Professional Documents
Culture Documents
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COLLEGE/CAMPUS
B. INSTRUCTION
1. Curriculum
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2. Students
2.1 Outstanding Achievements, special Awards and Recognition Received (Inside and Outside PUP)
Inside PUP (University Wide)
Outside PUP
Level (International,
Name of Student Nature of Achievement/ National, Regional, Sponsor Place Date
Award/Recognition Provincial,
Municipal, Barangay)
Board Topnotchers
Name of Graduate Type of Licensure/Board Examination Place/Rank Date of Examination
(1st, 2nd, etc.)
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PUP Passing Rate – TARGET FOR THE SUCCEEDING FISCAL YEAR
PUP
Type of Licensure/Board Examination Schedule of Examination No. of Examinees No. of Passers Passing Rate
2.3 Attendance in Seminars, Leadership Training and Other Student Development Programs (Local, National, International)
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2.5. Other Statistical Data
2.5.1 Rate of Drop-out – (No. of Drop-outs / No. of Total Enrolment Per Semester Per Program)
TOTAL
2.5.3 Average Class Size–(No. of Total Enrolment / No. of Sections Per Semester Per Program)
TOTAL
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3. FACULTY
Current
Name of Faculty Name of School Degree/ Program Semester/School TOTAL
(No abbreviation, please) (No abbreviation, please) Year No. of Units Enrolled Units Earned
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3.4 Faculty Recipient of Thesis and Dissertation Aids
Type Status
Name of Faculty Title (Thesis or Dissertation Aids) Sponsor (Data Gathering, Analysis, Writing
(No abbreviation please) the Research Report, Completed,
etc.)
Level
Name of Faculty Member Nature of Achievement Awarding/Conferring Body Please check if Place Date
(No abbreviation please) Local National International
Level
Name of Faculty Member Position Name of Organization Please check if Place Inclusive
(No abbreviation please) Local National International Date
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3.7 Attendance in Seminars, Conferences, Workshops, Conventions, etc.
Nature Level
(Pls. indicate Please check if
Name of Faculty Member Title/Theme/Topic if Seminar, Name of Venue Local Regional National International Date
Workshop,
Conference, Sponsor
Convention,
etc.)
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4. Administrative Personnel
Type of Grant/
Name of Personnel Scholarship/Training, etc. Course/Degree/ School Funding Agency Duration
Program (Pls. specify inclusive
(no abbreviation please) period)
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4.5 Officership/Membership in Professional Organization
Name of Personnel Position Organization Inclusive
(no abbreviation please) Dates
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4.9 Support Services Provided that Enabled Faculty/Personnel Pursue Studies and Job-related Training Programs
4.10 Students, Personnel and Faculty provided with non-academic related services – FOR THE QUARTER OF THE CURRENT FISCAL YEAR
Brief Description of Non-academic Services Provided
(Ex. Medical/Dental Services, Electrical/Carpentry/Plumbing Services, Building and Grounds Maintenance Number of Number of Number of
Services, Consultancy Services, Recommendations/Endorsements, Processing of Pertinent Documents, Total
Students Personnel Faculty
Attending to Inquiries, etc)
4.11 Students, Personnel and Faculty provided with non-academic related services within the prescribed period – FOR THE
QUARTER OF THE CURRENT FISCAL YEAR
Brief Description of Non-academic Services Provided
(Ex. Medical/Dental Services, Electrical/Carpentry/Plumbing Services, Building and Grounds Maintenance Number of Number of Number of
Services, Consultancy Services, Recommendations/Endorsements, Processing of Pertinent Documents, Total
Students Personnel Faculty
Attending to Inquiries, etc)
4.12. Programs/ Activities/Projects Undertaken According to the Functional Statement of the Department/Office
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5. FACILITIES
Type Location / Specific Type Please Check if Total Specific Type Please Check if Total
Room No. No. No.
No. of No. of Non- No. of No. of Non-
Serviceable serviceable Serviceable serviceable
Office
Classrooms
Library/learning resource
center
Accreditation Room
Audio-Visual Room
Faculty Lounge
Other, pls. specify
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C. Research and Development (Please attach Abstract of completed research output)
1. Faculty Research - ACTUAL RESEARCH OUTPUT FOR THE QUARTER OF THE CURRENT FISCAL YEAR
If completed, check if
International fora/conferences
Data the where the
Local fora/conferences
Gathering; target research
International Journal
International Journal
National Journal
National Journal
Organizer/ output was
Local Journal
Local Journal
Analysis; presented
Conferring
Writing Body
Research
Report,
etc.)
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2. Faculty Research - TARGET RESEARCH OUTPUT FOR THE NEXT FISCAL YEAR
Duration Check if
Date to Start Target Date To be To be To be
of Published in Published in disseminated or
Completion Refereed Presented in
Possible
International/Fora/Conferences
Regional/Fora/Conferences
National/Fora/Conferences
Name of Researcher(s) Proposed Title
Local/Fora/Conferences
Funding
International Journal
International Journal
National Journal
National Journal
Agency/ies
Local Journal
Local Journal
3. Research Output as Cited by Book Author(s) for the Quarter of Current Fiscal Year
Title of Research Author(s) Who Cited Title of Book Where the Name and Address of
Name of Output the Research Output Research Output was Page Place/Date Publisher
Researcher(s) (Pls. indicate the year Cited No. Published
of completion)
(No abbreviation please)
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4. Research Output as Cited by Other Researcher/s in Journal Articles for the Quarter of the Current Fiscal Year
Title of Article
Title of Research Author(s) Who Cited the Where the
Name of Output Research Output Research Title of Vol./Issue/ Place/Date Name of
Researcher(s) (pls. indicate the Output was Journal Page No. Published Publisher
year of completion) Cited
5. Refereed Publications – ACTUAL OUTPUT FOR THE QUARTER OF THE CURRENT FISCAL YEAR
5.1 BOOKS
Level of Publication
Name of Author/s Title of Book Date Date Editors/Referees Vol./Issue/Place/Date of
Started Completed (Name and Profession) Publication/Copyright Local National International
No.
5.2 JOURNALS
Role in the Journal Level of Publication
Name of the Publication/Editorial Name of Journal Date Date Editors/Ref Vol./Issue/
Faculty Member/s Board (i.e., Editor-in- Started Completed erees Place/Date Local National International
chief, Managing Editor, (Name and of
Referee, etc.) Profession) Publication
/Copyright
No.
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6. Refereed Publications – TARGET OUTPUT FOR THE NEXT FISCAL YEAR
6.1 BOOKS
Target Level of Publication
Name of Author/s Proposed Title of Book
Local National International
6.2 JOURNALS
Role in the Journal Target Level of Publication
Name of the Faculty Member/s Publication/Editorial Board (i.e., Proposed Name of Journal
Editor-in-chief, Managing Editor,
Referee, etc.) Local National International
7. Faculty Inventions
Utilization of Invention
Name of Copyright/Patent Date
Name of Inventor/s Nature of Invention(s) Commercial No.
(IT Product, Equipment, Date Date
Machinery, etc.)
Product
Started Completed Development Service End-Product
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7.2 TARGET OUTPUT FOR THE NEXT FISCAL YEAR
D. LIST OF RECOGNIZED EXTENSION PROGRAMS/PROJECTS (Extension program/project is a set of activities aimed to transfer knowledge or to provide
services to the community in consonance with the programs offered. The extension program is conducted not as a part of academic requirement
but as an outreach towards the improvement of the community’s quality of life. Please attach Board Resolution/Action approving the Extension
Program. For extension programs on continuing basis, please indicate the actual number of beneficiaries.)
1. FACULTY EXTENSION PROGRAMS/PROJECTS – ACTUAL FOR THE QUARTER OF THE CURRENT FISCAL YEAR
Outstanding
broadcast media,
Very Good
DVDs/VCDs, etc.;
and giveaway
materials)
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2. FACULTY EXTENSION PROGRAMS/PROJECTS – TARGET FOR THE NEXT FISCAL YEAR
Number of
Duration Information,
Education and
Name of Name of Role/Nature Source of Amount Date Expected No. of Hours No. of Communication (IEC) Training and Extension
Started Date of Materials Developed
Training Involved of Funding of Trainees/ (Ex. Printed Materials, Services
Program Faculty Participation Funding Completion Beneficiaries such as: brochures,
(Please Member/s (Speaker, posters, wall calendars, Expected Over-all
indicate the Resource billboards, etc., Mass Assessment
Media, such as: print
classifications Person, and broadcast media, (Pls. check)
of training Facilitator, DVDs/VCDs, etc.; and
programs as Organizer) giveaway materials)
shown below)
Q1 Q2 Q3 Q4
Outstanding
Outstanding
Outstanding
Outstanding
Very Good
Very Good
Very Good
Very Good
Q Q Q Q Q
Q2 Q3 Q4 Q1 Q2 Q3 Q4
1 2 3 4 1
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CLASSIFICATIONS:
1. Entrepreneurship and livelihood assistance 7. Education and Research
Product creation/innovation/development/utilization/commercialization Values formation/Good citizenship
Packaging, marketing and distribution Function literacy
Accounting and fund management Teacher Training
Savings mobility and capital formation/generation Curriculum Development & Planning
Others, pls. specify Science Education/Research
Other Educational Training/s, pls. specify
2. Organizational Development/Capability Building and Special Pilot Projects 8. Human Resource Development and Consultancy Service
Organizational formation and development HRD Training Consultancy
Leadership and management of pilot projects Management Seminars
Others, pls. specify Professional Development Seminars
Others, pls. specify
3. Environmental Protection and Sustainability 9. IT and Technical-Vocational Training/s
Waste management/pollution control I.T. Trainings
Reforestation/green revolution T-shirt Printing
Organic farming/gardening PC Repair
Beautification and landscaping Others, pls. specify
Climate change advocacy
Others, pls. specify
4. Nutrition and Wellness 10. Engineering works
Herbal/traditional medicine Surveying
Disease prevention and cure Web development
Diet management Troubleshooting
Healthy lifestyle Software development
Sports, aerobic and physical development/exercises Networking
Others, pls. specify Electrical wiring
Auto-Mechanic
Aircon/Refrigeration Repair
Others, pls. specify
5. Communication/Information dissemination and advisory services 11. Instructional Materials Development & Production
Use of tri-media Brochures
Adds and other propaganda materials Pamphlets
Others, pls. specify Journal
Module production
Audio-video production
Others, pls. specify.
6. Leadership and Good Governance 12. Linkages and Networking
Barangay Officials Leadership Training
Sangguniang Kabataan Leadership Training
Others, pls. specify 13. Arts and Culture
Note: In filling up items 1 and 2, please indicate other extension programs not specified in the above classifications.
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3. STUDENT EXTENSION PROGRAMS/PROJECTS – ACTUAL FOR THE QUARTER OF THE CURRENT FISCAL YEAR
Outstanding
Outstanding
Outstanding
Outstanding
Very Good
Very Good
Very Good
Very Good
Submitted by:
________________________________________________
Name, Designation and Signature of the Head of the Office
Date:____________________
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