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M2 EVALUATE

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Saint Louis University
School of Teacher Education and Liberal Arts
Document Code
FM-STL-013
Revision No.
01
Effectivity
June 07, 2021
Page
1 of 10
EVALUATE
Submit the following to your Supervising Instructor for your evaluation after the project
implementation:
1. Final Service Learning Plan
2. Final Documentations properly labelled (before, during and after) with attached video
of the project implementation
3. Evaluation from your two witnesses for your project using the Rubrics for Performance
and Project rating (1 family member and 1 neighbor with valid ID’s attached)
Be guided with the following rubrics:
Categories
Organization
Grammar
and
Mechanics
Exemplary=A
(Far Exceeds
Standard)
15
Writing shows
high degree of
attention to
logic and
reasoning of
points. Unity
clearly leads
the reader to
the conclusion
and stirs
thought
regarding the
topic.
Report is free
of distracting
spelling,
punctuation,
and
grammatical
errors; absent
of fragments,
comma
splices, and
run-ons.
Rubrics for SLP ( 90 points )
Above
Adequate=C
Average=B
(Meets
(Exceeds
Standard)
Standard)
13
10
Writing is
Writing is
coherent and
coherent and
logically
logically
organized with organized.
transitions used Some points
between ideas remain
and
misplaced and
paragraphs to
stray from the
create
topic. Transitions
coherence.
evident but not
Overall unity of throughout the
ideas is
project report.
present.
Report has few Most spelling,
spelling,
punctuation,
punctuation,
and grammar
and
correct but
grammatical
some errors
errors allowing
remain.
reader to
follow ideas
clearly. Very
few fragments
or run-ons.
Inadequate=D
(Below Standard)
7
Writing lacks logical
organization. It
shows some
coherence but ideas
lack
unity. Serious errors.
Spelling,
punctuation, and
grammatical errors
create distraction,
making reading
difficult; fragments,
comma splices, runons evident. Errors
are frequent.
Property of and for the exclusive use of SLU. Reproduction, storing in a retrieval system, distributing, uploading or posting online, or transmitting in any form or by any 1
means, electronic, mechanical, photocopying, recording, or otherwise of any part of this document, without the prior written permission of SLU, is strictly prohibited.
Saint Louis University
School of Teacher Education and Liberal Arts
Format
Completeness
SWOT analysis
Appendices
Document Code
FM-STL-013
Revision No.
01
Effectivity
June 07, 2021
Page
2 of 10
Meets all
formal and
assignment
requirements
and evidences
attention to
detail; all
margins,
spacing and
indentations
are correct;
neat and
correctly
assembled
with
professional
look.
All necessary
parts of the SLP
is present
Meets format
and
assignment
requirements;
margins,
spacing, and
indentations
are correct;
neat and
correctly
assembled.
Meets format
and assignment
requirements;
generally
correct margins,
spacing, and
indentations;
neat but may
have some
assembly errors.
Fails to follow format
and assignment
requirements;
incorrect margins,
spacing and
indentation;
neatness needs
attention.
One part of
SLP is missing
Two parts of the
SLP are missing
Three or more parts
of SLP are missing
Very complete
SWOT analysis
Very organized
content of the
appendices
Complete
SWOT analysis
Organized
content of the
appendices
Incomplete
SWOT analysis
Incomplete
content of the
appendices
No SWOT analysis
No appendices
Total
Documentation (100 points )
Categories
Exemplary=A
(Far Exceeds
Standard)
100
Above
Average=B
(Exceeds
Standard)
90
Adequate=C
(Meets Standard)
70
Inadequate=D
(Below Standard)
50
Property of and for the exclusive use of SLU. Reproduction, storing in a retrieval system, distributing, uploading or posting online, or transmitting in any form or by any2
means, electronic, mechanical, photocopying, recording, or otherwise of any part of this document, without the prior written permission of SLU, is strictly prohibited.
Saint Louis University
School of Teacher Education and Liberal Arts
Documentati
on
Presence of
proper
documentation
(showed per
week
documentation
as part of the
appendix)
Presence of
proper
documentatio
n (showed per
week
documentatio
n as part of
the appendix
but one week
missing in the
documentatio
n)
Document Code
FM-STL-013
Revision No.
01
Effectivity
June 07, 2021
Page
3 of 10
Presence of
proper
documentation
(showed per
week
documentation
as part of the
appendix but two
weeks missing in
the
documentation)
Incomplete
documentation
showed
Total
Rubrics for Performance and Project Rating
ITEM
Achievement of objective of the program or project such as:
1. Enhance and broaden the knowledge of the people about maintaining
the project (example: maintain cleanliness on their place)
2. Work with the people in making the project
Methodology used:
1. Included community people (family members) in activities like planning
and implementation.
2. Utilized community needs assessment and verified appropriate
methodology for use in activity.
3. Validated needs assessment and verified appropriated methodology for
use in activity.
4. Used varied techniques for the attainment of the project objectives.
ITEM
1. Changes in the physical structures or infrastructures and improvements
are visible.
2. Impact on social structures.
3. Participation of community people and local agencies. (like family
members)
4. Program is appropriate to learning objectives of the students.
5. Encouraged critical thinking to the project/ activity.
6. Sustainability of the program
ITEM
1. Materials used for demonstrations and other works were adequate.
2. Participation of community people and local agencies was solicited
3. Program can be maintained with minimal use of other resources
ITEM
1. Made use of local resources and personnel during project
implementation.
5
4 3
2
1
5
4 3
2
1
5
4 3
2
1
5
4 3
2
1
Property of and for the exclusive use of SLU. Reproduction, storing in a retrieval system, distributing, uploading or posting online, or transmitting in any form or by any3
means, electronic, mechanical, photocopying, recording, or otherwise of any part of this document, without the prior written permission of SLU, is strictly prohibited.
Saint Louis University
School of Teacher Education and Liberal Arts
Document Code
FM-STL-013
Revision No.
01
Effectivity
June 07, 2021
Page
4 of 10
2. Activities are cost-effective and well budgeted.
3. Alliance and partners were able to help in project implementation
ITEM
1. Communication and information are well served to the participants and
partners in the projects/ activities
2. Documentations are recorded and kept.
3. Monitoring and evaluation are continuously conducted.
Total:
5
4 3
2
1
Evaluated by:
___________________________________________
Name and Signature of The evaluator (Attach on this page a photocopy of valid ID, if possible)
Relationship to the implementer/student: _________________________
Date accomplished: __________________________
Property of and for the exclusive use of SLU. Reproduction, storing in a retrieval system, distributing, uploading or posting online, or transmitting in any form or by any4
means, electronic, mechanical, photocopying, recording, or otherwise of any part of this document, without the prior written permission of SLU, is strictly prohibited.
Saint Louis University
School of Teacher Education and Liberal Arts
Document Code
FM-STL-013
Revision No.
01
Effectivity
June 07, 2021
Page
5 of 10
Example of SLP
SERVICE-LEARNING PROGRAM
BLOOD DONATION SERVICES
I.
SLU’S VMO STATEMENT
Saint Louis University is an excellent missionary and transformative educational institution that is
zealous in developing human resources to be creative, competent, socially involved, and imbued
with the Christian spirit.
II.
CORE VALUES
•
COMPETENCE – To provide a broad and professional education necessary for principles
and methods of modern scientific Nursing.
•
CREATIVITY – To develop the students' faculty's and staff's innovative potential so that they
can adapt to real-life situations; To hone the faculty and students' creativity in dealing with current
trends, issues, and problems in Nursing practice through the development of research skills.
•
SOCIAL INVOLVEMENT – To harness the expertise and resources of the School through the
Community Organizing Participatory Action Research (COPAR) and the mobile nursing clinic to
help alleviate the state of the health care system is depressed or neglected communities and
barangays.
•
CHRISTIAN SPIRIT – To develop the personal qualities that would enable the students, faculty,
and staff to live a wholesome, satisfying life as a Christian and instill the values of humanitarian
dedication.
III.
School: School of Nursing
IV.
Program: Bachelor of Science in Nursing
V.
Partner Community: PHILIPPINE RED CROSS - MOUNTAIN PROVINCE CHAPTER, PHILIPPINE
RED CROSS - BENGUET CHAPTER, BAGUIO CHAPTER & SAINT LOUIS UNIVERSITY
VI.
Profile of Partner Community:
The Philippine Red Cross is a humanitarian organization that is committed to various social welfare
services promoting volunteerism. The Philippine Red Cross is set to reduce the impact of disasters,
climate change, public health emergencies, illnesses, and other situations of violence for affected
families and communities. The Volunteer Service Office handles programs aimed at encouraging
people to become an army of volunteers of the Philippine Red Cross by sharing their resources,
time, and efforts to alleviate human suffering. The delivery of essential services of the Philippine
Red Cross is powered by the committed service of volunteers who unselfishly devotes time, energy,
and resources to serving humanity. There are various Red Cross branches all over the Philippines,
and their overall goal is to promote health and prevent illnesses among the Filipino people.
Saint Louis University serves as a common middle ground for many health and social projects
sponsored by outside organizations. It is always in connection with the Philippines Red Cross during
the organization’s promotion of blood donation. Saint Louis University has connections with various
organizations to promote the health and social welfare of its students and those in the surrounding
community.
Property of and for the exclusive use of SLU. Reproduction, storing in a retrieval system, distributing, uploading or posting online, or transmitting in any form or by any5
means, electronic, mechanical, photocopying, recording, or otherwise of any part of this document, without the prior written permission of SLU, is strictly prohibited.
Saint Louis University
School of Teacher Education and Liberal Arts
VII.
Document Code
FM-STL-013
Revision No.
01
Effectivity
June 07, 2021
Page
6 of 10
Matrix of Service Learning Program Activities
PROGRAM
OUTCOME
Demonstrate
technical
competence
(safe,
appropriate, and
accurate testing)
in the
performance of
laboratory tests
to aid in the
diagnosis
treatment and
management of
disease
Manifest
dedication and
commitment as
well as
management
skills in the
laboratory
operation to
deliver quality
laboratory
services.
Work effectively
and
independently in
multi-disciplinary
and multi-cultural
teams
NEXUS
Louisian
Cares
ACTIVITIES
COMPETENCIES
Preliminaries:
 Create a plan on
the proposed
project on blood
donation
 Information
dissemination to
partner
communities
 Proper
coordination
and
collaboration
 Communicatio
n skills
 Technical
Competence
 Maintain
proper
communicatio
n skills
 Establish
independence
in performing
the designated
task
 Maintain good
working ethics
During the
implementation:
 Assistance to
general blood
donation
procedures
 Assisting in
physical
assessment;
observance of
safety
precautions
throughout the
procedure.
Final Procedure:
 Evaluation
of the
project
PERSONS IN
CHARGE AND
THEIR
RESPONSIBILITIES
 Genesis
Serquina,
Leader
- Takes
charge of
supervising
and
monitoring
the activities
to ensure
optimum
outcomes
and safety of
all
concerned
throughout
the project
term.
 Leader
 Group
leaders
(Responsible for
processsing
necessary
docume
nts for
the
project
proposal,
revising
the
project
plans,
and
assigning
Property of and for the exclusive use of SLU. Reproduction, storing in a retrieval system, distributing, uploading or posting online, or transmitting in any form or by any6
means, electronic, mechanical, photocopying, recording, or otherwise of any part of this document, without the prior written permission of SLU, is strictly prohibited.
Saint Louis University
School of Teacher Education and Liberal Arts
Document Code
FM-STL-013
Revision No.
01
Effectivity
June 07, 2021
Page
7 of 10
tasks for
the
project)
 NSTP 2
Students
(responsible
for
facilitating
the project
according
to
approved
plans,
procedures,
and
guidelines.)
Appendices
A. Plant Design and Program of Activities (Activity – Competencies – Date and Venue –
Assessment)
Date and Venue
Plant Design / Program of Activities
Activity
Competencies
Assessment
August 18-August 30,
2019
SC05, NSTP Office
 Project planning and
possible troubleshooting
of problems encounter
to the project
Proper planning and
organizing and
collaborative working
Approved SLP
August 30-September
15, 2019
S306, NSTP Office
 Constructing the
service-learning
program (SLP), crafting
communication letters
Writing skills, Structuring
of ideas clearly
Approved SLP
Rubrics
October 2019
SLU Main &
Maryheights Campus
 Scouting for
donors/information
dissemination
Endorsement and
Waiver Forms
Interview
October 21-26, 2019
SLU Main Campus (3rd
and 4th floor Perfecto
Building); SLU
Bakakeng Campus
(Devesse Lobby)
 Implementation of the
project
Communication skills,
proper coordination with
the partner group,
monitoring of the
progress of scouting
process.
Assisting in registration,
interviews, physical
assessment, and counter
check needed materials,
provide health teaching.
Observation Form
(PRC)
Evaluation Tool
Learners’ logbook
Checklist
Property of and for the exclusive use of SLU. Reproduction, storing in a retrieval system, distributing, uploading or posting online, or transmitting in any form or by any7
means, electronic, mechanical, photocopying, recording, or otherwise of any part of this document, without the prior written permission of SLU, is strictly prohibited.
Saint Louis University
School of Teacher Education and Liberal Arts
October 27, 2019
SC05
 Evaluation of the
project
Document Code
FM-STL-013
Revision No.
01
Effectivity
June 07, 2021
Page
8 of 10
Analyzing the activities
are done and
information to make
considered decisions
Evaluation tool
B. Consent from Partner Community (if applicable)
SAINT LOUIS UNIVERSITY
COMMUNITY EXTENSION AND OUTREACH PROGRAMS OFFICE
NATIONAL SERVICE TRAINING PROGRAM
SERVICE-LEARNING PROGRAM
Consent from Partner Community
____________________
Date
To the University President:
May I inform your office of our willingness to enter into a partnership with (name of group)
________________________, a Service Learning Program of the National Service Training Program of
Saint Louis University from _________________ to __________.
_____________________________________
Signature above Printed Name
_____________________________
Designation
_____________________________________
Community/Barangay/Organization
Contact Information:
Address:
_____________________________________________________________________________________________
CP/Landline:
_____________________________________________________________________________________________
Email Address:
_____________________________________________________________________________________________
Property of and for the exclusive use of SLU. Reproduction, storing in a retrieval system, distributing, uploading or posting online, or transmitting in any form or by any8
means, electronic, mechanical, photocopying, recording, or otherwise of any part of this document, without the prior written permission of SLU, is strictly prohibited.
Saint Louis University
School of Teacher Education and Liberal Arts
Document Code
FM-STL-013
Revision No.
01
Effectivity
June 07, 2021
Page
9 of 10
C. Budget Proposal
SAINT LOUIS UNIVERSITY
COMMUNITY EXTENSION AND OUTREACH PROGRAMS OFFICE
NATIONAL SERVICE TRAINING PROGRAM
SERVICE-LEARNING PROGRAM
BUDGET PROPOSAL
NEXUS
Louisian Cares
ACTIVITIES
Assisting in Blood
Extraction
Assisting in
Assessment
Information
Dissemination
MATERIALS
NEEDED
Tourniquet
Mask
Gloves
Medicine kit
Weighing
Scale, Pulse
Oximeter, and
battery
Thermogun or
Thermometer
Stethoscope
2 BP
Apparatus
Poster
BUDGET
40
40
60
50
50
SOURCE
OF
BUDGET
c/o
students
c/o NSTP
Given
Medical
Clinic and
c/o
partner
communit
y
2,400
c/o NSTP
c/o
students
Approved by:
SHEILA D. DOTIMAS
Project Facilitator/Supervising Instructor
CHARMAINE P. MENDOZA
Director, CEOPO
FELINA P. ESPIQUE, PhD
Dean, STELA
REV. FR. MACWAYNE N. MANIWANG, CICM
Vice President, Mission, and Identity
Property of and for the exclusive use of SLU. Reproduction, storing in a retrieval system, distributing, uploading or posting online, or transmitting in any form or by any9
means, electronic, mechanical, photocopying, recording, or otherwise of any part of this document, without the prior written permission of SLU, is strictly prohibited.
Saint Louis University
School of Teacher Education and Liberal Arts
Document Code
FM-STL-013
Revision No.
01
Effectivity
June 07, 2021
Page
10 of 10
IX. Impact Assessment Plan
There are several benefits concerning blood donation, not only to the recipient but also
to the donor. The impact of this knowledge may lead to more positive effects on one's physical
and emotional health. Research studies have shown evidence that donating blood can reduce
stress, improve emotional well-being, and overall physical health. With this information
disseminated properly, a student's life is activated to reduce the possible health risks associated
with a lack of health care for one's self.
Another important impact of this activity is the possible promotion of community health
through the knowledge of the students who will participate. This helps to promote a healthy lifestyle
for the said communities.
Property of and for the exclusive use of SLU. Reproduction, storing in a retrieval system, distributing, uploading or posting online, or transmitting in any form or by any
10
means, electronic, mechanical, photocopying, recording, or otherwise of any part of this document, without the prior written permission of SLU, is strictly prohibited.
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