Department of Education

Division of Eastern Samar

SAMAR NATIONAL PILOT OPPORTUNITY SCHOOL OF AGRICULTURE

WORK IMMERSION 2018 - 2019

A.2 Consolidated Form
Monitoring Forms

Work Immersion Superpvisor Monitoring Form

NO. OF
Are you familiar with the MOA/MOU between your company and the school? STUDENTS

HUMMSS 53
GA 22
ABM 23
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
Length of Work Immersion person of learners with the company
HUMMSS
GA
ABM
TVL - HE
TVL - BC / NC
TVL - AUTO
TVL - DM
TVL - AP / CP
NO. OF
Do the learner's training activities acurately state the skills to be mastered? STUDENTS
HUMMSS 53
GA 22
ABM 23
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
TOTAL
Did the learners made satisfactory progress after acquiring competencies in the NO. OF
training venue? STUDENTS
HUMMSS 53
GA 22
ABM 23
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
TOTAL
How was the learner's progress measured?
ABM Through evaluation form
HUMSS Through evaluation form
GA Through evaluation form
ICT Monitoring forms and rubrics
HE Rubrics, activity matrix, evaluation form
EIM Through evaluation form and rubrics
Who is responsible for the training of the learner?
ABM Supervisor
HUMSS HR Officer
GA Supervisor/Employees of the department
ICT Owner/Manager
HE Owner/Manager
EIM Linemen and Maintenance Group
How does the learner know his/her performance?
ABM Verbal feedback
HUMSS evaluation form and feedbacks
GA through evaluation form
ICT by accomplishing the task successfully
HE monitoring feedback, evaluation form
EIM pre-evaluation and post evaluation
Adequate documentation of the learner's progress?
ABM yes
HUMSS yes
GA yes
ICT yes
HE yes
EIM yes
How was the learner's progress documented?
ABM Through evaluation form
HUMSS Through evaluation form
GA Through evaluation form
ICT Based on narrative reports, performance sheet and rubrics
HE Through evalaution form
EIM Through rating sheet and progress chart
Do you have any concerns about the learner? The Work Immersion itself, or other matters relevant to the subject?
ABM none
HUMSS none
GA none
ICT none
HE none
EIM none
Learner Monitoring Form
Description of training received:
ABM Handling customerrs' complaint, dvelo selling skills
HUMSS mostly focused in office/ clerical works
GA the activities aided by the learning
ICT learned how to assemble, disassemble computer, troubleshooting and printing
HE take orders, dishout, serving, proper slicing
EIM how to prepare electrical materials and to be safe during actual wiring
Does the training match the schedule of activities approved at the beginning of the NO. OF
training? STUDENTS

HUMMSS
GA
ABM
TVL - HE
TVL - BC / NC
TVL - AUTO
TVL - DM
TVL - AP / CP

Person responsible for the training?

ABM
HUMSS
GA Supervisor/Employees of the department
ICT
HE
EIM
Methods used to teach the necessary skills/compentencies?
ABM
HUMSS
GA Lectures, monitoring and practical application
ICT
HE
EIM
How do you know your performance in the Work Immersion?
ABM
HUMSS
GA Through evaluation form
ICT
HE
EIM
How was the time on Work Immersion recorded?
ABM
HUMSS
GA Through the use of the DTRs and the daily activity log sheets
ICT
HE
EIM
Do you have any concerns about the Work Immersion venue, Work Immersion conditions, your immediate supervisor, or ot
matters relevant to the subject?
ABM
HUMSS
GA None
ICT
HE
EIM
AGRICULTURE

YES NO

22

80 hours
80 hours
80 hours
80 hours
80 hours
80 hours
80 hours
80 hours

YES NO

22

YES NO

22
t and rubrics

rs relevant to the subject?

skills

shooting and printing

safe during actual wiring
 YES NO
53
22
23
24
20
57
11
23

tivity log sheets

s, your immediate supervisor, or other

 Department of Education
Division of Eastern Samar
SAMAR NATIONAL PILOT OPPORTUNITY SCHOOL OF AGRICULTURE

WORK IMMERSION 2018 - 2019

A.3 Consolidated Form
Competency Level Evaluation

1 - Not Important
2 - Important
3 - Very Important

NO. OF
Good Communication Skills STRAND STUDENTS 1 2 3
ABM 53
HUMSS 22 22
GA 23
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
Strong Work Ethic
ABM 53
HUMSS 22
GA 23 22
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
Positive Attitude
ABM 53
HUMSS 22
GA 23 22
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
Self-confidence
ABM 53
HUMSS 22
GA 23 22
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
Flexibility/Adaptability
ABM 53
HUMSS 22
GA 23 22
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
Resourcefulness/creativity/innovation
ABM 53
HUMSS 22
GA 23 22
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
Acting as a Team player
ABM 53
HUMSS 22
GA 23 22
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
Time management abilities
ABM 53
HUMSS 22
GA 23 22
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
Ability to accept and learn from criticism
ABM 53
HUMSS 22
GA 23 22
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
Working well under pressure
ABM 53
HUMSS 22
GA 23 22
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
(please add competencies that are needed or specific to the work place/specialization)

1 - No Improvement
2 - Little Improvement
3 - Significant Improvement
4 - Major Improvement

STRAND NO. OF STUDENTS 1 2 3 4

Good Communication Skills
ABM 23
HUMSS 53
GA 22 10 12
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
Strong Work Ethic
ABM 23
HUMSS 53
GA 22 22
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
Positive Attitude
ABM 23
HUMSS 53
GA 22 22
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
Self-confidence
ABM 23
HUMSS 53
GA 22 17 5
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
Flexibility/Adaptability
ABM 23
HUMSS 53
GA 22 22
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
Resourcefulness/creativity/innovation
ABM 23
HUMSS 53
GA 22 22
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
Acting as a Team player
ABM 23
HUMSS 53
GA 22 22
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
Time management abilities
ABM 23
HUMSS 53
GA 22 22
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
Ability to accept and learn from criticism
ABM 22
HUMSS 53
GA 22 22
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
Working well under pressure
ABM 23
HUMSS 53
GA 22 22
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
Learner's growth in three competencies deemed important for the learner to be successful in his/her chosen field of specialization

ABM

HUMSS

GA
Resourcefulness, positive attitude and self confidence

TVL - HE

TVL - BC / NC

TVL - AUTO

TVL - DM

TVL - AP / CP

3 COMPETENCIES THE LEARNER MASTERED

ABM
1. Time management abilities
2. Strong work ethics.
3. Positive attitude.
HUMSS

GA
1. Positive attitude
2. Resourcefulness
3. Self confidence
TVL - HE

TVL - BC / NC

TVL - AUTO

TVL - DM

TVL - AP / CP
 Department of Education
Division of Eastern Samar
SAMAR NATIONAL PILOT OPPORTUNITY SCHOOL OF AGRICULTURE

WORK IMMERSION 2018 - 2019

A.4 Consolidated Form
Monitoring Guide for On-Site Review

ISSUES OR QUESTIONS
1 WORK IMMERSION VENUW SURVEY
NO. OF
STRAND STUDENTS YES NO
1.a. Do documents show that the work immersion venue is ABM 23
appropriate for the specialization of the learners?
HUMSS 53
GA 22
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
1.b. Is the venue at manageable distance from the school or
residence of the learner? ABM 23
HUMSS 53
GA 22
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
1.c. Are learners' working condition as pleasant as the other
trainees or employees doing the same type of work? ABM 23
HUMSS 53
GA 22
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
1.d. Are the health and safety standard being followed in the
immersion condition of the learners? ABM 23
HUMSS 53
GA 22
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
 1.e. Do the learners pay for them to be accommodated in the
venue? ABM 23
HUMSS 53
GA 22
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
1.f. Has the company established an organizational structure that
supports the objectives of work immersion? ABM 53
HUMSS 22
GA 23
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
2 PARTICIPANT ELIGIBILITY
2.a. Are learners suited to the work immersion venue?
ABM 23
HUMSS 53
GA 22
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
2.b. Does an in-depth assessment of the participant's academic
skills, interests and abilities occur prior to Work Immersion? ABM 23
HUMSS 53
GA 22
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
3 WORK IMMERSION DESIGNS AND PROCESSES
3.a. Is the Work Immersion Schedule of activities established and
appropriate to guide the learner's achievement of ABM 23
competencies and goals of Work Immersion as a subject?
HUMSS 53
GA 22
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
3.b. Are the staff trained for the objectives to be met or for them
to provide technical assistance and guide the learners ABM 23
undergoing immersion?
HUMSS 53
GA 22
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
3.c. Are learners assigned to employees who provide occupational
skill training? ABM 23
HUMSS 53
GA 22
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
3.d. Do learners get compensation/allowance during their wok
immersion in the company? ABM 23
HUMSS 53
GA 22
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
3.e. Do the files reveal that work immersion time and attendance is
certified by the company? ABM 23
HUMSS 53
GA 22
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
3.f. Does the company comply with the agreements established in
the MOA/MOU? ABM 23
HUMSS 53
GA 22
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
4 CONCLUSIONS
4.a. Please state any findings related to compliance:
ABM
HUMSS
GA
TVL - HE
TVL - BC / NC
TVL - AUTO
TVL - DM
TVL - AP / CP
4.b. Please provide any recommendations for improvement:
ABM
HUMSS
GA
TVL - HE
TVL - BC / NC
TVL - AUTO
TVL - DM
TVL - AP / CP
4.c. Please enumerate any technical assistance given on-site during the review:
ABM
HUMSS
GA
TVL - HE
TVL - BC / NC
TVL - AUTO
TVL - DM
TVL - AP / CP
 Department of Education
Division of Eastern Samar
SAMAR NATIONAL PILOT OPPORTUNITY SCHOOL OF AGRICULTURE

WORK IMMERSION 2018 - 2019

B.1 Consolidated Form
Survey Questionanaire for the Learners

1 - Strongly Disagree
2 - Disagree
3 - Agree
4 - Strongly Agree

NO. OF
STRAND
PREPARATION STUDENTS

1. The skills I've learned in my specialization subjects have ABM 53

prepared me for Work Immersion HUMSS 22
GA 23
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
2. My school conducted the pre-immersion orientation and guided ABM 53
me in securing and accomplishing Work Immersion documents. HUMSS 22
GA 23
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
WORK IMMERSION ENVIRONMENT
1. The work immersion venue helped me acquire ABM 53
skills/compentencies. HUMSS 22
GA 23
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
2. There were no major distractions that infered with my training. ABM 53
HUMSS 22
GA 23
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
RELEVANCE
1. The Work Immersion will be helpful for my success in the ABM 53
future. HUMSS 22
GA 23
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
2. I will be able to immediately use what I have learned. ABM 53
HUMSS 22
GA 23
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
DELIVERY
1. I was well-engaged with what was going on during the Work ABM 53
Immersion. HUMSS 22
GA 23
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
2. The activities aided my learning. ABM 53
HUMSS 22
GA 23
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
3. I was given adequate opportunityto perform hands-on activities ABM 53
that are related to my spepcialization. HUMSS 22
GA 23
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
OVERALL
1. The work immersion met my expectations. ABM 53
HUMSS 22
GA 23
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
2. I am clear on how to apply what I learned on the job. ABM 53
HUMSS 22
GA 23
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
3. I will recommend the work immersion venue to other learners ABM 53
who will soon be taking Work Immersion subject whose HUMSS 22
specialization is the same as mine. GA 23
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
4. I will recommend the specialization to other learners who are ABM 53
still thinking what to specialize in the Senior High School. HUMSS 22
GA 23
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23

How confident are you that you will be able to apply what you have learned in the practice of your specialization
you pursue further studies? (0-not all confident ------ 10-confident)
ABM
HUMSS
GA
TVL - HE
TVL - BC / NC
TVL - AUTO
TVL - DM
TVL - AP / CP
What barriers do you anticipate that might prevent you from applying what you learned?
ABM
HUMSS
GA
TVL - HE
TVL - BC / NC
TVL - AUTO
TVL - DM
TVL - AP / CP
What might help you overcome those barriers?
ABM
HUMSS
GA
TVL - HE
TVL - BC / NC
TVL - AUTO
 TVL - DM
TVL - AP / CP
How can Work Immersion subject be improved?
ABM
HUMSS
GA
TVL - HE
TVL - BC / NC
TVL - AUTO
TVL - DM
TVL - AP / CP
If you perceived your Work Immersion experience to be successful, which of the following factors helped you?

ABM ____ Coaching from supervisor

____ Support and/or encouragement to be better on what I am doing.
____ Effective system of accountability or monitoring
____ Resources (i.e. tools, equipment, time, human resources) to apply what I learned.
____ others pls explain.

HUMSS ____ Coaching from supervisor

____ Support and/or encouragement to be better on what I am doing.
____ Effective system of accountability or monitoring
____ Resources (i.e. tools, equipment, time, human resources) to apply what I learned.
____ others pls explain.

GA ____ Coaching from supervisor

____ Support and/or encouragement to be better on what I am doing.
____ Effective system of accountability or monitoring
____ Resources (i.e. tools, equipment, time, human resources) to apply what I learned.
____ others pls explain.

TVL - HE ____ Coaching from supervisor

____ Support and/or encouragement to be better on what I am doing.
____ Effective system of accountability or monitoring
____ Resources (i.e. tools, equipment, time, human resources) to apply what I learned.
____ others pls explain.

TVL - BC / NC ____ Coaching from supervisor

____ Support and/or encouragement to be better on what I am doing.
____ Effective system of accountability or monitoring
____ Resources (i.e. tools, equipment, time, human resources) to apply what I learned.
____ others pls explain.

TVL - AUTO ____ Coaching from supervisor

____ Support and/or encouragement to be better on what I am doing.
____ Effective system of accountability or monitoring
____ Resources (i.e. tools, equipment, time, human resources) to apply what I learned.
____ others pls explain.

TVL - DM ____ Coaching from supervisor

____ Support and/or encouragement to be better on what I am doing.
____ Effective system of accountability or monitoring
____ Resources (i.e. tools, equipment, time, human resources) to apply what I learned.
____ others pls explain.

TVL - AP / CP ____ Coaching from supervisor

____ Support and/or encouragement to be better on what I am doing.
____ Effective system of accountability or monitoring
____ Resources (i.e. tools, equipment, time, human resources) to apply what I learned.
____ others pls explain.
GRICULTURE

019

earners

1 2 3 4
tice of your specialization or when

d?
ing factors helped you?

hat I learned.

hat I learned.

hat I learned.

hat I learned.

hat I learned.

hat I learned.

hat I learned.

hat I learned.
 Department of Education
Division of Eastern Samar
SAMAR NATIONAL PILOT OPPORTUNITY SCHOOL OF AGRICULTURE

WORK IMMERSION 2018 - 2019

B.2 Consolidated Form
Post Work Immersion Survey for the Partner Institution

Part I: PRACTICE
1. We understandStatement of the
clearly the Work Conduct
Immersion of Work Immersion
through 4
DepEd order No. 30, s. 2017 prior to its actual conduct in NO. OF
our company. STRAND STUDENTS
ABM 23
HUMSS 53
GA 22
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
us prior to its actual conduct in our company.
ABM 53
HUMSS 22
GA 23
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
3. All activities reflected on MOA and schedule of activities of the learner were conducted.
ABM 53
HUMSS 22
GA 23
TVL - HE 24
TVL - BC / NC 20
TVL - AUTO 57
TVL - DM 11
TVL - AP / CP 23
4. School in coordination with the Partner Institution oriented the learners and their parents on Work Immersion

ABM
HUMSS
GA Agree
TVL - HE
TVL - BC / NC
TVL - AUTO
TVL - DM
TVL - AP / CP
Do our students have the necessary skills to adapt with the work environtment in your company? I
enumerate some of these skills. (please write down the responses)
Good communication skills
Positive attitude
Acting as a team player
Flexible
Do our students contribute to the productivity of your company? Please provide concrete details. (p
the responses)
Great help/assisstance in making work more efficient through encoding
Sorting office files
Maintaining the 5S principle.
4
5

Please give us your comments and/or recommendations on the conduct of Work Immersion. (pleas
responses)
Extension of days on the conduct of Work Immersion.
2
3
4
Are you willing to accommodate again other students for Work Immersion in your company? If no,
down the responses)
Yes
2
3
4
5
 on
mar
OF AGRICULTURE

- 2019
m
Partner Institution

3 2 1

ted.

arents on Work Immersion.

ment in your company? If yes, please

vide concrete details. (please write down

Work Immersion. (please write down the

n your company? If no, why? (please write