Don Mariano Marcos Memorial State University

South La Union Campus

College of Arts and Sciences
Agoo, La Union

Biological and Physical Sciences Department

August 15, 2014

______________________________

______________________________

______________________________

Sir/Madam:

Greetings in the name of service!

It is our goal to produce quality graduates from the BS Biology program so we are
following our graduates from their place of employment in order to gather data on their
performance. The data that we will gather shall be one of our bases in enhancing our
curriculum and other aspects of the program. As such, we hope to improve the quality of our
graduates and translate this to better performance in their work.
In this regard, may we humbly request your good office to evaluate/assess your
employees who have graduated from our college, DMMMSU-College of Arts and Sciences,
Agoo, La Union.

Rest assured that the information you will provide will be treated with strictest
confidentiality.

Your favorable response to this request is highly appreciated.

Respectfully yours,

(SGD) PRESCILITA M. VILLANUEVA

Faculty

Noted:

(SGD) ELIZABETH I. OLARTE, Ph.D.

Chair

(SGD) RAQUEL D. QUIAMBAO, Ed.D.

Dean

Biological and Physical Sciences Department refining potentials

 Don Mariano Marcos Memorial State University
South La Union Campus
College of Arts and Sciences
Agoo, La Union

Biological and Physical Sciences Department

JOB PERFORMANCE EVALUATION FORM

Name of Employee: ____________________________________

Place of Work : ____________________________________
Rank/Position : _____________________________Years in Service : __________

DIRECTIONS: Using the guide, please rate the faculty/employee by encircling the
corresponding number.

5 Outstanding O Performance is consistently superior; requires little/no

supervision
4 Exceeds EE Performance is routinely above job requirements; high
Expectations quality of performance
3 Meets ME Performance is regularly competent and dependable; meets
Expectations standards without constant follow-up/direction
2 Below BE Performance fails to meet requirements on a frequent basis;
Expectations requires constant follow-up/supervision
1 Unsatisfactory U Performance is consistently unacceptable
0 Not Applicable NA Performance indicator does not apply; too soon to rate

I. PERFORMANCE FACTORS (use job description as basis of this evaluation)

INDICATORS O EE ME BE U NA
A. Administration
1. Effectiveness in planning and organizing activities 5 4 3 2 1 0
2. Efficiency in handling activities 5 4 3 2 1 0
3. Ability to prioritize activities and eliminate unnecessary 5 4 3 2 1 0
activities
B. Knowledge of Work
1. Employee's skill , knowledge, and understanding of the job 5 4 3 2 1 0
2. Ability to identify areas requiring improved skills and/or 5 4 3 2 1 0
experience.
3. Effectiveness in keeping updated methods, 5 4 3 2 1 0
techniques/skills required in own job and related functions
4. Discusses current issues and developments affecting the 5 4 3 2 1 0
institution and its work activities

C. Communication
1. Effectiveness in listening to others 5 4 3 2 1 0
2. Ability to express ideas, both orally and in writing 5 4 3 2 1 0
3. Efficiency in providing relevant and timely information to 5 4 3 2 1 0
management, co-workers, subordinates and customers

D. Interpersonal Relationships/Teamwork
1. Gets along with fellow employees. 5 4 3 2 1 0
2. Respects the rights of other employees; 5 4 3 2 1 0
3. Demonstrates the ability to work, and communicate with 5 4 3 2 1 0
co-workers, supervisors, subordinates and/or outside
contacts
4. Shows a cooperative spirit 5 4 3 2 1 0

Biological and Physical Sciences Department refining potentials

 Don Mariano Marcos Memorial State University
South La Union Campus
College of Arts and Sciences
Agoo, La Union

Biological and Physical Sciences Department

E. Responsibility and Commitment
1. Recognizes , accepts and responds to change in a positive 5 4 3 2 1 0
manner;
2. Receives job assignments and additional duties willingly 5 4 3 2 1 0
3. Takes responsibility for own performance and job 5 4 3 2 1 0
assignments
F. Decision Making/Problem Solving
1. Effectiveness in understanding problems in the workplace 5 4 3 2 1 0
2. Ability in making timely and practical decisions 5 4 3 2 1 0
G. Expense Management
1. Effectiveness in establishing appropriate reporting and 5 4 3 2 1 0
control procedures
2. Operating efficiently at lowest cost 5 4 3 2 1 0
3. Staying within established budgets 5 4 3 2 1 0
H. Human Resource Management
1. Effectiveness in dealing with people; 5 4 3 2 1 0
2. Ability to evaluate subordinates'/peer performance, 5 4 3 2 1 0
strengths and development needs
3. Providing constructive feedback to both subordinates and 5 4 3 2 1 0
administration
4. Taking appropriate and timely action with marginal or 5 4 3 2 1 0
unsatisfactory performers
5. Considers efforts to further the institutions goal of equal 5 4 3 2 1 0
employment opportunity.
I. Independent Action
1. Effectiveness in time management 5 4 3 2 1 0
2. Initiative and independent action within prescribed limits. 5 4 3 2 1 0
J. Quality of Work
1. The work is completed thoroughly and correctly following 5 4 3 2 1 0
established process & procedures.
2. The required paperwork is thorough and neat. 5 4 3 2 1 0
K. Leadership
1. Effectiveness in accomplishing work assignments through 5 4 3 2 1 0
subordinates
2. Establishing challenging goals 5 4 3 2 1 0
3. Delegating and coordinating effectively 5 4 3 2 1 0
4. Promoting innovation and team effort 5 4 3 2 1 0
5. Directs work flow in assigned areas effectively to meet 5 4 3 2 1 0
production / area goals.
L. Managing Change and Improvement
1. Effectiveness in initiating changes 5 4 3 2 1 0
2. Adapting to necessary changes from old methods when 5 4 3 2 1 0
they are no longer practical
3. Introducing new methods, and generating improvement in 5 4 3 2 1 0
performance
M. Client Responsiveness
1. Responsiveness and courtesy in dealing with internal staff, 5 4 3 2 1 0
external customers, clients and students
2. Employee projects a courteous manner 5 4 3 2 1 0
N. Productivity / Independence / Reliability
1. The employee produces a significant volume of work 5 4 3 2 1 0
efficiently in a specified period of time
2. Ability to work independently with little or no direction/ 5 4 3 2 1 0
follow-up to complete tasks / job assignment

Biological and Physical Sciences Department refining potentials

 Don Mariano Marcos Memorial State University
South La Union Campus
College of Arts and Sciences
Agoo, La Union

Biological and Physical Sciences Department

O. Dependability
1. Complies with instructions and performs under unusual 5 4 3 2 1 0
circumstances
2. Considers record of attendance and punctuality. 5 4 3 2 1 0
P. Initiative/ Creativity
1. Ability to seek out new assignments 5 4 3 2 1 0
2. Proposes improved work methods, 5 4 3 2 1 0
3. Gives suggestions and ideas to eliminate waste, 5 4 3 2 1 0
4. Finds new and better ways of doing things. 5 4 3 2 1 0
Q. Adherence to Policies
1. Follows company policies, procedures and work conduct 5 4 3 2 1 0
rules;
2. Considers contribution to accident prevention & safety 5 4 3 2 1 0
awareness
3. Ability to care for institutions property and keep 5 4 3 2 1 0
workspace safe and tidy.
R. Employee's Responsiveness
1. Responsiveness in completing job tasks in a timely manner. 5 4 3 2 1 0
S. Attendance
1. The employee is punctual and has an acceptable overall 5 4 3 2 1 0
attendance record
2. Observance of prescribed work break/meal periods. 5 4 3 2 1 0
3. Employees willingness to work overtime as required. 5 4 3 2 1 0
T. Personal Appearance
1. Neatness and personal hygiene appropriate to 5 4 3 2 1 0
position/work

II. EMPLOYEE STRENGTHS AND ACCOMPLISHMENTS: Related to performance or behavioral

aspects (e.g, professional characteristics, personal traits, human relations, etc.) which you
appreciated in their performance.
______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

III. OTHER COMMENTS/RECOMMENDATIONS FOR EMPLOYEES PROFESSIONAL DEVELOPMENT:

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Biological and Physical Sciences Department refining potentials

 Don Mariano Marcos Memorial State University
South La Union Campus
College of Arts and Sciences
Agoo, La Union

Biological and Physical Sciences Department

Biological and Physical Sciences Department refining potentials