Work Immersion Performance Appraisal

WORK IMMERSION PERFORMANCE APPRAISAL
STUDENT’S NAME: ________________________________________ STRAND: _______________________

Partner Institution: ____________________________________________________________________________
Address: ___________________________________________________ Contact No.: _____________________
Work Immersion Supervisor: ___________________________________ Position: ________________________
Immersion 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 rating most suited.
5 Outstanding Performance exceeds the required standard.
Performance fully met the required standard. Was able to perform what
4 Very Satisfactory
was expected of him/her.
Performance has met the required standard. Can perform duties with
3 Satisfactory
minimal supervision.
Performance partially met the required standard. Can perform duties
2 Fair
with full supervision.
Performance does not meet the required standard. Major improvement
1 Needs Improvement
needed.
NA Not Applicable Performance indicator is nor relevant to the job.
COMPETENCIES
TEAMWORK 5 4 3 2 1
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. 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 listen 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/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.
Total Score/3
PRODUCTIVITY/RESILIENCY 5 4 3 2 1
1. Consistent 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. Is effective and efficient in time management
6. Efficiently informs supervisor of any challenge 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 Score /6
JUDGEMENT/DECISION MAKING 5 4 3 2 1
1. Analyzes problems effectively
2. Has the ability to make creative and effective solutions to problems.
3. Demonstrates good judgement 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 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
Total Score/4
Weighted Equivalent
Average Grade
OVERALL RATING
SUMMARY OF SCORES
WEIGHTED
CRITERIA
AVERAGE
Teamwork
Communication
Attendance & Punctuality
Productivity/Resilience
Initiative/Proactivity
Judgement/Decision Making
Dependability/Reliability
Attitude
Professionalism
Over-All Weighted Average
Equivalent Grade
REMARKS: (Comments and 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
Name of Student: __________________________________________________________________ Track/Strand/Specialization: __________________________________________
RUBRIC FOR PORTFOLIO/WRITTEN OUTPUT
CRITERIA Weight EXEMPLARY ACCOMPLISHED DEVELOPING BEGINNING PERCENTAGE SCORE

Directly Relevant Somewhat Relevant Remotely Related Totally Unrelated
Topic/Content 10%
(10%) (8%) (6%) (4%)
Good organization; points are Organized; points are somewhat Some are unorganized; points Poorly organized; no logical
logically ordered; sharp sense of jumpy; sense of beginning and jump around; beginning and progression; beginning and
Organization 10%
beginning and end ending ending are unclear ending are vague
(10%) (8%) (6%) (4%)
Supporting details specific to Some details are non-supporting Details are somewhat sketchy.
Quality of Information Unable to find specific details
25% subject to the subject Do not support topic
(with MOVs) (10%)
(25%) (20%) (15%)
Numerous errors distract from
Grammar, Usage, Mechanics, No errors Only one to two errors More than two errors
25% understanding
Spelling (25%) (20%) (15%)
(10%)
Vocabulary is varied; supporting Vocabulary is varied; supporting Vocabulary is unimaginative; Basic vocabulary; needs
Interest Level 10% details are vivid details is useful details lack “color” descriptive
(10%) (8%) (5%) (4%)
Computerized/Legibly written,
Typed/computerized; clean; Legibly written, some well-
well-formed characters; clean Illegibly written; loose pages
nearly bound in a report cover; formed letters, print too small or
Neatness 10% and neatly bound in a report (4%)
illustrations provided too large; papers stabled together
cover
(10%) (6%)
(8%)
Submitted a day to one week Submitted after two weeks and
Submitted before deadline Submitted on the deadline
Timeliness 10% after the deadline beyond after the deadline
(10%) (8%)
(8%) (4%)
__________________________________________________________________
Name and Signature of Work Immersion Teacher

Work Immersion Performance Appraisal - FINAL

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STUDENT’S NAME: __________________ STRAND: _

REMARKS: (Comments and Suggestions)

Student’s Signature: ______________________ Date: _

Work Immersion Supervisor’s Signature Over Printed Name: __________________________________________

RUBRIC FOR PORTFOLIO/WRITTEN OUTPUT

CRITERIA Weight EXEMPLARY ACCOMPLISHED DEVELOPING BEGINNING PERCENTAGE SCORE

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