University of San Jose-Recoletos

NATIONAL SERVICE TRAINING PROGRAM Control Number

CIVIC WELFARE TRAINING SERVICE (To be filled-in by the
instructor)
Cebu City

CWTS 12 INDIVIDUAL RECORD SHEET

(Second Semester, School Year 2021-2022)
Please shade the box with black color depending on the schedule reflected in your study load.

C CWTS 12 – 08:00 AM – 12:00 NN–

– Saturday 08:00
CWTS 12 – 01:00 PM – 05:00 PM–
Saturday
Direction: Kindly fill-in the box using CAPITAL
LETTERS.
Details provided will be kept STRICTLY CONFIDENTIAL to uphold the DATA PRIVACY ACT.

Last Name E L E G I N O

First Name I V A N

Middle Name A B E L L A R

Program &Year: BSN - 2 Date of Birth: July 21 , 2000

Birth Sex: Male Female
e Tel No. &
Present Home Address 12P- BASAK ST CEBUCITY Mobile No.: 099546460513
Permanent Home Tel No. &
Address: 12P- BASAK ST CEBUCITY Mobile No.: 099546460513
Person to be notified in Facebook
case of emergency: Joseph francisse Elegino account/link: Ivan Elegino | Facebook
Tel No. &
Address: 12P- BASAK ST CEBUCITY Mobile No.: 099546460513
Group Assignment: Email Eleginoivanliss@gmail
(Group A/B/C/D) c Address: .com

(Electronic Online Signature of Student/Date Reported)

WRITTEN SUBMISSIONS/ ASSIGNMENTS

Submission Points
Nature of Submission/ Assignment Remarks
Date Earned

GRADED WRITTEN EXAMINATION SCORE COMPUTATION OF GRADES POINTS EARNED

Prelim Attendance (20%)

Midterm Written Outputs (30%)

Final Major Examinations (40%)

TOTAL Conduct/ Aptitude (10%)

Relative Weight TOTAL (100%)

Written Outputs FINAL GRADE

1
 TABLE OF OFFENSES AND DEMERITS

PENALTY
CODE NATURE OF OFFENSE
1st
2nd 3rd 4th
1 3 6 9
01 Reporting Late during Scheduled Formation

Unprescribed Attire
1 3 6 9
02 (Based from the set General Guidelines of Male & Female
Dress Code during Virtual Class.

03 1 3 6 9
Unprescribed Haircut for Male

Presence of Mustache or Beard (Based from the set of 1 3 6 9

04 General Guidelines for Male Personal Grooming Appearance)

05 Unable to follow Female Proper Hair Grooming

1 3 6 9
(Female students must tie their Hair for Visible Facial
Recognition and proper hair grooming)

06 Wearing Cap & aesthetic sunglasses of Male and 1 3 6 9

Female Students

07 Prohibited wearing of accessories.

1 3 6 9
(Wearing Earring(s) for Male Students, Ladies must not
wear (Big Bangle Earrings/Party Earrings)

08 Abusive Behavior Against the Instructor, Co-Student via 1 3 6 9

Synchronous and Asynchronous Class

Plagiarism or Cheating during written assignments, Subject for thorough

activities and online examinations. (Monitored by a special investigation and
software, once caught will be dealt with accordingly.) equivalent sanctions.
09

Online Stalking or posting offensive and doing abusive

1 3 6 9
10 behavior towards other class participants (e.g instructors,
students and facilitators) during synchronous sessions.

Misbehavior during the Synchronous Class

1 3 6 9
11 (e.g Playing games, Unnecessary dancing, singing or any
form of unnecessary attention-seeking behavior)

Escape during the Synchronous Session (Students must

12 turn their cameras on whenever requested by the instructor To be marked Absent
at any time during the synchronous session as part of the
attendance validation.

Certification

2
 THIS IS TO CERTIFY that I am fully aware of the above-listed Table of
Offenses and their corresponding Demerits.

Ivan A. Elegino
Student’s Signature over Printed Complete Name

Febuary 24 2022
Date Signed