OVERSEAS WORKERS WELFARE ADMINISTRATION

Education & Livelihood Assistance Program (ELAP)

Regional Welfare Office IV-A
QUANTITATIVE EVALUATION FORM
________Semester / School Year ________

Name: ____________________________________
School: ____________________________________
Course: ___________________________________
Grade / Year Level: ________________________________
Date Accomplished: _________________________

SUBJECT

UNITS

GRADE

TOTAL
General Weighted Average
Submitted by:
___________________
Signature of Scholar
Verified Correct by:

JULIA F. FABIAN
Officer-in-Charge

TOTAL

Education & Livelihood Assistance Program (ELAP)

Overseas Workers Welfare Administration
QUESTIONNAIRE

Name of Scholar: ______________________________________

Grade / Year Level: ____________________________________
Course: ______________________ Semester/ School Year _______________________
School: _________________________________________________________________
School Address: __________________________________________________________
(Please fill in all questions by giving your honest answers so that we can improve the
implementation of the scholarship Program. Your answers will be treated with confidentiality.
Thank you. )
1.
ACADEMIC
A. Subject Area
Did you pass all the subjects last semester?

[ ] Yes

[ ] No

Did you fail any subject last semester?

[ ] Yes
[ ] No
If yes, what subject/s? _______________________________________________
In what subject/s did you have difficulties?
__________________________________________________________________
Reason/s: _________________________________________________________
B. Professor / Instructor
Did you encounter any difficulty with your professor / instructor in your course?
[ ] Yes
[ ] No
What were your difficulties with your professor / instructor?
Method of Teaching
[ ]
Mastery of the subject matter
[ ]
Attitude towards students ( favoritism, physical appearance, etc.)
[ ]
Others, [ ] state ___________________________________________
C. University Life
Did you receive support from the school personnel
(guidance counselor, professor, etc.)
[ ] Yes
[ ] No
If no, state reason ______________________________________________
Are there enough facilities (laboratory, books, learning materials, etc.)
[ ] Yes
[ ] No
If no, state reason_______________________________________________
Did you get support from your friends / classmates in your studies?
[ ] Yes
[ ] No
If no, state reason ______________________________________________
Did you have difficulties in adjusting to college life?
(from hometown to place of school)

[ ] Yes

[ ] No

If yes, state reason____________________________________________

Did you have difficulties in adjusting to different cultures/ social norms
[ ] Yes
[ ] No
If yes, state reason ______________________________________________
D. Study Habit
Did you encounter any problem in studying?
[ ] Yes
[ ] No
If yes, state reason ____________________________________________
_____________________________________________________
Did you observe your study habits?
[ ] Yes
[ ] No
If no, state reason __________________________________________
_____________________________________________________
E. Cause/s of Absences from School
Were you afflicted of any disease or illness while studying? [ ] Yes
[ ] No
If yes, state reason ____________________________________________
_____________________________________________________
Were you affected by any typhoon or any calamities while studying? [ ] Yes [ ] No
If yes, state reason ____________________________________________
_____________________________________________________
2.

PERSONAL AREA
a. Family
Does your family support you in your studies?
[ ] Yes
[ ] No
If no, state reason _________________________________________
b. Financial
Are you spending the allowance solely for your education? [ ] Yes [ ] No
If no, state reason ______________________________________
_______________________________________________
c. Accommodation
Are you staying in [ ] your house?
[ ] relatives house?
[ ] dormitory?
Does the environment where you stay conducive to your studies?
[ ] Yes
[ ] No
If no, state reason _________________________________________
___________________________________________________
Did you encounter other problems where you are staying?
[ ] Yes
[ ] No
If yes, state reason________________________________________

3.

SUPPORT SERVICE
a. OWWA Assistance
If you encounter any problem in your school, does OWWA immediately
act on the matter?
[ ] Yes [ ] No

Do you attend regular meetings to address any problem regarding your

academic status in your school?
[ ] Yes [ ] No
Do you receive your allowance
[ ] on time
[ ] delayed
If delayed, state reason ________________________________
_________________________________________________
Is your tuition fee always paid
[ ] on time [ ] delayed
If delayed, state reason _________________________________
__________________________________________________
b. School
Effective Guidance Councilor
[ ] Yes
[ ] No
If no, state reason _______________________________________
____________________________________________________
Accommodating Dean
[ ] Yes
[ ] No
If no, state reason _______________________________________
____________________________________________________
Helpful Administrative Staff
[ ] Yes
[ ] No
If no, state reason _______________________________________
____________________________________________________
4.

OTHER/S
Did you encounter any problem in maintaining your scholarship?
[ ] Yes
[ ] No
If yes, state reason________________________________________
________________________________________________
Do you have any suggestion / recommendation for the improvement of
Scholarship Program? (Please indicate your recommendation below)
[ ] Yes
[ ] No
If yes, state reason _____________________________________
______________________________________________

________________________
Signature over Printed Name

Evs/kdv