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Individual Staff Questionnaire

The document provides a questionnaire for gathering information about an individual staff member named Portia Mariie Yvony Centeno. It requests information about her academic and professional preparation, teaching experience, professional experience, weekly schedule, and professional activities.
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0% found this document useful (0 votes)
27 views5 pages

Individual Staff Questionnaire

The document provides a questionnaire for gathering information about an individual staff member named Portia Mariie Yvony Centeno. It requests information about her academic and professional preparation, teaching experience, professional experience, weekly schedule, and professional activities.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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FACULTYError: Reference source not found

QUESTIONNAIRE FOR INDIVIDUAL STAFF MEMBERS

(This information for each staff member should be gathered and submitted
to the evaluating team before it proceeds to fill out the survey form
for Faculty)

NAME__PORTIA MARIIE YVONY CENTENO_____ DEPARTMENT__MEDICAL TECHNOLOGY__

RANK___PART-TIME__________ SCHOOL UNIVERSITY OF NEGROS OCCIDENTAL-


RECOLETOS____

A. ACADEMIC AND PROFESSIONAL PREPARATION

Error: Reference Educational Institution Field of Date


source not found Specialization
Degrees
BSMT UNO-R 2016
MSMT CDU PRESENT
JD UNO-R PRESENT

Special Training

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

B. EDUCATIONAL AND PROFESSIONAL EXPERIENCE

1. Teaching Experience

79
Error: Reference Institution Dates No. of
source not found years
Designation
PART-TIME FACULTY UNO-R 2019- 3
2021

80
2. Professional Experience (other than teaching)

Error: Reference Institution Dates No. of


source not found years
Designation
PULMONARY CLMMRH 2017- 1 YR 8
TECHNICIAN 2019 MOS

C. WEEKLY SCHEDULE

Indicate in the table below, classes and activities regularly


assigned or carried out in each period.

Error:
Refere Room Monday Tuesday Wednesday Thursday Friday Saturday
nce
source
not
found
Time
MS SYNCHRO SYNCHRON QUIZ, QUIZ,
9-12 TEAMS NOUS OUS REPORTI REPORT
CLASSES CLASSES NG, ING,
ACTIVIT ACTIVI
Y TY

81
COMMENTS

D. PROFESSIONAL ACTIVITIES

1. Membership in Professional Organizations

_______PASMETH____________________ ___________________________________

________PAMET_____________________ ___________________________________

__________________________________ ___________________________________

__________________________________ ___________________________________

2. Professional Reading
List below the professional BOOKS which you have read within the
last six months, and the professional PERIODICALS you regularly
read.

BIOCHEMISTRY AND MOLECULAR BIOLOGY BY KEVIN AHERN_______________________

CONCEPTS OF GENETICS BY ROBERT BROOKER__________________________________

IMMUNOHEMATOLOGY AND BLOOD BANKING BY AJMANI____________________________

__________________________________ ___________________________________

3. In-Service Courses
Indicate courses taken during the past THREE YEARS or NOW being

82
taken. DO NOT include courses taken BEFORE beginning to teach.

__________________________________ ___________________________________

__________________________________ ___________________________________

__________________________________ ___________________________________

__________________________________ ___________________________________

4. Indicate research activities and/or publications completed in the


past five years.

__________________________________ ___________________________________

__________________________________ ___________________________________

__________________________________ ___________________________________

__________________________________ ___________________________________

__________________________________ ___________________________________

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