NBC 461

Qualitative Contribution Evaluation, QCE

Instrument of Evaluation for EXTENSION

(1) CLIENTELE SATISFACTION

Rating Period: July 1, 2016 to June 30, 2019

Title of Project: TRAINING ON THE UTILIZATION OF DESCRIPTIVE AND INFERENTIAL
STATISTICS IN RESEARCH
Name of Faculty: Edcon B. Baccay Academic Rank: Associate Professor 5
College: College of Science Department: Department of Mathematics and
Statistics

Evaluators: Clientele of the Extension Programs/Projects/Activities

_______ President/Chairman of Organization Involved _______ Student

_______ Barangay Chairperson _______ Parent
_______ Others (please indicate) _____Teacher_____________________________

Instruction: Please evaluate the faculty using the scale below. Encircle your rating.

Scale Descriptive Rating Qualitative Description

The performance almost always exceeds the job
5 Outstanding
requirements. The Faculty is an exceptional role model.
The performance meets and often exceeds the job
4 Very Satisfactory
requirements.
3 Satisfactory The performance meets job requirements.
The performance needs some development to meet job
2 Fair
requirements.
1 Poor The faculty fails to meet job requirements.

Faculty Performance / Output Scale

The extension proposal/plan is based on the needs/problems of the 3
1
clients (there is a consultation with the client during the 5 4 2 1
.
conceptualization of the extension plan).
2 Meets and discusses with the clientele the know how of the 5
4 3 2 1
. extension activity(ies) for its usability and/or clients benefits.
3 There is an information campaign for proper information of the
5 4 3 2 1
. clientele about the extension activity(ies).
4 Monitors and evaluates the quantity and quality of services provided
5 4 3 2 1
. to clientele.
5 Extension activity(ies) really helps and/or address the clients needs 4
5 3 2 1
. or problems.

Total Score: __________

___________________________________ ___________________________________
Signature of Evaluator Signature of Witness

_________Jett Bernardo A Cortez III___ ___________________________________

Name of Evaluator Name of Witness

_________Teacher_________________ ___________________________________
Position of Evaluator Agency and Position

Date: ________September 06, 2022_____ Date: _____________________________

 NBC 461
Qualitative Contribution Evaluation, QCE
Instrument of Evaluation for EXTENSION

(2) LEADERSHIP

Rating Period: July 1, 2016 to June 30, 2019

Title of Project: TRAINING ON THE UTILIZATION OF DESCRIPTIVE AND INFERENTIAL
STATISTICS IN RESEARCH
Name of Faculty: Edcon B. Baccay Academic Rank: Associate Professor 5
College: College of Science Department: Department of Mathematics and
Statistics

Evaluators: Immediate Supervisor

_______ Director for Extension _______ College Extension Coordinator

_______ Team Project Leader _______ Others (please indicate)
____Teacher_______
Instruction: Please evaluate the faculty using the scale below. Encircle your rating.

Scale Descriptive Rating Qualitative Description

The performance almost always exceeds the job
5 Outstanding
requirements. The Faculty is an exceptional role model.
The performance meets and often exceeds the job
4 Very Satisfactory
requirements.
3 Satisfactory The performance meets job requirements.
The performance needs some development to meet job
2 Fair
requirements.
1 Poor The faculty fails to meet job requirements.

Faculty Performance / Output Scale

1 Regularly communicates quality output of the extension proceeding 4
5 3 2 1
. to colleagues/staff/clientele/subordinates.
2 Manages priorities to get the job done and able to look for better 5
4 3 2 1
. ways to confront conflict situations in an honest and direct manner.
3 Encourage/motivates participation/cooperation of the people
5 4 3 2 1
. involved in the extension activity(ies).
Suggests/Introduces strategies that enhanced colleagues/staff/ 5 4
4
clientele/subordinates’ skills and abilities to perform the extension 3 2 1
.
activity(ies) in a more efficient manner.
Communicates directly, openly, honestly and shares information 4
5
with the concerned individual or people involved in their extension 5 3 2 1
.
activity(ies).

Total Score: __________

________ ________________________ ___________________________________

Signature of Evaluator Signature of Witness

___________ Jett Bernardo A. Cortez III __ ___________________________________

Name of Evaluator Name of Witness

___________________________________ ___________________________________
Position of Evaluator Agency and Position

Date: _____________________________ Date: _____________________________

 NBC 461
Qualitative Contribution Evaluation, QCE
Instrument of Evaluation for EXTENSION

(3) PARTNERSHIP DEVELOPMENT

Rating Period: July 1, 2016 to June 30, 2019

Title of Project: TRAINING ON THE UTILIZATION OF DESCRIPTIVE AND INFERENTIAL
STATISTICS IN RESEARCH

Name of Faculty: Edcon B. Baccay Academic Rank: Associate Professor 5

College: College of Science Department: Department of Mathematics and
Statistics

Evaluators: Stakeholders of the Extension Programs/Projects/Activities

_______ Barangay Chairperson ________ President of PO

_______ Municipal Mayor ________ President of NGO
______ Others (please indicate) __Teacher____________________

Instruction: Please evaluate the faculty using the scale below. Encircle your rating.

Scale Descriptive Rating Qualitative Description

The performance almost always exceeds the job
5 Outstanding
requirements. The Faculty is an exceptional role model.
The performance meets and often exceeds the job
4 Very Satisfactory
requirements.
3 Satisfactory The performance meets job requirements.
The performance needs some development to meet job
2 Fair
requirements.
1 Poor The faculty fails to meet job requirements.

Faculty Performance / Output Scale

1 Coordinates with local residents, businesses and other government 4
5 3 2 1
. functionaries for possible extension collaboration.
2 Conducts consultative meetings and/or dialogues with stakeholders
5 4 3 2 1
. on priority extension plan supporting their needs.
Regularly meets concerned sector to discuss ways in which the
3
extension undertaking can create better working environment, and 5 4 3 2 1
.
full cooperation and participation.
4 Establishes linkages with local/national agencies for possible
5 4 3 2 1
. funding of extension undertakings (sourcing of funds).
Communicates directly, openly, honestly, and shares information
5
with the concerned sectors and considering comments, and 5 4 3 2 1
.
suggestions for improvement if necessary.

Total Score: __________

___________________________________ ___________________________________
Signature of Evaluator Signature of Witness

_____Jett Bernardo A. Cortez III_________ ___________________________________

Name of Evaluator Name of Witness

___________________________________ ___________________________________
Position of Evaluator Agency and Position
Date: ______September 5, 2022______ Date: _____________________________
 NBC 461
Qualitative Contribution Evaluation, QCE
Instrument of Evaluation for EXTENSION
(4) COMMUNITY RESPONSIBILITY

Rating Period: July 1, 2016 to June 30, 2019

Title of Project: TRAINING ON THE UTILIZATION OF DESCRIPTIVE AND INFERENTIAL
STATISTICS IN RESEARCH
Name of Faculty: Edcon B. Baccay Academic Rank: Associate Professor 5
College: College of Science Department: Department of Mathematics and
Statistics

Evaluators: Parties from the external and internal communities (.e.g., External - Head of an NGO, PO, Local
Chief Executive of the LGU, GO; Internal: Directors, Dept. Chairman, Deans, etc.)
_______ Head, NGO ______ Head, GO
_______ Head, PO ______ Head, LGU
_______Others (please indicate) ___Teacher_____________
Instruction: Please evaluate the faculty using the scale below. Encircle your rating.
Scale Descriptive Rating Qualitative Description
The performance almost always exceeds the job
5 Outstanding
requirements. The faculty is an exceptional role model.
The performance meets and often exceeds the job
4 Very Satisfactory
requirements.
3 Satisfactory The performance meets job requirements.
The performance needs some development to meet job
2 Fair
requirements.
1 Poor The faculty fails to meet job requirements.

Faculty Performance / Output Scale

Creates safe research environment where activities conducted 5
1
consider the ethical and moral predicament of the community and/or 4 3 2 1
.
the sector involved.
2 Conducts extension activity(ies) where the responsibilities of the 4
5 3 2 1
. concerned sectors to the community are addressed.
The extension activity(ies) conducted with significant contribution 4
3
to the community and increase awareness on community issues and 5 3 2 1
.
concerns.
The extension activity(ies) is/are instrumental and/or in of 5
4
consideration of public safety, environmental safety, and sharing of 4 3 2 1
.
quality-related information with the sector involved.
Assumes impartial responsibility and accountability on the 5
5
extension proceeding and its effect or impact to the community 4 3 2 1
.
and/or other sectors involved.

Total Score: __________

___________________________________ ___________________________________
Signature of Evaluator Signature of Witness

_________Jett Bernardo A. Cortez III ______________________________

Name of Evaluator Name of Witness

_________________Teacher________ ___________________________________
Position of Evaluator Agency and Position

Date: __________September 5, 2022__ Date: _____________________________