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AMA COMPUTER LEARNING CENTER
4 Floor E Mall, Elias Angeles Street, Naga City

th
SY 2022-2023
WORK IMMERSION PORTFOLIO
This belongs to;
Name of Student-Trainee
Track/Strand/Section
Agency/Company/Cooperative
SY 2022-2023
STUDENT INFORMATION SHEET
Name :
Date of Birth:
Place of Birth: Insert 2x2 pictures
Parent’s / Guardian’s Name:
Postal Address:
E-mail Address:
Cellphone Number:
Religion:
Health Issues / Allergies:
Hobbies / Past Time Activities:
Skills / Talents :
Extra-curricular Activities in School:
Support group / home companions:
One word or object that describes yourself: How do you feel about school?
What are your most memorable subject / class? Why?
What are your plans after Senior High School?
What is your career path?
What is your philosophy in life?
Do you have plans to go abroad? If yes, where and why?
What are your dreams and ambitions?
How do you plan to achieve your ambitions and goals in life?
What are your expectations and apprehensions for work immersion?

PARENTS’ CONSENT FORM
Consent Form
WORK IMMERSION
Name of School
Date of Birth
School
Name of
Parent/Guardian
Address
Contact Number
MEDICAL BACKGROUND
Does your child suffer from any medical
conditions/allergies? (please check appropriate box)
□ Yes □ No
Please provide details of medication that must be administered, if any:
UNDERTAKING:
a) I agree to my son/daughter taking part in the Work Immersion as a key feature of

the Senior High School Curriculum, which involves hands-on experience or work
simulation in which learners can apply their competencies and acquired knowledge
relevant to their track;
b) I understand that an insurance for learners shall be procured by their respective

schools, hence, I hereby release the school, its teachers and personnel from any
and all liability, claims, demands, and causes of action whatsoever arising out of or
related to any loss, damage or injury that may be sustained by my son/daughter
during the Work Immersion:
c) I confirm to the best of my knowledge that my son/daughter does not suffer from
any medical condition other than those listed above;
d) That I have read and fully understood the statements above including the
implications thereof.
Date: _
Signature Over Printed Name of
Parent/Guardian
WORK IMMERSION AGREEMENT AND LIABILITY WAIVER
I acknowledge my participation in the Work Immersion Program and am fully aware of the duties
and responsibilities that come with it. I understand that the program was requested by
__________________________________________ and that I will be working with a
cooperating company.
I respect the authority of the cooperating company I will be placed with and agree to abide by all
Rules and Regulations that may be imposed upon me. I understand that the duties I will perform
are part of my learning experience, and I will do my best to fulfill them to the best of my abilities.
I hereby waive and renounce any claims against the cooperating company and
___________________________________________ for any injury, whether personal or
financial, that I may sustain while performing my duties or functions as part of the Work
Immersion Program.
Name of Student-Trainee:
Signature:
Date:
PARENTAL / GUARDIAN’S CONSENT
I, as the trainee's parent and/or legal guardian, give my consent for my

son/daughter_____________________________________________ to participate in the Work
Immersion Program for 80 hours. The program will start on [start date] and end on [end date] in
partial fulfillment of the requirements for the Senior High School K-12 Program.
I understand that my son/daughter will be under the supervision of the staff-in-charge, and I
fully support their decision to impose any rules and regulations necessary for their welfare and
safety.
Moreover, I waive any responsibility on the part of [Name of the organization or company]
________________________________________________ in the event of any untoward
incident that may happen to my son/daughter during the duration of the WORK IMMERSION.
Name of Student-Trainee:
Signature:
Date:
ACTIVITY 1 | THE WORKER
Work is on your way. Are you prepared to work? Do you have the potential, character,
talents, and skills to take up the vigor of being a worker? What should you possess to
become a good worker? How will you prepare for work immersion?
ACTIVITY 2
After the pre-immersion orientation, list the Do’s and Don’ts employed in the workplace you
are assigned.
DO’s DON’Ts
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
REFLECTION
1. Do you agree to the company’s policy guidelines, rules and agreement? Support your
answer.
2. Was there a rule that you think is not acceptable to you? Why?

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AMA COMPUTER LEARNING CENTER

4 Floor E Mall, Elias Angeles Street, Naga City

WORK IMMERSION PORTFOLIO

This belongs to;

What are your most memorable subject / class? Why?

What are your plans after Senior High School?

What is your career path?

What is your philosophy in life?

Do you have plans to go abroad? If yes, where and why?

What are your dreams and ambitions?

How do you plan to achieve your ambitions and goals in life?

What are your expectations and apprehensions for work immersion?

a) I agree to my son/daughter taking part in the Work Immersion as a key feature of

b) I understand that an insurance for learners shall be procured by their respective

PARENTAL / GUARDIAN’S CONSENT

I, as the trainee's parent and/or legal guardian, give my consent for my

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