Polytechnic University of the Philippines



QAR Form

Revised, September 2016

QUARTERLY ACCOMPLISHMENT REPORT

__________to__________20___

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COLLEGE/BRANCH/CAMPUS

Direction:

( Please do not leave any item unanswered (Type N.A. or Not Applicable if necessary).

( Strictly follow the prescribed format in accomplishing this form.

( Provide necessary and appropriate supporting document/s (e.g. Research Abstract, MOS, MOU, S.O., Certificates, etc.) as attachment for each accomplishment.

( This form should be duly signed by the Head of Unit/Department and approved by the Sector Head.

A. EXECUTIVE SUMMARY/HIGHLIGHTS OF ACCOMPLISHMENTS (Please consider highlights of accomplishments of your office targets/commitments under STRATEGIC PRIORITY (SP), CORE FUNCTIONS (CF), and SUPPORT FUNCTIONS (SF) with associated Office Final Outputs (OFOs), respectively.

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B. STRATEGIC PRIORITY

1. Academic Program Development

1. New Program/s Offered (Please no abbreviation)

|Course/Program |Date Approved by |

| |Academic Council |Board of Regents |

| |(mm/dd/yyyy) |(mm/dd/yyyy) |

| | | |

| | | |

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2. Curriculum Development

|Course/Program |Specify Development/Enhancement Made |Date Approved by |

| |(e.g.: syllabi transformed/aligned to OBE framework; Change in the | |

| |Subject Code and Description from_____________ to______________) or | |

| |(Inclusion of additional subject, __________________________) | |

| | |College/Branch |Academic Council (mm/dd/yyyy) |Board of Regents |

| | |Curriculum Evaluation Committee | |(mm/dd/yyyy) |

| | |(mm/dd/yyy) | | |

| | | | | |

| | | | | |

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3. Phased Out Curricular Program/s

|Course/Program |Date Approved by |

| |Academic Council |Board of Regents |

| |(mm/dd/yyyy) |(mm/dd/yyyy) |

| | | |

| | | |

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2. Human Resource Development

1. FACULTY

1. Faculty Outstanding Achievements/Awards (International, National, Local)

| | | |Level | | |

|Name of Faculty Member |Nature of Achievement |Certifying Body |Please check (() if |Place |Date |

|(Surname, First Name, M.I.) |(No abbreviation please) | | | |(mm/dd/yyyy) |

| | | |International |National |Regional | |

| | | | | | |Provincial, City or |

| | | | | | |Municipal |

| | | |International |National |Regional | |

| | | | | | |Provincial, City or |

| | | | | | |Municipal |

| | |Training |Seminar/ Conference/ workshop/ convention etc. |

| | | | |

| | | | |

|Faculty Members Involved |Name of Agency/ |Nature of Business/Service |Nature of Networking |Level |Duration |

|(Surname, First Name, M.I.) |Company/Organization |(i.e. Educational Institution, Government |or Linkages |(International, |(indicate inclusive period) |

| | |Agency, Telecommunication, Travel Agency, |(Please indicate if: |National, Regional, | |

| | |Hotel and Hospitality Service, Food Service,|Academic Linkages, |Provincial, City or | |

| | |BPOs, NGOs, POS, etc.) |Benefactors, Research|Municipal) | |

| | | |and Extension | | |

| | | |Linkage, Educational | | |

| | | |and Cultural | | |

| | | |Exchange, Government | | |

| | | |Agencies Partners, | | |

| | | |National/Institutiona| | |

| | | |l Membership, | | |

| | | |Non-Government | | |

| | | |Organizations | | |

| | | |Partners, Faculty | | |

| | | |Development/Training,| | |

| | | |Consultancy, | | |

| | | |OJT/Training Stations| | |

| | | |etc.) | | |

| | | | | |Type of Grant (Ex. |Name of Sponsor/Agency/ |

| | | | | |Financial |Organization/ etc |

| | | | | |Assistance, | |

| | | | | |Scholarship Grant, | |

| | | | | |Self-supporting) | |

| | | | | | | |

| | | | | | | |

2.1.7 List of Faculty Who GRADUATED During the Current School Year

|Name of Faculty |School |Degree/Major | |Start of Enrolment |MEANS OF SUPPORT |

|(Surname, First Name, M.I.) | | | |(Semester/School | |

| | | | |Year) | |

| | | | | | |

| | | |Pls. check (() if | | |

| | | | | |Type of Grant (Ex. |Name of Sponsor/Agency/ |

| | | | | |Financial Assistance,|Organization/ etc |

| | | | | |Scholarship Grant, | |

| | | | | |Self-supporting) | |

| | | | | | | |

| | | | | | | |

2. ADMINISTRATIVE PERSONNEL (please provide necessary attachment/s as supporting document/s)

1. Attendance in Relevant Training, Seminars, Workshops, Conferences, etc.

|Name of Personnel |Title/Theme/Topic |Check (() if |Sponsor of Training, Seminar/s, etc. |Level |Venue |Inclusive Date |

|(Surname, First Name, M.I.) | | | |Please check (() if | | |

| | |Training |Seminar/ Conference/ workshop/ convention etc. | |International |

| | | |International |National |Local | | |

| | | | | | | | |

| | | | | | | | |

2. Outstanding Achievement

|Name of Personnel |Nature of Achievement |Certifying Body |Level |Place |Date |

|(Surname, First Name, M.I.) |(No abbreviation please) | |Please check (() if | |(mm/dd/yyyy) |

| |(no abbreviation please) |International |National |Regional |Provincial, | | |

| | | | | |City or | | |

| | | | | |Municipal | | |

| | | | | | |

| | | | | |Type of Grant (Ex. |Name of Sponsor/Agency/ |

| | | | | |Financial |Organization/ etc |

| | | | | |Assistance, | |

| | | | | |Scholarship Grant, | |

| | | | | |Self-supporting) | |

| | | | | | | |

| | | | | | | |

5. List of Personnel Who GRADUATED During the Current Year

|Name of Personnel |School |Degree/Major |Pls. check (() if |Start of Enrolment |MEANS OF SUPPORT |

|(Surname, First Name, M.I.) | | | |(Semester/School | |

| | | | |Year) | |

| | | | | |Type of Grant (Ex. |Name of Sponsor/Agency/ |

| | | | | |Financial |Organization/ etc |

| | | | | |Assistance, | |

| | | | | |Scholarship Grant, | |

| | | | | |Self-supporting) | |

| | | | | | | |

| | | | | | | |

3. Facilities Improvement

| |Accomplishments on the following requirements for Facilities Improvement: | |

|Facilities | | |

| |Final PPMP with Market Survey and Terms|Target Date of Submission |Date Submitted |

| |of Reference | | |

| |(e.g. Final Version Submitted to BAC | | |

| |with 2 revisions) | | |

| Software Development | | | |

| Hardware Acquisition | | | |

|Manual of Operations/Citizens’ Charter | | | |

|Handbooks/Code | | | |

|Work Program | | | |

| Others (please specify) | | | |

C. CORE FUNCTIONS

1. Outputs/Outcomes in Higher Education Services

1.1 Graduates employed within the first two (2) years after graduation and engaged in employment within 6 months of graduation

|Course/Program |Total number of graduates |Total number of surveyed graduates |Number of graduates engaged in |Percentage |

|(1) |(2) |(3) |employment within 6 months |((4)/(3))*100 |

| | | |(4) | |

| | | | | |

| | | | | |

|TOTAL | | | | |

1.2 Graduates Hired within Two (2) Years After Graduation (Pls. attach any official document as list of documentary evidences)

| |Course/Program |Date of Graduation|Nature/Type of Work |Status of Employment |Check (()if job/work is related to their undergraduate |

|Name of Surveyed Graduates | | | | |program |

|(Surname, First Name, M.I.) | | | | | |

| | | | | |

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*If the outstanding achievement/special award/recognition received by one section, organization, etc., please indicate the total number of students (e.g.: BSA 2-1 (15 students))

1.3.2 Outside PUP (International, National and Regional)

| |Nature of Achievement/ Award/Recognition |Level |Conferring Body |Place |Date |

|Name of Student* | |(International, National, | | |(mm/dd/yyyy) |

|(Surname, First Name, M.I.) | |Regional) | | | |

| | | | | | |

| | | | | | |

| | | | | | |

*If the outstanding achievement/special award/recognition received by one section, organization, etc., please indicate the total number of students (e.g.: BSA 2-1 (15 students))

1.4 Attendance in Seminars, Leadership Training and Other Student Development Programs (International, National, Local)

|Name of Student* |Title/Theme/Topic |Check (() if |Sponsor |Level |Venue |

|(Surname, First Name, M.I.) | | | |Please check (() if | |

| | |Pls check if | | | |

| | |1st Sem |2nd Sem |Summer | |

| | | | |

| | | | |

| | | | |

|TOTAL | | | |

2. Outputs/Outcomes in Advanced Education Services ((For Graduate School, Open University (Master’s Degree Programs only), College of Education and College of Law))

2.1 Graduates in the Preceding Year Engaged/Improved Employment Status within Six (6) Months of Graduation

| |Course/Program |Date of Graduation |Date Hired for Current Job |Status of Employment prior to |Status of Employment after |

|Name of Surveyed Graduates | | | |graduation |graduation |

|(Surname, First Name, M.I.) | | | | | |

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3.Outputs/Outcomes in Research Services (For Research Institutes and Centers). Please attach the following:

√ Copies of the Journal Cover and Table of Contents reflecting the title of the published paper and faculty author;

√For research-based papers published online – copies of Full Paper

√For unpublished papers applied for publication: Letter of Acceptance from the editor/s

√For Externally-funded Research –MOAs/MOUs or programs, presentation, BOR/BOT resolution, documentation

√For Research paper presented – abstracts of presented papers or invitation, program, list of participants, documentation of paper presentation/awards or certificates recognizing the paper presentation

3.1 On-going Research Activities during the Year*

|Title |Researcher |Nature|Keywords |Please|Please check (() if |

|of |(Surname, First Name, M.I.) |of |(at least five (5) keywords) |check | |

|Resear| |Involv| |(() if| |

|ch | |ement | | | |

| | |(Indep| | | |

| | |endent| | | |

| | |Resear| | | |

| | |cher,/| | | |

| | |Lead | | | |

| | |Resear| | | |

| | |cher/C| | | |

| | |o-Lead| | | |

| | |Resear| | | |

| | |cher/ | | | |

| | |Associ| | | |

| | |ate | | | |

| | |Lead | | | |

| | |Resear| | | |

| | |cher | | | |

|1 |Humanities Diliman |1 |Liceo Journal Higher Education Research |

| | | |Applied for Patenting |Patent-in-process |Patented or | |Matured Technologies |

| | | |(pls. specify date of | |Commercialized |Not patented but |Developed |

| | | |submission) | |(pls. specify patent|utilized by the |(based on PCARRD |

| | | | | |number and date) |local community, |criteria) |

| | | | | | |etc. | |

| | | | | | | | |

| | | | | | | | |

3.4 Research Output as Cited by Book Author(s) for the Quarter of Current Fiscal Year (Pls. attach copy of the pages of books (with ISBN) highlighting the citation)

|Name of Researcher/s |Research Output |

|(Surname, First Name, M.I.) | |

|Less than 8 hours |0.5 |

|8 hours or 0ne day |1 |

|2 days |1.25 |

|3-4 days |1.5 |

|5 days or more |2 |

|CLASSIFICATIONS OF EXTENSION PROGRAMS: | |

|Entrepreneurship and livelihood assistance |7. Education and Research |

|Product creation/innovation/development/utilization/commercialization |Values formation/Good citizenship |

|Packaging, marketing and distribution |Function literacy |

|Accounting and fund management |Teacher Training |

|Savings mobility and capital formation/generation |Curriculum Development & Planning |

|Others, pls. specify |Science Education/Research |

| |Other Educational Training/s, pls. specify |

|Organizational Development/Capability Building and Special Pilot Projects |8. Human Resource Development and Consultancy Service |

|Organizational formation and development |HRD Training Consultancy |

|Leadership and management of pilot projects |Management Seminars |

|Others, pls. specify |Professional Development Seminars |

| |Others, pls. specify |

|Environmental Protection and Sustainability |9. IT and Technical-Vocational Training/s |

|Waste management/pollution control |I.T. Trainings |

|Reforestation/green revolution |T-shirt Printing |

|Organic farming/gardening |PC Repair |

|Beautification and landscaping |Others, pls. specify |

|Climate change advocacy | |

|Others, pls. specify | |

|Nutrition and Wellness |10. Engineering works |

|Herbal/traditional medicine |Surveying |

|Disease prevention and cure |Web development |

|Diet management |Troubleshooting |

|Healthy lifestyle |Software development |

|Sports, aerobic and physical development/exercises |Networking |

|Medical and Dental Missions |Electrical wiring |

|Others, pls. specify |Auto-Mechanic |

| |Aircon/Refrigeration Repair |

| |Others, pls. specify |

|Communication/Information dissemination and advisory services |11. Instructional Materials Development & Production |

|Use of tri-media |Brochures |

|Adds and other propaganda materials |Pamphlets |

|Others, pls. specify |Journal |

| |Module production |

| |Audio-video production |

| |Others, pls. specify. |

|6. Leadership and Good Governance |12. Linkages and Networking |

|Barangay Officials Leadership Training |13. Arts and Culture |

|Sangguniang Kabataan Leadership Training |14. Advocacy Works |

|Others, pls. specify |15. Feeding Programs, Relief Operations and the like |

Note: In filling up, please indicate other extension programs not specified in the given classifications.

4.2 Community Engagement (partnership with Local Government Unit (LGU), NGOs, POs, industry, small and medium enterprises, and local entrepreneur in developing, implementing or using new technologies relevant to agro-industrial* development) Pls. attach active linkages covered by MOA/MOU recognized by the BOR/BOT

|List of Active Linkages/Partnerships covered by |Classification of Agro-industrial* |Please check (() Nature of Linkage or Partnership |Inclusive Period |Please check (() if in partnership with |

|MOA |Technology | | | |

| | |Develop the |Implement the technology |

| | |technology | |

| | | |Pls. check (√) |

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* Viable demonstration projects. Income generating projects that serve as showcases to students and other clientele and are viable based on positive return of investment at least in the past three

Years supported by audited financial statement. (Reference: Draft Joint CHED-DBM Circular on SUC Levelling)

**Internal Rate of Return (IRR) – Rate of growth that a project is expected to generate. Projects with higher IRR values are preferred over those with lower IRRs

5. AWARDS/RECOGNITIONS RECEIVED BY THE COLLEGE/BRANCH/CAMPUS/OFFICE AND UNIVERSITY THROUGH YOUR COLLEGE/BRANCH/CAMPUS/OFFICE ACHIEVEMENT/S (Pls attach copies of Certificates of Award)

1. Awards/Recognitions Received by the College/Branch/Campus/Office Given by Reputable Organizations

|Name of Award |Certifying Body |Date of Effectivity |Level |

| | | |Please check (() if |

| | | |International |

| | | |International |

| | | | |

Prepared by: Certified Correct:

_______________________________________ _____________________________________

Name and Signature Dean/Director

_______________ ________________

Date Date

Approved by:

____________________________________________

Sector Head/Vice President

__________________

Date

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