PERFORMANCE EVALUATION FORM

Last Name First Name

Pillas Joeffrey
STI Campus STI College Sta.Cruz Program Grade Level
STEM Grade 12
Host Training Establishment Department Assigned To
Victoria Fire Station Bureau of Fire Protection
Work Immersion Coordinator Evaluation Period: Total No. of Hours
Mr. Richard John Brian D. Manzano Final Evaluation Period
(Completion of 80 hours)

Evaluation Criteria Rating

Technical Competence (25%)
Effective application of skills and technical knowledge in meeting the requirements or accomplishing goals of
assigned tasks and projects

Attitude (25%)
Attitude towards work, such as willingness to learn, adherence to the policies, dependability, trustworthiness,
resourcefulness, and ability to provide solutions to problems in the area of work and such other qualities that
may be pertinent

Quality of Work (20%)

Work standards, accuracy and reliability of output, and on-time delivery of requirements

Quantity of Finished Work (10%)

Work accomplished per evaluation period

Inter-Personal Relationships (10%)

Communication skills and attitude towards people

Attendance and Punctuality (10%)

Number of absences and tardiness per evaluation period

Comments/Remarks:

Evaluated by: Date

Work Immersion Coordinator’s Printed

Name over Signature

Work Immersion Coordinator’s Printed

Name over Signature
RM
MI
P
Grade Level Section
Grade 12 STEM 202 -D

of Fire Protection
Total No. of Hours
80 Hrs

Rating Equivalent Grade

TOTAL

Rating Equivalent

Rating Description
98-100 Excellent
89-97 Very Good
80-88 Satisfactory
75-79 Fair
Below 75 Fail