATTENDANCE AND PUNCTUALITY
PRODUCTIVITY/RESILIENCE
INITIATIVE/PROACTIVITY
JUDGEMENT/DECISION-MAKING
DEPENDABILITY/RELIABILITY
ATTITUDE
PROFESSIONALISM
Over-All Weighted Average
Equivalent Grade
REMARKS: (Comments/Suggestions)
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Student’s Signature: ______________________________________________ Date: ________________________
Work Immersion Supervisor’s Signature Over Printed Name: _____________________________________________
Transmutation Table
Computed weighted Average Equivalent Grade
4.20 – 5.00 100
3.40 – 4.19 95
2.60 – 3.39 90
1.80 – 2.59 85
1.00 – 1.79 80
