Republic of the Philippines

Department of Education
Region VII-Central Visayas
Division of Cebu Province
Perpetual Succour Academy, Incorporated
Poblacion Dos, Malabuyoc, Cebu

SENIOR HIGH SCHOOL DEPARTMENT

STUDENT’S
WORK IMMERSION

LOGBOOK

Student’s Name:
JUREAN V. CARDOSA
School:
Perpetual Succour Academy Inc.
Host Local Government Unit:
Alegria Local Government Unit

Acknowledgement
DEPED Cebu Province – SHS – PSAI would like to thank our partners whose
invaluable insights guided the development of this logbook:

Partner Organizations:
LGU-Alegria

Partners:

A very special thank you to the SHS Work Immersion Core Team who developed
the materials:

1. Hon. Verna V. Magallon

2. Hon.Gilberto Magallon
3. Engr. Jay C. Ferraren

Table of Contents
 Title
Introduction to Student Work Immersion Logbook
Part 1: Supporting Documents
1.1 Student Profile and Contact Information
1.2 Employer and School Contact Information
1.3 Student Learning Agreement
1.4 Indemnity Form
1.5 Personal Learning Plan
Part 2: Program Activities
2.1 Preparation Checklist for Work Immersion Placement
2.2 Workplace Induction Checklist
2.3 Daily Journal
2.4 Student Evaluation of Work Immersion
Part 3. Employer Evaluation and Certificate
3.1 Employer Evaluation of Student Performance
3.2 Employer Certificate to Confirm Student Work Experience
Provided

Introduction
Your student work immersion logbook is divided into 3 parts.

Part 1 includes information on my profile, my host employer and my school it also

contains my learning agreement and indemnity form that I will sign to be part of
this work immersion program.

Part 2 includes information on the roles of my school, my employer and yourself

during work immersion placement. It also contains my preparation checklist for
work immersion placement daily journal and evaluates your work immersion.
Part 3 includes two sections which need to be completed by your host employer at
the end of your work immersion placement.

1.1 Student’s Profile and Contact Information

CARDOSA JUREAN VILVESTRE

Full Name
Surname First Name Middle Name
Learner’s Registration Number 119451070019
(LRN)
Grade and Section Grade 12 St. John Bosco ê
Name of School Perpetual Succour Academy Inc.
Student’s Contact Number 09755045257
Home Address Sto. Niño Malabuyoc, Cebu

Email jureancardosa@gmail.com
FATHER Henry B. Cardosa
OCCUPATION Farmer
Name of Parents
MOTHER Julieta V. Cardosa
OCCUPATION House wife
Contact Number of Parent none
Track & Strand Technical Vocational Livelihood Track
Industrial Arts Strand

Why I chose to study this (Track

& Strand)?
My future goals
What I hope to learn during my
work immersion?
Previous work immersion I have
had?

1.2 Employer and School Contact Information

Employer Contact Information
Name of Employer ALEGRIA LOCAL GOVERNMENT UNIT
Address of ALEGRIA, CEBU
Employer
Email Address none
Employer Phone
none
Number
Main Employer Name Engr. Jay C. Ferraren
Contact Person
Designation Municipal Contact none
 Engineer Number
Second Employer Name Mr. Florencio Mauro Jr.
Contact Person
Designation Engineering Contact none
Department Number
Support Team
Staff

School Contact Information

Name of School Perpetual Succour Academy Inc.
Address of School Pob. Dos Malabuyoc, Cebu
Email Address none
School Phone Number
School Principal Name Ms. Leonita S. Pimentel
Contact Number
Class Adviser Name Mrs. Cerina D. Patriarca
Contact Number 09154658981
Immersion Coordinator Name Mrs. Cerina D. Patriarca
Contact Number 09154658981
SHS-Coordinator Name Ms. Leonita S. Pimentel
Coordinator

1.3 Student Learning Agreement

Congratulations! You have been selected to participate in the work immersion.

This is a wonderful opportunity for you to learn about your chosen occupation and to
improve your employment prospects.

You will be assigned at LGU-Alegria, Engineering Department (name of employer)

I assigned in Engr. Jay C. Ferraren

For 10 days, from (start date) November 11, 2019 to (end date) November 22, 2019.

You need to remember that you are now an ambassador for your school. Your behavior in
the workplace needs to be professional. During your work placement you need to comply
with your school’s code of conduct as well as the rules of your host employer. Any
problems or discipline matters that arise will be managed by your school.

During your work placement, you will be required to:

 Adhere to the work hours required by the employer.
 Follow the instructions of the workplace representatives responsible for you.
 Comply with safety and other rules in the workplace. This includes following the
dress code and wearing the required personal protective equipment.
 Be punctual.
  Maintain professional behavior at all times.
 Take responsibility for making your workplace experience valuable.
 Complete the activities in your logbook.

When you return to the school, you will be required to:

 Hand in your fully completed logbook.
 Give feedback on your work immersion.

Student School Employer

I hereby agree that I Alegria
will be responsible for Local Government
adhering to the Name Unit
requirements Perpetual Succour
outlined above Academy, Inc. Name
Name _____________________ Engr. Jay C.
Jurean V. Cardosa ___ Ferraren
_____________________ _____________________
___ Signature __

Signature _____________________ Signature

___
_____________________ Date _____________________
___ ___
Date _____________________ Date
___
_____________________ _____________________
___ ___

1.4 Indemnity Form

(To be completed by parent/guardian)

I Julieta V. Cardosa ,the parent of the student hereby indemnity ALEGRIA

Local Government unit, its employees and agents against any claims of any nature
whatsoever which may be brought against them by the student JUREAN V.
CARDOSA or any third party or other person claiming in behalf of the student
arising out of the student’s untoward incidents or injury or loss of or damage to
the student’s property as a result of entering into and remaining on LGU-Alegria
Engineering Department whether the claim is based on LGU-Alegria Engineering
Department negligence or on the negligence of any of its employees or agents for
which they may be liable.
 JUREAN V. CARDOSA
_____________________________________
Parent/Guardian’s Name & Signature

MOTHER
_____________________________________

Relationship to the Student

Date:_______________________________

1.5 Personal Learning Plans

(To be signed by students, teachers, and employers)

My Work Immersion Program journey begins with me and setting my personal learning
goals. Together with my Work Immersion Coordinator and Instructors, I’ve identified the
following competencies I aim to strengthen:

_________________________________________________________________________________________
_________________________________________________________________________________________
_____________________________________________________________________________

Together with my work immersion placement officer (supervisor), I’ve identified the
following skills I aim to practice and/or develop further:

_________________________________________________________________________________________
_________________________________________________________________________________________
_____________________________________________________________________________

Through this work immersion, I wish to learn more about:

_________________________________________________________________________________________
_________________________________________________________________________________
Student School Employer

Name: Name: Name:

Perpetual Succour
Academy Incorporated LGU ALEGRIA
Signature:
Signature: Signature:

Date:
Date: Date:

Part 2: Program Activities

The Roles of School, Partners and Students During Placement

The success of the work immersion placement depends on each stakeholder in the process
understanding and carrying out their roles effectively.

The School/s Roles are to:

 Ensure that the work immersion placement provided to students is appropriate.
 Ensure that the students are adequately supervised by their host employers.
 Monitor the placement of students to ensure that they are going according to plan
and to address any problems encountered.

The Partners Roles are to:

 Provide students with experience that is appropriate to their track and strand.
 Manage and supervise the students on a day-to-day basis. This includes assigning
students to one or more company employees who will: oversee their daily workplace
activities, assist them in working through their student logbooks and support them
with any other arrangements made with the school.
 Ensure that the company employees who work with the students are adequately
briefed about the work immersion requirements, including the logbook. They need
to know what to expose the students to and what practical tasks to give them while
they are in the workplace. In addition, they need to know how to supervise and
work with students in a manner that makes their learning experience valuable.
 Induct and orient students to the business, its rules and regulations (especially
those concerning health and safety), and its various departments and how these
are all connected.
  Report any problems experienced during the placements to the relevant school
representative as soon as possible.

The Students Roles are to:

 Arrive on time each day and engage in the activities arranged for them.
 Take responsibility for making work immersion placement a meaningful and
successful experience. This includes showing initiative, asking questions and
engaging with workplace experience.
 Speak to the employer representative responsible for them and contact their school
representative as soon as possible if they have a problem.
 Obtain the information they need to complete their logbook through observing,
asking questions and engaging in workplace activities. They also need to ensure
that employer representatives sign and complete the required sections in their
logbook.

2.1 Preparation Checklist for Work Immersion Placement

This checklist contains a summary of all the texts you need to complete for your work
immersion placement. Some of these tasks must be completed before the start of your
work placement, others during and after. Use the checklist to help you keep track of what
you have done and what you still need to do by ticking off each task after you have
completed it.
Tick
THINGS TO DO BEFORE THE START OF YOUR IMMERSION
when
PLACEMENT
done
Give your parent/guardian the letter from your school
1 about your work immersion placement (letter to be
provided from your school)
2 Fill in the ‘student profile’ form’ (part 1/1.1)
Fill in the ‘employer and school contact information’ form’
3
(part 1/1.2)
Complete the ‘learning agreement’ (part 1/1.3) ensure that
4 it is signed by a school representative, an employer
representative and yourself.
Complete the ‘indemnity form’ (part 1/1.4). if you are
5 under 18, this needs to be signed by your parent or
guardian. If you are over 18 you need to sign it.
With the help of a teacher, fill the student Personal
6 Learning Plan (part 1/1.5), your teacher and employer
need to sign the completed Personal Learning Plan.
7 Make transport arrangements to get to your host employer.
Find out what personal protective equipment (PPE) your
8
host employer requires and make sure you have them.
Ensure you bring the logbook with you to the workplace to
9 complete the daily journal for each day of your placement
(part 2/2.3).
COMPLETION OF LOGBOOK DURING AND AFTER YOUR WORK
IMMERSION PLACEMENT
Complete the ‘workplace induction checklist’ (part 2/2.2)
10
on the first day of your work immersion placement.
During your work immersion placement, fill in your daily
11 journal (part 2/2.3). ask the person who supervised you
each day to sign your journal.
12 After your placement, evaluate your experience (part 2/2.4)
COMPLETION OF EMPLOYER SECTIONS AT THE END OF YOUR
PLACEMENT, BUT BEFORE YOU LEAVE THE WORKPLACE
Ask your workplace supervisor to complete the evaluation
13
on you (part 3/3.10
Ask your workplace supervisor to complete the certificate
14 about your placement (part 3/3.2). this certificate also
needs to be stamped to the workplace stamp.
PROVIDE FEEDBACK ON YOUR WORK IMMERSION AFTER
PLACEMENT
Share your experience in the workplace with your school
15
and other students.

2.2 Workplace Induction Checklist

Please tick off the items in the checklist below once you have completed them. You also
need to fill in the additional information required. This checklist should be completed on
the first day of you placement.
Item Tick
1. I have the name and address of my host employer
2. I have the name and contact number of the person in the
workplace who is responsible for me during my placement
Name of my Supervisor:
Contact number of my supervisor:
3. I know who I will be reporting to on a day-to-day basis in the
work place.
When I will report to this Names of the people I will report to
person daily
(Day 1) Ms. Leonita S. Pimentel /

Mrs. Cerina D. Patriarca

(Day 2) Engr. Jay C. Ferraren
(Day 3) Engr. Jay C. Ferraren
(Day 4) Engr. Jay C. Ferraren
(Day 5) Engr. Jay C. Ferraren
(Day 6) Engr. Jay C. Ferraren
(Day 7) Engr. Jay C. Ferraren
(Day 8) Engr. Jay C. Ferrarin
(Day 9) Engr. Jay C. Ferrarin
(Day 10) Engr. Jay C. Ferraren
4. I have been introduced to the people I have been working
with
5. I know the rules of my host employer
6. I know what my host employer expects of me while I am in
the workplace
Things they expect of me include:
a.)
b.)
c.)
d.)
e.)

7. I know what time I need to be at work daily and when lunch

time is. These are as follows:
Work hours:
Lunch time:
8. I have been given a tour of workplace premises and will be
able to find my way around
9. If I have a problem during my placement I know what to do
2.3 Daily Journal

PRE-IMMERSION

Journal
Date Time In Time Out No. of Hours

New knowledge and/or skills you

Tasks you did
learned

To be completed by supervisor at the workplace responsible for the student for the
day
Supervisor’s comment:

Student’s Name: Supervisor’s Name:

Job Title:

Signature: Signature:
POST IMMERSION

Journal
Date Time In Time Out No. of Hours

New knowledge and/or skills you

Tasks you did
learned

To be completed by supervisor at the workplace responsible for the student for the
day
Supervisor’s comment:

Student’s Name: Supervisor’s Name:

Job Title:

Signature: Signature:
Student Evaluation of Work Immersion
Answer the questions that follow about your workplace experience.

1. Did you feel adequately prepared by your work immersion placement?

Explain your answer. For instance, did you have some information about the
employer hosting you? Did you know what would be required of you and how
to complete your logbook?

_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
____________________________________________________________________
2. Was your work immersion relevant to what you learned in the Track and
Strand in school? If yes, give a few examples of how it related to this.

_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
____________________________________________________________________

3. Rate and comment on the value of your work immersion.

Not at all Not that Fairly Very Extremely
useful useful useful useful useful

Give reasons for your rating

_________________________________________________________________________________
_________________________________________________________________________________
_______________________________________________________________________

What did you find most valuable about your work immersion?

_________________________________________________________________________________
_________________________________________________________________________________
_______________________________________________________________________

4. How do you think your work immersion could have been improved?

5. Other comments
_________________________________________________________________________________
________________________________________________________________________
Part 3: Employer Evaluation & certificate
3.1 Employer Evaluation of Student Performance

Name of Student:
CARDOSA JUREAN VILVESTRE
_________________ _________________ __________________
Last Name First Name Middle

Name
1. Rating of students. Circle the number that best applies in each case where: 1 =
very poor, 2 = poor, 3 = fair, 4 = good, 5 = very good.

ITEM BEING RATED RATING

Knowledge of technical field. The student 1 2 3 4 5

displayed knowledge of his/her technical field
appropriate to his/her level of study

Practical competence. The student was able 1 2 3 4 5

to effectively carry out tasks at a level
appropriate to his/her level of training

Ability to learn. The student was able to 1 2 3 4 5

easily learn new things.

Interest in work. The student asked 1 2 3 4 5

questions and showed an interest in the work.

Communication skills. The student was able 1 2 3 4 5

to make her/himself adequately understood
and could follow spoken and written
instruction

Punctuality. The student arrived at work on 1 2 3 4 5

time and kept time.

Housekeeping and tidiness. The student 1 2 3 4 5

displayed the correct attitude to housekeeping
activities and willingly engaged in these.

Safety. The student understood and followed 1 2 3 4 5

safe work practices.

Attitude and cooperation. The student 1 2 3 4 5

showed willingness and had a good attitude
and was able to get along with others.

2. Overall comments on the student’s performance.

_________________________________________________________________________________
_________________________________________________________________________
3. Does the student display the qualities you would look for in an employee?
Please explain.
 Name Job Title Signature

3.2 Employer Certificate to Confirm Student Work Immersion Provided

Date: __________________

Confirmation of Student Work Immersion

This certificate serves to confirm that JUREAN V. CARDOSA (name

of student ) spent 10 ( number of days) with LGU-Alegria,
Engineering Department ( name of employer ) from November 11,
2019 to November 22, 2019 (placement dates ) to gain work
immersion. At the time, the student was (circle relevant qualification)
in TECHNICAL VOCATIONAL LIVELIHOOD-SMAW II ( name of
qualification area) at PERPETUAL SUCCOUR ACADEMY INC. (name
of school). Key areas in which work exposure and experience were
provided include:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
_______________________________

(Company Stamp Here):

Engr. Jay C. Ferraren

_______________________________
Name of Employer Representative

Municipal Engineer
_______________________________
Job Title

_______________________________
Signature