A.
2 Monitoring Forms (to be accomplished by the Work Immersion Teacher during visit at Work
Immersion Venue)
WORK IMMERSION SUPERVISOR MONITORING FORM
Date of Visit: Name of Teacher:
Name of Learner: Specialization:
School: Address:
Immersion Venue: Address:
Training Venue representative interviewed: Position in the Company:
Are you familiar with the MOA/MOU between your
company and the school?
What is the length of the Work Immersion period of the
learner in the company?
Do the learner’s training activities accurately state the
skills to be mastered? Explain
Is the learner making satisfactory progress in acquiring
competencies in the training venue?
• How do you measure this?
• Who is the person responsible for training the
learner?
• How does the learner know his/her performance?
Is there an adequate documentation of the learner’s
progress?
How do you document the learner’s progress?
Do you have any concerns about the learner, the Work
Immersion itself or other matters relevant to the
subject?
LEARNER MONITORING FORM
Date of Visit: Name of Teacher:
Name of Learner: Specialization:
School: Address:
Immersion Venue: Address:
Describe the training you are receiving. What have you
learned?
• (Show the learner’s schedule of activities) Does the
training match the Schedule of Activities approved
at the beginning of the training?
Who is the person responsible for your training?
• What method does he/she use to teach the
necessary skills/competencies?
How do you know your performance in the Work
Immersion?
How is your time on the work immersion recorded?
Do you have any concerns about the work immersion
venue, Work Immersion conditions, your immediate
supervisor?
A.3 Competency Level Evaluation (to be accomplished by the Work Immersion Partner Institution
Supervisor for at least 2 weeks before the end of Work Immersion of the Learner.)
Name of Learner: Specialization:
School: Address:
Dates Covered by Work Immersion: Number of hours:
Immersion Venue: Address:
Name of Supervisor:
How important are each of these competencies in the successful accomplishment of your employee’s
responsibilities/organizational goals?
1- Not Important 2- Important 3- Very Important
_____ Good Communication Skills _____ Resourcefulness/creativity/innovation
_____ Strong Work Ethic _____ Acting as a Team Player
_____ Positive Attitude _____ Time management abilities
_____ Self-Confident _____ Ability to access and learn from criticism
_____ Flexibility/Adaptability _____ Working well under pressure
(Please add competencies that are needed or specific to the work place/specialization)
_____ _____
_____ _____
_____ _____
_____ _____
_____ _____
Did learner’s competencies improve during their Work Immersion in your institution?
(Please rate them using scale below)
1-Non Improvement 2-Little Improvement 3-Significant Improvement 4-Major Improvement
_____ Good Communication Skills _____ Resourcefulness/creativity/innovation
_____ Strong Work Ethic _____ Acting as a Team Player
_____ Positive Attitude _____ Time management abilities
_____ Self-Confidence _____ Ability to accept and learn from criticism
_____ Flexibility/Adaptability _____ Working well under pressure
(Please add competencies that are needed or specific to the work place/specialization)
_____ _____
_____ _____
_____ _____
Please share with us your impression of/describe the learner’s growth in three competencies you
deemed important for our learner to be successful in his/her chosen field of specialization.
What is/are the competency/ies that the learner has mastered? Please identify at most three
competencies
Are there competencies that you think our learner needed to pay particular attention to? Please
identify at most three competencies
Are there any additional comments that you would like to share with the monitoring and evaluation
team?
(End of Evaluation Form)
A.4 Monitoring Guide for On-site Review (to be accomplished by school Partnership Focal Person,
Division SHS Supervisor-in-charge and Regional SHS Supervisor-in-charge for spot-checking and
validation of the responses in the Work Immersion Progress Monitoring Tool.)
MONITOR: SCHOOL/SDO/RO:
WORK IMMERSION VENUE: DATE OF VISIT:
ISSUE OR QUESTION NOTES/ DISCUSION
1. WORK IMMERSION VENUE SURVEY (If there is insufficient space in this
(The monitor should review a sufficient column the monitor should attach
sample of employer contracts and notes, numbered in accord with this
supporting documents to be able to form.)
respond to the question below.)
1.a Do documents show that the wok YES
Immersion venue is appropriate for the NO
specialization of the learner/s?
1.b Is the venue at manageable distance from YES
the school or residence of the learner? NO
1.c Are learner’s working condition as YES
pleasant as the other trainees or NO
employees doing the same type of work?
1.d Are the health and safety standards being YES
followed in the Immersion conditions of NO
the learners?
1.e Do the learner’s pay them to be YES
accommodated in the venue? NO
1.f Has the company established an YES
organizational structure that supports the NO
objectives of Work Immersion?
2. PARTICIPANT ELIGIBILITY
(The monitor should review a sufficient
sample of participant files and supporting
documents, and should interview staff as
necessary to be able to respond to the
questions below.)
2.a Are learners suited to the Work YES
Immersion venue? NO
2.b Does an in-depth assessment of the YES
participant’s academic skills/ interests NO
and abilities occur prior to Work
Immersion?
3. WORK IMMERSION DESIGN AND
PROCESSES
(The monitor should review a sufficient
sample of files and supporting documents,
and should interview staff as necessary, to
be able to respond to the questions
below.)
3.a Is the Work Immersion Schedule of YES
Activities established and appropriate to NO
guide the learner’s achievement of
competencies and goals of Work
Immersion as a subject?
3.b Are the staff trained for the objectives to YES
be met or for them to provide technical NO
assistance and guide the learners
undergoing immersion?
3.c Are learners assigned to employees who YES
provide occupational skill training? NO
3.d Do learners get a YES
compensation/allowance during their NO
work Immersion in the company?
3.e Do the files reveal the work Immersion YES
time and attendance is certified by the NO
company?
3.f Does the company comply with the YES
agreements established in the NO
MOA/MOU?
4. CONCLUSIONS
4.a Please state any findings related to compliance:
4.b Please provide any recommendations for the improvement:
4.c Please enumerate any technical assistance given on-site during the review:
(End of Evaluation Form)
B.1 Survey Questionnaire for the Learners. (to be accomplished by the Learner after completing the
work Immersion. This is to be facilitated by the Central Office/RO monitoring team.)
Date: Facilitated by:
Name of learner: School:
Immersion Venue: Address:
Instructions: Thinking about the work immersion you just completed, please indicate to what degree
you agree with each situation using this rating scale:
1-Strongly Disagree 2-Disagree 3-Agree 4-Strongly Agree
Please provide comments along with your rating to help us improve the work immersion
implementation in the future.
Preparation
The skills I've learned in my specialization subjects have prepared me for 1 2 3 4
Work Immersion.
My school conducted the pre-immersion orientation and guided me in 1 2 3 4
securing and accomplishing Work Immersion documents.
Comments:
Work Immersion Environment
The Work Immersion Venue helped me acquire skills/competencies 1 2 3 4
There were no major distractions that interfered with my training. 1 2 3 4
Comments:
Relevance
The Work Immersion will be helpful for my success in the future. 1 2 3 4
I will be able to immediately use what I learned. 1 2 3 4
Comments:
Delivery
I was well engaged with what was going on during the work immersion 1 2 3 4
The activities aided my learning. 1 2 3 4
I was given adequate opportunity to perform hands-on activities that are 1 2 3 4
related to my specialization.
Comments:
Overall
The Work Immersion met my expectations. 1 2 3 4
I am clear on how to apply what I learned on the job. 1 2 3 4
I will recommend the Work Immersion venue to other learners who will 1 2 3 4
soon be taking Work Immersion subject whose specialization is the same as
mine.
I will recommend the specialization to other learners who are still thinking 1 2 3 4
what to specialize in the Senior High School.
Comments:
How confident are you that you will be able to apply what you have learned in the practice of your
specialization or when you pursue further studies?
Not at all confident 1 2 3 4 5 6 7 8 9 10 Extremely confident
If you encircled six (6) or lower, please encircle the items that apply.
My confidence is not high because:
a. I do not have the necessary knowledge and skills/competencies.
b. I do not have a clear picture of what is expected of me.
c. The work immersion activities is not relevant to my specialization.
d. I have other higher priorities.
e. I do not have the necessary resources to do it.
f. I do not have the human support to do it.
Other (please explain):
What barriers do you anticipate that might prevent you from applying what you learned?
What might help to overcome those barriers?
How can the Work Immersion subject be improved?
If you perceive your Work Immersion experience to be successful, which of the following factors helped
you (check all that apply):
______ coaching from my 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
______ other, please explain
B.2 Post Work Immersion Survey for the Partner Institution (This is to be facilitated by the Central
Office/RO monitoring team.)
Dear Sir/Madam:
Our student/s have completed their Work Immersion in your company. Thank you for your assistance in
accommodating and training them. We truly appreciate your openness to participate in the delivery of
Work Immersion as a subject in the Senior High School Program of the Department of Education. We are
very grateful for the learnings and skills our learners have acquired in the process.
We would love to hear from you regarding your experience with in the conduct of Work Immersion
in your company. It will help us to make the necessary refinements next School Year. May we request
you to send the attached survey form at [email protected] or fax it at (02) 635-9822 not later
than _______________. Your thorough responses will serve as inputs to the improvement process of
the subject's implementation.
Thank you.
Sincerely,
JOCELYN DR ANDAYA
Director IV
Bureau of Curriculum Development
WORK IMMERSION SURVEY FORM FOR PARTNER INSTITUTIONS
Part I: PRACTICE
Directions: Please evaluate the Work Immersion by placing a check on the column that corresponds to
your answer and write your comments on each item.
Statements on the Conduct of Work Immersion 4 3 2 1
Strongly Agree Disagree Strongly
1. We understand clearly the Work Immersion Agree Disagree
through DepEd Order No. 30, s. 2017 prior to its
actual conduct in our company.
Comments:
2. The school head, school partnership focal
persons, etc. coordinated properly with us prior
to its actual conduct in our company.
Comments:
3. All activities reflected on MOA and schedule of
activities of the learner were conducted.
Comments:
Statements on the Conduct of Work Immersion 4 3 2 1
Strongly Agree Disagree Strongly
Agree Disagree
4. School in coordination with the Partner
Institution oriented the learners and their
parents on Work Immersion.
Comments:
Part II: PERCEPTIONS
Do our students have the necessary skills to adapt with the work environment in your company? If yes,
please enumerate some of these skills.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Do our students contribute to the productivity of your company? Please provide concrete details.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Please give us your comments and/or recommendations on the conduct of Work Immersion.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Are you willing to accommodate again other students for Work Immersion in your company? If no,why?
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Thank you very much for your time and input.
Accomplished by: ______________________________________________________________________
Designation: __________________________________________________________________________
Date accomplished: ____________________________________________________________________
