COMMISSION ON HIGHER EDUCATION - REGIONAL OFFICE ____

STUDENT SERVICES MONITORING INSTRUMENT

CMO No. 21, Series of 2006
CMO No. 9, Series of 2013
Region: __________________________________________
Name of HEI: __________________________________________ Code: _________
Address __________________________________________

Requirement Not
Criteria Complied Remarks
Quality Evidence Complied
1 Student Affairs and Services
There should be an Office of Student 1. Office is accessible to students 1. Location posted in school bulletin
Affairs to manage the student 2. Well-maintained 2. Organizational chart with photos
services and programs. of personnel
3. Room clean and orderly
3. Personnel are qualified 4. Personnel have gained at least
to handle student affairs 3 years experience in the field
and services of Student Affairs and Services
5. Adequate training in different
student affairs and services as
evidenced by records and certificates
issued by accredited training
institutions/professional associations
4. Well defined mission, 6. Well defined and relevant mission,
vision and development plan vision, goals and development plan
7. Work and financial plan
duly-approved by HEI Head
8. Financial report readily available
2 Student Welfare Programs and Services
Information and Orientation Service 1. Comprehensive report available 1. Compilation of orientation program
a. The institution shall have information to clients for new and continuing students
materials on institutional mission, vision
and goals, academic rules and regulations,
student conduct and discipline, student

Page 1
 Requirement Not
Criteria Complied Remarks
Quality Evidence Complied
programs, services and facilities and such
other information necessary for student
development should be made
available to all students.
b. There shall be a regular
comprehensive orientation program
held for new and continuing students
responsive to students needs.
c. There shall be an organized, updated Legislations affecting students Information materials which include
and readily available educational, updated legislations affecting students such as:
career, and personal/social a) students rights and responsibilities;
materials. b) guidelines on drug abuse prevention
and control;
c) sexual harassment;
d) HIV AIDS;
e) self-care and health lifestyles
d. There must be a regular 2. Photos and report available 2. Report on orientation programs
comprehensive orientation to clients held with records of attendance
program held for new and 3. Report on orietation program
continuing students responsive to conducted and published in school
student's needs. organ
4. Linkage with different
agencies as resource speakers as
evidenced by MOA
e. There is an organized, updated and Organized educational career 1. List available for student's
readily available educational career, and personal/social materials perusal
and personal/social materials. updated
Accessible to students and available 2. Issuances for the last five
in digital form years
3. Properly labelled education
materials
Scholarships and Financial Assistance Brochures and/or leaflets are
Section 6 - Scholarship and Financial available to interested students

Page 2
 Requirement Not
Criteria Complied Remarks
Quality Evidence Complied
assistance in various forms are
available to students
Included in Orientation of
Students

Screening and monitoring proceduresApplication forms and Posted in bulletin board

and guidelines for scholarship and procedures are properly
financial assistance are clearly stated communicated to students
and understood by applicants and
recipients.
There shall be structures to provide Included in the Student Manual
access to scholarship and financial
assistance instituted.
3 Health Services

The Higher Education Institution shall Primary health care services Licensed medical, dental and allied
provide primary health care services administered by licensed professionals are available on call
administered by licensed medical medical, dental and allied
dental and allied professionals are professionals are made
made available to all students. available to all students
Adequate facilities for health care
and updated health records are kept Facilities for health care Proof of compliance with the
and maintained as required by the are adequate Department of Health
Department of Health.
Updated health records are Proof of compliance with the
kept and maintained as required Department of Health
by the Department of Health
Well maintained and clean Monitoring reports on cleaning of
comfort rooms comfort rooms posted inside the
comfort rooms
4 Guidance and Counselling Services
Appraisal
a. Guidance Office shall maintain Cumulative records of students Properly labeled and kept in cabinets

Page 3
 Requirement Not
Criteria Complied Remarks
Quality Evidence Complied
students cumulative records which are well-maintained
contain relevant information about
student e.g., family background, test
data , etc.
b. Records shall be appropriate, usable Linkage with the different agencies as
and regularly updated. evidenced by MOA
c. There is provision for a well-planned Assessment program is well- Prior approval of the Head
assessment program. planned of HEI was sought before conduct
of assessment program
d. Appropriate standardized Appropriate standardized Manual of procedures contain
psychological tests are administered, psychological test administration of tests
scored and interpreted by qualified administered, scored and
personnel. interpreted by qualified personnel
e. The test result s are interpreted to Individual test result Form of test results received by
students, teachers, and concerned communicated to concerned concerned students
individuals e.g. parents. individuals
Counselling
f. Gender sensitive individuals and Licensed counselor Proof of license certificate
group counselling is provided by a
licensed counselor.
g. The maximum ratio of counselor to Maximum ratio of counselor to List of students and the corresponding
student is 1:1,000 student is 1:1,000 counselor
h. A counseling room is provided to Available counseling room per Well-maintained counseling room
ensure the privacy and confidentialitycounselor
of counseling sessions.
i. The records and/or counseling notes The records and/or counseling Records and/or counseling notes
are maintained and kept confidential. notes are properly maintained orderly kept
and kept confidential
5 Food Services
a. The school sets the criteria for safety Criteria made available to Criteria posted in school bulletin
and sanitary conditions of food students and interested clients
outlet within the compound of the List of food outlets available to students

Page 4
 Requirement Not
Criteria Complied Remarks
Quality Evidence Complied
institution.
b. The school coordinates with local Proper coordination with local Communication regarding
government for the safety of food government for the safety of food coordination with local government
service outside school premises. services outside school premises re implementation of sanitation code
c. The Higher Education shall periodically Certificate to operate displayed
inspect food outlets for sanitation in prominent area of food outlet
and hygiene.
Career and Placement Services
d. Valid appraisal data of students are Valid appraisal data of students Reports available and properly kept
used in both curricular and used in both curricular placement
co-curricular placement.
e. Follow-up and monitoring of student Follow-up and monitoring of Reports available and properly kept
placement are conducted regularly. students placement conducted
regularly
f. Networking with school, community, Updated list of addresses of
and other relevant agencies is relevant agencies that has
maintained. linkages with school made
available to students
g. Informative materials on career and
job opportunities shall be provided
and skills development programs
shall be made available.
6 Safety and Security Services
There is a safe and secure
environment.

Buildings and facilities shall comply

with government standards.
Licensed and competent security
personnel shall ensure the safety
and security of students and their
belongings.
7 Student Discipline
Page 5
 Requirement Not
Criteria Complied Remarks
Quality Evidence Complied

a. Gender sensitive rules and regulation Gender sensitive rules and regulations Updated list of cases resolved available
are formulated in consultation with formulated in consultation with to school head and interested clients
students and faculty and published students and faculty
in Student Manual disseminated to
students, faculty and parents. Published in Student Manual and Included in Student Manual, posted in
disseminated to students, faculty, bulletin board or published in school
and parents organ
b. The rules and regulations define Rules and regulations properly Minutes of Orientation with
appropriate student conduct and understood by students and students readily available
prescribe sanctions for misconduct. faculty
c. The discipline committee must be Composition of Discipline Composition of Discipline Committee
established in all HEIs to ensure due Committee made available to made available upon request
process in dealing with student concerned students and clients
misconduct.
8 Student Housing
The school must provide a list of List of student dormitories and List made available to students upon
acceptable student dormitories and housing facilities that are safe, request
housing facilities that are safe, clean clean and affordable provided
affordable, and conducive to by the HEI
learning. Regular monitoring of student Report submitted to Head of HEI
dormitories and housing
facilities conducted by the Published report in school organ
Office of Student Affairs and
Services
9 Services for Students with
Special Needs
a. Academic accommodation is made Student Manual contains academic
available to persons with disabilities accommodation available to persons with
and learners with special needs. disabilities and learners with special needs
b. There are provisions/programs for Programs for life skills training
life skills training e.g. conflict provided
management
Page 6
 Requirement Not
Criteria Complied Remarks
Quality Evidence Complied
c. Counselling or testing referrals are
done whenever necessary.
10 International Student Services
a. An integrated service program that Availabilty of integrated Brochures and leaflets readily available
caters to the socio-psyco-cultural, service program that caters to
academic and non-academic needs socio-psyco- cultural, academic
should be available to all and non-academic needs of
international students. all international students
b. School should provide a liaison Liaison Officer made known
officer to assist international studentsto international students upon
with the government agencies like admission to school
CHED, DFA and Bureau of
Immigration.
11 Admission
a. Requirements and procedures for
admission are in place.
12 Research, Monitoring and
Evaluation of Student Affairs
and Services
a. The Higher education Institution
shall be encouraged to conduct
research on Student Assistance
Services programs.
b. Student Assistance Services Proper monitoring and Form for monitoring and evaluation
programs are monitored, and evaluation of student affairs readily available
evaluated regularly. and services
Monitoring and evaluation reports
available upon request
c. Evaluation results and research Evaluation results and research Research outputs and evaluation
outputs are disseminated and outputs disseminated and results published in school organ
utilized. utilized

Page 7
 Requirement Not
Criteria Complied Remarks
Quality Evidence Complied
Student Development Programs and Services

13 Student Organizations and Services

a. Higher Education Institution shall Reports on activities conducted List of Accredited Student
have a system of accreditation, by accredited student Organizations and Activities
re-accreditation , monitoring and organizations available upon posted in school bulletin boards
evaluation using participatory request
institutional procedures and
processes in recognition
of basic rights to organize.
b. Requirements and procedures for List of Accredited Student
recognition/accreditation of student Organizations and Activities
groups shall be widely disseminated. published in school organ
c. HEI shall provide accredited Rooms for conduct of meetings Rooms labeled to accommodate
student organizations adequate of student organizations and student organization meeting
office space and other institutional other facilities available
support. upon request of concerned Flow chart on processing of
accredited student organizations request for facilities indicated
d. Constitution and by-laws of Copy of constitution and Copy of constitution and by-laws
student organizations should provide by-laws readily available readily available and properly kept
for and require participation in upon request
activities on anti-drug abuse,
awareness and drug abuse Identified barangays as their community
prevention initiated by Gov't. and immersion area with specific activities
Non-Gov't. Organizations to be undertaken

Linkage with different agencies as

resource persons as evidenced by MOA

There shall be mechanism to Mechanism communicated Mechanism easily understood

coordinate with school to all students and school and implementable
administration relative to the personnel
treatment and rehabilitation of Mechanism posted in the school

Page 8
 Requirement Not
Criteria Complied Remarks
Quality Evidence Complied
students with drug-related problems. bulletin board

Mechanism included in Students Manual

14 Students Council/Government
The HEI must recognize the right of
the students to govern themselves
and to be represented in appropriate
student councils,or board of regents
or trustees.

15 Leadership Training Programs

The HEI shall ensure that leadership
training programs are provided and
opportunities for interaction with
counteparts from other
institutions are sustained
16 Student Publication
The HEI shall support the
establishment of student
publication as provided in the
campus Journalism Act of 1991.
17 Sports Development Programs
The HEI shall provide opportunities
for physical fitness and well-being
of students.
18 Cultural Program
The HEI shall provide opportunities
for appreciation of culture and the
arts.
19 Social and Community
Page 9
 Requirement Not
Criteria Complied Remarks
Quality Evidence Complied
Involvement
The HEI shall ensure opportunities
for meaningful socio-civic
involvement of students.

The HEI shall provide Group

Accident Insurance for the
student at least on their filed days.
20 Multi-Faith Services
The HEI shall ensure that the
right to freedom of religion is
respected.
21 Use of Student Affairs and
Services funds
The HEI shall ensure that any Financial report readily Financial report per school year
Student Affairs and Services fees available upon request propertly filed
collected must be judiciously
disposed for student affairs
and services program.

There shall be a mechanism to Report on the usage of the Report properly filed copy furnished
ensure transparency and available upon request the Office of Student Affairs and Services
accountabilty in the usage of the
fund shall be enforced
22 Intervention 1. Academic Grades Failures:20 Intervention: 20
2. Physical/Emotional/Health Factors of failures:
3. Socio-economic-cultural Teacher
4. Spiritual Instructor
School Admin
School
Students

Page 10
 Requirement Not
Criteria Complied Remarks
Quality Evidence Complied
*Mental
*Health

School Officials Interviewed :

Name Position Signature

1. ________________________ __________________________ __________________

2. ________________________ __________________________ __________________

HEI furnished a copy of CHEDRO Monitoring Instrument to be accomplished

( ) Yes
Received by : _________________________________
(Name and Position)

Date Submitted/To Be Submitted: ____________________

( ) No

General Findings and Observations:

___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Monitored by CHEDRO Staff:

Name Position Signature

Page 11
 Requirement Not
Criteria Complied Remarks
Quality Evidence Complied
1. ________________________ __________________________ __________________

2. ________________________ __________________________ __________________

Page 12
 COMMISSION ON HIGHER EDUCATION - REGIONAL OFFICE ____

REPORT OF COMPLIANCE TO
R.A. 9512 "ENVIRONMENTAL AWARENESS AND EDUCATION ACT OF 2008"
AND CMO NO. 33, SERIES OF 2009
Area/s of Concern Nature of Activity/ies Total number of Status
HEIs per nature of activity
1. Integration of environmental education
a) Environmental concepts and principles
b) Environmental Laws
c) State of International and Local Environment
d) Local environment and best practices
e) Threats of environmental degradation
f) Impact on human well-being
g) Responsibility of the citizenry to the environment
h) Value of conservation, protection and rehabilition
of natural resources and the environment in the
context of sustainable development
i) Theoretical and practicum modules
* Tree planting
* Waste minimization
a) Segregation
b) Recycling
* Freshwater and marine conservation
* Relevant livelihood opportunities
and economic benefits
2. Programs and undertaking to implement
the different environmental protection laws
3. Integration in the National Service Training Program
4. Awareness program for the Environmental Awareness
Month every November of every year
Prepared by: Certified correct:
Name and Signature of CHEDRO Staff Director IV
Date:
 HEI REPORT ON THE
MONITORING OF TUITION AND OTHER FEES INCREASE
ACADEMIC YEAR 2013-2014

Region ____
Name of HEI: _____________________________
Address: ___________________________________________

Kindly determine if the HEI has complied with the provisions of CMO 3 s. 2012 by putting a check mark on the yes or no column and filling up the remarks column for the brief descripti

Aspects Actual Situation Yes No

1. Reasons stated
Note: For purpose of tallying, kindly tick the general reasons as
1.1 Tuition increase appropriate:
a Regional Inflation Rate
b Response and compliance with DOLE wage orders
c Impact of force majeure or calamities;
Increase in the salary and benefits of teaching and non-
d
teaching personnel and other staff
Funding for faculty development programs /staff
e
development
Support for trainings/seminards/conferences and other
f
professional associations

HEI Report 17
 Aspects Actual Situation Yes No

Renovation of buildings, procurement of laboratory and

g
audio visual equipment/facilities
Funding for scholarship programs for academic and non-
h
academic staff
Accreditation including the ISO initiatives and other
I.
quality assurance initiatives
Cover general operating expenses and maintain viability
j
of operations

k. Others, please specify.

1.2 Other School Fees

Please enumerate as necessary.
Increase
Consultation Process and
2.
Requirements
2.1 Consultation Process

In the absence of a student council/government in an

HEI, representatives not more than ten (10) shall be
1. selected by the HEI from the recognized student
organizations and societies to participate in the
consultation.
The consultation must be initiated by the Presidents/ Heads
2.
of the HEIs or their representatives.

HEI Report 18
 Aspects Actual Situation Yes No

Include information on the collection, duration and

3 justification on the charging of other school fees and other
requirements in the consultation
2.1.a For Public HEI

1
The Presidents/Heads of public HEIs shall certify that the
required consultation has been conducted,
Certification of consultation submitted to CHEDRO within
2 15 days from the date of the termination of the
consultation proceedings.

3.
Certificates shall be posted on the HEI's bulletin boards
and/or displayed at appropriate locations in the campus.
2.1.b For Private HEI

2.1..1 Submission of duly notarized

documents on or before April 1

Letter of Advice signed by the President/Head of the HEI

informing CHED of its intention to increase tuition and/or
other school fees;
2.1.2 A Certificate of Intended
Compliance (COIC);

HEI Report 19
Aspects Actual Situation Yes No

For intended increase in tuition, 70% of the incremental

proceeds of tuition fee increases shall be used for the benefit
of teaching and non-teaching personnel and other staff,
1. except those who are principal stockholders of the HEI,
including such increases as may have been provided for in
the Collective Bargaining Agreement (CBA), if any, existing or
in force at the time when Republic Act 6728 took effect

2. COC shall be certified under oath by the school head.

3. COIC shall be certified under oath by the school head.

Posting on the HEIs bulletin boards and/or displayed at appropriate
4. locations in the campus

HEI Report 20
 Aspects Actual Situation Yes No

2.1.3 A Certificate of Compliance;

stating that 70% of the incremental proceeds of tuition fee
increase are being used for the benefit of teaching and non-
teaching personnel and other staff, except those who are
1. principal stockholders of the HEI, including such increases as
may have been provided for in the Collective Bargaining
Agreement (CBA), if any, existing or in force at the time when
R.A. 6728 took effect
Posting on the HEIs bulletin boards and/or displayed at appropriate
2. locations in the campus

2.1.4 Comparative schedule of tuition Comparative schedule of tuition and other school fees for the
and other school fees for the current current Academic year (AY) and the proposed increases for
Academic year (AY) and the proposed the ensuing AY with the difference (s) expressed in both peso
increases for the ensuing AY and percentage terms.

2.1.5 A certification that shall include

all information on the conduct and
A certification that shall include all information on the conduct
results of such consultation, including
and results of such consultation, including objections raised
objections raised by the student
by the student government/council, the faculty association
government/council, the faculty
and/or other parties to the consultation. Such formal
association and/or other parties to the
objections if presented, including counter proposals where
consultation. Such formal objections if
made should form part of the information required in the
presented, including counter proposals
certification.
where made should form part of the
information required in the certification.

HEI Report 21
 Aspects Actual Situation Yes No

2.1.6 A list of officers of the student

cuncil/government and/or in their
absence, the duly recognized student Kindly enumerate the names of the student councl/gov't.
organization/societies with their
corresponding officers.
They shall inform the concerned CHEDROs to hold
2.1.7 Information to CHEDROs consultations fifteen (15) days before the actual dates of
consultations.
During the consultation, the presence of a CHEDRO
representative may be requested.
include the information on the collection, duration and
justification on the charging of other school fees and other
requirements in the consultation.

2.2 Requirements

Notices must be sent to all parties involved and

conspicuously posted on the HEI's bulletin boards at
2.2.1 Notices least fifteen (15)days before the dates of consultations.
Various stakeholders may conduct consultation/s with
their respective constituents.

The HEI latest audited financial statements shall be made

2.2.2 Latest financial statements available to authorized parties upon request.

HEI Report 22
 Aspects Actual Situation Yes No

Consultation period completed not later than 28 February

2.2.3 Consultation period of the Academic Year preceding the AY that the intended
increases shall take effect.

HEI Report 23
 Aspects Actual Situation Yes No

2.2.4 Discussion on the

Advantages and disadvantages of the proposed increase in

Advantages and disadvantages of the
tuition and other school fees wherein the participants will
proposed increase in tuition and other
have an opportunity to air their objections, sentiments and the
school fees
like, without fear, and under a free and candid atmosphere.

2.2.5 Presence of student . Presence of student councils/governments, faculty, alumni

councils/governments and or non teaching personnel
3. Incoming Freshmen
Tuiiton and other fees increase must be posted in
conspicuous places in their premises on or before February
1.
28 of the academic year preceding the AY that the rartes are
to take effect
Inform the concerned CHEDROs in writing on or before April
2.
1.
4. Complaints and Grievances
Please enumerate complaints and grievances handled
regarding Tuition and Other Fees Concerns.

Prepared by: Certified correct:

________________________ ___________________________________________

HEI Report 24
 HEI FORM

up the remarks column for the brief description.

Remarks

HEI Report 25
Remarks

HEI Report 26
Remarks

HEI Report 27
Remarks

HEI Report 28
Remarks

HEI Report 29
Remarks

HEI Report 30
Remarks

HEI Report 31
Remarks

HEI Report 32
 OSS - FS Form1February 2011
Republic of the Philippines
Office of the President
COMMISSION OF HIGHER EDUCATION

FOREIGN STUDENTS DATA

AY __________ to AY ___________
Name of HEI: _________________________________________ Region: _________________
Address: ______________________________________________

Visa Authorized Passport ACR / Immigration Year Disciplinary Action

NO. Name of Student Nationality Sex Course Present Address
Status Stay Number Card No. Level and Status

Prepared by: Certified Correct:

____________________________ ____________________________________
FS - Foreign Students Data Page 1 of 1
 OSS - FS Form1February 2011
FSU Liason Officer President / Authorized Representative of HEI

FS - Foreign Students Data Page 1 of 1

 OSS - FS Form2February 2011
Republic of the Philippines
Office of the President
COMMISSION OF HIGHER EDUCATION

FOREIGN STUDENTS DATA

AY __________ to AY ___________

Visa Authorized Passport ACR / Immigration Year Present Disciplinary Action

NO. Region Name of Student Nationality Sex School Course
Status Stay Number Card No. Level Address and Status

Prepared by: Certified Correct:

_________________________________

FS - Foreign Students Consolidated Data Page 1 of 1

 OSS - FS Form2February 2011

FS - Foreign Students Consolidated Data Page 1 of 1

 OSS-PWD Form1February 2011

Republic of the Philippines

Office of the President
COMMISSION ON HIGHER EDUCATION

Data on PWD Enrolees

AY 2016 to AY2017
Region XI
Name of HEI: AMA Computer College of Davao
Address and Contact Numbers: (082) 221-5193

Type of Disability Type of Scholarship Administering

Gender Course and Year Level
Visual Hearing Orthopedic Other or Student Financial Institution
Names of PWD enrolled
Impair- Impair- Types Assistance availed,
Male Female Handicaps
ment ment (Pls. specify) if any
Bachelor of Science in
JAYPEE G. BAUTISTA (can climb)
Information Technology

Prepared by: Certified Correct:

ANDREA IVANNE D. PANGANIBAN _________________________________

Admission Officer President / Authorized Representative of HEI

PWD - Data on the PWD Enrolees Page 1 of 1

 OSS-PWD Form1February 2011

stering

PWD - Data on the PWD Enrolees Page 1 of 1

 OSS-PWD Form2February 2011

Republic of the Philippines

Office of the President
COMMISSION ON HIGHER EDUCATION

DIRECTORY OF THE HIGHER EDUCATION INSTITUTIONS

ADMITTING STUDENTS / PERSONS WITH DISABILITIES

CHEDRO XI

Intervention programs available

Degree programs offered
Types of Disabilities Number of (Kindly separate list for each
Name of HEI for Persons with
being catered Students type of disability where
Disabilities
appropriate)

BSIT
AMA Computer College HANDICAPS 1
BSCS
BS BA- FIN MAN
BS COM ENG
BS EE
BS ELE
BS HRM
BS TOURISM

Prepared by: Certified correct:

CHEDRO Staff Director IV
PWD - Directory of the HEIs
 OSS-NSTP Form1AFebruary 2011

Republic of the Philippines

Office of the President
COMMISSION ON HIGHER EDUCATION

Status Report on Implementation of National Service Training Program (NSTP)

__Semester, AY ____________
Region ________
ENROLMENT DATA
CWTS LTS ROTC Total Grand
Name of HEIs
Male Female Total Male Female Total Male Female Total Male Female Total
a. PRIVATE
1
2
3
4
5
6
7
8
etc.
Total
b. PUBLIC
1
2
3
4
5
6
7
8
etc.
Total
Grand Total
Prepared by: Certified Correct:

NSTP - Status Report on the Implementation of the National Service Training Program (NSTP) - ENROLMENT DATA Page 1 of 1
 OSS-NSTP Form1AFebruary 2011

CHEDRO Staff Director IV

NSTP - Status Report on the Implementation of the National Service Training Program (NSTP) - ENROLMENT DATA Page 1 of 1
 Republic of the Philippines SASD-NSTP Form 2-B
Office of the President September 2010
COMMISSION ON HIGHER EDUCATION
Office of Student Services
Name of HEI: Region :
Address: NSTP Component:

LIST OF NSTP GRADUATES

____Semester, Academic Year ____________
Student Name
Provincial Contact Number Email
Serial No. Course/Program Gender Birthdate City Address Telephone/
Surname First Name Middle Name Address Mobile Address

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Male : Submitted by:
Sub Total:
Female :
Male : ____________________________
Grand Total:
NSTP - LIST OF NSTP GRADUATES Page 42 of 1
 Grand Total:
Female : HEI NSTP Coordinator

NSTP - LIST OF NSTP GRADUATES Page 43 of 1

m 2-B
r 2010

NSTP - LIST OF NSTP GRADUATES Page 44 of 1

 OSS-NSTP Form 2-B February 2011

Republic of the Philippines

Office of the President
COMMISSION ON HIGHER EDUCATION

LIST OF NSTP GRADUATES FOR SERIAL NUMBER

____Semester, Academic Year ______________________
Name of HEI: Region :
Address: NSTP Component:

Student Name Contact

City Provincial Number Email
No. Serial No. Course/Program Gender Birthdate
Address Address Telephone/ Address
Surname First Name Middle Name Mobile

1
2
3
4
5
6
7
8
9
10
11
12
13
Male :
Sub Total:
Female :
Male :
Grand Total:
Female :
Prepared by: Certified Correct:

NSTP - List of NSTP Graduatesfor Serial Number Page 1 of 1

 OSS-NSTP Form 2-B February 2011

HEI Coordinator President/Authorized Representative of HEI

NSTP - List of NSTP Graduatesfor Serial Number Page 1 of 1

 OSS-NSTP Form2-AFebruary 2011

Republic of the Philippines

Office of the President
COMMISSION ON HIGHER EDUCATION

SUMMARY NUMBER OF ENROLLMENT AND GRADUATES OF NSTP

Academic Year _____________

Region______

ENROLLMENT
GRADUATES
Name of HEI Ist Sem 2nd Sem Summer
Private/Public ROTC CWTS LTS ROTC CWTS LTS ROTC CWTS LTS ROTC CWTS LTS
M F M F M F M F M F M F M F M F M F M F M F M F

TOTAL
Prepared by: Certified Correct:

NSTP - SUMMARY NUMBER OF ENROLLMENT AND GRADUATES OF NSTP Page 1 of 1

 OSS-NSTP Form2-AFebruary 2011

CHEDRO Staff Director IV

NSTP - SUMMARY NUMBER OF ENROLLMENT AND GRADUATES OF NSTP Page 1 of 1

 OSS-NSTP Form 3February 2011

Republic of the Philippines

Office of the President
COMMISSION ON HIGHER EDUCATION

Assessment of NSTP Implementation

Covering Period: ____________

Name of HEI: ________________________________________ Region:_________

Address: _____________________________________________ NSTP Component: _____

STRENGTH WEAKNESSES OPPORTUNITIES THREATS

Recommendations:

Prepared by: Certified Correct:

NSTP - Initial Assessment of the NSTP Implementation Page 1 of 1

 OSS-NSTP Form 3February 2011

HEI Coordinator President/Authorized Representative of HEI

NSTP - Initial Assessment of the NSTP Implementation Page 1 of 1

 OSS-NSTP Form 3February 2011

NSTP - Initial Assessment of the NSTP Implementation Page 1 of 1

 OSS-CJ Form1

Republic of the Philippines

Office of the President
COMMISSION ON HIGHER EDUCATION

REPORT ON THE IMPLEMENTATION OF RA 7079

(Development and Promotion of Campus Journalism at the Tertiary Level)
AY _______ to AY _______

CHEDRO ___________
Name of HEI :___________________________________________
Address: ______________________________________

Title of Student Activities Conducted on

Date & Place Remarks
Publication/School Newspaper Campus Journalism

Prepared by: Certified Correct:

____________________________ ___________________________________
HEI Coordinator President / Authorized Representative of HEI

CJ-Report on the Implementation of RA 7079 Page 1 of 1

 OSS-DEPCP Form1AFebruary 2011

Republic of the Philippines

Office of the President
COMMISSION ON HIGHER EDUCATION

SUMMARY
Report on the Implementation of RA 9165
(Comprehensive Dangerous Drugs Act)

Name of HEI: _______________________________________________________

Address: _____________________________________________________________

STATUS Remarks
State Nature of
Complied Not Complied Activity

1. Integrated dangerous drugs prevention

concerns in the general education component of
the courses offerings

2. Integrated dangerous drugs prevention

concerns in the professional subjects particularly
that of Teacher education course & health related
courses and criminology program

3. Conducted symposia, debates, plays, essay

writing contests and similar activities on dangerous
drugs prevention and control

4. Participated actively in dangerous drugs

prevention programs and activities initiated by the
government and non-government organization/ in
the community, as part of the extension
service/program

5. Conducted awareness program/advocacy on

dangerous drug abuse prevention activities

Problems encountered by the administrators, faculty and students in the implementation of

RA 9165 - Comprehensive Dangerous Drugs Act of 2002 and plan of actions

Prepared by: Certified Correct:

DEPCP-Summary Report on the Implementation of RA 9165 Page 1 of 1

 OSS-DEPCP Form1AFebruary 2011

HEI Coordinator President / Authorized Representative of HEI

DEPCP-Summary Report on the Implementation of RA 9165 Page 1 of 1

 OSS - SOGC Form1February 2011
Republic of the Philippines
Office of the President
COMMISSION ON HIGHER EDUCATION

FRATERNITY OR SORORITY/STUDENT ORGANIZATIONS/GOVERNMENTS/COUNCILS

AY_______ to AY ________

Name of HEI: _________________________________________________ Region : __________________

Address: _______________________________________________________

Remarks
Name of Name of Leaders/
Classification * Specialization **
Organization Officers Recognized by HEI Not Recognized by HEI

Note:
* Fraternities ** Drug Education
Sororities Academic
Student Organization Community Services
Student Council Environmental Awareness
Student Government Peer Counseling
Tutorial Services
Others

Prepared By: Certified Correct:

___________________________________ ______________________________________
President / Authorized Representative of HEI
SOGC - Fraternity of Sorority/Student Organizations/Governments/Councils Page 1 of 1
 OSS-SOGC Form2February 2011
Republic of the Philippines
Office of the President
COMMISSION ON HIGHER EDUCATION

LIST OF FRATERNITY/ SORORITY/ STUDENT ORGANIZATIONS/ GOVERNMENT/ COUNCILS

AY _________ to AY _________

Name of HEI: _______________________________________________________ REGION ________

Address: _____________________________________________________________

Recognized
Faculty Year Founded/ Yrs. Number of by HEI SEC
Name of Organization Classification * President Specialization **
Adviser of Existence Members Registered
YES NO

*Fraternities **Drug Education

Sororitites Academic
Student Organization Community Services
Student Council Environmental Awareness
Student Government Peer Counseling
Others Tutorial Services
SOGC - List of Fraternity / Sorority / Student Organizations/ Government/ Councils Page 1 of 1
 OSS-SOGC Form2February 2011

Others

Prepared by: Certified Correct:

______________________________________ ___________________
President / Authorized Representative of HEI

SOGC - List of Fraternity / Sorority / Student Organizations/ Government/ Councils Page 1 of 1

 OSS-SOGC Form2February 2011
Republic of the Philippines
Office of the President
SSION ON HIGHER EDUCATION

/ STUDENT ORGANIZATIONS/ GOVERNMENT/ COUNCILS

_________ to AY _________

REGION ________

Remarks

SOGC - List of Fraternity / Sorority / Student Organizations/ Government/ Councils Page 1 of 1

 OSS-SOGC Form2February 2011

SOGC - List of Fraternity / Sorority / Student Organizations/ Government/ Councils Page 1 of 1

 OSS-SOGC Form 3February 2011

Republic of the Philippines

Office of the President
COMMISSION ON HIGHER EDUCATION

REPORT ON THE INSTITUTIONALIZATION OF STUDENT ORGANIZATION, GOVERNMENT AND COUNCILS

Name of HEI :____________________________________________ CHEDRO ___________

Address : _______________________________________________

Name of Student Council/Government

Activities Undertaken Date & Places Remarks
and President

Problems encountered by the officers of the Student Council/Organization with the administration, faculty and students:

Prepared by: Certified Correct:

_________________________________
Student President President / Authorized Representative of HEI

SOGC - Report on the Institutionalization of Student Organization, Governments and Council Page 1 of 1
 Republic of the Philippines
Office of the President
COMMISSION OF HIGHER EDUCATION

MONITORING ON INTERNATIONAL LINKAGES

AY __________ to AY ___________

Name of Linkage/ Discipline Covered No. of Beneficiaries

Partner Agency Date of Form of Linkage
Program Partner Country by the Linkage Students
Effectivity Faculty/Staff
(1) (2) (3) (4) (5) (6) (7) (8)

Victoria University,
Australia Australia ___ Faculty/Staff Exchange

Cisco Systems
Networking Academy ___ Student Exchange
Kryterion Host
Location Inc., ___ Joint/Collaborative Research
Microsoft Philippines ___ Joint Programs/Twinnings
Microsoft
Dreamspark/Office
365 ___ International Network Membership
Oracle Academy ___ Cultural Exchange
SAP University Alliance ___ Others (please specify) Bachelor of Science
Fluke Network in Information
Certified Training Technology ,
Program Bachelor of Science
in Computer
HP Software Testing
Program Science, Bachelor
of Science in
Amadeus Marketing Computer
Philippines, Inc. Engineering,
iOS Developer Bachelor of
University Program Sciencein
(iDUP) Electrical
Adobe Engineering ,
First Data Corp. Bachelor of Science
in Electronics
Microdata
Engineering
Festo
 Engineering ,
Bachelor of Science
in Electronics
Engineering
Here Maps
GEMS Lawrence Hall
of Science

Android ATC (Advance

Training Consultants)
Lynda
Google Philippines
NVDIA
EMC

Pearson Vue Authorized

Testing Center

Accomplished by: Noted by:

Andrea Ivanne D. Panganiban ______________________________
Placement, Alumni and Linkages Officer Signature over printed name
_____
e
 REPORT OF VOLUNTEER PROGRAMS/ACTIVITIES OF HIGHER EDUCATION INSTITUTIONS
In Support to RA 9418

NAME OF

Type : (Private/Government___________________________________________
Address :

Description of the Volunteer Program/Activity

Goals and

Timeframe/

No. of volunteers deployed:

Area/Locat: ______________________________________________________________

Beneficiaries/Clientele: _______________________________________________________

Partner Organizations :_________________________________________________________

Role of the Volunteers: ________________________________________________________

Remarks

Prepared b Noted :

HEAD OF STUDENT AFFAIRS HEAD OF HEI