Page 1010 - Area X - H
P. 1010

extension activity
           H.  Common Indicators
                                                               •   Attended Health and          V   V
                                                                   wellness activities

       i     3.  Part icipation to institutional events/activities  •   Attended tree planting             V
                                                               •   Started preparing documents
                                                                   for the upcoming             A   V V V
                                                                   accreditation
                                                               •  Wore prescribed uniform       V   V   V V
                                                               •  Attended flag Ceremony        V   V   V V
            4.  Adherence to established rules and guidelines
                                                               •   Prepared and submitted DTR               V
                                                                  with complete attachments

            E. Others

               1. Meetings                                      •  Attended dean’s meeting in
                                                                   preparation for the ADCO          V
                                                                   meeting
                                                                •  Attended faculty meeting              V
                                                                •  General meeting for the
                                                                  * preparation of graduation

               2. Seminars                                     •    Planned for seminar under
                                                                   MAT program
               3.Planning                          *            •   Planned for a seminar  to be
                                                                   sponsored by CAE under the
                                                                   MAT program
        MAN-DAYS LOST THRU ABSENCE                                 Week 1
                                                                   Week 2
       I                                                           Week 3
                                                                   Week 4
        OBSERVATUONS/REMARKS
                                                                                        J r


                     HILDA N. IMMANGDULPh.D..                                  ION S. U UtXp. PhD.
                         Employee’s Signature                        Supervisor b PrintedJWcFme & Sigi  7 ature
                                                                                                'V
                         Date:                                                 L :  'U






















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