Republic of the Philippines

Department of Education
REGION VI – WESTERN VISAYAS
SCHOOLS DIVISION OF NEGROS OCCIDENTAL
GUINPANA-AN NATIONAL HIGH SCHOOL
BRGY. GUINPANA-AN, MOISES PADILLA, NEGROS OCCIDENTAL
______________________________________________________________________________________________________________________________________________________
___

March 4-, 2024

Ma. Lomer C. Villan

Owner
Bongbongs’s Pasalubong
La Carlota City

Dear Mam:

Greetings!

Guinpana-an National High School recognizes the fact that the success of the Senior High School
implementation in 2016 relies mainly on the collective efforts of its stakeholders and partners in the
community. Hence, it is certainly gratifying on the part of the administration for having your
Company as one of our identified partners, in cognizance of your vital role in ensuring the best for
our children.

Anent this, we are respectfully presenting to you the finalized copy of the Memorandum of
Agreement for your careful evaluation as we come up with a common ground of understanding as
partners in this endeavor. We are also very pleased to inform you that there will be a signing of the
finalized MOA to formally forge our partnership and strengthen our ties as stakeholders of the
school.

For this purpose, we have duly attached herewith a copy of the drafted Memorandum of Agreement
between our school and your company for your perusal and review. We are looking forward for your
immediate feedback and suggestions which will greatly help us in the finalization of the copy.

Thank you very much and God bless!

Very respectfully yours,

GERSON J. ESCANDER
Principal II
Republic of the Philippines
Department of Education
REGION VI – WESTERN VISAYAS
SCHOOLS DIVISION OF NEGROS OCCIDENTAL
GUINPANA-AN NATIONAL HIGH SCHOOL
GUINPANA-AN, MOISES PADILLA, NEGROS OCCIDENTAL
______________________________________________________________________________________________________________________________________________________
___

Ma. Lomer C. Villan

Owner
Bongbongs’s Pasalubong
La Carlota City

March 4, 2024

Dear Sir:
The Guinpana-an National High School is requiring all Grade 12 students enrolled in the COOKERY to complete
a 80 hours immersion with an institution or company engaged in a related industry.

We seek your support and partnership in the implementation of this program by accepting students from our
school to join your company’s Student Immersion Program and subsequently complete their prescribed
immersion hours. They will be ready to start with this activity in March 4, 2024

We hereby endorse the following students to your Student Immersion Program.

1. Legarme Imee
2. Tonog Hany
3. Mirasol Manalo
4. Estrelloso,Mery
5. Estoquia , Karen
6. James Marco
7. Joefemar Famoso
8. Blas John Mahusay
9. Aaron Sacular
10. John Paul Malalay
11. Reynan Espanola
12. Renz Malalay
13. Villy Jamers Dalisay
14. Blancada , John Kenneth
15. Joshua Vilog
16. Sunny Casio

In support of this collaboration, and to ensure that the students are able to maximize their time with your firm,
and as well as to ensure their safety, may we request that the students:

 Be assigned to areas or given work assignments that are meaningful and will make use of the
students’ competencies and skills in the discipline.
 Not be given personal and mental tasks that are unrelated to the discipline
 Not be given work assignments that are dangerous or will expose them to risk or harm;
 Be dealt with a professional manner and all office transactions and interactions between the
student and the Company’s employees be strictly confined to professional work dealings, and
engagements.
Thank you and we look forward to our continuing partnership in the development of our students and soon-to-
be professionals.

Very truly yours,

FRANCISCO S. BRAVO III

TVL-Immersion Teacher
IMMERSION CONFIRMATION AND ACCEPTANCE

GERSON J. ESCANDER
Principal II
GUINPANA-AN NATIONAL HIGH SCHOOL
GUINPANA-AN, MOISES PADILLA, NEGROS OCCIDENTAL

Dear Sir:

We are pleased to accommodate the following students:

1. BINARAO, JUNEL
2. MAGNO, RAFFY
3. REBOCA, CHARLS
4. TANOD TANOD, CJ
5. CALUMBA, EJ
6. ESPARAGOZA, REMELYN
7. FERNANDEZ, RAYSA
8. FLORES PAUL

for immersion in our restaurant. The students understand that he/she abides with the institution/company
rules and regulations, specifically on security, discipline, safety and hygiene.

The details of his/her internship are as follows:

Name of Company/Organization : _____________________________________

Villa Indo Pension and Resto
Unit/Department Assignment : _____________________________________
Unit Location : _____________________________________
La Castellana, Negros occidental
Operations Manager : _____________________________________
CHRISTINE THEL A. GEOLLEGUE
Contact Details : _________________________
Start of Immersion : __March 11, 2024_____________________
End of Immersion : __March 21, 2024____________________
Reporting Time : ___7:00AM – 5:00PM___________________

To maximize his/her learning and exposure from the Program, we wish to assure you that he/she:

 Shall be given meaningful tasks, projects and work assignments that will utilize as well as enhance
his/her competencies and skills in Animation.
 Shall not be given tasks that are personal in nature and/or tasks that are unrelated to the
discipline;
 Shall not be given work or assigned to work sites that are dangerous or will expose him/her to any
form of risk or harm; and
 Shall be treated in a professional manner.


Very truly yours,

CHRISTINE THEL A. GEOLLEGUE _________________

Operations Manager Date
Republic of the Philippines
Department of Education
REGION VI – WESTERN VISAYAS
SCHOOLS DIVISION OF NEGROS OCCIDENTAL
GUINPANA-AN NATIONAL HIGH SCHOOL
GUINPANA-AN, MOISES PADILLA, NEGROS OCCIDENTAL
______________________________________________________________________________________________________________________________________________________
___

WAIVER AND PERMISSION FORM

This is to certify that I am permitting my son/daughter,

_______________________________ to undergo an immersion training program for a total
of 80 hours starting on March 11, 2024 until March 21, 2024, at
Villa Indo Pension and Resto
, in partial fulfillment of the requirements for Cookery.

My son/daughter understands that he/she should strictly observe the rules and regulations
of __________________________’s
Villa Indo Pension and Resto and Guinpana-an National High School, in relation to the said
training program and to observe all other regulations that may be implemented by his/her direct
supervisor in relation to the same.

I hereby agree to waive any responsibility on the part of La Castellana National High School
and ________________________ in relation to any loss, damage, death, injury or
accident resulting from the fault or gross negligence of Guinpana-an National High School.

I also hereby agree to hold Guinpana-an National High School and

________________________________
Villa Indo Pension and Resto free and harmless, including its officers, employees or
agents, from any liability, suit or claim filed or made by any party for an injury (including death) or
damage to property that my son/daughter may cause due to his/her willful acts, fault or negligence,
whether or not the same arises from or is related to his/her immersion training.

I have likewise read the Immersion Waiver Form signed by my son/daughter and is fully
agreeable with all the things stated thereon.

_______________________ ________________________ ________________

Name of Father Signature Date
_______________________ ________________________ ________________
Name of Mother Signature Date
_______________________ ________________________ ________________
Name of Guardian Signature Date

Name of Student : ____________________________

Home Address : ____________________________
Mobile Number : ____________________________

IMMERSION WAIVER FORM

I am , yrs. old and a Grade 12 student of the

Guinpana-an National High School Technical Vocational Livelihood - ICT – Cookery.

In partial fulfillment of the requirements for my Senior High School, Technical Vocational Livelihood -
ICT- Cookery, I shall be undergoing an immersion training for a total of 80 hours starting on
March 11, 2024 until March 21, 2024, at Villa Indo Pension and Resto .

In relation to the said immersion training:

a) I take it as my responsibility to take the necessary precautions to avoid or get involved in
any incident that could cause loss, damage or injury to my own person or that of
another;
b) I understand that it is my responsibility to fully ascertain, if necessary, with the help of a
medical professional, my physical and mental fitness to join such activity;

c) I understand that I must be sufficiently healthy or free from any medical condition that may
be aggravated by my participation in such an activity. Should I be suffering from any
medical condition that may be aggravated by participating in such activity, I commit to
immediately report the same in writing to the assigned immersion coordinator and to
excuse myself from the said activity
d) I hereby declare that I understand and that I should strictly observe
Villa Indo Pension and Resto
's rules on security and confidentiality of business information and other
regulations that may be implemented by my direct supervisor and our faculty coordinator
in relation to my training;

e) I have properly informed my parents or the person(s) exercising parental authority over my
person of the nature of the activity which I am joining and had secured their consent for my
participation in the same. I likewise secured their advice on the measures which I am to
undertake for my personal safety and security in relation to my participation in the said
activity;

f) I hereby agree to waive any responsibility on the part of Guinpana-an National High
School and _________________________________
Villa Indo Pension and Resto in relation to any untoward
incident which may happen to me during the said immersion training, unless the said loss,
damage, injury or accident arose from the direct act or gross negligence of Guinpana-an
National High School andVilla
______________________________________.
Indo Pension and Resto

___________________________ ___________________________
Signature of Student Date
Republic of the Philippines
Department of Education
REGION VI – WESTERN VISAYAS
SCHOOLS DIVISION OF NEGROS OCCIDENTAL
GUINPANA-AN NATIONAL HIGH SCHOOL
GUINPANA-AN, MOISES PADILLA, NEGROS OCCIDENTAL
______________________________________________________________________________________________________________________________________________________
___

PRACTICUM EVALUATION FORM

Please rate the Student’s overall practicum performance according to the rating scale below:

1 =Did not meet job requirements. Significant performance improvement urgently needed.
2 =Met minimum job requirements. Work improvement plan was needed to bring performance to a satisfactory level.
3 = Met normal job requirements with few exceptions. Improvements in performance needed in one or more elements.
4 = Fully met job requirements. Performance was what was expected of a person in his/her position.
5 = Exceeded job requirements. Student performance was impressive, exceeded what is normally expected in this position.
NA = Not Applicable
CRITERIA/RATING 1 2 3 4 5
Work Habits
1. Punctual
2. Reports regularly
3. Performs tasks without much supervision
4. Practices self-discipline in his / her work
5. Demonstrates dedication and commitment to the tasks assigned to him/her
Work Habits Total/Average
Work Skills
1. Demonstrates the ability to operate machines needed on the job
2. Handles the details of the work assigned to him / her
3. Shows flexibility (whenever the need arises) in the process of going through
his / her task
4. Manifests thoroughness and precise attention to details
5. Fully understands the linkage or connection between his / her task to previous,
intervening and subsequent tasks
6. Usually comes up with sound suggestions to problems
Work Skills Total/Average
Social Skills
1. Shows tact in dealing with different people he /she comes in contact with
2. Shows respect and courtesy in dealing with peers and superiors
3. Willingly helps others (whenever necessary) in the performance of their tasks
4. Is capable of learning from and listening to co-workers
5. Shows appreciation and gratitude for any form of assistance granted to him/
her by others
6. Shows poise, self-confidence and is always well – groomed
7. Shows emotional maturity
Social Skills Total/Average
Over All Total / Average Rating : ________________________
Practicum Supervisor’s Signature over Printed Name:____________________________ Date: ______________
Practicum Student’s Signature over Printed Name: ____________________________ Date: ______________
Senior High School TVL – COOKERY
NONDISCLOSURE AGREEMENT
This Nondisclosure Agreement (the "Agreement") is entered into by and between Guinpana-
an National High School – Senior High with its principal offices at Brgy. Guinpana-an, Moises Padilla,
Negros Occidental ("Disclosing Party") and CHRISTINE THEL A. GEOLLEGUE
, located at 888
ChinaTown Square, Bacolod City ("Receiving Party") for the purpose of preventing the unauthorized
disclosure of Confidential Information as defined below. The parties agree to enter into a
confidential relationship with respect to the disclosure of certain proprietary and confidential
information ("Confidential Information").
1. Definition of Confidential Information. For purposes of this Agreement, "Confidential
Information" shall include all information or material that has or could have commercial value or
other utility in the business in which Disclosing Party is engaged. If Confidential Information is in
written form, the Disclosing Party shall label or stamp the materials with the word "Confidential" or
some similar warning. If Confidential Information is transmitted orally, the Disclosing Party shall
promptly provide a writing indicating that such oral communication constituted Confidential
Information.
2. Exclusions from Confidential Information. Receiving Party's obligations under this Agreement do
not extend to information that is: (a) publicly known at the time of disclosure or subsequently
becomes publicly known through no fault of the Receiving Party; (b) discovered or created by the
Receiving Party before disclosure by Disclosing Party; (c) learned by the Receiving Party through
legitimate means other than from the Disclosing Party or Disclosing Party's representatives; or (d) is
disclosed by Receiving Party with Disclosing Party's prior written approval.
3. Obligations of Receiving Party. Receiving Party shall hold and maintain the Confidential
Information in strictest confidence for the sole and exclusive benefit of the Disclosing Party.
Receiving Party shall carefully restrict access to Confidential Information to employees, contractors,
and third parties as is reasonably required and shall require those persons to sign nondisclosure
restrictions at least as protective as those in this Agreement. Receiving Party shall not, without prior
written approval of Disclosing Party, use for Receiving Party's own benefit, publish, copy, or
otherwise disclose to others, or permit the use by others for their benefit or to the detriment of
Disclosing Party, any Confidential Information. Receiving Party shall return to Disclosing Party any
and all records, notes, and other written, printed, or tangible materials in its possession pertaining to
Confidential Information immediately if Disclosing Party requests it in writing.
4. Time Periods. The nondisclosure provisions of this Agreement shall survive the termination of this
Agreement and Receiving Party's duty to hold Confidential Information in confidence shall remain in
effect until the Confidential Information no longer qualifies as a trade secret or until Disclosing Party
sends Receiving Party written notice releasing Receiving Party from this Agreement, whichever
occurs first.
5. Relationships. Nothing contained in this Agreement shall be deemed to constitute either party a
partner, joint venture or employee of the other party for any purpose.
6. Severability. If a court finds any provision of this Agreement invalid or unenforceable, the
remainder of this Agreement shall be interpreted so as best to effect the intent of the parties.
7. Integration. This Agreement expresses the complete understanding of the parties with respect to
the subject matter and supersedes all prior proposals, agreements, representations, and
understandings. This Agreement may not be amended except in a writing signed by both parties.
8. Waiver. The failure to exercise any right provided in this Agreement shall not be a waiver of prior
or subsequent rights.

This Agreement and each party's obligations shall be binding on the representatives, assigns, and
successors of such party. Each party has signed this Agreement through its authorized
representative.

Disclosing Party Receiving Party

By: Guinpana-an National High School By: Villa Indo Pension and Resto
Printed Name: GERSON J. ESCANDER Printed Name: CHRISTINE THEL A. GEOLLEGUE
Title: Principal II Title: General Manager
Dated: _________________ Dated: _________________