E-FORM1 C-OR: Evaluation Guide for Attendees

Title of activity: Cal ETO! (Calculus Educating Through Online!) Conference

Date conducted: APRIL 13, 2021
Place: ZOOM- Meeting

Name of Respondent: Jaypee Taguinod __________________________________________________

AREA Rating
1. Readiness of the implementers 5
2. Delivery of the services 5
3. The length of time that is allotted for the program 5
4. Timeliness of the conduct of the program 5

5 highest
1 Lowest
E-FORM3 C-SL: Evaluation Guide for Target Clients
Title of activity: We Create, We Share, We Learn Program
Date conducted: December 19 - 28, 2020
Place: Facebook Page (Create, Share and Learn)

Name of Respondent: Alben Gamiao _______________________________

AREA Rating
1. Did the student present a positive image while at your community? 5
2. Was the student on time for all pre-arranged visits? 5
3. Did the student demonstrate resourcefulness and take initiative at your 5
community?
4. Was the student careful when working with varied populations? 5
5. Did the student understand your condition? 5
6. Was your community benefited by the work done by the student? 5
7. Was the student’s presence a positive force in your community? 5
8. Did the student maintain an open dialogue with the community leader 5
throughout the course of the experience?
9. Was the student clear about her or his expectations of the experience? 5
10. Were objectives of the program achieved? 5
H. IMPRESSIONS: How would you rate the activity? 5

5 Strongly Agree
4 Moderately Agree
3 Agree
2 Moderately Disagree
1 Disagree
E-FORM2 S-OR: Evaluation Guide for USL Students
Title of activity: We Create, We Share, We Learn Program
Date conducted: December 19 – 28, 2020
Place: Facebook Page (Create, Share and Learn)

Name of Respondent: Alben Gamiao ______________________________________

Directions: Please rate the different areas of the extension or outreach activity RATING
conducted using the following scale.
AREA
A. OBJECTIVES OF THE ACTIVITY
1. The objectives of the activity are clear and specific. 5
2. The goals of the activity are aligned with the vision-mission of the university. 5
3. The objectives of the activity were attained. 5
4. The organizer was able to explain to the clients the relevance of the program as part 5
of the objectives of the activity.
B. LEARNING/VALUES GAINED THROUGH THE ACTIVITY
1. I was able to review my own set of values. 5
2. I became aware of the realities and pulse of the society. 5
3. I gained insights of their needs and problems of the involved community. 5
4. I understood the plight and condition of the less privilege people 5
5. I developed skills in working with people. 5
6. I gained a deeper understanding of life’s purpose and direction. 5
7. I experienced brotherhood 5
8. I internalized and understood the school’s vision- mission. 5
C. PLANNING AND ORIENTATION
1. There was adequate planning before this activity was undertaken. 5
2. The lectures given during the orientation were appropriate and helpful. 5
3. The instructions given during the orientation were clear and definite. 5
4. The clients were also oriented on what is the relevance and purpose of the activity. 5
D. PROGRAM OF ACTIVITIES
1. The activities were appropriate, relevant and helpful. 5
2. The activities resulted in enrichment of knowledge and growth as a person. 5
3. The activities were well planned and organized. 5
E. PARTICIPANTS
1. There is an evidence of group cooperation and spirit of unity among participants 5
2. There was evidence of enthusiasm and participation in the activities 5
3. There is spontaneous sharing during group meetings (if applicable) 5
4. There is adaptability to people in situation and needs of the place 5
F. FACILITATORS
1. The facilitators were supportive 5
2. The facilitators were helpful in preparing the group to reflect on how they affect 5
people and the people affecting them
3. The facilitators were open to suggestions, etc. 5
G. SERVICES AND UTILITIES
1. The dates of exposure were appropriate 5
2. The length of time for the activity was adequate 5
3. The site of exposure program was appropriate 5
H. IMPRESSIONS: How would you rate the activity? 5
5 Strongly Agree
4 Moderately Agree
3 Agree
2 Moderately Disagree
1 Disagree
E-FORM4 S-SL: Evaluation Guide for USL Students
Title of activity: We Create, We Share, We Learn Program
Date conducted: December 19 - 28, 2020
Place: Facebook Page (Create, Share and Learn)
Deana Shane Galasinao
Sheila Mae Urmatam
Tifanny Jasmine Agustin
Preciuos Aprille Medina
Ma Bianca Raminto
Implementer:
Roxanne Binoya
Dheia Binoya
Hannah Christina Gannaban
Eleazar Tagal
Christian Jerico Paleg
Clientele: Students and Learners

AREA RATING
A. INTEGRATED LEARNING
1. The extension/service- learning program substantiates the course content. 5
2. The course content guides the service-learning program. 5
3. The service-learning program met the course objectives and competencies. 5
4. The extension/service- learning program provides an avenue for the 5
development of life skills.
5. Life skills learned outside the classroom are integrated back into 5
classroom learning.
B. QUALITY SERVICE
1. The service responds to an actual community need that is recognized by 5
the community.
2. The service is age-appropriate and well organized. 5
3. The service is designed to achieve significant benefits for students and 5
community.
C. COLLABORATION
1. The extension/service-learning program is a collaboration of potential 5
partners which may include students, parents, community-based
organizations, local businesses, public libraries, school administrators,
teachers, and recipients of service.
2. All partners benefit from the program and contribute to its planning and 5
implementation.
3. All partners contribute to the planning and implementation of the 5
program.
D. STUDENTS’ VOICE
1. I take roles and tasks that are appropriate to my age, subject, and course. 5
2. I participate actively in planning the service learning activity. 5
3. I was involved actively in planning and implementing the reflection 5
sessions, evaluation, and success of the activity.
E. CIVIC RESPONSIBILITY
1. It promotes students' responsibility to care for others and to contribute to 5
the community.
2. By participating in the extension/service-learning program, I understand 5
how it can impact our clients’ community.
F. REFLECTION
1. Reflection establishes connections between our service experiences and 5
the academic curriculum.
2. Reflection occurs before, during, and after the service-learning program. 5
G. LIFE SKILLS
1. I learned to adapt varied roles and responsibilities. 5
2. I learned to work effectively in a climate of doubt and changing priorities. 5
3. I monitored my own understanding and learning needs. 5
4. I defined, prioritized and completed tasks without direct oversight. 5
5. I utilized the time for the service learning activity efficiently. 5
6. I demonstrated commitment to learning as a lifelong process. 5
7. I worked appropriately and productively with others. 5
8. I used different perspectives to increase innovation and quality of work. 5
9. I set and met high standards and goals for delivering quality work on time. 5
10. I demonstrated diligence and a positive work ethic (e.g. being punctual 5
and reliable).
11. I used my interpersonal and problem- solving skills to influence and 5
guide others in attainment of the goals of Service Learning Activity.
12. I acted responsibly with the interest of the larger community. 5
13. I learned to care for others and contribute to the community. 5
14. I understood how my actions could impact the community. 5
How do you rate the extension/service learning program? 5

5 Strongly Agree
4 Moderately Agree
3 Agree
2 Moderately Disagree
1 Disagree