Nomination Form 2016 SEARCH FOR OUTSTANDING FACULTY

OUTSTANDING INSTRUCTOR CATEGORY The Nominee: Name: Position: College: Department:

______________________________ ______________________________ ______________________________ ______________________________

Academic Rank: _________ Email Address: __________ Mobile Number: _________

Educational Background: LEVEL

NAME OF SCHOOL

DEGREE/COURSE EARNED

YEAR GRADUATED

HONOR/S RECEIVED

Contributions/accomplishments in the four-fold academic functions: ACADEMIC FUNCTIONS

Instruction

Research

Extension

Production

BRIEF DESCRIPTION

NATURE OF ACCOMPLISHMENT

Nomination Form 2016 SEARCH FOR OUTSTANDING FACULTY

OUTSTANDING INSTRUCTOR CATEGORY Justification of Noteworthy Accomplishment/s:

Checklist of Documents Attached: Service Record Faculty Performance Rating on the last three years 2014 PBB Rating Designations of Research/Extension Projects Memorandum of Agreement/Contract of Consultancy Paper presentation/Publication/Linkages/Collaboration Evidence/s Certification of no pending case Other documentations of accomplishments

Nominated by: ____________________________________ Dean, College of ______________________ Evaluated/Verified/Validated by: Dr. JENEIFER C. NUEVA

DR. VIRGENCITA B. CARO

Prof. ANNA GIRLEE V. VISAYAN

Chair, First Level Screening Committee

Member, First Level Screening Committee

Member, First Level Screening Committee

Dr. MARIA LUISA R. SOLIVEN

DR. RICARDO G. VILLAR

Ms. IRIS DAJAO-OPISO

Chair, Final Screening Committee

Co-Chair, Final Screening Committee

Member, Final Screening Committee

Dr. HAIDEE HELENA H. GARCIA

ENGR. RICHARD AQUINO

Dr. VIRGENCITA B. CARO

Member, Final Screening Committee

Member Final Screening Committee

Member, Final Screening Committee

Approved by:

Nomination Form 1 - Search for Outstanding Faculty 2016.pdf ...

DEGREE/COURSE. EARNED. YEAR ... Ms. IRIS DAJAO-OPISO. Member, Final ... Nomination Form 1 - Search for Outstanding Faculty 2016.pdf. Nomination ...

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