STUDENT INFORMATION SHEET

Name:
Date of Birth:
Place of Birth:
Parent’s/Guardian’s Name:
Postal Address:
E-mail Address:
Cellphone Number:
Religion:
Health Issues / Allergies:
Hobbies / Past Time Activities:
Skills/Talents:
Extra-curricular Activities in School:
Support group / home companions:
List your favorites:
How do you feel about the school?:

What is your most memorable subject/class? Why?:

What are your plans after Senior High School?

What is your career path?

Do you have plans to go abroad? If yes, where and why?

What are your dreams and ambitions?

How do you plan to achieve your ambitions and goals in life?

What are your expectations and apprehensions for Work Immersion?

 Republic of the Philippines
DEPARTMENT of EDUCATION
Region IV-A – CALABARZON
DIVISION of RIZAL

PHILIPPINE BEST TRAINING SYSTEMS COLLEGES

530 Manila East Road, Macamot, Binangonan, Rizal

REQUEST FOR WORK IMMERSION

March 04, 2024

Hon. NAME SURNAME

Designation and Title
Place of the Institution

Sir/Madame:

This is to request permission from your good office to please allow Name I. Surname, a
Senior High School - Grade 12 student, to undergo an 80 hours of WORK IMMERSION in your
company/agency 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 for your confirmation.

Moreover, a student evaluation is provided where a student is to be assessed on his/her

performance, attitude and behavior to be attested by the supervisor. The Immersion Teacher and
Trainer handling each field of specialization from our school will visit your establishment from
time to time to find out how the student 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, Name I. Surname, who is a grade 12 Senior High School student
enrolled in our school under the K to 12 program with Strand in Science, Technology,
Engineering, and Mathematics, (STEM), and to further endorse (his/her) application with your
company to undergo WORK IMMERSION for 80 hours as a requirement of the curriculum for
graduation. We believe that schools must link up with 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 this
regard that we request you to give such opportunities to our students by allowing them to do part
time work with your company. Together with this letter is an Acceptance Form.

We request that said form be accomplished and returned to this 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, Noted:

Deborah P. Victoria, LPT Dr. Robert G. Uy, Ph.D.

Work Immersion Coordinator Principal

COMPANY ACCEPTANCE FORM

This is to certify that Name I. Surname has been accepted in our company/institution Name
of Company with address at Address of the Company/Institution for immersion, starting on
Date to Date.

Signed this 1st day of Month, 2024.

Name I. Surname - Designation

Authorized Personnel
 PRE- IMMERSION

Introduction
Before we immerse into the workplace, we will first understand the immersion process,
proper work ethics, workplace safety, confidentiality, and effective conflict resolution and
teamwork skills, as agreed in the DepEd Order No. 30 s. 2017. Also, we need to hone our skills in
writing a resume, filling of application forms, and complying requirements.

Learner’s Activity
1. Attends the pre-immersion orientation
2. As one to join the workforce in the future, you will need to do, prepare and secure the
following:
 Resume
 Essay on how to conduct oneself inside the company establishment during the
immersion
 period
 Application letter
 Clearance documents such as
o Medical certificate
o Barangay Clearance
o Police Clearance
o Mayor’s Clearance
 Certificates for required trainings and seminars
 Job Interview Skills Training

You will also prepare and accomplish own portfolio and update it from time to time because
at the end of the work immersion you will need to present this portfolio. Make sure to attach
needed documents, answer reflection leaf and paste pictures. Happy working!
 Activity 1

THE WORKER

Work is on your way. Are you prepared to work? Do you have the potential, character,
talents, and skills to take up the vigor of being a worker? What should you possess to become a
good worker? How will you prepare for work immersion?
 Activity 2

DO’s and DON’Ts

After the pre-immersion orientation, list the Do’s and Don’ts employed in the workplace you
are assigned.

DO’s
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

DON’Ts
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Reflection

1. Do you agree to the company’s policy guidelines, rules and agreement? Support your answer.

2. Was there a rule that you think is not acceptable to you? Why?
 Activity 3

CONFIDENTIALITY IN THE WORKPLACE

Suppose you work in a police station or a law firm and signed a confidentiality agreement
regarding all their cases at hand, suddenly your friend who was a suspect to a crime asked you for
some documents that are in your office’s possession that may help him in his case. How would
you deal with the situation?
 Activity 4

CONFLICT RESOLUTION

Did you ever experience disagreement and conflict with co-workers? How did you handle the
situation? How would you rate your skills in handling differences of opinion? Please give an
example that illustrates that skill.
Activity 5

RESUMÉ
 Activity 6

APPLICATION LETTER
 Activity 7

BARANGAY CLEARANCE

I. Steps in securing barangay clearance

1.
2.
3.
4.
5.

II. Attach Barangay Clearance

 Activity 8

POLICE CLEARANCE

Give the process and fees required for a POLICE CLEARANCE. Attach also your POLICE
CLEARANCE.

I. Steps in securing Police Clearance

1.
2.
3.
4.
5.

II. Attach Police Clearance

 Activity 9

MAYOR’s CLEARANCE

Give the process and fees required for a MAYOR’s CLEARANCE. Attach also your
MAYOR’s CLEARANCE.

I. Steps in securing Mayor’s Clearance

1.
2.
3.
4.
5.

II. Attach Mayor’s Clearance

 Activity 10

MEDICAL CERTIFICATE

Give the process and fees required for a MEDICAL CERTIFICATE. Attach also your
MEDICAL CERTIFICATE.

I. Steps in securing Medical Certificate

1.
2.
3.
4.
5.

II. Attach Medical Certificate

 JOB INTERVIEW

A job interview is an interview consisting of a conversation between a job applicant and a

representative of an employer which is conducted to assess whether the applicant should be hired.
How you answer questions during job interview can have a big impact on you being hired or
accepted as a work immersionist.

Here are some questions that you may encounter during an interview. Try answering them.

Interpersonal Skills
1. What are your strengths? What are your weaknesses?
2. What do you do when you know you are right and your boss disagrees with you? Give me
an example.
3. If your colleagues had an opportunity to tell us your primary strength what would that be?
And, your primary weakness-what would that be?
4. As a component of this position, you may have to work on a team on certain projects.
Describe when you’ve worked on a team before and what, in your opinion, constitutes an
effective team? What do you expect from others on the team and what do you need from
others on the team?
5. What do you do when others resist of reject your ideas or actions?

Behavioral
1. Suppose you are in a situation where deadlines and priorities change frequently and
rapidly. How would you handle it?
2. How do you know when you are stressed? What do you do to de-stress?
3. Tell me about a time when you were a part of a great team. What was your part in making
the team effective?
4. Suppose your supervisor asked you to get information for them that you know is
confidential and he/she should not have access to. What would you do?
5. Describe a time when you performed a task outside your perceived responsibilities. What
was the task? Why did you perceive it to be outside your responsibilities? What was the
outcome?

Creative Thinking
1. What’s the best book you’ve read in the last year? Please take a minute and tell us what
you liked about it.
2. What was the most creative thing you did in your last job?
3. What is your interpretation of “success?”
4. Describe an ideal work environment or “the perfect job.”
5. In what way(s) do you express your personality in the workplace?
Leadership
1. How would you describe an ideal supervisor?
2. What strengths did you rely on in your last position to make you successful in your work?
3. As a supervisor, it is essential to motivate employees in your area. Sometimes this must be
done using non-monetary means. Please describe some creative ways you have motivated
and recognized employees in the past non-monetarily.
4. Explain, step by step, how you have coached an employee who had performance problems.
5. If you had to describe your own leadership style as directive, delegating, or coaching,
which would you choose? Please explain why giving examples.

Optional Situational Questions: Please explain how you would handle the following situations:
1. You observe two of your employees arguing in a central location in the office.
2. One of your employees comes to you complaining about another employee and insisting
they should no longer work together.
3. One of your employees comes to you to complain that he/she has a more demanding work
load than another employee and wants the workload to be shifted.

General
1. Could you share with us a recent accomplishment of which you are most proud?
2. Tell us a bit about your work background, and then give us a description of how you think
it relates to our current opening.
3. Why have you applied for this position?
4. What skill set do you think you would bring to this position?
5. Tell me about your present or last job. Why did you choose it? Why did you/do you want
to leave?
6. What was your primary contribution/achievement? Biggest challenge?
7. What are your short-term and long-term goals?
8. In what areas would you like to develop further? What are your plans to do that?
9. What are some positive aspects of your last employment/employer? What are some
negative aspects?
10. What do you know about our company?
11. Why should we hire YOU?
12. After learning about this opportunity, what made you take the next step and apply for the
job?
13. If you are the successful applicant, how would you expect to be different after a year in this
position?
14. Now that you have learned about our company and the position you are applying for, what
hesitation or reluctance would you have in accepting this job if we offer it to you?
 Activity 11

JOB INTERVIEW

A job interview is an interview consisting of a conversation between a job applicant and a

representative of an employer which is conducted to assess whether the applicant should be hired.
How you answer questions during job interview can have a big impact on you being hired or
accepted as a work immerse.

Jot down questions that you have come across during your first dialogue with the partner-
industry work supervisor or head of office you will be assigned.
 Activity 11

MOCK JOB INTERVIEW

During the conduct of the mock job interview, do you think you did well?

What are the areas that you think you are good at and areas that needed to be improved?

Are you more confident now to answer during job interview?

 IMMERSION PROPER

Dear student you are now nearing your immersion proper. Before the immersion proper
please ensure that you have a signed parent’s permit and kindly attach your insurance policy here.

Activity 13

INSURANCE POLICY
 Activity 14

PARENT’s CONSENT FORM

A parent’s consent form is a document signed by parents or legal guardians that grants
permission for a student to undergo Work Immersion.
 IMMERSION

Aside from the complexities of a job, you will get acquainted with the essential elements that
make up a workplace.

Appreciating management processes by observing, identifying and describing the following:

1. Nature of the business
2. Description of the products/services
3. Target clientele
4. Organizational structure
5. Company rules and regulations

Activity 15

PROFILE OF THE PARTNER INDUSTRY

Profile

Vision

Mission

Objectives

Core Values

Write description and profile of your work immersion area. Please include pictures.
 Activity 16

ORGANIZATIONAL CHART

An organizational chart is a graphic representation of the structure of an organization,

showing the relationships of the positions or jobs within it.

Attach or draw the organizational chart of the office or establishment you are assigned for
work immersion.
 Activity 17

PARTNER INDUSTRY’s RULES and REGULATIONS

WORK IMMERSION AGREEMENT AND LIABILITY WAIVER

I am fully aware of the duties and responsibilities I will undertake through the Work
Immersion Program with the partner industry, NAME OF THE PARTNER-INDUSTRY.

I recognize the authority of my cooperating partner-industry which I may be placed and

submit myself to all the Rules and Regulations that may be imposed upon myself following the
duties.

I renounce and waive any claim against the Name of the Partner-Industry and
PHILIPPINE BEST TRAINING SYSTEMS COLLEGES for any injury that I may
sustain/suffer, personal/financial in the performance of my duties/function.

Name of Student Trainee:

Signature:
Date:
 PARENTAL / GUARDIAN’S CONSENT

And I, the trainee’s parent and/or legal guardian, allow my son/daughter to undergo Work
Immersion for 80 hours starting on ___________________ until _______________________ at
______________________________________ in partial fulfilment of the requirements for Senior
High School K-12 Program.

It is understood that he/she abides by the rules and regulations that may be imposed by the
Supervisor/Staff-in-Charge for his/her welfare and safety.

I fully agree to waive any responsibility on the part of _____________________________

in case of any untoward incident that may happen to my son/daughter during the duration of the.

Name of Parent/Guardian:
Signature:
Date:
 Activity 18

WORK IMMERSION TASKS and ACTIVITIES

List of tasks and activities to be done during work immersion.

Name of Student:
Grade & Section:
School Name:
Immersion Site:
Track:
Strand/Specialization:
Duration of Work Immersion:

School Partnership Focal Person:

Contact Number:

Work Immersion Teacher:

Contact Number:

Competencies Tasks/Activities Time Allotment Actual Time Remarks

Students shall not be given other activities outside of those previously agreed upon, which are
anchored on the stated competencies.

Certified True and Correct:

Name I. Surname Name I. Surname

Student’s signature over printed name Parent’s signature over printed name

Name I. Surname Name I. Surname

Work Immersion teacher’s signature over Partner-Industry Supervisor’s signature over
printed name printed name
 Activity 19

REPORT ON ACTIVITIES PERFORMED

State the work functions delegated unto you and how you accomplished it.
Date Activities Done Remarks
 Activity 20

BUSINESS FLOW CHART

A business flow chart shows the steps that make up a business process, along with who’s
responsible for each step. They are useful for analyzing current processes, planning improvements,
and crystallizing communication between process participants.

Task: Draw a diagram of the company or institution’s business flow chart where you are
assigned. Do ask permission from head of office before doing so.
 Activity 21

DAILY TIME RECORD

Civil Service Form No. 48

Attendance Sheet

For the month of MARCH 2024

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

Certified True and Correct:

Name I. Surname Name I. Surname Name I. Surname

Signature Over Printed Signature Over Printed Name of Signature Over Printed Name of
Name of Student-Trainee Work Immersion Teacher Partner Institution Supervisor
 Activity 22

DAILY TASK RECORD / DAILY JOURNAL

A daily task record is a work log that summarizes how an employee spent his time on the job.
Through a daily work log, an employee can create a mental picture of what comprises his day and
how he uses his time. It is also helpful in understanding how productive an employee is during a
particular period of the workday.

Accomplish your Daily Task Record.

Department: Area:
Date of Tracking Started: Date of Tracking Ended:

Daily Tasks Start End Comments

Signed:

Name I. Surname
Signature Over Printed Name of Student-Trainee

Noted:

Name I. Surname
Signature Over Printed Name of Supervisor
 Activity 23

WORK PERFORMANCE ARTEFACTS

Attach photos, illustrations, and other evidences (e.g. certificates of awards received) of
performed hands-on skills that include knowledge of work and quality of work done.
 Activity 24

PERSONAL TRAITS 1

Attach photo, illustrations, and other evidences (e.g. certificates of awards received) of good
personality traits demonstrated during the work immersion which is based on pleasing
appearance,
courtesy, conduct, industriousness, and reliability.
 Activity 25

PERSONAL TRAITS 2

Attach photo, illustrations, and other evidences (e.g. certificates of awards received) of good
personality traits demonstrated during the work immersion which is based on sociability, drive
and
leadership, mental maturity, and stress tolerance.
 Activity 26

OTHER RELATED TASKS

Other related tasks means taking on tasks outside your role but is based on the company given
competencies to the students.

Attach or write an account of other related tasks.

 Activity 27

POST-IMMERSION

Dear students you are now on the final stretch of your work immersion course. At this
juncture you need to revisit the things that have been done in the past few days. What are the
events that are memorable to you, what are the key learning’s that you have achieved and lastly
you need to evaluate if the experienced gave you more confidence to face what lies ahead.

Make a collage of your work experience.

 Activity 28

ACCOMPLISHMENT REPORT
 Activity 29

MY UPDATED RESUMÉ
 Activity 30

WORK IMMERSION HIGHLIGHTS

 Activity 31

MY REFLECTIONS

How did the experience change me as a person, and how will it help me in the future.
COMPLETION CERTIFICATE
COLLAGE OF MY SENIOR HIGH SCHOOL EXPERIENCE