BORANG PEMANTAUAN HIGHLY IMMERSIVE PROGRAMME (HIP)

FASA 1 19 APRIL HINGGA 6 MEI 2016

1 Name of State

2 Name of PPD

3 Name of School

4 Name of Head Master

5 School enrolment

6 No of English Teachers

7 Total no of teachers

8 Level of Immersiveness

Tick to indicate

In class Out of Class Extra Class Outreach

Immersive activites conducted by

9
school

Fill in to complete

10 Title of activites
10 Title of activites

11 Objective of activites

All students/a specific group of students

12 Activity/ies suited for

No and percentage of students

13
involved

14 Outcomes of activities

Evidence of student participation in

language activity / Evidence of
15 students using language (oral or
written form) - all forms of audios
videos and pictures are accepted.

School Head Teachers Students Parents/Community

 Describe role(s) of the above in the
16
activities conducted

SISC+ SIP+ FasiLinus

Contribution(s) of the above in

17
immersive activity

Outcomes of dialog prestasi at school

18 or district levels. sekolah/PPD. -
information from school head.

19 Success Stories
20 Name of Outreach partner

Evidence of student particiation / use

21
of language

Overall feedback of the Outreach

22
programme

Self Assessment Tool

Please fill in overall mean scores of the following

School Head Teachers Parents Students

OVERALL FEEDBACK
NAME OF OFFICER DATE OF VISIT
BORANG RESPONDEN HIGHLY IMMERSIVE PROGRAMME (HIP)

RESPONDEN :
Tick to indicate your response to th
Items be

Not at all

There is an immersive English

1
environment in the school.

Students are given the opportunity to use

2
the language actively in school.

Weaker students are given the

3
opportunity to participate actively.

All members of the school are involved in

4
the activity/ies.

BORANG RESPONDEN HIGHLY IMMERSIVE PROGRAMME (HIP)

RESPONDEN :
Tick to indicate your response to th
Items be

Not at all

There is an immersive English

1
environment in the school.

Students are given the opportunity to use

2
the language actively in school.

Weaker students are given the

3
opportunity to participate actively.
 All members of the school are involved in
4
the activity/ies.

BORANG RESPONDEN HIGHLY IMMERSIVE PROGRAMME (HIP)

RESPONDEN :
Tick to indicate your response to th
Items be

Not at all

There is an immersive English

1
environment in the school.

Students are given the opportunity to use

2
the language actively in school.

Weaker students are given the

3
opportunity to participate actively.

All members of the school are involved in

4
the activity/ies.

BORANG RESPONDEN HIGHLY IMMERSIVE PROGRAMME (HIP)

RESPONDEN :
Tick to indicate your response to th
Items be

Not at all

There is an immersive English

1
environment in the school.

Students are given the opportunity to use

2
the language actively in school.
 Weaker students are given the
3
opportunity to participate actively.

All members of the school are involved in

4
the activity/ies.

BORANG RESPONDEN HIGHLY IMMERSIVE PROGRAMME (HIP)

RESPONDEN :
Tick to indicate your response to th
Items be

Not at all

There is an immersive English

1
environment in the school.

Students are given the opportunity to use

2
the language actively in school.

Weaker students are given the

3
opportunity to participate actively.

All members of the school are involved in

4
the activity/ies.
dicate your response to the statements below relating to the HIP activities
being carried out

Somewhat Mostly Fully Agree

dicate your response to the statements below relating to the HIP activities
being carried out

Somewhat Mostly Fully Agree

dicate your response to the statements below relating to the HIP activities
being carried out

Somewhat Mostly Fully Agree

dicate your response to the statements below relating to the HIP activities
being carried out

Somewhat Mostly Fully Agree

dicate your response to the statements below relating to the HIP activities
being carried out

Somewhat Mostly Fully Agree