Name of
Student
School
CHILDREN FIRST SCHOOL, INC.
Track
Grade and
Section
Immersion
Site
Strand/
Specialization
Duration
of Work
Immersion
School
Partnerships
Focal Person
Work
Immersion
Teacher
Contact
Number
RICHELLE APPLE M.
RAYMUNDO
0945-098-9164
Contact
Number
LIST OF TASKS/ACTIVITIES
Competencies
Tasks/Activities
Time Allotment
Actual Schedule
Remarks
Students shall not be given other activities outside of those previously agreed upon, which are anchored
on the stated competencies.
Certified true and correct:
______________________________________
Student’s Signature Over Printed Name
_______________________________________
Parent’s Signature Over Printed Name
______________________________________
Work Immersion Teacher’s
Signature Over Printed Name
_______________________________________
Industry Supervisor’s
Signature Over Printed Name