Form E-0: INDIVIDUAL FACULTY WORKLOAD REPORT

NOTE: EVERY FACULTY MEMBER SHOULD FILL UP THIS FORM EVERY FIRST SEMESTER.

A1 SEMESTER (1/2/SUMMER) SCHOOL YEAR

A2 COLLEGE DEPARTMENT
A3 CODE NUMBER:
A4 PRINTED NAME OF THE FACULTY:
FAMILY FIRST NAME Middle Name
A5 E-MAIL ADDRESS:
A6 CONTACT PHONE NUMBER:
A7 DATE OF BIRTH: (MMDDYYYY) DATE OF ORIGINAL APPOINTMENT: (MMDDYYYY)
A8 GENDER:

DETAILS OF FACULTY APPOINTMENT:

B1 1. TENURED 2. NOT TENURED 3. NO PS ITEM
B2 1. FULLTIME/ 2. HALF-TIME/ 3. PART-TIME?
B3 OWN PLANTILLA ITEM ( YES/ NO )
B4 BASIC SALARY CHARGED TO:
PS ITEM GAA LUMP SUM SUC INCOME LGU

B5 GENERIC FACULTY RANK ( USE CODE):

B6 SSL SALARY GRADE:
B7 ANNUAL BASIC SALARY: LECTURERS FEE PER HOUR:
B8 IN ACTIVE DUTY DURING ENTIRE SEMESTER: ( YES/ NO)
B9 ON LEAVE WITHOUT PAY?
START DATE (MMDDYYYY) END DATE (MMDDYYYY) TYPE OF LEAVE ( USE CODE)
B10 ON LEAVE WITH PAY?
START DATE (MMDDYYYY) END DATE (MMDDYYYY) TYPE OF LEAVE ( USE CODE)

ACADEMIC DEGREES OBTAINED:

C1 BACCALAUREATE DEGREE:
C2 1. COMPLETED/ 2. STILL BEING PURSUED/ 3. STARTED BUT UNCOMPLETED/ 4. NOT YET STARTED:
C3 DATE COMPLETED (MMDDYYYY)
C4 WHERE OBTAINED:
C5 SPECIFIC DISCIPLINE ( USE 6-DIGIT CODE):

MASTERS DEGREE:
C6 1. COMPLETED/ 2. STILL BEING PURSUED/ 3. STARTED BUT UNCOMPLETED/ 4. NOT YET STARTED:
C7 DATE COMPLETED (MMDDYYYY)
C8 WHERE OBTAINED:
C9 SPECIFIC DISCIPLINE ( USE 6-DIGIT CODE):
C10 WROTE THESIS AS PART OF DEGREE: ( YES/ NO )

DOCTORAL DEGREE:
C11 1. COMPLETED/ 2. STILL BEING PURSUED/ 3. STARTED BUT UNCOMPLETED/ 4. NOT YET STARTED:
C12 DATE COMPLETED (MMDDYYYY)
C13 WHERE OBTAINED:
C14 SPECIFIC DISCIPLINE ( USE 6-DIGIT CODE):
C15 WROTE DISSERTATION AS PART OF DEGREE: ( YES/ NO)

DISCIPLINE CLASSIFICATION OF PRIMARY TEACHING LOAD:

D1 FIRST SPECIFIC DISCIPLINE WHERE MOST TEACHING IS DONE ( USE 6-DIGIT CODE):
D2 SECOND SPECIFIC DISCIPLINE WHERE MOST TEACHING IS DONE ( USE 6-DIGIT CODE):

LOAD CREDITS FOR NON-TEACHING DUTIES:

INCLUDE ONLY OFFICIALLY-APPROVED LOAD CREDITS.
 OFFICIAL LOAD START DATE: END DATE: SPECIFY DETAILS: ( E.G. ADMINSITRATIVE DUTY, TITLE OF
CREDITS MMDDYYYY MMDDYYYY RESEARCH PROJECT, TYPE OF LEAVE, ETC.)

E1 OFFICIAL ADMINISTRATIVE DUTIES:

E2 OFFICIAL RESEARCH LOAD:
E3 OFFICIAL EXTENSION SERVICE:

OFFICIAL PRODUCTION OR INCOME-

E4
GENERATION WORK:

E5 OFFICIAL STUDY LOAD:

OTHER LOAD CREDITS: SABBATICAL,
E6 SICK LEAVE WITH PAY, VACATION
WITH PAY, ETC.
E7 SUBTOTAL NON-TEACHING CREDITS:
SUBTOTAL TEACHING CREDITS ( SEE
E8
DETAILS NEXT PAGE)

E9 GRAND TOTAL WORKLOAD CREDITS

REMARKS: See instructions for CHED FORM E1 and E2

FACULTY MEMBER'S TEACHING LOAD IN THE CURRENT SEMESTER:

1ST SEMESTER SCHOOL YEAR 2018-2019

SCHEDULE OF CLASSES: List all subjects in all levels.

LECTURE OR TEAM
A0 SUBJECT NUMBER & TITLE CLASS CODE DAYS TIME ROOM
LAB? TEACHING?
NO. OF STUDENTS

A1
A2
A3
A4
A5

CONSULTATION HOURS: SPECIFY TIME

B1 MONDAY
B2 TUESDAY
B3 WEDNESDAY
B4 THURSDAY
B5 FRIDAY
B6 SATURDAY

THIS PART TO BE FILLED UP BY DEPARTMENT CHAIR OR COLLEGE SECRETARY:

"SUBJECT UNITS" and "CREDIT UNITS"

TOTAL LECTURE
LECTURE SUBJECT LAB SUBJECT LAB CREDIT TOTAL CREDIT
C0 EDUCATIONAL LEVEL OF TEACHING
UNITS UNITS
SUBJECT CREDIT
UNITS UNITS
UNITS UNITS
C1 ELEMENTARY/ SECONDARY
C2 TECH/VOC
C3 PRE-BACC/ BACC/ POST-BACC
C4 MASTERS LEVEL:
C5 DOCTORAL LEVEL:
 C6 TOTAL TEACHING LOAD:

HOURS PER WEEK AND STUDENT-CONTACT HOURS PER WEEK

LECTURE LAB TOTAL

LECTURE HOURS LAB HOURS TOTAL HOURS CONTACT CONTACT CONTACT
D0 EDUCATIONAL LEVEL OF TEACHING
PER WEEK PER WEEK PER WEEK HOURS HOURS PER HOURS PER
PER WEEK WEEK WEEK

D1 ELEMENTARY/ SECONDARY
D2 TECH/VOC
D3 PRE-BACC/ BACC/ POST-BACC
D4 MASTERS LEVEL:
D5 DOCTORAL LEVEL:

D6 TOTAL TEACHING LOAD:

E1 PRINTED NAME AND SIGNATURE OF FACULTY MEMBER: DATE:

CERTIFIED CORRECT BY:

E2 PRINTED NAME AND SIGNATURE OF DEPARTMENT CHAIR: DATE:

E3 PRINTED NAME AND SIGNATURE OF COLLEGE DEAN: DATE:

ALL LOAD CREDITS APPROVED BY:

E4 PRINTED NAME AND SIGNATURE OF VP ACADEMIC AFFAIRS: DATE:

REMARKS:
IF FACULTY MEMBER IS ABROAD, THIS FORM WILL BE FILLED UP BY THE DEPARTMENT CHAIR IN BEHALF OF ABSENT FACULTY MEMBER.
REMARKS: SEE INSTRUCTIONS FOR CHED FORM E1 AND E2