Course Evaluation from the Concerned Department or GE Offering Unit

Note: Please fill out all required fields (*).

Hidden

Parent Form Entry ID*

Student Information

Student*

First Name Middle Name Last Name Suffix

Student Number*

List of Courses that Need Further Evaluation

List of Courses that Need Further Evaluation*

Course

Remarks

Concerned Department or GE Offering Unit

UP E-mail Address of Concerned Department or GE Offering Unit

Reviewer Information

Department or GE Offering Unit*

Reviewer*

First Name Middle Name Last Name Suffix

Number of Courses to be Evaluated*

Course Evaluation

Course 1*

Course 1 Evaluation*

Course 1 Recommended Action*

Course 2*

Course 2 Evaluation*

Course 2 Recommended Action*

Course 3*

Course 3 Evaluation*

Course 3 Recommended Action*

Course 4*

Course 4 Evaluation*

Course 4 Recommended Action*

Course 5*

Course 5 Evaluation*

Course 5 Recommended Action*

Course 6*

Course 6 Evaluation*

Course 6 Recommended Action*

Course 7*

Course 7 Evaluation*

Course 7 Recommended Action*

Course 8*

Course 8 Evaluation*

Course 8 Recommended Action*

Course 9*

Course 9 Evaluation*

Course 9 Recommended Action*

Course 10*

Course 10 Evaluation*

Course 10 Recommended Action*

Phone

This field is for validation purposes and should be left unchanged.