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QAR Form

Revised, March 2016

QUARTERLY ACCOMPLISHMENT REPORT


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___________________________
COLLEGE/BRANCH/CAMPUS
Direction:
Please do not leave any item unanswered (Type N.A. or Not Applicable if necessary).
Strictly follow the prescribed format in accomplishing this form.
Provide necessary and appropriate supporting document/s (e.g. Research Abstract, MOS, MOU, S.O., Certificates, etc.) as attachment for each accomplishment.
This form should be duly signed by the Head of Unit/Department and approved by the Sector Head.

A.

EXECUTIVE SUMMARY/HIGHLIGHTS OF ACCOMPLISHMENTS (Please consider highlights of accomplishments of your office targets/commitments under STRATEGIC PRIORITY (SP), CORE
FUNCTIONS (CF), and SUPPORT FUNCTIONS (SF) with associated Office Final Outputs (OFOs), respectively.

B. STRATEGIC PRIORITY
1. Academic Program Development
1.1 New Program/s Offered (Please no abbreviation)
Date Approved by

Course/Program

Academic Council

Board of Regents

(mm/dd/yyyy)

(mm/dd/yyyy)

1.2 Curriculum Development


Date Approved by

Specify Development/Enhancement Made


Course/Program

(e.g.: syllabi transformed/aligned to OBE framework; Change in the


Subject Code and Description from_____________ to______________)
or (Inclusion of additional subject, __________________________)

College/Branch
Curriculum Evaluation
Committee
(mm/dd/yyy)

Academic Council

Board of Regents

(mm/dd/yyyy)

(mm/dd/yyyy)

1.3 Phased Out Curricular Program/s


Date Approved by

Course/Program

Academic Council

Board of Regents

(mm/dd/yyyy)

(mm/dd/yyyy)

2. Human Resource Development


FACULTY
Faculty Outstanding Achievements/Awards (International, National, Local)

Name of Faculty Member

Nature of Achievement

(Surname, First Name, M.I.)

(No abbreviation please)

(Surname, First Name, M.I.)

2.1.3

International

Officership/Membership in Professional Organization/s


Position
(No abbreviation please)
(e.g. member of CHEDs
Technical Panel, member of
National Review Panels,
Consultant to other local, national
service, educational or training
needs, etc.)

(Surname, First Name, M.I.)

2.1.4

Local

Date
(mm/dd/yyyy)

Place

Level
Please check ( ) if

Name of Organization
International

National

Organizations Address

Local

Inclusive Date

Attendance in Relevant/Job-related Trainings, Seminars, Conferences, Workshops, Conventions, etc.


Level
Please check ( ) if

Check () if
Name of Faculty Member

National

Title/Theme/Topic
Training

Networking and Linkages


Nature of
Business/Service

Seminar/
Conference/
workshop/
convention
etc.

Sponsor of Training, Seminar/s,


etc.

Nature of Networking or Linkages


(Please indicate if: Academic Linkages,
3

Local

Name of Faculty Member

Awarding/Conferring Body

Regional

2.1.2

Level
Please check ( ) if

National

2.1.1

International

2.1

Venue

Inclusive Date

Contact Person

2.1.5

Faculty Involvement in Inter-Country Mobility


Nature of Involvement/
Name of Faculty Involved
Purpose of Travel
(Surname, First Name, M.I.)

2.1.6

(Research fellow, referee, exchange faculty/teacher,


consultant, technical panel, editorial board, and the like)

Host Country and Institution/Organization/agency

Inclusive Date

List of Faculty Currently ENROLLED


School

Pls. check ( ) if
NonThesis thesis

Degree/Major

Name of Faculty
(Surname, First Name, M.I.)

Fajardo, Maria Kristela V

(no abbreviation please)

De La Salle University

Doctorate in Information Technology


(DIT)

2.1.7 List of Faculty Who GRADUATED During the Current School Year
School
Degree/Major
Name of Faculty
(Surname, First Name, M.I.)

Pls. check ( ) if
NonThesis thesis

(no abbreviation please)

Start of
Enrolment

MEANS OF SUPPORT

BENEFACTOR

(Semester/School
Year)

(Ex. Financial Assistance,


Scholarship Grant, Selfsupporting)

(Name of Sponsor/Agency/
Organization/ etc.)

June 6, 2015

Self Supporting

None

Semester/School
Year

MEANS OF SUPPORT

BENEFACTOR

(Ex. Financial Assistance,


Scholarship Grant, Selfsupporting)

(Name of Sponsor/Agency/
Organization/ etc.)

2.2 ADMINISTRATIVE PERSONNEL (please provide necessary attachment/s as supporting document/s)


2.2.1 Attendance in Relevant Training, Seminars, Workshops, Conferences, etc.
Name of Personnel
Title/Theme/Topic
Check () if
(Surname, First Name, M.I.)

Sponsor of Training, Seminar/s,


etc.

Level
Please check ( ) if

Venue

Inclusive Date

2.2.2

(Surname, First Name, M.I.)

Name of Partner
Agency/Company/
Organization/
Department

Nature of Business/Service
(i.e. Educational Institution,
Government Agency, BPOs,
NGOs, POs, etc.)

Nature of Involvement
(Please Indicate If:
Instruction, Training,
Research, Consultancy,
Linkages, Network)

Name of Personnel

No abbreviation please
(e.g. member of CHEDs Technical
Panel, member of National Review
Panels, Consultant to other local,
national service, educational or
training needs, etc.)

Local

Regional

Contact Person

Level

Duration

(International,
National,
Regional, Local)

(Indicate Inclusive
Period, e.g. June 15
to August 31)

Officership/Membership in Professional Organization


Position

(Surname, First Name, M.I.)

2.2.4

National

Involvement in Other Services/Linkages/Network

Name of Personnel Involved

2.2.3

International

Training

Seminar/
Conference/
workshop/
convention
etc.

Name

Tel. No.

Address

Level
Please check ( ) if
Name of Organization

Organizations Address
International

National

Inclusive Date

Local

Outstanding Achievement

Name of Personnel
(Surname, First Name, M.I.)

Awards Received

Level
Please check ( ) if

Conferring Body/Agency
(no abbreviation please)

International

National

Regional

Place
Local

Date
(mm/dd/yyyy)

2.2.5
Name of Personnel

List of Personnel Currently ENROLLED


School

(Surname, First Name, M.I.)

Pls. check ( ) if
NonThesis thesis

Degree/Major

(no abbreviation please)

List of Personnel Who GRADUATED During the Current Year


School
Degree/Major

2.2.6
Name of Personnel
(Surname, First Name, M.I.)

Pls. check ( ) if
NonThesis thesis

(no abbreviation please)

Start of
Enrolment
(Semester/School
Year)

Semester/School
Year

MEANS OF SUPPORT
(Ex. Financial Assistance,
Scholarship Grant, Selfsupporting)

MEANS OF SUPPORT
(Ex. Financial Assistance,
Scholarship Grant, Selfsupporting)

BENEFACTOR
(Name of Sponsor/Agency/
Organization/ etc.)

BENEFACTOR
(Name of Sponsor/Agency/
Organization/ etc.)

3. Facilities Improvement
Accomplishments on the following requirements for Facilities Improvement:
Final PPMP with Market Survey
Target Date
Date
Status of the Project
and Terms of Reference
of Submission Submitted
(e.g. On-going or
(e.g. Final Version Submitted to
Completed/Accomplished)
BAC with 2 revisions)

Facilities

1. Classroom and Laboratory Improvement


2. Office Improvement
3. Library Facilities improvement
4. Building Construction/Rehabilitation/Repairs
5. Sports Facilities Improvement
6. Campus Environment Improvement
7. Others (Please specify)

4. Systems/Operations Improvement
System/Operation

Status of the Project/s

Target Date of
Completion/Accomplishment
6

Date
Completed/Accomplished

Target Date of
Completion

If completed,
Date of
Completion

1.
2.
3.
4.
5.

Software Development
Hardware Acquisition
Manual of
Operations/Citizens Charter
Handbooks/Code
Work Program
Others (please specify)

C. CORE FUNCTIONS
1.

Outputs/Outcomes in Higher Education Services


1.1 Graduates in preceding school year engaged in employment within 6 months of graduation
Course/Program
(1)

Total number of graduates


(2)

Total number of surveyed


graduates
(3)

Number of graduates
engaged in employment
within 6 months
(4)

Percentage
((4)/(3))*100

TOTAL

1.2 Graduates in preceding school year employed in jobs related to their line of preparation
Name of Surveyed Graduates
(Surname, First Name, M.I.)

Course/Program

Date of
Graduation

Nature/Type of Work

Status of Employment

Check ()if job/work is related to their


undergraduate program
Yes
No

1.3 Outstanding Achievements, special Awards and Recognitions Received (Inside and Outside PUP)
1.3.1 Inside PUP (University Wide)
Name of Student*
(Surname, First Name, M.I.)

Nature of Achievement/
Award/Recognition

Conferring Body
7

Place

Date
(mm/dd/yyyy)

*If the outstanding achievement/special award/recognition received by one section, organization, etc., please indicate the total number of students (e.g.: BSA 2-1 (15 students))
1.3.2 Outside PUP (International, National and Regional)
Name of Student*
(Surname, First Name, M.I.)

Level

Nature of Achievement/
Award/Recognition

(International, National,
Regional)

Conferring Body

Date

Place

(mm/dd/yyyy)

*If the outstanding achievement/special award/recognition received by one section, organization, etc., please indicate the total number of students (e.g.: BSA 2-1 (15 students))
1.4 Attendance in Seminars, Leadership Training and Other Student Development Programs (International, National, Local)
Check () if
Name of Student*
(Surname, First Name, M.I.)

Title/Theme/Topic

Training

Level
Please check ( ) if

Seminar/
Conference/
workshop/
convention
etc.

Sponsor

Venue
International

National

Local

Date
(mm/dd/yyyy)

* Please indicate the total number of students if attendees are from one section, organization, etc. (e.g. BSA 2-1 (15 students))

1.5 Networking and Linkages


Name of Students
Name of Agency/Company/
Involved*
Organization
(Surname, First Name, M.I.)

Nature of Business/Service
(i.e. Educational Institution, Government
Agency, Telecommunication, Travel
Agency, Hotel and Hospitality Service,
Food Service, BPOs, NGOs, POs, etc.)

Nature of Networking or Linkages


Please indicate if:
Academic Linkages, Benefactors,
Research and Extension Linkage,
Educational and Cultural Exchange,
Government Agencies Partners, National/Institutional

Level

Duration

(International,
National, regional,
Local)

(Indicate inclusive
period)

Name

Contact Person
Tel. No.

Address

Membership,
Non-Government Organizations Partners,

* Please indicate the total number of students if attendees are from one section, organization, etc. (e.g. BSA 2-1 (15 students))
1.6 Students Involvement in Inter-Country Mobility
Name of Students Involved
Course/Year and Section
(Surname, First Name, M.I.)

Host Country and


Institution/Organization/agency

Purpose of Travel

Inclusive Date

1.7 Student Extension Programs/Projects*

Name/Title of Activity

Name of Student/s Involved


(Surname, First Name, M.I.)

Clientele/Beneficiary/ies
(Name of group, community, organization,
etc.)

Number of
beneficiaries

Date
(Pease indicate inclusive
period)

Percentage of beneficiaries
who rate the extension
program as very good or
outstanding
(i.e. 85%=85/100)
Very Good
Outstanding

* The extension program is conducted not as a part of academic requirement but as an outreach towards the improvement of the communitys quality of life.
1.8 Other Statistical Data
Average Class Size(No. of Total Enrolment / No. of Sections Per Semester Per Program)
No. of Total
Course/Program
Enrolment

No. of Sections

Average Class
Size

TOTAL

2. Outputs/Outcomes in Advanced Education Services ((For Graduate School, Open University (Masters Degree Programs only), College of Education and College of Law) )
2.1 Graduates in the Preceding Year Engaged/Improved Employment Status within Six (6) Months of Graduation

Name of Surveyed Graduates


(Surname, First Name, M.I.)

Date of
Graduation

Course/Program

Date Hired
for Current
Job

Status of Employment
prior to graduation

Status of Employment
after graduation

Average
Monthly
Income

Percentage
Increase in
Income (if
applicable)

REMARKS

2.2 Students Survey on Timeliness of Education Delivery/Supervision

Course/Program

Total Number of Surveyed


Students/ Total Number of
Retrieved Survey Forms

Total Enrollment

Total Number of Students


Who Rated Timeliness of
Education
Delivery/Supervision as
GOOD

Total Number of Students


Who Rated Timeliness of
Education
Delivery/Supervision as
BETTER OR BEST

REMARKS

3. Outputs/Outcomes in Research Services (For Research Institutes and Centers) Please provide research abstracts and keywords for every research output.
3.1 On-going Research Activities during the Year*

Title of
Research

Researcher
(Surname, First
Name, M.I.)

Nature of
Involvement
(Independent
Researcher,/Lead
Researcher/CoLead Researcher/
Associate Lead
Researcher

Please check
() if
Keywords
(at least
five (5)
keywords)

Producing
technology for
commercialization
or livelihood
improvement

Please check ()
if

Basic
Research

Applied
Research

STATUS
Please check () if

Research
Program

Research
Project

Research
Study

Funding
Agency

Amount
of
Funding

Date
Started
(mm/dd/yyyy)

Target Date
of
Completion
(mm/dd/yyyy)

(Pls.
specify if:
Data
Gathering;
Analysis;
Writing
Research
Report,
etc)

Research Program involves a team of investigators and spanned up to specific period of research activity with considerable amount of (internal or external) funding. Relatively long term typically eighteen months to three years.
Research Project (not part of the research program) identifies and defines a specific problem, theme, issue, or question. Relatively short term; typically three to six months.
Research Study (not part of the research project), also known as a clinical trial or research experiment, is a way for scientists and researchers to collect and study information about a specific topic or concept
3.2a Completed Researches during the Quarter of the Current Year
Title of Research

Researcher

Keywords

Please check () if

10

Please
check
() if

Please check
() if

Research Study

Research Project

Funding
Agency
Research Program

Producing
technology
for
commercializ
ation or
livelihood
improvement

Applied Research

Adopted by
Industry/ small
and medium
enterprises/
LGU/
Communitybased
Organizations

Basic Research

(at least
five (5)
keywords)
Masters Thesis

(Surname, First
Name, M.I.)

Researcher,/
Lead Researcher/
Co-Lead
Researcher/
Associate
Researcher

Pls.
check
() if

Dissertation

Nature of
Involvement
(Independent

Advance
Degree
Complet
ions

Amount
of
Funding

Date
Started
(mm/dd/yyyy)

Target Date
of
Completion

Actual Date
of
Completion

(mm/dd/yyyy)

(mm/dd/yyyy)

3.2b Continuation of table for Completed Researches for the current year and researches completed for the last 3 years but published/presented during the quarter of the current year

11

Reason/s for
not meeting
the target
date of
completion

Pls. check () if classified


under the following

Pls. check () if
Published in

Editors/
Referees (Name
and Profession)

Others

CHEDs Research Platforms


12

Local Journal

National Journal

journalCHED-accredited

JournalInternational

Title of Journal,
Vol./Issue/ Page No.,
Place and Date of
Publication, Copyright
No.
conferencesLocal fora/

Title of Awards
Received/
Publisher/
Conference
Organizer/
Conferring Body

Regional for a conferences

Date
Complet
ed

National for a conferences

Date
Started

International foral conferences

Education for Science, Technology, Engineering, Agriculture-Fisheries, and Mathematics (STEAM)

Health Systems

Terrestrial and Marine Economy: Biodiversity and Conservation


Smart Analytics and Engineering Innovations

Title of
Research

Researcher
(Surname,
First Name,
M.I.)

Food Production and Security

Researcher,/Lea
d
Researcher/CoLead
Researcher/
Associate
Researcher

Indicate the Title,


place, date of the
fora/ conference
where the research
output was
presented

Pls. check () if
Disseminated or
Presented in

CHEDs Research
Platforms:

Environment, Disaster Prevention, Climate Change and Energy

Nature of
Involvement
(Independent

Duration
(Applicable only
for researches
completed for the
last 3 years)

Food Production and Security - focus on food ecology, technological innovations such as small-scale irrigation projects & hydrologic mapping, reducing production losses, crop selection mechanisms and genetic enhancements.
Environment, Disaster Prevention, Climate Change and Energy - new energy technology and energy-saving technology; prevention, monitoring and risk assessment of water, air and soil pollution; sustainable utilization of bioresources; disaster prevention and
mitigation measures; environmental health management; and planning, design and evaluation of energy systems.
Terrestrial and Marine Economy: Biodiversity and Conservation improved trans-disciplinary understanding and perspective of the Philippine marine environment and the interaction within this environment (marine life and genetic resources, wind farms, coastal
tourism and recreation, marine security and marine transport, etc.); innovation that help communities manage and restore ecosystems vis-a vis climatic fluctuation and other stressors; economic value of terrestrial and marine biodiversity; and nutritional and health
impact of biodiversity.
Smart Analytics and Engineering Innovations development of prototype smart farms via an integrated use of data analytics;, weather, heat, and water sensors, information communication and phone apps; application of data analytics in the development of urban
systems; utilization of data analytics by healthcare providers for diseases surveillance; and development and testing of technopreneurship program and formal and non-formal education settings.
Health Systems strategies for training, managing and supporting health care workers; decentralization of care from hospitals out to more rural facilities, and from clinical to non-clinical staff; strategies for enabling better integration of service such as for maternal,
neonatal, child health and nutrition and other infectious diseases as well as for other chronic conditions, such as hypertension and diabetes; improving doctor-patient communication; and communicating risk to the public.
Education for Science, Technology, Engineering, Agriculture-Fisheries, and Mathematics (STEAM) aimed at generating innovations in undergraduate education in STEAM; case studies and other innovations in STEAM education; assessment of impact on student
learning in STEAM programs; lifelong learning on STEAM: improved understanding of how, why and when individuals learn STEAM across their lifespan in multiple setting and contexts; and women and STEAM.
Others - not classified in any of the CHEDs research platforms.

CHED-Accredited Journals
PUP Journal of Science and Technology
The Mabini Review
Social Sciences and Development Review
Humanities Diliman
Philippine Studies Historical and Ethnographic Viewpoints
The Philippine Journal of Veterinary Medicine
The Philippine Agricultural Scientist
The Philippine Journal of Crop Science
The Asia-Pacific Education Researcher
DLSU Business and Economics Review
Asian and Pacific Migration Journal
Asia Life Sciences
The Asian International Journal of Life Sciences

Plaridel
Kasarilan
Philippine Humanities Review
CNU Journal of Higher Education
The Threshold
Philosophia
Social Science Diliman
Philippine Computing Journal
Recoletos Multidisciplinary
Tambara
PRISM
Daluyan
Asian Journal of Health

Philippine Journal of Science


Philippine Political Science Journal
ACTA Medica Philippina
Journal of Environmental Science and Management
The Philippine Scientific Journal
Mindanao Journal of Health and Technology
Philippine Journal of Psychology
AGHAMTAO
The Philippine Statistician
Bukidnon State University Research Journal

3.3 R and D Patents

Title of Research

Researcher
(Surname, First Name, M.I.)

Nature of Involvement
(Independent
Researcher,/Lead
Researcher/Co-Lead
Researcher/ Associate
Lead Researcher

Pls. check () if
Applied for
Patenting
(pls. specify date
of submission)

Patent-in-process

3.4 Research Output as Cited by Book Author(s) for the Quarter of Current Fiscal Year
Name of Researcher/s
Title of Research Output
Author(s) Who Cited the
Title of Book Where the Research Output
(Surname, First Name, M.I.)
(Pls. indicate the year of
Research Output
was Cited
13

Patented or
Commercialized
(pls. specify
patent number
and date)

Page No.

Matured
Technologies
Developed
(based on
PCARRD criteria)

Place/Date
Published

Name and Address of


Publisher

completion)
(No abbreviation please)

3.5 Research Output as Cited by Other Researcher/s for the Quarter of the Current Fiscal Year
Title of Research/Article
Name of Researcher/s
Researcher(s)/Author(s) Who
Title of Research Output
Where the Research Output
(Surname, First Name,
(pls. indicate the year of completion)
Cited the Research Output
M.I.)
was Cited

Title of Journal (If


research/article was
published)

Vol./Issue/
Page No.

Place/Date
Published

Name and Address of


Publisher

3.6 Refereed Publications (Actual Output for the Quarter of the Current Fiscal Year)
3.6.1 Books/Journals/Modules or Instructional Materials

Date Started
Book

Module or
Instructional material

Journal

(mm/dd/yyyy)

Date
Completed
(mm/dd/yyyy)

Editors/ Referees
(Name and
Profession)

Vol./Issue/Place/Date of
Publication/Copyright
No.

Local

Nature of
Involvement or Role

Please check
() Level of
Publication
National

(Surname, First Name,


M.I.)

Title of Publication

International

Name of the
Faculty/Personnel
involved

3.7 FACULTY INVENTIONS (Inventions may include those that resulted from researches conducted. Inventions should include only those which have been invented by researchers. An invention may be utilized for
development of technology, for service provision, or as an end-product in itself or it may also be commercialized for selling to other end-users. Please provide a copy of the abstract for each patent.)
3.7.1 Inventions for the Current Fiscal Year

completed

(Surname, First Name, M.I.)

Nature of Invention/s
(IT Product, Equipment,
Machinery, etc.)

On-going

Title of Research

Name of Inventor/s/
Researcher/s

Please
check ()
status of
invention

Date
Started
(mm/dd/yyy
y)

(mm/dd/yyy
y)

14

Date

Utilization of Invention

Date
Complete
d
Development

Service

Not patented
but utilized by
the local
community,
etc.

Name of
Commercial
Product

(mm/dd/yyy
y)

Patent No.

4. Outputs/Outcomes in Technical Advisory Extension Services


LIST OF RECOGNIZED EXTENSION SERVICES (Extension service is a set of activities aimed to transfer knowledge or to provide services to the community. The extension program is conducted not as a part of academic
requirement but as an outreach towards the improvement of the communitys quality of life. Please attach Board Resolution/Action approving the Extension Program/Photocopies of MOA/Certificates, etc.)
4.1a Name of Extension, Classifications, and Partnerships

Keywor
ds
Training

Classificati
on (Please
refer to
attached
classification
s)

Advisory Services

Name/Title of
Extension
Program

Check ()
if

Name of
Involved
Faculty/
Personnel
(Surname,
First Name,
M.I.)

Nature of
participation
(Consultant,
Speaker,
Resource
Person, Adviser,
Facilitator,
Organizer)

If in partnership with
other
agencies/institutions
/organizations (pls.
specify the name of
Local Government unit
(LGU), NGOs, POs,
industry, small and
medium enterprises, and
local entrepreneur)

Source of
Funding

Amount of
Funding

Place/
Venue

Date

No. of
clients
who
requested
for
training/co
nsultancy/
advisory
services

No. of
requests
for
training/co
nsultancy/
advisory
services
responded
to within 3
days

Citation/Recognition Received

Title
(e.g.
Certificate of
Recognition,
Best
Extension
Program, etc)

4.1b Continuation of table for 4.1a: Name of Extension, Number of Trainees/Beneficiaries and Persons trained weighted by length of training
No. of Trainees/
Inclusive
No. of Hours/
No. of Persons
Name of LGUs/
% of trainees/
Beneficiaries* (Pls. specify if
Date/Period of
Days **
Trained Weighted
Communities/
beneficiaries who rated services
professionals, students, out-ofName/Title of Extension Program
training
by Length of
Clientele Assisted
rendered as good or better
school youth, barangays,
(Pls. indicate the total number of
(Please refer to Table 4.1a, using
Training***
organization, etc.)
trainees who rated/evaluated the
the same title of extension
Ex:
30
out-of-school
youth
training program)
program)
Ex: 25 trainees rated the TP from the

15

Conferring
Body

Year
Received

% of persons given training or


advisory services who rated
timeliness of service as good
or better
(Pls. indicate the total number of
trainees who rated/evaluated the
training program)

total of 30 trainees =25/30

Good

Better

*Please indicate the actual number of trainees/beneficiaries. For example: 48 students and 10 faculty members or 15 Barangay officials/employees and 35 residents.
**For Extension Programs on continuing basis, please indicate actual number of beneficiaries and number of training hours.
***Weight x No. of persons trained
Table for Weights
LENGTH OF TRAINING
WEIGHT
Less than 8 hours
0.5
8 hours or 0ne day
1
2 days
1.25
3-4 days
1.5
5 days or more
2

CLASSIFICATIONS OF EXTENSION PROGRAMS:


1. Entrepreneurship and livelihood assistance
Product creation/innovation/development/utilization/commercialization
Packaging, marketing and distribution
Accounting and fund management
Savings mobility and capital formation/generation
Others, pls. specify
2.

Organizational Development/Capability Building and Special Pilot Projects


Organizational formation and development
Leadership and management of pilot projects
Others, pls. specify

3.

Environmental Protection and Sustainability


Waste management/pollution control
Reforestation/green revolution
Organic farming/gardening
Beautification and landscaping
Climate change advocacy
Others, pls. specify

7. Education and Research


Values formation/Good citizenship
Function literacy
Teacher Training
Curriculum Development & Planning
Science Education/Research
Other Educational Training/s, pls. specify
8. Human Resource Development and Consultancy Service
HRD Training Consultancy
Management Seminars
Professional Development Seminars
Others, pls. specify
9. IT and Technical-Vocational Training/s
I.T. Trainings
T-shirt Printing
PC Repair
Others, pls. specify

16

Best

Ex: 25 trainees rated the TP from the


total of 30 trainees = 25/30

Good

Better

Best

4.

Nutrition and Wellness


Herbal/traditional medicine
Disease prevention and cure
Diet management
Healthy lifestyle
Sports, aerobic and physical development/exercises
Medical and Dental Missions
Others, pls. specify

5.

Communication/Information dissemination and advisory services


Use of tri-media
Adds and other propaganda materials
Others, pls. specify

10. Engineering works


Surveying
Web development
Troubleshooting
Software development
Networking
Electrical wiring
Auto-Mechanic
Aircon/Refrigeration Repair
Others, pls. specify
11. Instructional Materials Development & Production
Brochures
Pamphlets
Journal
Module production
Audio-video production
Others, pls. specify.
12. Linkages and Networking
13. Arts and Culture
14. Advocacy Works
15. Feeding Programs, Relief Operations and the like

6. Leadership and Good Governance


Barangay Officials Leadership Training
Sangguniang Kabataan Leadership Training
Others, pls. specify
Note: In filling up, please indicate other extension programs not specified in the given classifications.

4.2 Community Engagement (partnership with Local Government Unit (LGU), NGOs, POs, industry, small and medium enterprises, and local entrepreneur in developing, implementing or using new technologies
relevant to agro-industrial* development)
Please check () Nature of
Partnership
List of Active Linkages/Partnerships
covered by MOA

* Agro-industrial Technology
1. Agriculture
1. Fisheries
2. Environmental Sciences
3. Education
4. Entrepreneurship
5. Science

7. Technology
8. Engineering
9. Mathematics
10. Food and Nutrition
11. Health Sciences

4.3 Extension Outputs


17

Classification of Agroindustrial* Technology

Develop the
technology

Implement the
technology

4.3.1

Title of project/activity

Extension projects/activities developed by the university


Pls. check () if
extension
projects/
activities are
offshoots of
research

Adoptors*
No. of
trainees

LGU

Pls. check ()
Industry, SMEs
or Local
Entrepreneur/s

NGOs and
POs

Name of Adoptor

Nature of Business Enterprise

Pls. check () if adoptors


have established
profitable businesses in
the last three (3) years

*Trainees or extension clients of the SUC who have adopted and utilized technologies disseminated by the institution in business enterprises that are profitable as shown by positive cost and return analysis.

4.3.2 Extension projects/activities borrowed from other Institutions

Title of project/activity

Pls. check () if
extension
projects/
activities are
offshoots of
research

Adoptors*
No. of
trainees

LGU

Pls. check ()
Industry, SMEs
or Local
Entrepreneur/s

18

NGOs and
POs

Name of Adoptor

Nature of Business Enterprise

Pls. check () if adoptors


have established
profitable businesses in
the last three (3) years

4.3.3 Continuation of Table 4.3.1 and 4.3.2


Name of Viable Demonstration Project*

Internal Rate of Return**

* Viable demonstration projects. Income generating projects that serve as showcases to students and other clientele and are viable based on positive return of investment at least in the past three
years. (Reference: Draft Joint CHED-DBM Circular on SUC Levelling)
**Internal Rate of Return (IRR) Rate of growth that a project is expected to generate. Projects with higher IRR values are preferred over those with lower IRRs

AWARDS/RECOGNITIONS RECEIVED BY THE COLLEGE/BRANCH/CAMPUS AND UNIVERSITY THROUGH YOUR COLLEGE/BRANCH/CAMPUS ACHIEVEMENT/S
5.1 Awards/Recognitions Received by the College/Branch/Campus Given by Reputable Organizations
Title of Award

Conferring Body

Place and Date


International

Level
Please check ( ) if
National
Regional

Local

5.2 Awards Received by the University Given by Reputable Organizations through your College/Branch/Campus Achievement/s
Title of Award

Conferring Body

Place and Date


International

19

Level
Please check ( ) if
National
Regional

Local

Prepared by:

Certified Correct:

_______________________________________

_____________________________________

Name and Signature

Dean/Director

_______________
Date

________________
Date

Approved by:

____________________________________________
Sector Head/Vice President
__________________
Date

20

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