BACKGROUND INVESTIGATION (BI) FORM

Applicant under BI Respondents

Name: Marwyn Marcus Leano Name: Dolores C. Pambid

Position: Position: Program Dean, LPU-SC,
Position Applied for in BatMC: Laguna
Radiologic Technologist Relationship to the applicant:
(Please tick the appropriate box.)
 Applicant’s Supervisor
 Applicant’s Peer / Co-Employee
 Applicant’s Subordinate
 Others:
_____student______________________

I. ON COMPETENCIES
A. Core and Organizational Competencies
Using the following rating guide, please check () the appropriate box opposite each
behavioral indicator.
Rating Guide: 5 – Shows Strength
4 – Very Proficient
3 –Proficient
2 – Minimal Development Needed
1 – Much Development Needed
Core Description 5 4 3 2 1
a Demonstrates compliance to policies, rules and other standards set √
by the organization.
b Delivers and adds value to customers’ standards and requirements √
c Provides timely solutions to problems and decision dilemmas that do √
not have clear-cut options and resolution may require some analysis
or creativity.
d Recognizes personal strengths and gaps and depends on guidance √
from authorities or appropriate bodies for direction in addressing
them.
e Effectively delivers messages that require some planning for the √
method used and the possible reception to the message; audience
may be controlled group, i.e., team(s), divisions.
f Edits existing or customizes available communication materials to √
produce an appropriate written work.
g Contributes new ideas, approaches, and solutions. √
h Designs and implements plans focused on one’s functional group or √
area of focus and involving team members from the same group.
i Works with data to generate relevant information √
 B. Functional Areas. Please put a check mark () in the box opposite the functional
area where the applicant can perform effectively.
Functional Areas Functional Areas
Accounting Program Management
Audit Records Management
Corporate Communication Recruitment
Information Technology Training
Legal Management Others: (Please indicate) √
Diagnostic Imaging

II. ON PERFORMANCE AND OTHER RELEVANT INFORMATION

 Please tell us about the work performance of the applicant for the last three years.
What are the applicant’s outstanding accomplishments, recognition or citations
received, and significant contributions to your office, if any?

As a professor and program dean, I monitored his performance as a student. Through

diligence and hard work managed to finish his schooling. This despite family problems
and taking care of his younger sibling. Applicant persevered to become a professional
Radiologic Technologist overcoming the different challenges and difficulties he faced.

 What do you think are the challenges or difficulties of the applicant in performing
his/her duties and responsibilities in his/her position? How did the applicant cope with
these challenges?

Family problem and financial difficulties to support his studies. Through guidance and
support, applicant was able to cope with these challenges. Applicant has shown
himself to be very cooperative and heeded our advice.

 In terms of compliance with office rules and regulations, please provide us information
on the applicant’s attendance and punctuality, filing of leave application, records or
tardiness and undertime, leave without pay, attendance to flag ceremonies/retreats,
and other Office programs and activities.
He incurred few absences. According to him, looking after his disabled younger sibling
was the reason for his tardiness.

 Other relevant information/data (critical incidents: family background, health profile,

habits, vices, membership in unions/associations and in what capacity; or any
derogatory record) about the applicant, if any
None

- Thank you! –