Republic of the Philippines OFFICE OF THE PRESIDENT COMMISSION ON HIGHER EDUCATION Regional Office III City of San Fernando, Pampanga MONITORING FORM Higher Education Institution Address Program being Monitored Date of Monitoring Areas for Evaluation Administration: a) Dean b) Program Head Faculty: General Education Courses: English List of faculty members and educational qualifications (including license, if any) Humanities List of faculty members and educational qualifications (including license, if any) Mathematics List of faculty members and educational qualifications (including license, if any) Natural Sciences List of faculty members and educational qualifications (including license, if any) Information Technology List of faculty members and educational : : : : Details a) Dean: Doctorate: Master’s: Bachelor: b) Program Head: Doctorate: Master’s: Bachelor: a) b) c) d) Total no. of GE Faculty: No. of FT GE Faculty: No. of PT GE Faculty: No. of GE Faculty with Doctorate: e) No. of GE Faculty with Masters: f) No. of GE Faculty without Masters: Remarks (for CHEDRO3) qualifications (including license, if any) Social Science Mandated courses List of faculty members and educational qualifications (including license, if any) Physical Education List of faculty members and educational qualifications (including license, if any) Others List of faculty members and educational qualifications (including license, if any) NSTP Core courses: List of faculty members and educational qualifications (including license, if any) Professional courses: Name of NSTP Coordinator: Effectivity of Appointment: Total no. of faculty handling core courses: No. of FT: No. of PT: No. of Faculty with Doctorate: Master’s: Total no. of faculty handling professional courses: 3 No. of FT: 1 No. of PT: 2 No. of Faculty with Doctorate: 1 Master’s: 2 Curriculum Is it contents noted by CHEDRO3? Tuition and Other School Fees Is it contents noted by CHEDRO3? Library Librarian: Educational qualifications: PRC ID No.: Effectivity of appointment: Professional Organization: Library seating capacity: Total enrollment (all programs): Total library collection: Accession number: Laboratories: (if applicable) 1. Science labs 2. Professional Please identify all labs professional labs and their compliance to corresponding PSGs. OTHER AREAS Guidance Office Medical and Dental Services Guidance Counselor: Educational Qualifications: PRC ID No.: Physician: PRC ID No.: Effectivity of appointment: Dentist: PRC ID No Effectivity of appointment: Nurse: PRC ID No.: Effectivity of appointment: Prepared by Name: Designation: Noted by Name: Designation: Validated by ______________________ CHEDRO 3