ISA-FORM 1

Name of HEI: ___________________________________________________________

Horizontal Type: ________________________________________________________

DATA ON SCHOLARSHIP

Number of Scholars for the last 5 years

SOURCE (1st term/sem/tri/quarterm)
Type of Scholarship
OF FUND
2009 2010 2011 2012 2013 AVE
A. Merit Scholarships
1) Academic Scholars
2)
3)
TOTAL for Merit
B. Non-Merit Scholarship
1) Indigenous Groups
2) Persons With Disability
3) Athletic Scholars
4) Cultural Scholars
5) Children of Employees
TOTAL for Non-Merit
C. Other Scholarships
1) CHED Scholars
2) Senatorial Scholars
3) Congressional Scholars
4) Barangay Scholars
5) Scholars from Industries
TOTAL for Others
GRAND TOTAL

PREPARED BY:
STAFF-IN-CHARGE

NOTED BY:
PRESIDENT OF THE HEI

CERTIFIED BY:
CHEDRO REPRESENTATIVE
 ISA-FORM 2

Name of HEI: ________________________________________________________________________

HORIZONTAL TYPE: _________________________________________________________________

DATA ON PROGRAM OFFERINGS

Accreditation
PROGRAM GP/GR No. Level
PROGRAM NAME Year Accrediting
MAJOR/ / Authority to Validity
(spell out) Started (if applicable) Body
SPECIALIZATION Offer (e.g. Level I-IV)
UNDERGRADUATE PROGRAMS
1
2
3
4
5
6
7
8
9
10
GRADUATE PROGRAMS
1
2
3
4
5

PREPARED BY:
STAFF-IN-CHARGE

NOTED BY:
PRESIDENT OF THE HEI

CERTIFIED BY:
CHEDRO REPRESENTATIVE
 ISA-FORM 3

Name of HEI: _______________________________________________________________________________

HORIZONTAL TYPE: _________________________________________________________________________

DATA ON STUDENT ENROLLMENT AND GRADUATION

2009 2010 2011 2012 2013

PROGRAM NAME
(spell out) total total total total total total total total total total
enrolment graduation enrolment graduation enrolment graduation enrolment graduation enrolment graduation
UNDERGRADUATE PROGRAMS
1
2
3
TOTAL
GRADUATE PROGRAMS
1
2
TOTAL
GRAND TOTAL

note:
Year 5 - current Academic Year (AY)
enrollment - total number of student enrollment during the 1st term of the AY
graduation - total number of graduates for the AY

PREPARED BY:
STAFF-IN-CHARGE

NOTED BY:
PRESIDENT OF THE HEI

CERTIFIED BY:
CHEDRO REPRESENTATIVE
 ISA-FORM 4

Name of HEI: ________________________________________________________________________________

HORIZONTAL TYPE: _________________________________________________________________________

DATA ON COHORT SURVIVAL RATE (CSR)

COHORT 1 COHORT 2 COHORT 3 COHORT 4 COHORT 5

PROGRAM NAME terminal terminal terminal terminal terminal
(spell out) 1st year CSR 1st year CSR 1st year CSR 1st year CSR 1st year CSR
year year year year year
enrollment (%) enrollment (%) enrollment (%) enrollment (%) enrollment (%)
enrollment enrollment enrollment enrollment enrollment
UNDERGRADUATE PROGRAMS 2005 2009 2006 2010 2007 2011 2008 2012 2009 2013
1
2
3
4
GRAND TOTAL

note:
1st year enrollment - number of 1st year students enrolled during the 1st term of the Academic Year (AY)
terminal year enrollment - number of students enrolled in the terminal year level (4th year or 5th year) during the 1st term of the AY

Cohort Survival Rate - percentage of enrollees at the first year level in a given school year who reached the terminal year of the program

PREPARED BY:
STAFF-IN-CHARGE

NOTED BY:
PRESIDENT OF THE HEI

CERTIFIED BY:
CHEDRO REPRESENTATIVE
 ISA-FORM 5

Name of HEI: ________________________________________________________________________________

HORIZONTAL TYPE: _________________________________________________________________________

DATA ON GRADUATION RATE

2009 2010 2011 2012 2013

PROGRAM NAME terminal terminal terminal terminal terminal
(spell out) graduation graduation graduation graduation graduation
year graduation year graduation year graduation year graduation year graduation
rate rate rate rate rate
enrolment enrolment enrolment enrolment enrolment
UNDERGRADUATE PROGRAMS
1
2
3
4
5
6
7
8
9
TOTAL
GRADUATE PROGRAMS
1
2
3
4
TOTAL
GRAND TOTAL

note:
terminal year enrollment - number of students enrolled in the terminal year level (4th year or 5th year) during the 1st term of the Academic Year (AY)
graduation - total number of students who graduated in the same AY
graduation rate - no. of students who graduated in the AY over the number of students enrolled in the terminal level of the same AY

*Graduation rate - The percentage of students who completed the academic requirements for tertiary levels in the current school year to the number of students enrolled in the terminal year of the level
during the same school year.

PREPARED BY:
STAFF-IN-CHARGE

NOTED BY:
PRESIDENT OF THE HEI

CERTIFIED BY:
CHEDRO REPRESENTATIVE
 ISA-FORM 6

Name of HEI: ______________________________________________________________________________

HORIZONTAL TYPE: _________________________________________________________________________

DATA ON LICENSURE EXAM FOR THE LAST 5 YEARS (2009-2013)

PROGRAMS WITH LICENSURE DATE TAKEN

NO. OF 1ST NO. OF HEI PASSING NATIONAL
EXAM
(spell out) MONTH YEAR TIME TAKERS PASSERS % PASSING %
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

PREPARED BY:
STAFF-IN-CHARGE

NOTED BY:
PRESIDENT OF THE HEI

CERTIFIED BY:
CHEDRO REPRESENTATIVE
 ISA-FORM 7

Name of HEI: _________________________________________________________________________

HORIZONTAL TYPE : __________________________________________________________________

DATA ON FACULTY

EDUCATIONAL QUALIFICATION PROFESSIONAL

STATUS
COLLEGE/ (spell out the degree name) LICENSE NO.
No. NAME OF FACULTY
DEPARTMENT PERMANENT OR FULL-TIME OR (SC/PRC)
BACHELOR'S MASTER'S DOCTORATE (IF APPLICABLE)
CONTRACTUAL PART-TIME
1
2
3

SUMMARY
TOTAL NO. OF PERMANENT FULL-TIME (PFT) FACULTY
TOTAL NO. OF PFT FACULTY
TOTAL NO. OF CONTRACTUAL FULL-TIME (CFT) FACULTY
TOTAL NO. OF CFT FACULTY

TOTAL PFT WITH BACHELOR'S DEGREE

TOTAL PFT WITH MASTERS' DEGREE
TOTAL PFT WITH DOCTORE DEGREE

TOTAL CFT WITH BACHELOR'S DEGREE

TOTAL CFT WITH MASTERS' DEGREE
TOTAL CFT WITH DOCTORE DEGREE
 ISA-FORM 8

Name of HEI: _________________________________________________________________________

HORIZONTAL TYPE : __________________________________________________________________

DATA ON DEANS AND DEPARTMENT HEADS

EDUCATIONAL QUALIFICATION PROFESSIONAL

STATUS
COLLEGE/ (spell out the degree name) LICENSE NO.
No. NAME DESIGNATION
DEPARTMENT PERMANENT OR FULL-TIME OR (SC/PRC)
BACHELOR'S MASTER'S DOCTORATE (IF APPLICABLE)
CONTRACTUAL PART-TIME
1
2
3