AR FORM7 Work Immersion Award

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Republic of the Philippines

Department of Education
NATIONAL CAPITAL REGION
DIVISION OF CALOOCAN CITY
SAMARIA SENIOR HIGH SCHOOL
Bukid Area, Bo. Sto. Cristo, Brgy. 187, Caloocan City
AR FORM 7 - Work Immersion Award
AC FORM 7-2021

AWARD for WORK IMMERSION NOMINATION FORM

The award for Work Immersion is given to learners in Senior High School who have
demonstrated exemplary outstanding performance based on the terms of reference or
engagement set by the school and evaluation of the direct supervisor and work immersion
teacher.
To qualify for this award, a learner must have received high efficiency rating for their
diligence and consistency in performing their duties and responsibilities throughout the
immersion program.
Only learners who have received an outstanding academic rating in the Work
Immersion subject (at least 95%) shall be awarded. This rating in the report card consists
of the learner’s performance and/or output during the Work Immersion.

Nominee: _______________________________________________________
Surname First Name M.I.
2 x 2 picture with
white background
TRACK / STRAND Grade & Section: ____________________________

Class Adviser: _______________________________________________


(Signature over Printed Name)

Nomination form submitted by/Date: __________________________________________


(Signature over Printed Name)

Submit Portfolio as Means of Verification: SF9 and Properly filled-up Nomination Form

Received by/Date: Checked by/Date:

____________________________________ ___________________________________
(Signature over Printed Name) (Signature over Printed Name)

REMARKS:
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________

Bukid Area, Bo. Sto. Cristo, Caloocan City Eff.


Document No. : AR 7 -WORK IMMERSION : 04-24-24
Date
CP No. 09481985540
Email:
Revision No. : 2 Pages : 1 of 1
[email protected]
Republic of the Philippines
Department of Education
NATIONAL CAPITAL REGION
DIVISION OF CALOOCAN CITY
SAMARIA SENIOR HIGH SCHOOL
Bukid Area, Bo. Sto. Cristo, Brgy. 187, Caloocan City
AR FORM 7 - Work Immersion Award

Bukid Area, Bo. Sto. Cristo, Caloocan City Eff.


Document No. : AR 7 -WORK IMMERSION : 04-24-24
Date
CP No. 09481985540
Email:
Revision No. : 2 Pages : 2 of 1
[email protected]

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