LA CONSOLACION SCHOOL

Longos, Balagtas, Bulacan

PAASCU ACCREDITED LEVEL - II

ACTIVITY EVALUATION FORM

Name of Club/Office: Grade 7 - Faith

Name of Activity: TMMR OUTREACH

Date: February 9, 2019

Venue: Tahanang Mapagkalinga ni Madre Rita - Guiguinto

RATING: 5 – Excellent 3 – Good 1 – Poor

4 – Very good 2 – Fair

Pre-Immersion/ Exposure Phase 5 4 3 2 1

Student/Pupils are aware of the:
1. Objectives/Purpose of the Activity 30 26 10

2. Time frame for the integration is 21 28 17

adequate and substantial.
3. The location of the activity/exposure is 27 31 8
relevant to the achievement of the activity’s
objectives.
Comments/Suggestion:

_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________

Actual Exposure/Activity 5 4 3 2 1
1. The pupil/student’s ability and 16 12 5
willingness to participate in the
exposure/immersion.
2. The activity/exposure contributed to the 17 9 7
friendship of the student with the adoptive
community.
3. The activity/exposure encouraged 14 13 6
students to reflect on the community’s
economic, political, social, spiritual
conditions.
Comments/Suggestion:

_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________

Impact to the Adopted Community 5 4 3 2 1

1. The adoptive/partner community 14 16 3
has the willingness to accommodate
students/ pupils for exposure/
integration.
2. The adopted community/partner 16 10 7
community was attentive to the
student’s presence during and after
the exposure.
3. The adopted community was 18 15
grateful for the presence and
support of the pupils, students, and
personnel of the School.

Comments/Suggestion:

_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
 LA CONSOLACION SCHOOL
Longos, Balagtas, Bulacan

PAASCU ACCREDITED LEVEL - II

ACTIVITY EVALUATION FORM

Name of Club/Office: Grade 10 - Fidelity

Name of Activity: TMMR OUTREACH

Date: November 9, 2019

Venue: Tahanang Mapagkalinga ni Madre Rita - Guiguinto

RATING: 5 – Excellent 3 – Good 1 – Poor

4 – Very good 2 – Fair

Pre-Immersion/ Exposure Phase 5 4 3 2 1

Student/Pupils are aware of the:
1. Objectives/Purpose of the Activity 32 20

2. Time frame for the integration is 27 22 3

adequate and substantial.
3. The location of the activity/exposure is 38 11 3
relevant to the achievement of the activity’s
objectives.
Comments/Suggestion:

_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________

Actual Exposure/Activity 5 4 3 2 1
1. The pupil/student’s ability and 21 5
willingness to participate in the
exposure/immersion.
2. The activity/exposure helped established 20 5 1
a friend relationship between the student
and the adopted community.
3. The activity/exposure encouraged 21 4 1
students to reflect on the community’s
economic, political, social, spiritual
conditions.
Comments/Suggestion:

_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________

Impact to the Adopted Community 5 4 3 2 1

1. The adoptive/partner community 20 6
has the willingness to accommodate
students/ pupils for exposure/
integration.
2. The adopted community/partner 19 7
community was attentive to the
student’s presence during and after
the exposure.
3. The adopted community was 18 7 1
grateful for the presence and
support of the pupils, students, and
personnel of the School.

Comments/Suggestion:

_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
 LA CONSOLACION SCHOOL
Longos, Balagtas, Bulacan

PAASCU ACCREDITED LEVEL - II

ACTIVITY EVALUATION FORM

Name of Club/Office: Grade 10 – Sincerity

Name of Activity: Retreat

Date: Feb.4-5,2020

Venue: Villa Consuelo Retreat House - Novaliches

RATING: 5 – Excellent 3 – Good 1 – Poor

4 – Very good 2 – Fair

Pre-Immersion/ Exposure Phase 5 4 3 2 1

Student/Pupils are aware of the:
1. Objectives/Purpose of the Activity 64

2. Time frame for the integration is 64

adequate and substantial.
3. The location of the activity/exposure is 64
relevant to the achievement of the activity’s
objectives.
Comments/Suggestion:

_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________

Actual Exposure/Activity 5 4 3 2 1
1. The pupil/student’s ability and 32
willingness to participate in the
exposure/immersion.
2. The activity/exposure helped established 32
a friend relationship between the student
and the adopted community.
3. The activity/exposure encouraged 32
students to reflect on the community’s
economic, political, social, spiritual
conditions.
Comments/Suggestion:

_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________

Impact to the Adopted Community 5 4 3 2 1

1. The adoptive/partner community 32
has the willingness to accommodate
students/ pupils for exposure/
integration.
2. The adopted community/partner 32
community was attentive to the
student’s presence during and after
the exposure.
3. The adopted community was 32
grateful for the presence and
support of the pupils, students, and
personnel of the School.

Comments/Suggestion:

_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
 Longos, Balagtas, Bulacan

PAASCU ACCREDITED LEVEL - II

ACTIVITY EVALUATION FORM

Name of Club/Office: Grade 10 – Fidelity

Name of Activity: Retreat

Date: Feb.5-6,2020

Venue: Villa Consuelo Retreat House - Novaliches

RATING: 5 – Excellent 3 – Good 1 – Poor

4 – Very good 2 – Fair

Pre-Immersion/ Exposure Phase 5 4 3 2 1

Student/Pupils are aware of the:
1. Objectives/Purpose of the Activity 51 5

2. Time frame for the integration is 37 19

adequate and substantial.
3. The location of the activity/exposure is 27 29
relevant to the achievement of the activity’s
objectives.
Comments/Suggestion:

_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________

Actual Exposure/Activity 5 4 3 2 1
1. The pupil/student’s ability and 25 3
willingness to participate in the
exposure/immersion.
2. The activity/exposure helped established 27 1
a friend relationship between the student
and the adopted community.
3. The activity/exposure encouraged 27 1
students to reflect on the community’s
economic, political, social, spiritual
conditions.
Comments/Suggestion:

_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________

Impact to the Adopted Community 5 4 3 2 1

1. The adoptive/partner community 25 3
has the willingness to accommodate
students/ pupils for exposure/
integration.
2. The adopted community/partner 23 5
community was attentive to the
student’s presence during and after
the exposure.
3. The adopted community was 24 4
grateful for the presence and
support of the pupils, students, and
personnel of the School.

Comments/Suggestion:

_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________