Professional Documents
Culture Documents
___________________________
COLLEGE/CAMPUS
Direction:
Please do not leave any item unanswered (Type N.A. or Not Applicable if necessary).
Strictly follow the prescribed format in accomplishing this form.
Provide necessary and appropriate supporting document/s (e.g. Research Abstract, MOS, MOU, S.O., Certificates, etc.) as attachment for each accomplishment.
This form should be duly signed by the Head of Unit/Department and approved by the Sector Head.
A. EXECUTIVE SUMMARY/HIGHLIGHTS OF ACCOMPLISHMENTS (Please consider highlights of accomplishments in the following Major Final Outputs (MFOs): MFO 1 – Higher Education
Services; MFO 2 – Advanced Education Services; MFO 3 – Research Services; MFO 4 – Extension Services; Support to Operations (STOs); and General Administration and Support
Services (GASS))
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B. INSTRUCTION
1. CURRICULUM
2. STUDENTS
2.1 Outstanding Achievements, special Awards and Recognitions Received (Inside and Outside PUP)
Inside PUP (University Wide)
Name of Student* Date
Nature of Achievement/ Award/Recognition Conferring Body Place
(Surname, First Name, M.I.) (mm/dd/yyyy)
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*If the outstanding achievement/special award/recognition received by one section, organization, etc., please indicate the total number of students (e.g.: BSA 2-1 (15 students))
Outside PUP
Level
Date
Name of Student* Nature of Achievement/ Award/Recognition (International, National, Conferring Body Place
(mm/dd/yyyy)
(Surname, First Name, M.I.) Regional)
*If the outstanding achievement/special award/recognition received by one section, organization, etc., please indicate the total number of students (e.g.: BSA 2-1 (15 students))
2.2.1 Topnotchers/Placers
Name Place/Rank Date of Examination
Type of Professional/Licensure Examination
(Surname, First Name, M.I.) (1 st, 2 nd , etc.) (mm/dd/yyyy)
2.3 Graduates in preceding school year engaged in employment within 6 months of graduation
Number of graduates
Total number of surveyed
Course/Program Total number of graduates engaged in employment Percentage
graduates
(1) (2) within 6 months ((4)/(3))*100
(3)
(4)
TOTAL
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2.4 Graduates in preceding school year employed in jobs related to their line of preparation (Please accomplish the form below (Profile of Graduates) as supporting document)
Number of employed
Total number of surveyed
Course/Program Total number of graduates graduates related to their Percentage
graduates employed
(1) (2) undergraduate program ((4)/(3))*100
(3)
(4)
TOTAL
PROFILE OF GRADUATES
Check () if job/work is related
Name of Surveyed Graduates to their undergraduate program
Course/Program Nature/Type of Work Status of employment
(Surname, First Name, M.I.)
Yes No
2.5 Students’ survey on timeliness of education delivery/supervision (For graduate School, OU (Master’s Degree Programs only) and College of Law)
Total number of students who
Total number of surveyed
rate timeliness of education
Course/Program students/ total number of Percentage
delivery/supervision as good or
(1) retrieved survey forms ((3)/(2))*100
better
(2)
(3)
2.6 Attendance in Seminars, Leadership Training and Other Student Development Programs (International, National, Local)
Check () if Level
Please check () if
Name of Student* Training Seminar/ Date
Title/Theme/Topic Conference/ Sponsor Venue
(Surname, First Name, M.I.) (mm/dd/yyyy)
workshop/ International National Local
convention
etc.
* Please indicate the total number of students if attendees are from one section, organization, etc. (e.g. BSA 2-1 (15 students))
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2.7 Networking and Linkages
Nature of Networking or Linkages Contact Person
Please indicate if:
Nature of Business/Service Academic Linkages, Benefactors, Level
Name of Students Name of (i.e. Educational Institution, Government Research and Extension Linkage, Duration
(International,
Involved* Agency/Company/ Agency, Telecommunication, Travel Educational and Cultural Exchange, (Indicate inclusive
National, regional, Name Tel. No. Address
(Surname, First Name, M.I.) Organization Agency, Hotel and Hospitality Service, Government Agencies Partners, National/Institutional
Local)
period)
Food Service, BPOs, NGOs, POs, etc.) Membership,
Non-Government Organizations Partners,
OJT/Training Stations etc.
* Please indicate the total number of students if attendees are from one section, organization, etc. (e.g. BSA 2-1 (15 students))
* The extension program is conducted not as a part of academic requirement but as an outreach towards the improvement of the community’s quality of life.
2.10.1 Average Class Size–(No. of Total Enrolment / No. of Sections Per Semester Per Program)
No. of Total Average Class
Course/Program No. of Sections
Enrolment Size
TOTAL
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3. FACULTY (Please provide necessary attachment/s as supporting document/s)
3.2 Faculty Members (including Newly-Hired) GRADUATED in Advanced Education during the current year (Please do not abbreviate)
State the Scholarship Grant, if any Recipient of Thesis/Dissertation Aids
Degree/ Program accre
(Please indicate if with thesis Start of ditati
Name and Address of or non-thesis) Enrolment on
Name of Faculty Type of Grant
School Example: Master in (Semester level Type of Aid and
(Surname, First Name, M.I.) (i.e.: Local Scholarship, Sponsor Sponsoring Agency
Educational and School of Research Title
Management (non- Year) Study Grant, etc.)
the
thesis) progr
am
3.3 Faculty Members (including Newly-Hired) Currently ENROLLED in Advanced Education (Please do not abbreviate)
No. of Scholarship Grant, if any Recipient of Thesis/Dissertation Aids
Degree/ Program No. of Unit
(Please indicate if with Status
Start of Uni s (Data Gathering,
Name and thesis or non-
Enrolment ts Cur Writing
Name of Faculty Address of thesis) Type of Grant Type of Aid and
(Semester Co rent Sponsoring the
(Surname, First Name, M.I.) School Example: Master in (i.e.: Local Scholarship, Sponsor Researc
Educational and School mpl ly Agency Research
Year) ete Enr
Study Grant, etc.) h Title Report,
Management (non-
thesis) d olle Complete
d d, etc.)
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Level
Name of Faculty Member Nature of Achievement Please check () if Date
Awarding/Conferring Body Place
(Surname, First Name, M.I.) (No abbreviation please) International National Local (mm/dd/yyyy)
International
Title/Theme/Topic Conference/ Venue Inclusive Date
Regional
National
(Surname, First Name, M.I.) etc.
Local
Training workshop/
convention
etc.
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4. ADMINISTRATIVE PERSONNEL (Please provide necessary attachment/s as supporting document/s)
International
Title/Theme/Topic Conference/ Venue Inclusive Date
Regional
National
(Surname, First Name, M.I.) etc.
Local
Training workshop/
convention
etc.
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4.4 Outstanding Achievement
Level
Name of Personnel Awards Received Conferring Body/Agency Date
Please check () if Place
(Surname, First Name, M.I.) (mm/dd/yyyy)
(no abbreviation please) International National Regional Local
4.5
List of Personnel Currently ENROLLED
School Degree/Major Start of Enrolment MEANS OF SUPPORT BENEFACTOR
Name of Personnel
(Semester/School (Ex. Financial Assistance, Scholarship (Name of Sponsor/Agency/
(Surname, First Name, M.I.) (no abbreviation please) Year) Grant, Self-supporting) Organization/ etc.)
4.6 List of Personnel Who GRADUATED During the Current School Year
School Degree/Major Semester/School MEANS OF SUPPORT BENEFACTOR
Name of Personnel
(Ex. Financial Assistance, Scholarship (Name of Sponsor/Agency/
(Surname, First Name, M.I.) (no abbreviation please) Year Grant, Self-supporting) Organization/ etc.)
1. RESEARCH SERVICES (Please provide research abstracts and keywords for every research output)
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Writing Research Report,
etc.) IF RESEARCH IS
Basic Applied Research Research Research
(mm/dd/yyyy) COMPLETED,
Research Research Program Project Study
PROCEED TO THE
NEXT TABLE
Research Program involves a team of investigators and spanned up to specific period of research activity with considerable amount of (internal or external) funding. Relatively long term typically eighteen months to three years.
Research Project (not part of the research program) identifies and defines a specific problem, theme, issue, or question. Relatively short term; typically three to six months.
Research Study (not part of the research project), also known as a clinical trial or research experiment, is a way for scientists and researchers to collect and study information about a specific topic or concept.
conferencesInternational fora/
Reason/s for Title of Journal,
conferencesRegional fora/
conferencesNational fora/
journalCHED-accredited
Researcher Actual Date Received/ place, date of the * and if patented or
conferencesLocal fora/
not meeting Vol./Issue/ Page
JournalInternational
(Surname, of Publisher/ fora/ conference
National Journal
Title of Research the target No., Place and Date submitted for
Local Journal
First Name, Completion Conference where the research patenting, pls.
M.I.) date of of Publication,
(mm/dd/yyyy) Organizer/ output was specify patent
completion Copyright No.
Conferring Body presented number and date or
date of submission
for patenting
CHED-Accredited Journals
Humanities Diliman Philippine Humanities Review
Philippine Studies Historical and Ethnographic Viewpoints CNU Journal of Higher Education
The Philippine Journal of Veterinary Medicine The Threshold
The Philippine Agricultural Scientist Philosophia
The Philippine Journal of Crop Science Social Science Diliman
The Asia-Pacific Education Researcher Philippine Computing Journal
DLSU Business and Economics Review Recoletos Multidisciplinary
Asian and Pacific Migration Journal Tambara
Asia Life Sciences PRISM
The Asian International Journal of Life Sciences Daluyan
Philippine Journal of Science Asian Journal of Health
Philippine Political Science Journal Mindanao Journal of Health and Technology
ACTA Medica Philippina Philippine Journal of Psychology
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Journal of Environmental Science and Management AGHAMTAO
The Philippine Scientific Journal The Philippine Statistician
Plaridel Bukidnon State University Research Journal
Kasarilan
2.1 Research Output as Cited by Book Author(s) for the Quarter of Current Fiscal Year
Title of Research Output
Name of Researcher/s Author(s) Who Cited the Title of Book Where the Research Output Place/Date Name and Address of
(Pls. indicate the year of Page No.
(Surname, First Name, M.I.) Research Output was Cited Published Publisher
completion)
(No abbreviation please)
3.1 Research Output as Cited by Other Researcher/s for the Quarter of the Current Fiscal Year
Name of Researcher(s)/Author(s) Title of Research/Article Title of Journal (If
Researcher/s Title of Research Output Vol./Issue/ Place/Date Name and Address of
Who Cited the Research Where the Research research/article was
(Surname, First Name, (pls. indicate the year of completion) Page No. Published Publisher
M.I.)
Output Output was Cited published)
2. REFEREED PUBLICATIONS (Actual Output For The Quarter Of The Current Fiscal Year)
International
Involvement or Role (mm/dd/yyyy) Publication/Copyright
National
(Surname, First Name, Module or (mm/dd/yyyy) Profession)
Local
M.I.) Book Journal No.
Instructional material
3. FACULTY INVENTIONS (Inventions may include those that resulted from researches conducted. Inventions should include only those which have been invented by researchers. An invention may be utilized for development of
technology, for service provision, or as an end-product in itself or it may also be commercialized for selling to other end-users. Please provide a copy of the abstract for each patent.)
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Please
check () Date
Name of Date Utilization of Invention
status of Date (mm/dd/yyy
Inventor/s/ Nature of Invention/s invention Complete Name of y)
Title of Research Started Patent No.
Researcher/s (IT Product, (mm/dd/yyy
d Commercial
End-Product or
completed
(Surname, First (mm/dd/yyy
On-going
Equipment, Machinery, y) Product
Name, M.I.) y) Development Service Commercialize
etc.)
d
D. LIST OF RECOGNIZED EXTENSION SERVICES (Extension service is a set of activities aimed to transfer knowledge or to provide services to the community. The extension program is conducted not as a part of
academic requirement but as an outreach towards the improvement of the community’s quality of life. Please attach Board Resolution/Action approving the Extension Program/Photocopies of MOA/Certificates, etc.)
1. Extension Programs/Projects
1.1.1 Continuation table for 1.1: Name of Extension, Number of Trainees/Beneficiaries and Persons trained weighted by length of training
% of persons given training or
% of trainees/ advisory services who rate
No. of Trainees/ beneficiaries who rate services timeliness of service as good or
Beneficiaries* (Pls. specify if Inclusive No. of Persons Trained rendered as good or better better
No. of Hours/ Days
professionals, students, out-of- Date/Period of Weighted by Length of (Pls. indicate the total number of trainees (Pls. indicate the total number of trainees
Name/Title of Extension Program **
school youth, barangays, training Training*** who rated/evaluated the training program) who rated/evaluated the training
organization, etc.) Ex: 25 trainees rated the TP from the total program)
of 30 trainees =25/30 Ex: 25 trainees rated the TP from the
total of 30 trainees = 25/30
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*Please indicate the actual number of trainees/beneficiaries. For example: 48 students and 10 faculty members or 15 Barangay officials/employees and 35 residents.
**For Extension Programs on continuing basis, please indicate actual number of beneficiaries and number of training hours.
***Weight x No. of persons trained
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5. Communication/Information dissemination and advisory services 11. Instructional Materials Development & Production
Use of tri-media Brochures
Adds and other propaganda materials Pamphlets
Others, pls. specify Journal
Module production
Audio-video production
Others, pls. specify.
6. Leadership and Good Governance 12. Linkages and Networking
Barangay Officials Leadership Training 13. Arts and Culture
SangguniangKabataan Leadership Training 14. Advocacy Works
Others, pls. specify 15. Feeding Programs, Relief Operations and the like
Note: In filling up, please indicate other extension programs not specified in the given classifications.
2. Community Engagement (partnership with Local Government Unit (LGU), NGOs, POs, industry, small and medium enterprises, and local entrepreneur in developing, implementing or using new technologies relevant to agro-
industrial* development)
Please check () Nature of Linkage or
Please check () if in partnership with
Partnership
Industry, Small and
List of Active Linkages/Partnerships Classification of Agro-
Inclusive Period Medium
covered by MOA industrial* Technology Develop the Implement the Use the
LGU Enterprises NGOs and POs
technology technology technology
(SMEs), or Local
Entrepreneur/s
* Agro-industrial Technology
1. Agriculture 7. Engineering
2. Fisheries 8. Food and Nutrition
3. Environmental Sciences 9. Health Sciences
4. Entrepreneurship
5. Science
6. Technology
3. Adoptors Engaged In Profitable Enterprises (Trainees or extension clients of the SUC who have adopted and utilized technologies disseminated by the institutions in business enterprises that are profitable
as shown by positive cost and return analysis.)
Name of Adoptor Nature of Business Enterprise Cost and Return Analysis
4. Demonstration Projects (Income generating projects that serve as cases shown to students and other clientele that are viable based on positive return of investment analysis)
Name of Project Internal Rate of Return*
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*Internal Rate of Return (IRR) – Rate of growth that a project is expected to generate. Projects with higher IRR values are preferred over those with lower IRRs.
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Submitted by: Approved by:
________________________________________________ ____________________________________________
Name, Designation and Signature of the Head of the Office Sector Head/Vice President
Date:____________________ Date: ______________________
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