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Work Immersion Performance Appraisal

The document is a performance appraisal form for a student named Juan Dela C. Dela Cruz, who participated in a work immersion program at the Local Government Unit of Padapada from January 13 to January 24, 2025. It includes various competency categories such as teamwork, communication, attendance, productivity, initiative, judgment, dependability, attitude, and professionalism, each requiring ratings from 1 to 5. The appraisal concludes with a summary of scores and remarks section for feedback.

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andreskristelanntipay01
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10 views

Work Immersion Performance Appraisal

The document is a performance appraisal form for a student named Juan Dela C. Dela Cruz, who participated in a work immersion program at the Local Government Unit of Padapada from January 13 to January 24, 2025. It includes various competency categories such as teamwork, communication, attendance, productivity, initiative, judgment, dependability, attitude, and professionalism, each requiring ratings from 1 to 5. The appraisal concludes with a summary of scores and remarks section for feedback.

Uploaded by

andreskristelanntipay01
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education
REGION III
SCHOOLS DIVISION OFFICE OF TARLAC PROVINCE
SENIOR HIGH SCHOOL DEPARTMENT

WORK IMMERSION PERFORMANCE APPRAISAL


JUAN DELA C. DELA CRUZ
STUDENT’S NAME: _____________________________________ STRAND: HUMSS
Partner Institution: LOCAL GOVERNMENT UNIT OF PADAPADA
Address: Padapada, Santa Ignacia, Tarlac Contact no.:
_____________
Work Immersion Supervisor: ________________________Position: ____________
Immersion Period: January 13 - January 24, 2025 Total No. of Hours
Rendered: 80

Directions: For each behavioral item listed within the competency bands,
with 5 being the most and 1 is the least, please select the rating most
suited.

Performance exceeds the required


5 Outstanding
standard.
Performance fully met the required
4 Very Satisfactory standard. Was able to perform what was
expected of him/her.
Performance has met the required standard.
3 Satisfactory Can perform duties with minimal
supervision.
Performance partially met the required
2 Fair standard. Can perform duties with full
supervision.
Performance does not meet the required
1 Needs Improvement
standard. Major improvements needed.
Performance indicator is nor relevant to the
N/A Not Applicable
job.

COMPETENCIES 5 4 3 2 1

TEAM WORK

1. Consistently works with others to accomplish


goals and tasks

2. Treats all team members in a respectful


courteous manner.

3. Actively participates in activities and


Republic of the Philippines
Department of Education
REGION III
SCHOOLS DIVISION OFFICE OF TARLAC PROVINCE
SENIOR HIGH SCHOOL DEPARTMENT

assigned tasks required.

4. Is 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.

Total Score/5

COMMUNICATION 5 4 3 2 1

1. Actively listens to supervisor 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

Total Score/5

ATTENDANCE AND PUNCTUALITY 5 4 3 2 1

1. Is punctual on a regular basis

2. Maintains good attendance

3. Informs supervisor in a timely manner when


absenteeism and tardiness may occur

Total Score/3

PRODUCTIVITY/ RESILIENCY 5 4 3 2 1

1. Consistently produces quality results

2. Meets deadlines and manages time well


Republic of the Philippines
Department of Education
REGION III
SCHOOLS DIVISION OFFICE OF TARLAC PROVINCE
SENIOR HIGH SCHOOL DEPARTMENT

3. Can do multitasking

4. Can work under pressure and delivers the


required tasks

5. IIs effective and efficient in time


management

6. Is efficient informs supervisor of any


challenges or hindrance related to given task or
assignment

Total Score/6

INITIATIVE/ PROACTIVITY 5 4 3 2 1

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

Total Scores/6

JUDGMENT/ DECISION MAKING 5 4 3 2 1

1. Analyzes problem effectively

2. Has the ability to make creative and effective


solutions to problems
Republic of the Philippines
Department of Education
REGION III
SCHOOLS DIVISION OFFICE OF TARLAC PROVINCE
SENIOR HIGH SCHOOL DEPARTMENT

3. Demonstrates good judgment in handling


routine problems

Total Score/3

DEPENDABILITY/RELIABILITY 5 4 3 2 1

1. Has the ability to follow through and meet


deadlines

2. Has commitment for his/her action

3. Can adjust easily to changes in workplace

4. Displays high level of performance at all


times

Total Score/4

ATTITUDE 5 4 3 2 1

1. Offers assistance willingly.

2. Shows a positive work attitude

3. Shows sensitivity to and consideration for


other’s feelings

4. Accepts criticism positively.

5. Shows pride in work.

Total Score/5

PROFESSIONALISM 5 4 3 2 1

1. Respects persons in authority

2. Uses all tools, equipment and facilities


responsibly
Republic of the Philippines
Department of Education
REGION III
SCHOOLS DIVISION OFFICE OF TARLAC PROVINCE
SENIOR HIGH SCHOOL DEPARTMENT

3. Follows all policies and procedures when


issues and conflict arise

4. Physical appearance conforms with the


workplace and placement rules

Total Score/4

Weighted Equivalen
Average t Grade
OVER ALL RATING

SUMMARY OF SCORES

CRITERIA WEIGHTED AVERAGE

Team Work

Communication

Attendance & Punctuality

Productivity & Resilience

Initiative/Proactivity

Judgment/Decision Making

Dependability/Reliability

Attitude

Professionalism

Over-All Weighted Average

Equivalent Grade
Republic of the Philippines
Department of Education
REGION III
SCHOOLS DIVISION OFFICE OF TARLAC PROVINCE
SENIOR HIGH SCHOOL DEPARTMENT

REMARKS: (Comment/Suggestions)

___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
_______________

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

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