ADAMSON UNIVERSITY

OFFICE FOR STUDENT AFFAIRS

Student Development Section

STUDENT AWARDS 2023

EVALUATION FORM FOR INDIVIDUAL AWARDS CATEGORY

CATEGORY
Outstanding Presidents Award Outstanding Treasurers Award
Outstanding Vice Presidents Award Outstanding Auditors Award
Outstanding Secretaries Award Campus Leadership Award
PERSON TO BE EVALUATED
Complete Name:

Organization: Position:

EVALUATOR
Complete Name: Date Accomplished:

Organization: Position:

DATA PRIVACY CONSENT

Data Privacy Consent:
In the course of your application for the Student Awards 2023, the Office for Student Affairs will obtain or collect Personal Data from
you or in relation to you. Please note that your Personal Data will be collected, processed, used and stored for purposes directly or
indirectly relevant to your application for Student Awards 2023 specifically for Individual Awards Category.

By signing and returning the consent form, you are giving your consent to us to collect, use, store, organize, consolidate, disclose,
transfer, share and/or in general to process your Personal Data for purposes of the Student Awards 2023 in compliance with the
Data Privacy Act of the Philippines (Republic Act No. 10173), its implementing rules and regulations and other relevant issuances of
the National Privacy Commission.

Consent:
I hereby give my consent to the Office for Student Affairs to collect, use, store, organize, consolidate, update, disclose, transfer,
share and/or in general to process my Personal Data in accordance with the terms of this Personal Data Consent Statement.

______________________________________ _____________________
Signature over Printed Name of Evaluator Date
INSTRUCTIONS
As part of the Individual Awards Category requirements, please choose the best scale given below that corresponds to the number
that best describes your evaluation. The results of this evaluation will be the basis in selecting the deserving applicant. We would want
to know your objective thoughts about the applicant to be evaluated. Your evaluation result will be dealt in the utmost confidentiality.
Encircle the number that corresponds to your assessment from a scale of 1 to 5, - 1 (Strongly Disagree), 2 (Disagree), 3 (Neutral), 4
(Agree), and 5 (Strongly Agree).

Evaluation Scale
I. PERSONALITY
1. Appreciates the effort of the team regardless of outcome. 1 2 3 4 5
2. Supports and respects the decisions and points of view of his/her team members. 1 2 3 4 5
3. Practices out of the box approach in providing solutions to issues and concerns. 1 2 3 4 5
4. Welcomes constructive criticisms and feedbacks. 1 2 3 4 5
5. Balances between academics, training & social responsibility. 1 2 3 4 5
1
 ADAMSON UNIVERSITY
OFFICE FOR STUDENT AFFAIRS
Student Development Section

II. WORK ETHICS

1. Manages resources well.
2. Gives his/her team specific information on the tasks they need to work well. 1 2 3 4 5
3. Does “extra mile” to accomplish tasked needed by the organization. 1 2 3 4 5
4. Demonstrates reliability and consistency. 1 2 3 4 5
5. Resolves conflicts by utilizing creative and constructive approaches. 1 2 3 4 5
III. LEADERSHIP
1. Emphasizes the importance of focusing for the best interest of the organization. 1 2 3 4 5
2. Focuses the societal/organizational contribution to his/her output. 1 2 3 4 5
3. Shares his/her skills to those who are still learning. 1 2 3 4 5
4. Exhibits excellent skills. Attends all trainings & meetings. Aspires for excellence in
1 2 3 4 5
all works but accepts failure & defeat with humility.
5. Develops cooperation and harmonious relationships within his/her team. 1 2 3 4 5
IV. VALUES
1. Recognizes and gives credit to the contributions of his/her team members. 1 2 3 4 5
2. Walks the talk. 1 2 3 4 5
3. Demonstrate the values of being humble and patient. 1 2 3 4 5
4. Practices the values and ideals as an Adamsonian and a Vincentian. 1 2 3 4 5
5. Exhibits love for the country and participates in nation-building. 1 2 3 4 5
Total