Personnel Profile Update

7/30/2019 Personnel Profile Update

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REF : MQCPI-QMS-GM-08-2012-001

FOR : MQCPI COMMUNITY

FROM : QUALITY MANAGEMENT SYSTEM DEPARTMENT

DATE : AUGUST 24, 2012

RE : UPDATE OF PERSONNEL PROFILE

In preparation for the Regional Quality Assessment Team (RQAT) inspection for government recognition

of the two programs namely Bachelor of Elementary Education (BEEd) and BS Information technology

(BSIT), all are hereby requested to accomplish the following forms and forward to your respective group

secretaries, on or before September 21, 2012 (Friday):

GROUP ACCOMPLISH FORM: SUBMIT TO:

Academic Group (Teaching) ANNEX A Faculty Information Sheet Ms. Joanna Penaranda

Academic Group (Non-

Teaching)ANNEX B Personnel Information Sheet Ms. Joanna Penaranda

Administrative Group ANNEX B Personnel Information Sheet Ms. Jacquelyn N. Lozano

Integral Formation Group

(Non-Teaching)ANNEX B Personnel Information Sheet Ms. Jenny Rose G. Mariano

Integral Formation Group

(Teaching)ANNEX A Faculty Information Sheet Ms. Jenny Rose G. Mariano

Rest assured that submitted information shall be dealt with utmost confidentiality.

Thank you for your usual support.

Rudolph D. Velasco

QMS Assistant

Recommending Approval:

Dr. Leticia D. Flores Engr. Gregorio G. Maniti II Elizabeth V. Pusung, RGC

VPAA Administrative Group Head IFG Head

Approved by:

Mr. Michael B. Lapid

President


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Mary the Queen College (Pampanga) Inc.Jose Abad Santos Ave. San Matias Guagua, Pampanga

Quality Management System

FACULTY INFORMATION SHEET

Kindly provide the necessary information. Do not leave any space blank. Put N/A in case information is not applicable.

PERSONAL INFORMATION

Name: _________________________________________________________________________________________________Last Name First Name Middle Name Name Extension

Permanent Address:

____________________________________________________________________________________________House No. Street Barangay/Village City/Municipality Province

Zip Code:

Employee ID No.: SSS No.: GSIS No: Philhealth No.: TIN: Pag-Ibig No:

Level:Assistant Instructor IAssistant InstructorInstructorAssistant ProfessorProfessor

Gender:MaleFemale

Birthday:

________(mm/dd/yyyy)

Civil Status:

SingleMarriedSeparatedWidowedWidower

If married, name of spouse: Religion:

No. of Child/children:

Place of Birth:

Name/s of Brother/s or Sister/s Birthday Civil

Status

Educational Attainment School Last

Attended/

Graduated

Occupation and

Company Affiliated

(Add an attachment and mark A if additional space is needed)

Name/s of Child/ Children Birthday Civil

Status

Educational

Attainment

School Last

Attended/Graduated

Occupation and

Company Affiliated

(Add an attachment and mark B if additional space is needed)

OTHER INFORMATION

Computer Knowledge/Skills: Special Skills/Hobbies:

CONTACT INFORMATION

Mobile No.:

___________________

Tel. No

__________________Business No.:

__________________

Fax No.:

_____________

Email Address:

____________________

Person to Notify in case of Emergency: Relationship: Contact No: Address:

EMPLOYMENT INFORMATION

Employment Status:

Full TimePart Time

If full time, indicate whether:REGULARPROBATIONARYCONTRACTUAL

No. of Work Hours

per week:

Term of Appointment: Annual Salary:

Previous Employment:Position Term of Employment Organization

(Add an attachment and mark C if additional space is needed)


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I certify that the above information is true and correct:

________________________

Primary

Teaching

Discipline:

Subjects Taught: Work Schedule: (Day and Time)

(Add an attachment and mark D if additional space is needed) (Add an attachment and mark E if additional space is needed)

PROFESSIONAL RECORD

Educational Qualifications

Degree School attended/graduated If in progressNo of Units

earned

Year

GraduatedWith thesis/

Dissertation writing?

(Yes/No)Baccalaureate

Masters

Doctorate

Special

Training

Course

Membership in Professional Organization

Association

______________________________________

______________________________________

______________________________________

______________________________________

______________________________________

Position/Title

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

Years of Membership

_____________________________

_____________________________

_____________________________

_____________________________

_____________________________

Declaration of Dependents

Dependents Name Age Relationship

TAX SSS PhilHealth Pag-Ibig Others

(Pls. Specify)

(Put an x under each item wherein the dependent is declared)


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Mary the Queen College (Pampanga) Inc.Jose Abad Santos Ave. San Matias Guagua, Pampanga

Quality Management System

PERSONNEL INFORMATION SHEET

Kindly provide the necessary information. Do not leave any space blank. Put N/A in case that information is not applicable.

PERSONAL INFORMATION

Name: _________________________________________________________________________________________________Last Name First Name Middle Name

Permanent Address:

___________________________________________________________________________________________House No. Street Barangay/Village City/Municipality Province

Zip Code:

Employee ID: SSS No.: GSIS No: Philhealth No.: TIN: Pag-Ibig No:

Level:

SupervisorRank and FileConsultant

Gender:

MaleFemale

Birthday:

________(mm/dd/yyyy)

Civil Status:

Single Married Separated Widowed Widower

If married, name of spouse: Religion:

No. of Child/children:

Place of Birth:

Name/s of Brother/s or Sister/s Birthday Civil

Status

Educational

Attainment

School Last

Attended/Graduated

Occupation and

Company Affiliated

(Add an attachment and mark A if additional space is needed)

Name/s of Child/ Children Birthday CivilStatus EducationalAttainment School LastAttended/Graduated Occupation andCompany Affiliated

(Add an attachment and mark B if additional space is needed)

OTHER INFORMATION

Computer Knowledge/Skills: Special Skills/Hobbies:

CONTACT INFORMATION

Mobile No.:

___________________

Tel. No

__________________

Business No.:

__________________

Fax No.:

_____________

Email Address:

____________________

Person to Notify in case of Emergency: Relationship: Contact No: Address:

EMPLOYMENT INFORMATION

Employment Status:

Full Time Part Time

If full time, indicate whether:

REGULAR PROBATIONARY CONTRACTUAL

No. of Work Hours

per week:

Term of Appointment: Annual Salary:

Previous Employment:Position Term of Employment Organization

(Add an attachment and mark C if additional space is needed)


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Primary

Teaching

Discipline:

Subjects Taught: Work Schedule: (Day and Time)

(Add an attachment and mark D if additional space is needed) (Add an attachment and mark E if additional space is needed)

I certify that the above information is true and correct:

_______________________

PROFESSIONAL RECORD

Educational Qualifications

Degree School attended/graduated If in progressNo of Units

earned

Year

GraduatedWith thesis/

Dissertation writing?

(Yes/No)Baccalaureate

Masters

Doctorate

Special

Training

Course

Association

______________________________________

______________________________________

______________________________________

Position/Title

______________________________

______________________________

______________________________

Years of Membership

______________________________

______________________________

______________________________

Declaration of Dependents

Dependents Name Age Relationship

TAX SSS PhilHealth Pag-Ibig Others

(Pls. Specify)

(Put an x under each item wherein the dependent is declared)

Documents

Personnel Profile Update