St.
Michael Academy of Oas,
Inc .
Roxas Street, Iraya Norte,4505 Oas,
SHS WORK IMMERSION PERFORMANCE APPRAISAL
STUDENT'S NAME: ______________________________________________ STRAND:________________
Partner Institution: __________________________________________________________________________
Address: ________________________________________________________ Contact No.: _______________
Training Period: ________________to _______________ Total No. of Hours Rendered:__________________
Directions. For each behavioral item listed within the competency bands, with 5 being the most and 1 is the
least, 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 the required standard.
Major Improvements needed.
NA Not Applicable Performance indicator is nor relevant to the 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 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.
TEAM WORK Total Score/5
COMPETENCIES
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
COMMUNICATION Total Score/4
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
ATTENDANCE AND PUNCTUALITY Total Score/3
PRODUCTIVITY/RESILIENCE 5 4 3 2 1
1.Consisitently 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
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
INITIATIVE/PROACTIVITY Total Score/6
JUDGMENT/DECISION MAKING 5 4 3 2 1
1.Analyzes problems effectively
2. Has the ability to make creative and effective solutions to problems
3. Demostrates good judgment in handling routine problems
JUDGMENT/DECISION MAKING Total Score/3
DEPENDABILITY/RELIABILITY 5 4 3 2 1
1.Has the ability to follow through and meet deadlines
2. Has accountability for his/her action
3. Can adjust easily to changes in workplace
4. Displays high level of performance at all times
DEPENDABILITY/RELIABILITY Total Score/4
ATTITUDE 5 4 3 2 1
1.Offers assistance willingly
2. Shows a positive work attitude
3. Shows sensitivity and consideration for other’s feelings
4. Accepts criticism positively
5. Shows pride in work
ATTITUDE Total Score/5
PROFESSIONALISM 5 4 3 2 1
1.Respects person in authority
2. Uses all tools, equipment and facilities responsibly
3. Follows all policies and procedures when issues and conflict arises
4. Physical appearance conforms with the workplace and placement rules
PROFESSIONALISM Total Score/4
OVER-ALL RATING (Weighted Average)
CRITERIA WEIGHTED
AVERAGE
Team Work
Communication
Attendance and Punctuality
Productivity/Resilience
Initiative/Proactivity
Judgment/Decision Making
Dependability/Reliability
Attitude
Professionalism
Over-all Weighted Average
Equivalent Grade
REMARKS: (Comments/Suggestions)
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
STUDENT’S SIGNATURE _____________________________ Date _________________
Work Immersion Head’s Signature over printed name __________________________________
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
Noted by:
MRS. MARILOU S. REOLA
Work Immersion Adviser
MRS. TERESITA AUSTRIA
Academic Coordinator
SR. EMILY LALANTACON, OP
Director/Principal
