CHED Form E-0: INDIVIDUAL FACULTY WORKLOAD REPORT

SEMESTER :     SCHOOL YEAR :     INCLUSIVE DATE :  
CAMPUS :     COLLEGE :     DEPARTMENT :  
CODE NUMBER :  

PRINTED NAME OF THE FACULTY :          
  FAMILY NAME   FIRST NAME   M.I.

E-MAIL ADDRESS :     HOME ADDRESS :    
CONTACT PHONE NUMBER :          
DATE OF BIRTH(MMDDYYYY) :     DATE OF ORIGINAL APPOINTMENT(MMDDYYYY) :    
GENDER :     CIVIL STATUS :    

DETAILS OF FACULTY APPOINTMENT:

1 TENURED 2 NOT TENURED 3 NO PS ITEM :  
1 FULL TIME 2 HALF-TIME 3 PART TIME :  
OWN PLANTILLA ITEM(1 YES|2 NO) :  
BASIC SALARY CHARGE TO
(1 PS ITEM/2 GAA LUMP SUM/3 SUC INCOME/4 LGU) :
 
GENERIC FACULTY RANK(USE CODE) :  
SSL SALARY GRADE :  
ANNUAL BASIC SALARY :     LECTURERS FEE PER HOUR :    
IN ACTIVE DUTY DURING ENTIRE SEM(1 YES/2 NO) :  
ON LEAVE WITHOUT PAY? :            
START DATE(MMDDYYYY)   END DATE(MMDDYYYY)   TYPE OF LEAVE(MMDDYYYY)  
ON LEAVE WITH PAY? :            
START DATE(MMDDYYYY)   END DATE(MMDDYYYY)   TYPE OF LEAVE(MMDDYYYY)  

ACADEMIC DEGREES OBTAINED:

DEGREE :  
1 COMPLETED/2 STILL BEING PURSUED
/3 STARTED BUT UNCOMPLETED/4 NOT YET STARTED :
 
DATE COMPLETED(MMDDYYYY) :  
WHERE OBTAINED :  
SPECIFIC DISCIPLINE(USE 6-DIGIT CODE) :  
WROTE THESIS/DISSERTATION
AS PART OF DEGREE(YES/NO) :
 

DISCIPLINE CLASSIFICATION OF PRIMARY TEACHING LOAD:

FIRST SPECIFIC DISCIPLINE WHERE MOST TEACHING IS DONE(USE 6-DIGIT CODE) :  
SECOND SPECIFIC DISCIPLINE WHERE MOST TEACHING IS DONE(USE 6-DIGIT CODE) :  

LOAD CREDITS FOR NON-TEACHING DUTIES:

Duties Official Load Credits Start Date End Date Specify Details Verified By
           
SUBTOTAL NON-TEACHING CREDITS    
SUBTOTAL TEACHING CREDITS   (see details on subject and credit units)
GRAND TOTAL WORKLOAD CREDITS    
REQUIRED WORKLOAD    
OVERLOAD    

FACULTY MEMBER'S TEACHING LOAD IN THE CURRENT SEMESTER:


SEM/TRIM :     SCHOOL YEAR :  

SCHEDULE OF CLASSES:List all subjects in all levels


Subject No. & Title Subject Units Credit Units Days Time Room Lec or Lab Team Teaching No. of Students Course, Yr. & Sec. College
                     
                     
                     
                     
                     
                     
TOTAL      

CONSULTATION HOURS


Day Time
   
   
   
   
   

SUBJECT UNITS AND CREDIT UNITS


Educational Level of Teaching Lecture Subject Units Lab Subject Units Total Subject Units Lecture Credit Units Lab Credit Units Total Credit Units
             
             
             
TOTAL TEACHING LOAD            

HOURS PER WEEK AND STUDENT-CONTACT HOURS PER WEEK


Educational Level of Teaching Lecture Hours Per Week Lab Hours Per Week Total Hours Per Week Lecture Contact Hours Per Week Lab Contact Hours Per Week Total Contact Hours Per Week
             
             
             
TOTAL TEACHING LOAD            
PRINTED NAME AND SIGNATURE OF FACULTY     DATE:___________________
       
CERTIFIED CORRECT BY:      
PRINTED NAME AND SIGNATURE OF DEPARTMENT/DIVISION CHAIR     DATE:___________________
PRINTED NAME AND SIGNATURE OF COLLEGE DEAN     DATE:___________________
PRINTED NAME AND SIGNATURE OF DIRECTOR OF INSTRUCTION     DATE:___________________
       
ALL LOAD CREDITS APPROVED BY:      
PRINTED NAME AND SIGNATURE OF VICE PRESIDENT FOR RESEARCH AND EXTENSION     DATE:___________________
PRINTED NAME AND SIGNATURE OF VICE PRESIDENT FOR ACADEMICS     DATE:___________________
PRINTED NAME AND SIGNATURE OF CAMPUS ADMINISTRATOR     DATE:___________________

REMARKS: IF FACULTY MEMBER IS ABROAD, THIS FORM WILL BE FILLED UP BY THE DEPARTMENT CHAIR IN BEHALF OF ABSENT FACULTY MEMBER.