Document ID No.
: FR-SHS-007
WORK IMMERSION PERFORMANCE
Revision No.: 00
APPRAISAL
Date Effective:
September 2022
STUDENT’S NAME: Jahn Robert G. Gurbuxani STRAND:ICT
Partner Institution:H&W DELICATESSEN-ANGELES CITY
Address:ECCO BUILDING KOREA TOWN ANGELES CITY,PAMPANGA
Contact No. 09765120657
Work Immersion Supervisor: OLIVIA WIEGEL Position: OWNER
Training Period:MARCH 16, 2025 to: MARCH 27,2025 Total No. of Hours Rendered:80
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 there required standard.
Performance fully met job requirements. Was able to perform
4 Very Satisfactory
what was expected of a person in his/her position.
Performance has met there required standard. Can perform
3 Satisfactory
duties within supervision.
Performance partially meets there required standard. Less than
2 Fair
satisfactory could be doing better.
Performance does not meet their required standard. Major
1 Needs Improvement
Improvements needed.
NA Not Applicable Performance indicators are more relevant to the job.
5 4 3 2 1
COMPETENCIES
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.
1
TEAMWORK Total Score/5
COMPETENCIES
5 4 3 2 1
COMMUNICATION
INITIATIVE/PROACTIVITY 5 4 3 2 1
1. Actively listens to supervisor and/or co-workers.
1. Completes assignments with minimum supervision.
Completes tasks
2. Comprehends independently
written and consistently.
and oral information.
3. Seeks support as need arises.
3.
4. Consistently
Recognizesdelivers
and takesaccurate information
immediate action toboth written and
effectively [Link]
address
and opportunities.
4. Reliably provides feedback as required, both internally and
5. externally.
Engages in continuous learning
COMMUNICATION Total Score/4
6. Contributes new ideas and shares skills to improve the department/
ATTENDANCE
organization. AND PUNCTUALITY
1. IsINITIATIVE/PROACTIVITY
punctual on a regular basis. Total Score /6
JUDGEMENT/DECISIONMAKING 5 4 3 2 1
2. Maintains good attendance.
1. Analyzes problems effectively.
2. Has
3. the ability
Informs to make
supervisor in a creative and effective
timely manner solutions to and
when absenteeism problems.
tardiness may occur.
3. Demonstrates
ATTENDANCE AND good PUNCTUALITY
judgment in handling routine problems.
Total Score/3
PRODUCTIVITY/RESILIENCE
JUDGEMENT/DECISION
1. MAKING
Consistently produces quality results. Total Score /3
DEPENDABILITY/RELIABILITY
2. Meets deadlines and manages time well.
1. Has the ability to follow through and meet deadlines.
3. Can do multitasking.
2. Has commitment for his/her action.
4. Can work under pressure and delivers there required tasks.
3. Can adjust easily to changes in workplace.
5. Effective and efficient in time management.
4. Displays high level of performance at all times.
6. Efficiently informs supervisor of any challenge or hindrance
DEPENDABILITY/ RELIABILITY
related to given task or assignment. Total Score/4
PRODUCTIVITY/RESILIENCE Total Score/6
COMPETENCIES
5 4 3 2 1
ATTITUDE
1. Offer assistance willingly.
2. Show positive work actively.
2
3. Show sensitivity to and consideration for other feelings.
4. Accept criticism positively.
5. Show pride in work
ATTITUDE Total Score/5
PROFESSIONALISM
Respects persons in authority.
Uses all tools, equipments, and facilities responsibilities.
Follows all policies and procedures when issues and conflict arise.
Physical appearance conforms to the workplace and placement rules.
PROFESSIONALISM Total Score/4
OVERALL RATING
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
SUMMARY OF SCORES
WEIGHTED
CRITERIA
AVERAGE
TEAMWORK
COMMUNICATION
ATTENDANCE & PUNCTULAITY
PRODUCTIVITY/RESILIENCE
INITIATIVE/PROACTIVITY
JUDGEMENT/DECISION MAKING
DEPENDABILITY/RELIABILITY
ATTITUDE
PROFESSIONALISM
Over-All Weighted Average
Equivalent Grade
REMARKS: (Comments/Suggestions)
3
Student’s Signature: Date:
Work Immersion
Supervisor’s Signature over
Printed Name
