FORM 3C Research and Extension Functions
FORM 3C Research and Extension Functions
Department / Unit:
Research Study :
Extension Project :_______________________________________________________________________
Instructions: Rate the faculty in each of the indicators below using the 5-point rating scale. 5 is
Outstanding, 4 is Very Satisfactory, 3 is Satisfactory, 2 is Fair, and 1 is Poor. If you wish to rate
your teacher 5, put a check mark opposite the indicator in the column of 5; if you wish to rate
him/ her 4, put a check mark opposite the indicator in the column 4, and so on.
Rated by:
________________________________________________
Dept Chairperson/ R&E Facilitator/ Head, R&E
Conforme: __________________________________
Faculty Member