COMMISSION ON HIGHER EDUCATION

CARAGA ADMINISTRATIVE REGION

SELF-ASSESSMENT MONITORING AND EVALUATION INSTRUMENT

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

Date Established: Date last Date of

monitored: Monitoring:
HEI Head: Position: E-mail add:

I. GOVERNANCE AND MANAGEMENT

INSTITUTIONAL PROFILE

COMPLIED NOT COMPLIED REMARKS

A. VISION- MISSION-GOALS-OBJECTIVES (please attach

copy)
A.1 Presence of V-M-G-O (Vision, Mission, Goals, Objectives)
A.2 Displayed in conspicuous places
A.3 Activities conducted along the school’s V-M-G-O
B. ADMINISTRATORS (PRES, VPS AND OTHER KEY
OFFICIALS)
(Please attach matrix)
C. ORGANIZATIONAL STRUCTURE/CHART (please attach chart)
a. Institutional
b. Department
D. MANUAL /HANDBOOK
a. Faculty/Teaching Personnel Manual/Handbook
b. Non-Teaching Personnel Manual/Handbook
c. Student Handbook
E. OTHERS (Optional)

 ACADEMIC PROGRAMS

Program Offerings Authority Granted Year Granted No. of Enrollees No. of Graduates
 (1 st Semester) (Previous Year)
A. Conventional Trimestral
BS Business Administration major in Marketing Management
BS Hotel and Restaurant Management
B. Non-Conventional Trimestral
Distance Education
Open Learning
E-Learning
ETEEAP
Ladderized Education
Transnational Education
Extension Program/Classes

Program(s) Effectivity Reason/s Remarks

List of programs under permit / not yet
recognized
List of programs voluntarily phased-out by HEIs
(include effectivity date)
List of programs phased-out by
CHEDCO/CHEDRO

 INSTITUTIONAL DEVELOPMENT PLAN

COMPLIED NOT COMPLIED REMARKS
a. Presence/proof
b. Implementation Status

 LIST AND LEVEL OF ACCREDITED PROGRAMS/COE/COD

DISCIPLINE / PROGRAM LEVEL ACCREDITING BODY VALIDITY PERIOD

QUALITY ASSURANCE MECHANISM (ISA, ISO, Typology,) – N/A REMARKS

a. Category
b. Coordinator
c. Status

 AWARDS/RECOGNITION RECEIVED BY THE INSTITUTION

International / National / Regional Level / Local
Instructional Non-Instructional Awarded by: Date awarded
 ADMINISTRATION

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

 NON-TEACHING STAFF

Designation Name Highest Education Attainment Employment Status Contract of Appointment (Term)

Proof/s of updated benefits remittances COMPLIED NOT COMPLIED REMARKS

SSS, PAG-IBIG, PhilHealth, Retirement/PERAA

II. QUALITY OF TEACHING AND RESEARCH

FACULTY

A. General Education PROGRAMS

PROGRAM(s) BSBA BSED BSIT BSHRM BSN BSCRIM
1. Total Number 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. With specialization in P.E.

B. Professional Courses PROGRAMS

PROGRAM(s) BSBA BSED BSIT BSHRM BSN BSCRIM
 1. Total Number of faculty
- Baccalaureate degree holders
- With Master’s units
- Master’s degree holders
- With Doctoral units
- Doctoral degree holders
2. Percentage of:
- Master’s degree holders
- Full-time
- Faculty teaching along area of specialization
3. Number of faculty with Contracts/Appointment
4. Number of faculty with experience in Academe
5. Number of faculty with experience in Industry
6. Number of full-time faculty with max. 24 units, 4 preps per term
7. Number of part-time faculty with max. 15 units

C. Faculty/Staff Development Program (at least five (5) years COMPLIED NOT COMPLIED REMARKS
a. Proof/s of trainings, scholarships and graduate studies
b. HEI’s assistance

D. Faculty Assessment COMPLIED NOT COMPLIED REMARKS

a. Evaluation Instrument
b. Periodic Evaluation

E. Faculty Assessment COMPLIED NOT COMPLIED REMARKS

c. Evaluation Instrument
d. Periodic Evaluation

F. LINKAGES COMPLIED NOT COMPLIED REMARKS (Extent of Linkages)

Twinning Linkages
International:
Faculty
Students
Others

G. OJT/PRACTICUM COMPLIED NOT COMPLIED REMARKS (Extent of Linkages)

Presence of OJT/Practicum Manual
Program Coordinator
International
 National
Local or Regional

H. CURRICULUM COMPLIED NOT COMPLIED REMARKS (Extent of Linkages)

Curriculum noted by CHEDRO (by Program)
BSBA
BSEd

NATIONAL SERVICE TRAINING PROGRAM COMPLIED NOT COMPLIED REMARKS (Extent of Linkages)
a. Component (ROTC/CWTS/LTS)
b. NSTP Office
c. Director/Coordinator
d. Masterlist of enrollees/semester
e. Masterlist of graduates (end of AY)/Request for Serial No. of
graduates
f. Accredited Provider (School/NGOs)
g. Notarized MOA (w/ NGO)
h. Syllabi
i. Modules
j. Insurance provider
k. Fee (Based on RA 9163, NSTP Law)
l. Report on the utilization of NSTP Funds

RESEARCH COMPLIED NOT COMPLIED REMARKS (Extent of Linkages)

a. Research Office
b. Research Director of Coordinator
c. Research Agenda
d. Institution 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

LIBRARY COMPLIED NOT COMPLIED REMARKS (Extent of Linkages)

a. Qualified Librarian
b. Library Assistants
c. Total Library Holdings (total accessioned books)
 d. Library Development Plan
e. Seating Capacity

III. STUDENT SERVICES

Student Services COMPLIED NOT COMPLIED REMARKS (Extent of Linkages)

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. STUFAP
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 (original)/Standardized Teacher
made testing materials
6.3 Guidance office with counseling area
6.4 Conduct of aptitude test
6.5 Career Guidance Activities
(Graduate Placement Activities/Job Fai/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
7.7 Implementation of RA 9211 “Tobacco Regulation Act of 2003”
7.8 Implementation of RA 8049 “Anti-Hazing Law”
7.9 Extra-curricular activities
Sports activities
Religious/Spiritual
Cultural
Health/Environmental activities
7.10 Academic Activities
Quiz Bee
Essay contests and related activities
Remedial/Enrichment classes
 7.11 Search for Outstanding Student Leader

IV. COMMUNITY EXTENSION OUTREACH (separate from NSTP)

COMPLIED NOT COMPLIED REMARKS (Extent of Linkages)

1. Community Extension/Outreach Area/Office
2. Community Extension/Outreach Coordinator
3. Program, Activities and Projects (PAPs)
4. Linkages with Industry/GOs/NGOs/Networking
5. Involvement of Faculty, Staff and Students
6. Sustainability of the PAPs
7. Extension Manual

Adopted Community / Forest

V. PHYSICAL FACILITIES

COMPLIED NOT COMPLIED REMARKS (Extent of Linkages)

A. Site/Location
- Area
- Owned/Leased in the name of the school
- Free from disturbances, noise and places with undesirable influences
B. Classrooms
1. Number of classrooms
2. Area per classroom (1 sq.m. per student/seating capacity)
3. State of the art facilities in every classroom
4. Area for indoor P.E./NSTP
C. Science Laboratories
1. Chemistry Lab is provided with sufficient house or devices for the exit
of irritating or poisonous gases (Fumehood)
2. Area per Laboratory (1.5 sq.m. per student)
3. Fire extinguisher/bucket of sand/fire blanket
4. Gas appliance vented to the outside or to a suitable stack
5. Shower room/lavatories
6. Poisonous chemicals and materials are kept in appropriate & secured
areas and disposed of properly.
7. Waste disposal facility/system
8. With two (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

D. LABORATORY FOR PROFESSIONAL SUBJECTS (Separate

Sheet) COMPLIED NOT COMPLIED REMARKS (Extent of Linkages)
Please include those programs currently offered
Specific Requirements Per Program
For Education:
1. For Practice Teaching: Approval and MOA both with public and
private schools.
2. Presence of Laboratory/Cooperating School
On-Campus – the facility is administered by the institution and its
faculty
Off-Campus - there is a long-term memorandum with a cooperating
school or with a cluster of cooperating schools.
3. Laboratory Requirements: There are appropriated laboratory facilities
for programs offering specializations in the science and technology
field.
4. Educational Technology Laboratory which have the appropriate
computer equipment and software. It allows preparation,
presentation and viewing of audio-visual materials to support
instruction.
5. Admission and Retention Policies

For BS Business Administration

1. Incubator room with complete/adequate facilities (machines:
photocopying, facsimile, computer, printer; internet
connection, chairs, tables, whiteboard for meetings,
warehouse/storage space)
2. Education Technology Centers – facilities to allow preparation,
presentation and viewing of audio-visual materials to support
instruction.

For AB Communication program

 1. Computer laboratory – 1:1 ratio and with printer
2. Photography laboratory
3. Broadcast equipment/facilities

Prepared by: Noted by:

________________________________________ ______________________________________
Printed name and signature Printed name and signature

GENERAL FINDINGS/OBSERVATIONS: (during the actual Institutional Monitoring)

Monitoring Team: __________ ____________________ ________ ________________________ __________________________

Education Supervisor II Education Supervisor II Education Supervisor II

Conforme : ____________ ________________________ Date: _________________

School Official / Designation
(Signature over Printed Name)