Professional Documents
Culture Documents
Course Code & Title: Section Code: Instructor: Professor Dennis M. Chumacera
GE104 Science, Technology and LA068A
Society
Week Inclusive Module Title Learning Student’s Issues/Challenges Instructor’s
Dates Outcomes Output/s Encountered Assessment
Notes:
1. To be accomplished by the student monthly or per examination period (prelim, midterm, semifinal, and finals)
2. Module Title, Learning Outcomes, Student’s Output/s should align with the course syllabus/course
guide/asynchronous/synchronous/printed modules.
3. Week should be in running number i.e., week 1, 2, 3…. 18.
4. Date and mode of submission of this form should be agreed upon by the students and the instructor.
5. This form may be converted into a google form and may be accomplished online for those with internet connectivity (note: columns 1-6
should be required; column 7 (instructor’s assessment) should not be required of students to fill out). For those without internet
connectivity, hard copy of the form may be sent through courier or hand-carried by the student’s guardian.