Republic of the Philippines
Department of Education
ACLC College of Taytay
Senior High School
Work Immersion Performance Appraisal
Student’s Name: _______________________________ Strand: ______________________
Partner Institution/Company: __________________________________________________
Address: _____________________________________ Contact No.: __________________
Work Immersion Supervisor: _____________________ Position: _____________________
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.
Performance fully met job requirements. Was able to
4 Very Satisfactory 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.
N/A Not Applicable Performance indicator is nor relevant to the job.
COMPETENCIES 5 4 3 2 1
TEAMWORK
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.
TEAMWORK 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
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. 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
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
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.
DEPENDABILITY/RELIABILITY 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.
ATTITUDE Total Score ÷ 5
PROFESSIONALISM 5 4 3 2 1
1. Respects persons 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
OVERALL RATING Weighted Average:
SUMMARY OF SCORES
CRITERIA WEIGHTED
AVERAGE
TEAM WORK
COMMUNICATION
ATTENDANCE & PUNCTUALITY
PRODUCTIVITY/RESILIENCE
INITIATIVE/PROACTIVITY
DEPENDABILITY/RELIABILITY
ATTITUDE
PROFESSIONALISM
Overall Weighted Average
Equivalent Grade
REMARKS: (Comments/Suggestions)
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Student’s Signature over Printed Name: _____________________ Date:___________________
Work Immersion Supervisor’s Signature over Printed Name: _____________________________
Computed Weighted Equivalent Grade
Average
5 100
4.9 99
4.8 98
4.7 97
4.6 96
4.5 95
4.4 94
4.3 93
4.2 92
4.1 91
4 90
3.9 89
3.8 88
3.7 87
3.6 86
3.5 85
3.4 84
3.3 83
3.2 82
3.1 81
3 80
2.9 79
2.8 78
2.7 77
2.6 76
2.5 75
2.4 74
2.3 73
2.2 72
2.1 71
2 70
1.9 69
1.8 68
1.7 67
1.6 66
1.5 65
1.4 64
1.3 63
1.2 62
1.1 61
1 60
