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San Isidro College

City of Malaybalay
Bukidnon 8700

MONITORING FORM
Name of Partner Institution:
Institution Coordinator:
Trainer / Coordinator:
Agnes L. Tan
Name of Student:
Training Program:
Caregiving NCII
Date/Time Monitored:

Please check only one:


A. ATTITUDE/ HUMAN RELATION:
1. Arrives 15 Minutes before
2. Exhibit joyful disposition
3. Acts professionally
B. PERSONALITY
1. Neat and well-groomed
2. Modest in appearance, words
3. Carries self with confidence
C. WORK PERFORMANCE
1. Performs procedure well
2. Procedure done on time

Comments:

Suggestions:

Never

Sometimes

Always

San Isidro College


City of Malaybalay
Bukidnon 8700
Signature of Institution Coordinator:

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