Page 11 - Area VI - PPP

Republic of the Philippines
IFUGAO STATE UNIVERSITY
EXTENSION AND TRAINING SERVICES DEPARTMENT
Lamut, Ifugao 2. Intensify the conduct of existing extension and training programs and
activities.
MONITORING AND EVALUATION FORM
a. Identify high impact existing extension and training programs and
PIG DISPERSAL PROJECT FY _______ expand their implementation scope.
b. Vigorously pursue and monitor the implementation of extension and
training programs/activities to a wider scope of clienteles.
Name of Adopter: ______________________________________ Age: ___________ c. Tie-up extension activities with partner agencies for mutual benefits.
Address : __________________________________________ Gender: M / F d. Package technologies by preparing technology information/
education brochures, flyers, guide and modules.
Pig dispersal info
No. of heads received : ____________ 3. To undertake new extension and training programs focused on technology
sharing and application
Date received : ____________ a. Identify and undertake high impact extension and training
No. of heads dispersed/payback: ____________ programs.
b. Share new technologies to farmers by establishing demonstration
Present status
farms and conducting regular trainings to beneficiary groups of
No. of mother pigs present : ____________ people and partnering with farmers who are willing to adopt the
No. of growers present : ____________ new technologies.

No. of piglets present : ____________
No. of Mortality : ____________

Problems encountered

_____________________________________________________________
_____________________________________________________________
_____________________________________________________________

Financial Statement (per cycle)

Products # of Unit Gross Total Net In- Return on
Heads Income Expenses come Invest-
(fattening, Sold Cost ment
piglets) (ROI)

____________________________ Monitoring Team:
Signature of adopter over printed name __________________________________
___________________________________
___________________________________

Republic of the Philippines
Section V IFUGAO STATE UNIVERSITY
EXTENSION AND TRAINING SERVICES
Nayon, Lamut, Ifugao
EXTENSION AND TRAINING VMGO’S
ADOPTERS OF TECHNOLOGY TRANSFER
INCOME STATEMENT FORM
Vision I. TITLE OF PROJECT :
IFSU Extension and Training Department as key player in human II. PROJECT INFORMATION
resource empowerment for sustainable community development in Ifugao Name Adopter _____________________________________________

Location ____________________________________________
Mission Month/Year Started _____________________________________________
To provide quality extension services to enrich target communities Type of Extension Service Availed _______________________________________
social, economic, cultural and environmental resources through human
resource development for an improved quality of life. III. INCOME STATEMENT (MONTHLY/CYCLE)
Expenditures
ITEM/PRODUCT QTY COST TOTAL
Goals

The Extension functions of the university are geared toward the
dissemination of matured technologies developed by its research programs to
its end users. Total Expenses
Sales

General Objectives ITEM/PRODUCT QTY UNIT COST TOTAL

To conduct community driven extension activities geared to
capacitate target communities with the knowledge, entrepreneurial skills and
right attitudes towards poverty alleviation for an improved quality of life.
Total Sales
Specific Objectives
Net Income
To package and transfer knowledge and technologies responsive Sales - Expenditures
to the needs of target communities.
To intensify monitoring, evaluation and impact assessment of
extension programs/activities conducted for technical advisory Return on Investment (ROI)
and strategic planning. Net Income / Expenditures x 100 %
To intensify linkages and networking with other institutions at the
local, regional, national and international levels. Prepared by: Noted by: Certified Correct:
To increase and capacitate extension and training human
resources.
______________________ MARAH JOY A. NANGLEGAN JULIET C. DANIELS, PhD
Name & Signature of Director, Extension and TraininG Director for Finance

Adopter