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OVCRE Form 2016-4

UNIVERSITY OF THE PHILIPPINES LOS BAÑOS EVALUATION FORM REPORT

(for Trainings, Seminars, Workshops, etc.)

Title of Activity

Type of Service

Date Conducted

Duration of Activity

(hours)

Rating Staff Involved

Total Target Beneficiaries

Total Number of Participants

Total number of

persons who evaluated the session

Percentage of persons who rated

the services provided as

good or better

Remarks

1 2 3 4 5 6 7 8

Prepared by:

(sig) Extension Coordinator

Certified Correct:

(sig) Dean/ Director

UNIVERSITY OF THE PHILIPPINES LOS BAÑOS

(2)

OVCRE Form 2016-4

EVALUATION FORM REPORT

(for Advisory/ Technical Services)

Title of Activity

Type of Service

Date Conducted

Duration of Activity

(hours)

Rating Staff Involved

Beneficiarie s

Total Number of Participants

Total number of

persons who evaluated the session

Percentage of persons who rated

the services provided as

good or better

Remarks

1 2 3 4 5 6 7 8 Prepared by:

(sig) Extension Coordinator

Certified Correct:

(sig)

Dean/ Director

Referensi

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