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COLLEGE OF NURSING

STUDENT PEER EVALUATION FORM


(For All RLE Activities/Requirements)
Semester, SY 20____-____ Date:

Name of Students / Peer


M N P R S T T T
T
A O A E A A A I
O
N B D M G M N M
I L A I U A D
L
B
L E G E N Y O E
R
A Z A N A C N
E
A S D M O T
Z
M O A K A
I
I J B R Z A
C O E H I A T L
N
A H R E E N H O O
N N R L I L V
D A S L K E E E
E D H E A E L L
L E E N Y
T Y N
O
T I
E S
A

Criteria Points Distinctions SCORES

Personality Oftentimes absent during group


1
and Attendance meetings and activities

Most of the times present, but


2
always tardy during activities

3 Tardy/absent only once or twice

Punctual in attendance, and never / / / / / / / / /


4 absent during meetings and
activities

Participation in Research 1 Did not participate in activities

Participated in activities only when


2
called to do so

Participated regularly in activities


3
even without being called to do so
Participated very actively in / / / / / / / / /
4 activities, sharing ideas and
listening to others’ ideas too

Name of Students / Peer

UC-VPAA-CON-FORM-08_RLE Page 1 of 2
APRIL 2015 Rev.00
COLLEGE OF NURSING

M N P R S T T TT
A O A E A A A OI
N B D M G M N M
I L A I U A D
LB
L E G E N Y O ER
A Z A N A C NE
A S D M O TZ
M O A K IA
I J B R Z A
C O E H I A T L
N
A H R E E N H O O
N N R L I L V
D A S L K E E E
E D H E A E L L
L E E N Y
T Y N
O
T I
E S
A

Criteria Points Distinctions SCORES


Unwilling to accept share of
Cooperation and
1 responsibility, difficult to work
Teamwork
with
Oftentimes reluctant to accept
2
responsibility

Willing to accept share of


3
responsibility
Willing to accept share of / / / / / / / / /
4 responsibility and very helpful to
other team members

No contribution at all to the


Contribution to Group
1 accomplishment of activities and
Work
outputs
Contributed little to the
2 accomplishment of activities and
outputs
Contributed reasonably to the
3 accomplishment of activities and
outputs
Contributed very substantially to / / / / / / / / /
4 the accomplishment of activities
and outputs
/ / / / / / / / /
Total Points

1 1 1 1 1 1 1 1 1
6/ 6/ 6/ 6/ 6/ 6/ 6/ 6/ 6/
Grade Equivalent 1 1 1 1 1 1 1 1 1
6 6 6 6 6 6 6 6 6
1 1 1 1 1 1 1 1 1
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
% % % % % % % % %

UC-VPAA-CON-FORM-08_RLE Page 2 of 2
APRIL 2015 Rev.00

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