Regional Welfare Office - Mimaropa Ofw Dependent Scholarship Program (Odsp)
Regional Welfare Office - Mimaropa Ofw Dependent Scholarship Program (Odsp)
Regional Welfare Office - Mimaropa Ofw Dependent Scholarship Program (Odsp)
ASSESSMENT FORM
II. ACADEMIC
1. What was the most important event that has affected you during the school term? How did it affect your
studies?
_______________________________________________________________________________________________
_______________________________________________________________________________________________
____________________________________________________________________ .
2. In what subjects have you given most of your time and attention? Why?
_______________________________________________________________________________________________
_______________________________________________________________________________________________
___________________________________________________________________ .
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3. Are there factors affected your performance in school?
( ) Teacher ( ) Peer Group ( ) Family ( ) Financial ( ) College Life ( ) Love Life ( ) Others
Pls. specify ____
Give reasons on how they have affected you.
_______________________________________________________________________________________________
_______________________________________________________________________________________________
___________________________________________________________________ .
4. Give a brief description on how you can rate your performance for the school term.
5. What are the assistance under the Learning Support Program have you availed/received during the school
term?
( ) Counselling ( ) Learning Support/Civic Activities Pls. specify ___________________________
( ) Coaching ( ) Group Organizing Pls. specify __________________________
( ) Mentoring ( ) Others Pls. specify ___________________________________
( ) Query/Updates thru Facebook Group Account
III. NON-ACADEMIC
1. State any extra curricular activities or activities outside the school where you were able to show your
strength/talent.
_______________________________________________________________________________________________
_____________________________________________________________________________ .
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3. Was there any situation outside the school you applied what you have learned in your studies?
Yes No
Please specify.
_______________________________________________________________________________________________
____________________________________________________________________________________________ .
____________________
Name and Signature
Assessment Remarks :
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_________________________________________________________________________________________ .
Assessed by :
__________________________
Noted :
_________________________
AQUILINA C. TARROBAGO
Chief, PSD