Republic of the Philippines

- North Eastern Mindanao State University

Tagbina Campus, Tagbina, Surigao del Sur, 8308
Website: www.sdssu.edu.ph

EVALUATION SHEET FOR EXTENSION SERVICES

Name of Municipality/Barangay:______________________________________________________
Name and Address of School Extending Services:North Eastern Mindanao State University-Tagbina Campus
Bureau: North Eastern Mindanao State University-Tagbina Campus
Type of Extension Service Extended:
( ) Poverty Alleviation Program ( ) Literacy/Numeracy Program
( ) Sustainable Livelihood Program ( ) Continuing Education Program
( ) Agri- Based Ecotourism Program
Proponent’s Name: Nancy S. Doloriel____________________________________________________
Project /Training/Activity: Barangay Social Learning and Agricultural Program
Venue:____________________________________________________________________________
Date:_____________________________________________________________________________

DIRECTION: Please check in the appropriate column using the rating scale below:

RATING SCALE: 5- Best 4- Better 3- Good 2- Fair 1- Poor

Extension Services 1 2 3 4 5
1. Relevance of the Programs/Training/Projects
Gikinahanglan sa Katawhan /Komunidad.
2. Impact to Beneficiaries/Participants
Kaayohang nakuha sa mga partisipante.
3. Ability of the Resource Speaker/Trainers
Abilidad ug kaabtik sa nagsulti/naghisgot
4. Conduct of Extension Services on time.
Pagplastar ug pagdumala sa aktibidadis sa sakto na oras.
5. Properly Planned and Well-Managed Activity:
Maayo nga Pagkaplano ug Pagdumala sa Aktibidadis:
5.1 Food Services (Pagkaon)
5.2 Venue (Lugar)
5.3 Accommodation (Pag-abiabi/Pag-atiman)
6. Monitored and Evaluated
Ginabisitahan ug Ginasusi
7. Extension Services are sustainable with funding support from the
Administration
Malahutayong Serbisyo nga adunay pinansyal na suporta sa Administration
8. Trained/Advised in the Extension Activity
Gitudluan ug gigiyahan sa mga buluhaton.
TOTAL

Rated by:__________________________________________

FM-OESL-008/Rev001/01.26.23