University of Luzon

NATIONAL SERVICE TRAINING PROGRAM

SELF-APPRAISAL FORM
Basic Information
Name :
Time and Schedule :
College :
Position Title :
Committee Name :

I. Job descriptions and responsibilities:

II. Specify ways that you feel you met or exceeded your responsibilities and provide
justification as to how you exceeded such responsibilities.

III. Specify the ways that you feel you did not meet your responsibilities and provide
justification as to how you exceeded such responsibilities.

IV. State at least three (3) things you have learned from the activity/project.

V. Based on the learning you have acquired, what future activities/projects would you
like to conduct in your own community?

VI. List additional items you would like to discuss.

VII. Self-Rating (85-95): ___________

Student’s Signature: ____________________ Date: __________________