COMMISSION ON HIGHER EDUCATION

Regional Office 2
MONITORING AND EVALUATION INSTRUMENT

Name of HEI : _______________________________ Address: _______________________________ Tel/Fax No. ______________________________

Date of Monitoring: ____________________________ Date last monitored: ______________________ Date established: ________________________
HEI Head: ____________________________________ Position: ________________________________ E-mail add:______________________________

I. GOVERNANCE AND MANAGEMENT

INSTITUTIONAL PROFILE

VISION- MISSION-GOALS-OBJECTIVES
a. Presence of V-M-G-O
b. Displayed in conspicuous places
c. Activities conducted along the school’s V-M-G-O

COMPLIED NOT COMPLIED REMARKS

A. ADMINISTRATORS (PRES, VPS AND OTHER KEY OFFICIALS)
B. ORGANIZATIONAL STRUCTURE/CHART
a. Institutional
b. Department
C. MANUAL / HANDBOOK
a. Faculty/Teaching Personnel
b. Non-Teaching Personnel
c. Student
D. OTHERS (Optional)
ACADEMIC PROGRAMS
Program Offerings Authority No. of No. of Program Offerings Authority No. of No. of
Granted Enrollees Graduates Granted Enrollees Graduates

A. Conventional

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B. Non- Conventional
Distance Education
Open Learning
E-Learning
ETEEAP
Ladderized Education
Transnational Educ.
Twinning Program
Extension Program/ Classes

Effectivity Reason/s Remarks

List of programs under permit phase/ not1.
recognized 2.
3.
List of programs voluntarily phased-out 1.
by HEIs (include effectivity date) 2.
3.
List of programs phased-out by 1.
CHEDCO/CHEDRO 2 2.
3
 INSTITUTIONAL DEVELOPMENT PLAN
COMPLIED NOT COMPLIED REMARKS
a. Presence/proof
b. Implementation Status

LIST AND LEVEL OF ACCREDITED PROGRAMS

DISCIPLINE / PROGRAM LEVEL ACCREDITING BODY VALIDITY PERIOD

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QUALITY ASSURANCE MECHANISM REMARKS
a. Category
b. Coordinator
c. System Status

AWARDS/RECOGNITION RECEIVED BY THE INSTITUTION

International/ National/ Regional Level/ Local
Instructional Awarding Body Date

Non-Instructional

ADMINISTRATION
PROGRAMS Program Dean/Head Experience (No. of Yrs.) Employment Status Teaching Loads
Academe Industry

NON-TEACHING STAFF
Designation Name Highest Educational Attainment Employment Status Contract of Appointment/ Emp.
Registrar

Others:

Proof/s of updated benefits remittances YES NO Remarks _____________________________________________________________________________

(SSS, PAG-IBIG, PhilHealth, Retirement/PERAA)
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II. QUALITY OF TEACHING AND RESEARCH
FACULTY
A. General Education PROGRAMS

1. No. of Faculty

1.1. Percentage of Master’s Degree holders

1.2. Percentage of Full-time
1.3. Percentage of faculty teaching along area of specialization
1.4. With Contracts/Appointment
1.5. P.E. faculty w/specialization In P.E.
B. Professional Subjects
1. Total No. of Faculty
- Baccalaureate degree holders
- W/ Masteral units
- Masteral degree holders
- W/ Doctoral units
- Doctoral degree holders
2. Percentage of:
- Master’s degree holders
- Full-time
- Faculty teaching along area of specialization
3. W/ Contracts/Appointment
4. Experience in Academe/Industry
C. Assignment/Teaching Load
1. Full-time faculty
2. Part-time faculty

COMPLIED NOT COMPLIED REMARKS

D. Faculty/Staff Development Program- ( at least 5 years)
a. Proof/s of trainings, scholarships and graduate studies
b. HEI’s assistance
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E. Faculty Assessment
a. Evaluation Instrument
b. Periodic Evaluation
F. Faculty Involvement (linkages)
Date of Engagement Extent of Linkages
1.
2.
3.
TWINING LINKAGES
International
Faculty
Students
Others
OJT/PRACTICUM
Program Coordinator
International
National
Local or Regional

III. CURRICULUM
Curriculum noted by CHEDRO COMPLIED NOT COMPLIED REMARKS
1.
2.
3.
Board Exam Performance for the past 3 years
1.
2.
3.
NATIONAL SERVICE TRAINING PROGRAM
a. Component (ROTC/CWTS/LTS)
b. NSTP Office

c. Director/Coordinator
d. Masterlist of enrollees/semester

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 e. Masterlist of graduates (end of AY)/ Request for Serial No. of Grad.
f. Accredited Provider (School/NGOs)
g. Notarized MOA (w/ NGO)
h. Syllabi
i. Modules
j. Insurance provider
l. Fee (Based on RA 9163, NSTP Law)
m. Report on the utilization of NSTP Funds

IV. RESEARCH CAPABILITIES

a. Research Center/Office
b. Research Director or Coordinator
c. Research Agenda
d. Institutional Research
e. Research budget
f. Involvement of Faculty/ Research Staff
g. Research output/s
h. Inventions (Patented and Commercialized)
i. Research Journal (refereed)
j. Research Journal (locally published)
k. Research Manual
l. Institutional Research Applied/ Implemented

V. LIBRARY
a. Qualified Librarian
b. Library Assistants

C. Library Development Plan

d. Library Holdings

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 e. Library Facilities
-Seating Capacity
- Computers with Internet Connection
(to be patterned after the RQAT Instrument)

VI. STUDENT SERVICES

COMPLIED NOT COMPLIED REMARKS
1. Dean/Coordinator for Student Services
2. Admission/Retention Policies
3. Masterlist of Enrollees of foreign students
3.1 Foreign Student Unit Coordinator (L.O.)
4. BID permit
5. STUFAPs
5.1 CHED Program
5.2 Compliance GASTPE (5%)
5.3 Others
6. Guidance Services
6.1 Qualified guidance counselor/s
6.2 Psychological Testing materials
6.3 Guidance office with counseling area (w/ one way mirror)
6.4 Conduct of aptitude test
6.5 Career Guidance Activities
(Graduate Placement Activities/Job Fair/Graduate Tracer Studies)
7. Student Assistance and Services
7.1 School Paper
7.2 Campus Journalism
- Campus Publication
- Activities
7.3 Student Council/Government
7.4. Student Crime Prevention Council
7.5. Implementation of RA 9165 (Dangerous Drug Act 2002)
7.6 Implementation of RA 7877 “Anti- Sexual Harassment Act of 1995”

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 7.7 Implementation of RA 9211 “Tobacco Regulation Act of 2003”
7.8. Extra-curricular activities
-Sports activities
- Religious/Spiritual
-Cultural
- Health /Environmental activities
7.9 Academic Activities
-Quiz Bee
-Essay contests and related activities
-Remedial /Enrichment Classes
7.10 Search for Outstanding Student Leader

VII.COMMUNITY EXTENSION/OUTREACH (separate from NSTP)

COMPLIED NOT COMPLIED REMARKS
1. Community Extension/Outreach Area/Office
2. Community Extension/Outreach Coordinator
3. Programs and Projects

4. Linkages with Industry/GOs/NGOs/ NETWORKING

5. Involvement of Faculty, Staff and Students
6. Sustainability of the project
7. Extension Manual
8. Adopted Community / Forest

VIII. PHYSICAL FACILITIES

COMPLIED NOT COMPLIED REMARKS
A. Site/Location
- Area
- Owned/Leased in the name of the school
- Free from disturbances, noise and places with undesirable influences
B. Classrooms
1. No. of classrooms

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 2. Area per classroom (1 sq.m. per student)/ seating capacity)
3. Classroom with the necessary facilities
4. Area for indoor P.E. /NSTP
C. Science Laboratories
1. Chemistry Lab is provided with sufficient hose or devices for the exit of irritating or
poisonous gases (Fumehood)
2. Working Area per Laboratory (1.5 sq.m. per student)
3. Presence of fire extinguisher/bucket of sand/fire blanket
4. Gas appliance vented to the outside or to a suitable stack
5. Tables, chairs/ stools, equipment & other facilities are designed ergonomically
6. Poisonous chemicals and materials are kept in appropriate & secured areas & disposed of
properly
7. Provided with lavatories, emergency showers and waste disposal facility
8. With 2 doors each opening out (if one door at least 2 meters wide)
9. Well-ventilated
10. Adequately illuminated
11. Clean and properly maintained
12. Essential features needed in the laboratories are present
13. Sufficient/functional equipment, supplies and tools
14. With first aid kit
Other Science Laboratories:
D. LABORATORY FOR PROFESSIONAL SUBJECTS
SPECIFIC REQUIREMENTS PER PROGRAM
For Nursing:
1. DOH certification of the institution’s 100-bed capacity/80% occupancy base
hospital within the region or MOA w/ the hospital
2. Updated Contracts of Affiliation
3. Actual Master Rotation Plan for RLE –
For Education:
1. For Practice Teaching: Approval and MOA from the Division Superintendent/
District Supervisor/Principal (for public school)-5 years tenure
2. Presence of a Laboratory School
Other Professional Laboratories:
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E. Audio Visual Facilities
1. Multimedia facilities (Slide projectors, LCD/DLP projectors)
2. TV set, sound system, educational tapes, learning aids
F. Other Facilities
1. Office space for faculty with computer units for official use
2. Student Lounge
3. Area for posting of bulletins and announcements
4. Multi-media room/facilities
5. Functional MIS (Management Information System)
 Computer units with internet connection in aid of instruction and other school operations
 Licensed Software
 External Hardware Components (Printer/s, Scanner/s , etc)
G. Health and Safety
1. With proper waste management and disposal system
2. Clean comfort rooms, free from leaks and obnoxious odors (with separate CRs for the male
and female)
3. Efficient fire alarm and/or fire fighting system and functional fire exits
4. Obstruction-free corridors
5. Fire/earthquake evacuation system
6. Earthquake/fire drills
7. Stairways & architectural structures conform with the Bldg. Code and with ramps for
physically challenged persons.
8. Maintenance personnel/security guard
H. Canteen
1. Clean and properly maintained
2. Food handlers observe proper hygiene
3. Foods available are nutritious and properly prepared at a reasonable price.
3. Potable water supply
4. Sanitary Permit
I. Medical and Dental Clinic

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 1. Full time physician
2. Full time dentist
3. Full time nurse
4. Periodic Medical/Dental Check-up
5. Lavatory or hand washing facility with potable water supply
6. Basic medical and dental equipment & supplies(first aid kits, stretcher, portable oxygen tank,)
7. Clinic beds
8. Dental chair
9. Comfort Room
10. Involvement in the health programs/activities of the school

J.GENDER AND DEVELOPMENT PROGRAM IMPLEMENTATION (CMO 01 s. 2015)

1. Focal Point Person
2. Focal Point System/Organization
3. GAD Office
4. GAD Plan and Budget
5. Activities for the year/Action Plan
6. Accomplishment Report for the year
7. Gender -Based Curriculum
8. Gender-Based Research
9. Gender-Based Extension
10. GAD Data Base
11. GAD Linkages

K. BUILDINGS AND OTHER FACILITIES data needed

1. Building Permit/s #
Date of Issuance
2. Occupancy Permit #
Date of Issuance
3. Fire Safety Certificate/s #
Date of Issuance
Others ( Compliance to Sec. 26 & 27 of MORPHE)

GENERAL FINDINGS/OBSERVATIONS:
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Monitoring Team:

__________________________________ _________________________________
Education Supervisor II Education Supervisor II

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Conforme: ____________________________________ Date;_________________
School Official / Designation

Conforme: ____________________________________ Date;_________________

School Official / Designation

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