BORANG PEMANTAUAN HIGHLY IMMERSIVE PROGRAMME (HIP)
FASA 1 19 APRIL HINGGA 6 MEI 2016
1 Name of State
2 Name of PPD
3 Name of School
4 Name of Head Master
5 School enrolment
6 No of English Teachers
7 Total no of teachers
8 Level of Immersiveness
Tick to indicate
In class Out of Class Extra Class Outreach
Immersive activites conducted by
9
school
Fill in to complete
10 Title of activites
10 Title of activites
11 Objective of activites
All students/a specific group of students
12 Activity/ies suited for
No and percentage of students
13
involved
14 Outcomes of activities
Evidence of student participation in
language activity / Evidence of
15 students using language (oral or
written form) - all forms of audios
videos and pictures are accepted.
School Head Teachers Students Parents/Community
Describe role(s) of the above in the
16
activities conducted
SISC+ SIP+ FasiLinus
Contribution(s) of the above in
17
immersive activity
Outcomes of dialog prestasi at school
18 or district levels. sekolah/PPD. -
information from school head.
19 Success Stories
20 Name of Outreach partner
Evidence of student particiation / use
21
of language
Overall feedback of the Outreach
22
programme
Self Assessment Tool
Please fill in overall mean scores of the following
School Head Teachers Parents Students
OVERALL FEEDBACK
NAME OF OFFICER DATE OF VISIT
BORANG RESPONDEN HIGHLY IMMERSIVE PROGRAMME (HIP)
RESPONDEN :
Tick to indicate your response to th
Items be
Not at all
There is an immersive English
1
environment in the school.
Students are given the opportunity to use
2
the language actively in school.
Weaker students are given the
3
opportunity to participate actively.
All members of the school are involved in
4
the activity/ies.
BORANG RESPONDEN HIGHLY IMMERSIVE PROGRAMME (HIP)
RESPONDEN :
Tick to indicate your response to th
Items be
Not at all
There is an immersive English
1
environment in the school.
Students are given the opportunity to use
2
the language actively in school.
Weaker students are given the
3
opportunity to participate actively.
All members of the school are involved in
4
the activity/ies.
BORANG RESPONDEN HIGHLY IMMERSIVE PROGRAMME (HIP)
RESPONDEN :
Tick to indicate your response to th
Items be
Not at all
There is an immersive English
1
environment in the school.
Students are given the opportunity to use
2
the language actively in school.
Weaker students are given the
3
opportunity to participate actively.
All members of the school are involved in
4
the activity/ies.
BORANG RESPONDEN HIGHLY IMMERSIVE PROGRAMME (HIP)
RESPONDEN :
Tick to indicate your response to th
Items be
Not at all
There is an immersive English
1
environment in the school.
Students are given the opportunity to use
2
the language actively in school.
Weaker students are given the
3
opportunity to participate actively.
All members of the school are involved in
4
the activity/ies.
BORANG RESPONDEN HIGHLY IMMERSIVE PROGRAMME (HIP)
RESPONDEN :
Tick to indicate your response to th
Items be
Not at all
There is an immersive English
1
environment in the school.
Students are given the opportunity to use
2
the language actively in school.
Weaker students are given the
3
opportunity to participate actively.
All members of the school are involved in
4
the activity/ies.
dicate your response to the statements below relating to the HIP activities
being carried out
Somewhat Mostly Fully Agree
dicate your response to the statements below relating to the HIP activities
being carried out
Somewhat Mostly Fully Agree
dicate your response to the statements below relating to the HIP activities
being carried out
Somewhat Mostly Fully Agree
dicate your response to the statements below relating to the HIP activities
being carried out
Somewhat Mostly Fully Agree
dicate your response to the statements below relating to the HIP activities
being carried out
Somewhat Mostly Fully Agree