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    Mariano Marcos State UniversityCOLLEGE OF INDUSTRIAL TECHNOLOGY

    Laoag City

    CITIZENS CHARTER

    Vision: A world-class university dedicated to the development of virtuous human resources and innovations for inclusive growth.

    Mission: To develop globally competitive professionals and industry-ready graduates via various modalities and generate new knowledge and technologies for theimprovement of the quality of life.

    I. INSTRUCTION SERVICES

    A. Admission and Enrolment

    1. Incoming Freshmen

    STEP CLIENT SERVICE PROVIDER DURATION OFACTIVITY

    PERSON IN-CHARGE

    1

    Seeks admission to the college.Submit the following documents: CFAT score,Form 138-A. NSO Birth Certificate,Certification of Good Moral Character, 2 copies1.5 x 1.5 ID picture

    Determines if qualified for admission based on CFAT score.Records name if qualified and filessubmitted documents.Issues admission slip.Advise student to proceed to UniversityClinic.

    5 minutes

    Department Chairman/Registrar

    2Under medical examination Examine and evaluate medical conditionof the student 15 minutes Medical and Dental Officers; Nurses

    3

    Returns to college for enrolment.Submit the following entrance credentials:

    Notice of Admission

    Medical Exam Result

    If qualified as scholar/grantee/MMSUdependent, submit the following supportingdocuments

    Certificate of Graduation as

    Checks credentials.Checks name on the list of admittedstudents.

    Issues Form 5-A indicating the section ofthe student

    Files supporting documentsCheck the box provided for the type ofscholarship availed of and affix signatureon the space provided for.

    5 minutes

    3 minutes

    Registering Adviser

    Student scholarship/Assistanceship

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    Valedictorian, Salutatorian or HonorableMention

    Scholarship award from sponsoringagency

    4

    Accomplish Form 5-A, fill out the Personal DataSheet at the back page of the form.

    Arrange class schedule, fill out the space

    provided for the class schedule correctly andcompletely and affix signature on the space

    provided for.

    Write name on the assigned section.

    Checks if all entries are answered.

    Checks the correctness and completenessof the entries.Indicates the year of the effectivity of thecurriculum.

    Approves the class schedule. Checks ifstudent has written his/her name.

    3 minutes

    8 minutes

    Registering Adviser

    Registering Adviser

    5

    Registers for the National Service TrainingProgram. Fill out separate NSTP enrolmentform.

    See to it that student fill out correctly theenrolment form 3 minutes NSTP Representative

    6 Present Form 5-A to the computer encoder forthe assessment of feesAssesses school fees. Issues print out ofclass schedule and assessed fees (Form 5 5 minutes Computer encoder

    7 Pays school fees at the Cashiers office Accepts payment of fees. Issues official

    receipt.5 minutes Cashier/ In-charge of collection of

    fees

    8Secure classcards. Present official receipt andForm 5. Write name on the course control sheetsfor subjects enrolled.

    Issue classcards for subjects enrolled.See to it that student has written name inall the course control sheet.

    10 minutes In-charge, classcard section

    2. Upper Classmen

    STEP CLIENT SERVICE PROVIDERDURATION OF

    ACTIVITYPERSON IN-CHARGE

    1

    Gets Form 5-A; presents school ID, graded

    classcards, Form 5 and accomplished semestralclearance last semester attended.

    Checks requirements before the issuanceof Form 5-A. 5 minutes

    Department Chairman

    2

    Fills up issued Form 5-A. Proceeds to thedelinquency adviser; present classcards of

    previous semester; completion form if applicableand duly accomplished semestral clearance.

    Checks graded classcards against thesubjects written on the accomplishedclearance.Determine scholastic standing.

    5 minutesDelinquency Adviser

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    If qualified as scholar /grantee/MMSUemployees dependent , submit necessarydocuments.

    For academic scholars, verify the generalweighted average. For MMSUdependents collect the dulyaccomplished Freeship Form. Checkthe box provided for the type ofscholarship availed of and affixsignature.

    10-15 minutes Incharge in Student Scholarship &Assistancehip

    3Proceeds to the Registration Adviser. PresentForm 5-A and graded classcards.

    Checks grade from classcards againstgrades posted on the students checklist.Recommend subjects to be enrolled forthe semester.

    5 minutes Registration Adviser

    4Arranges schedule of classes. Fill out the spacefor the schedule of classes correctly andcompletely. Affix signature.

    Checks the correctness and completenessof entries. Fill out the space for the yearof effectivity of the curriculum.Approves the class schedule.

    10 minutes Registration Adviser

    5 Have fees be assessed. Assess fees. Issue print out of classschedule and assessed fees (Form 5) 5 minutes Computer Encoders

    6 Pays fees. Accepts payment of school fees. Issueofficial receipt. 5 minutesCashier/In-charge of Collection of

    Fees

    7

    Gets classcards. Presents official receipt andForm 5. Writes name on the course control sheetfor subjects enrolled. Keeps student copy of

    Form 5.

    Issue validated classcards for subjectsenrolled. Ensure student has writtenname on the course control sheet.

    Collects other copies of Form 5.

    10 minutes In-charge, Validation of Classcards

    3. Returning Students

    STEP CLIENT SERVICE PROVIDERDURATION OF

    ACTIVITYPERSON IN-CHARGE

    1Informs the college of the intention to return toschool through a letter.

    Acts on the letter. Reminds the student ofthe requirements for enrolment. 3 minutes College Registrar

    2

    Presents the following credentials: School ID;classcards; Form 5 and duly accomplishedclearance of the last semester attended; approvedcopy of the leave of absence.

    Checks the credentials presented. IssueForm 5-A (pre-registration form) 5 minutes Department Chairman

    3

    Fills up issued Form 5-A. Proceeds to thedelinquency adviser; present classcards of

    previous semester; completion form if applicableand duly accomplished semestral clearance.If qualified as scholar /grantee/MMSUemployees dependent, submit necessary

    Checks graded classcards against thesubjects written on the accomplishedclearance.Determine scholastic standing.For academic scholars, verify the generalweighted average. For MMSU

    5 minutes

    10-15 minutes

    Delinquency Adviser

    Incharge in Student Scholarship &Assistancehip

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    documents. dependents collect the dulyaccomplished Freeship Form. Checkthe box provided for the type ofscholarship availed of and affixsignature.

    4Proceeds to the Registration Adviser. PresentForm 5-A and graded classcards.

    Checks grade from classcards againstgrades posted on the students checklist.Recommend subjects to be enrolled forthe semester.

    5 minutes Registration Adviser

    5Arranges schedule of classes. Fill out the spacefor the schedule of classes correctly andcompletely. Affix signature.

    Checks the correctness and completenessof entries. Fill out the space for the yearof effectivity of the curriculum.Approves the class schedule.

    10 minutes Registration Adviser

    6 Have fees be assessed.Assess fees. Issue print out of classschedule and assessed fees (Form 5) 5 minutes Computer Encoders

    7 Pays fees. Accepts payment of school fees. Issueofficial receipt. 5 minutesCashier/In-charge of Collection of

    Fees

    8

    Gets classcards. Presents official receipt andForm 5. Writes name on the course control sheetfor subjects enrolled. Keeps student copy ofForm 5.

    Issue validated classcards for subjectsenrolled. Ensure student has writtenname on the course control sheet.Collects other copies of Form 5.

    10 minutes In-charge, Validation of Classcards

    4. Transferees

    STEP CLIENT SERVICE PROVIDERDURATION OF

    ACTIVITYPERSON IN-CHARGE

    1

    Submit the following entrance credentials:notice of admission from the UniversityRegistrar; medical exam result; accomplishedvalidation slip (if required) , 2 copies 1.5 x 1.5ID picture, and evaluated checklist.

    Checks and files transfer credentials,determines subjects that can be taken

    based on evaluated checklist; advisesstudents to find for schedule that can fitto the determined subjects; issues Form5-A

    20 minutesRegistrar

    2

    Fills up issued Form 5-A. Proceeds to thedelinquency adviser; present classcards of previous semester; completion form if applicableand duly accomplished semestral clearance.If qualified as scholar /grantee/MMSUemployees dependent, submit necessarydocuments.

    Checks graded classcards against thesubjects written on the accomplishedclearance.Determine scholastic standing.For academic scholars, verify the generalweighted average. For MMSUdependents collect the duly

    5 minutes

    10-15 minutes

    Delinquency Adviser

    Incharge in Student Scholarship &Assistancehip

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    accomplished Freeship Form. Checkthe box provided for the type ofscholarship availed of and affixsignature.

    3Proceeds to the Registration Adviser. PresentForm 5-A and graded classcards.

    Checks grade from classcards againstgrades posted on the students checklist.Recommend subjects to be enrolled forthe semester.

    5 minutes Registration Adviser

    4

    Arranges schedule of classes. Fill out the space

    for the schedule of classes correctly andcompletely. Affix signature.

    Checks the correctness and completenessof entries. Fill out the space for the yearof effectivity of the curriculum.Approves the class schedule.

    10 minutes Registration Adviser

    5 Have fees be assessed. Assess fees. Issue print out of classschedule and assessed fees (Form 5) 5 minutes Computer Encoders

    6 Pays fees.Accepts payment of school fees. Issueofficial receipt. 5 minutes

    Cashier/In-charge of Collection ofFees

    7

    Gets classcards. Presents official receipt andForm 5. Writes name on the course control sheetfor subjects enrolled. Keeps student copy ofForm 5.

    Issue validated classcards for subjectsenrolled. Ensure student has writtenname on the course control sheet.Collects other copies of Form 5.

    10 minutes In-charge, Validation of Classcards

    B. Course Shifting/Transfer

    1. Within the College

    STEP CLIENT SERVICE PROVIDERDURATION OF

    ACTIVITYPERSON IN-CHARGE

    1 Secure shifting form Issues shifting form 2 minutes Administrative/Support Staff

    2Fill up/present shifting form Determines scholastic standing 10 minutes Adviser

    3Seeks and approval Acts/makes decision; affix signature 10 minutes

    Adviser, Releasing Department chair/Program Coordinator, Accepting

    Department/ Program Dean

    2. Within the University ( From other colleges to CIT)

    STEP CLIENT SERVICE PROVIDERDURATION OF

    ACTIVITY PERSON IN-CHARGE

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    1

    Presents the following: duly accomplisheddepartment and college clearances; dulyaccomplished/ signed request form; andchecklist to the Chair of the department/programwhere he/she intends to enrol

    Checks clearances, reviews the academicstanding of the student as had beenassessed by the college secretary whereshe/he previously enrolled, scrutinizesthe checklist of the student; countersignsthe Deans name (accepting Dean) if thestudent is qualified in the department/program and advises the student to seekendorsement of the Dean.

    7 minutes Department Chair/ProgramCoordinator

    2 Seeks endorsement of the Dean Endorses the request. 3 minutes Dean

    3Seeks approval of the University Registrar Approves/disapproves the request. 5 minutes University Registrar

    4 Presents approved request Endorses the student to his/her adviser 1 minute College Registrar

    5 Presents his/her checklistDetermines subjects which the studentcan enrol, gives instruction on enrolment

    procedures30 minutes Enrolling Adviser

    3. Transfer to other Schools

    STEP CLIENT SERVICE PROVIDER DURATION OFACTIVITY PERSON IN-CHARGE

    1 Seeks approval of college clearanceApproves clearance if student has settledhis/her accountability, responsibility ifany

    25 minutes

    Adviser, all department chairpersonsand program coordinators, research

    coordinator, alumni affairscoordinator, college secretary and

    Dean.

    2Seeks approval of university clearance Approves clearance if college clearancehas been duly accomplished 2 minutes

    Adviser, Department Chair/Programcoordinator, Dean

    C. Processing of Application1. Scholarship

    STEP CLIENT SERVICE PROVIDERDURATION OF

    ACTIVITYPERSON IN-CHARGE

    1 Present ID, proof of enrolment, Form 5AChecks completeness and verify thevalidity of documents required for thescholarship grant

    2 minutes Incharge, StudentsScholarship/Assistantship

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    2

    Present graded class cards during the lastsemester attended for continuing students

    Evaluates grades. Input records incomputer file 5 minutes

    Incharge, StudentsScholarship/Assistantship

    3Secure signature of In-charge, College Affixes signature on Form 5A 20 seconds Incharge, StudentsScholarship/Assistantship

    2. Leave of Absence (LOA)

    STEP CLIENT SERVICE PROVIDERDURATION OF

    ACTIVITY PERSON IN-CHARGE

    1 Secures LOA form from the Registrars Office Issues form 2 minutes Registrar personnel

    2Fills-up LOA form and seeks signature frominstructors of enrolled subjects

    Determines and indicates the classstanding and affixes signature 1 day

    Concerned instructors

    3 Presents the form to his/her adviserDetermines the scholastic status of thestudent and signs the form 10 minutes Enrolling adviser

    4Seeks endorsement from the departmentchair/program coordinator Endorses the application 3 minutes

    Department chair/programcoordinator

    5 Pays LOA feeAccepts payment and issues officialreceipt 5 minutes

    Cashier personnel

    6Submits the form to the university registrar forapproval Approves the application form 5 minutes

    University Registrar

    3. Student Loans

    STEP CLIENT SERVICE PROVIDERDURATION OF

    ACTIVITYPERSON IN-CHARGE

    1Presents secured loan application form fromSSDO

    Advises student to fill up properly andcompletely the application form andattach a certified photocopy of his/herForm 5, instructs the student that theapplication form bears the following:signature of a co-maker who is

    permanent employee of the university;signature of his/her parent/guardian, andattached certified photocopy of Form 5,emphasizes that these are needed beforethe Chief of Student FinancialAssistantship and Scholarship, and theSSDO Director approves the application

    5 minutes Student Affairs Coordinator

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    4. Student Assistance Program

    STEP CLIENT SERVICE PROVIDERDURATION OF

    ACTIVITYPERSON IN-CHARGE

    1Submits application letter together with form 5and certification of parents annual income;certificate of good moral character issued by thecollege guidance counsellor.

    Checks required supporting documents; parents annual income should not bemore than Php 100,000.00 are attached

    Endorses the application to the StudentServices and Development Office(SSDO)

    3 minutes

    2 minutes

    End user

    End user

    2Follow-up action of the application Inform student in the action of theapplication 2 minutes SSDO Director

    4Reports to the concerned department/programoffice

    Gives briefing on the work to be doneand orient the student. 15 minutes End user

    5. Dropping/changing of subjects

    STEP CLIENT SERVICE PROVIDERDURATION OF

    ACTIVITY PERSON IN-CHARGE

    1Gets dropping/adding/changing subjects form(Form 5-C)

    Checks Form 5 if reason is valid. IssuedForm 5-C 3minutes Staff- Registrars Office

    2

    Fills out properly and completely Form 5-C.Writes down the subject to beadded/dropped/changed.

    Checks the completeness of the entries.Affix signature on the space oppositename.

    2 minutes Faculty concerned

    3Seeks recommend approval of the collegeregistrar; adviser/chairman Affix signature 3 minutes

    College Registrar; DepartmentChairman

    4 Seeks approval of the dropping/adding/changingof subject Approves the request 3 minutes Dean

    5Pays fee for dropping/adding/changing ofsubject Receives payment; issues official receipt 5 minutes

    Cashier

    6 Submits fully accomplished Form 5-CSeggregates copy of Form 5-C. Providescopy of concerned offices that keeps theform files. Registrars copy of Form 5 -C

    5 minutes Registrar

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    and other documents e.g. withdrawnclasscard if subject is dropped. Issuesclasscard for adding/changing ofsubjects.

    6. Completion/Removal of Grades

    STEP CLIENT SERVICE PROVIDERDURATION OF

    ACTIVITY PERSON IN-CHARGE

    1

    Consults with faculty concerned re:INC/conditional failure mark

    Explains reason of incurring INC/conditional failure mark. Advises thestudent to submit requirements or takethe removal exam.

    5-10 mins Faculty concerned

    2 Secures completion/ removal form Issue completion /removal form 2 mins Registrar

    3Pays completion/removal fee and fills out theform completely

    Accepts payment and issues officialreceipt. 5 mins Cashier

    4Submits lacking requirement/takes removalexam

    Evaluate requirement/removal exam

    Gives corresponding grade. Fill out thecompletion/removal form. Have it besigned by the department chairman andapproved by the Dean. Submit form tothe registrars office. Provides copy tothe student, dean and the registrar.

    1 hour/ 15 minutes

    5 minutes

    Faculty concerned

    5Keeps copy of grade Files the grade on the students docket.Records the grade. 10 minutes Staff-registrar-s office

    D. Administration of Major Examinations (Midterm and Final Exams)

    STEP CLIENT SERVICE PROVIDER DURATION OFACTIVITY

    PERSON IN-CHARGE

    1 Arranges with instructor schedule of examsSees to it that it is within the prescribed

    period of giving mid-term and finalexams

    5 minutes Instructor concerned

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    E. On-the-Job Training

    STEP CLIENT SERVICE PROVIDERDURATION OF

    ACTIVITYPERSON IN-CHARGE

    1

    Submits pre-practicum requirement of on-the- job training such as:

    Form 5 (enrolment form) Classcard Certificate of live-birth in NSO security

    paper Parents consent 2 copies 1 x 1 recent colored

    (white background) ID picture in decentattire

    Biodata Medical certificate

    Checks pre-practicum requirements; seesto it that all are submitted. 10 minutes OJT Coordinator

    2Attends the pre-conference/orientation meeting

    Conducts a pre-conference/orientationmeeting. Distribute OJT envelope thatcontains:

    Request/recommendation letter Waiver forms Biodata Performance evaluation form OJT activity booklet

    2 hoursOJT Coordinator

    3

    Reports to the host training institution for hisOJT. Signs a training agreement with the hosttraining institution.

    Accompanies the trainee to theinstitution. Discuss requirements of thetraining with the supervisor of the hosttraining establishment

    2 hours

    OJT Coordinator ; Area coordinatorand supervisor of the host training

    establishment

    4Submits report of activities to the OJTcoordinator

    Evaluate weekly/monthly report ofactivities which are submitted personallyor via e-mail or fax messaging. Compilesreport.

    15 minutes OJT Coordinator

    5 Attends mid-training conferenceSupervise the trainees and conduct amid-training conference to elicitfeedbacks for the improvement of theOJT program

    1 hour OJT Coordinator

    6Prepares and submit terminal reports and otherrequirements

    Checks and assess report and otherrequirements such as:

    1 hour OJT Coordinator

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    Certificate of completion andaccomplished evaluation sheetfrom the host trainingestablishment

    Fully accomplished bookletcontaining the trainingagreement, liability waiver,training activity sheets andDTRs

    Accomplishment reports. Givesthe final grade

    F. Library Services

    STEP CLIENT SERVICE PROVIDERDURATION OF

    ACTIVITYPERSON IN-CHARGE

    1

    Student signs his/her name in the logbooklocated near the entrance door before proceedingto the main area of the Reading Center. Time inand time out is indicated in the logbook.

    Checks if logbook is properly filled-upwith the time in. 1 minute

    Librarian/ SRC In-charge/StudentAssistant

    2Student leaves his/ her school bag at the storagecabinet/shelves provided for students use. Checks if the student complied. 1 minute

    Librarian/ SRC In-charge/StudentAssistant

    3

    Student proceeds to the reference/ readingmaterial section arrange according to majorareas such as electrical, electronics andcommunication, electronics, drafting, garments,foods, ceramics, and computer and other bookson educational subjects and general references.

    Assist student in looking for the neededreference/reading material.

    3 minutes

    Librarian/ SRC In-charge/StudentAssistant

    4Student can stay at the SRC for research/libraryworks.

    Assists students for their neededreference/reading materials. Unlimited time

    Librarian/ SRC In-charge/StudentAssistant

    5

    Student can borrow reading/ reference materialfor photocopying and for take-home. Leaves his/

    her library ID and signs the borro wers slip.

    Records the students name, course anddate due of the reading material. 2 minutes

    Librarian/ SRC In-charge/StudentAssistant

    6Student returns the reading/reference materialsto their respective shelves.

    Checks if borrowed materials are in proper order and returned to the propershelves.

    1 minute Librarian/ SRC In-charge/StudentAssistant

    7 Student takes back her/his ID; logs outReturns ID of the student, check thelogbook if student indicated his/herlogged-out time.

    1 minute Librarian/ SRC In-charge/StudentAssistant

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    2

    Present official receipt

    Checks receipt and countersigns theGMC formAdvise student to seek signature of theSSDO Director

    1 minute Guidance Counselor

    3Secure SSDO Directors signature Affix signature 1 minute Director, SSDO

    B. Medical/Dental

    STEP CLIENT SERVICE PROVIDER DURATION OFACTIVITY

    PERSON IN-CHARGE

    1 Present needed documentsBSIT-FOOD TECHNOLOGY

    Admission slipPassport size ID pictureHBsAgHepatitis B vaccination recordWidal test/typhi dotChest Xray

    Fecalysis

    OTHER CIT COURSESAdmission slipPassport size ID picture

    receive and evaluate submitteddocuments

    3min nurse

    2 Fill up medical/dental form Check entries 5 min nurse

    3 Vital signs, weight, height Record vital signs, height, weight 3 min Nurse/dental aide

    4 Visual Acuity Record visual acuity 2 min Nurse/dental aide

    5 History taking Get pass medical, personal 3 min Nurse/dental aide

    6 Dental examination Dental evaluation 5 min dentist

    7 Physical examination Physical evaluation 10 min physician

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    8 Assessment/recommendation Medical evaluation 3 min physician

    9 Issuance of medical certificate Signing of medical certificate 1min physician

    STUDENTS FOR OJT

    STEP 1 Present needed documents receive and evaluate 5min nurseBSIT-FOOD TECHNOLOGY submitted documents

    CBC and pull out medicalUrinalysis recordsPregnancy Test (Females)Drug TestWidal TestHBsAgSputum ExamFecalysis

    Vaccination record

    OTHER CIT COURSESCBCUrinalysisPregnancy Test(Females)Drug TestChest Xray

    STEP 2 Vital signs record vital signs 3min nurse/dental aide

    STEP 3 History taking get past medical 3min nurse/dental aide

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    and personal historySTEP 4 Physical Examination physical evaluation 10min physician

    STEP 5 Assessment/recommendation medical evaluation 3min physician

    STEP 6 Issuance of medical certificate sign medical certificate 1min physician

    STUDENTS FROM LOA

    STEP 1 Present needed documents receive and evaluate 5min nurseApproved letter request for LOA submitted documents

    If due to sickness medical then pull out recordscertificate

    STEP 2 Vital signs record vital signs 3min nurse/dental aide

    STEP 3 History taking get past medical 3min nurse/dental aideand personal history

    STEP 4 Physical examination physical evaluation 10min physician

    STEP 5 Assessment/recommendation medical evaluation 3min physician

    STEP 6 Issuance of medical certificate sign medical certificate 1min physician

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    ATHLETES/PE STUDENTS

    STEP 1 Present medical exam slip pull out records 3min nurse

    STEP 2 Vital signs record vital signs 3min nurse/dental aide

    STEP 3 History taking get past medical history 3min nurse/dental aideSTEP 4 Physical examination physical evaluation 10min physician

    STEP 5 Assessment/recommendation medical evaluation 3min physician

    STEP 6 Issuance of medical certificate sign medical certificate 1min physician

    SERVICE TITLE: ISSUANCE OF MEDICAL CERTIFICATEOFFICE ADDRESS: MMSU-CIT CLINICSERVICE DESCRIPTION:

    CLIENT SERVICE PROVIDER DURATION PERSON IN-CHARGE

    OF ACTIVITYSTUDENTS WHO GOT SICK

    STEP 1 Verification pull out records 3min nurse

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    STEP 2 Follow up assessment vital signs 3min nurse/dental aidemedical evaluation 10min physician

    STEP 3 Issuance typing 5min nurseSigning 1min physician

    EMPLOYEES WHO GOT SICK

    STEP 1 Verification pull out records 3min nurse

    STEP 2 Follow up assessment vital signs 3min nurse/dental aide

    medical evaluation 10min physician

    STEP 3 Issuance of medical certificate fill up Form 41 5min physicianSERVICE TITLE: MEDICAL EXAMINATION OF EMPLOYEESOFFICE ADDRESS: MMSU-CIT CLINIC

    SERVICE DESCRIPTION:

    CLIENT SERVICE PROVIDER DURATION PERSON IN CHARGEOF ACTIVITY

    NEW EMPLOYEES

    STEP 1 Present needed documents receive and evaluate 2min nursemedical form and submitted documentsand lab exam results

    STEP 2 Fill up medical examination form check entries 5min nurse

    STEP 3 Vital signs, height and weight record vital signs, 3min nurse/dental aideheight and weight

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    STEP 4 History taking get past medical, 3min nurse/dental aide

    personal and family history

    STEP 5 Physical examination physical evaluation 10min physician

    STEP 6 Assessment/recommendation medical evaluation 3min physician

    STEP 7 Issuance of medical certificate sign medical certificate 1min physician

    OLD EMPLOYEES ANNUAL MEDICAL EXAM

    STEP 1 Check the schedule pull out medical records 3min nurse

    STEP 2 Vital signs, height, weight record vital signs, 3min nurse/dental aideheight and weight

    STEP 3 Laboratory examination perform the examination nurseFBS 1minTotal cholesterol 3minTriglycerides 3minUric acid 1minBlood typing 1minECG 7minHBsAg 2min

    STEP 4 History taking get medical history 3min nurse/dental aide

    STEP 5 Physical examination physical evaluation 10min physician

    STEP 6 Assessment/recommendation medical evaluation 10min physician

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    SERVICE TITLE: DENTAL CONSULTATION AND/OR PROCEDUREOFFICE ADDRESS: MMSU-CTE CLINICSERVICE DESCRIPTION:

    CLIENT SERVICE PROVIDER DURATION PERSON IN-CHARGEOF ACTIVITY

    EMPLOYEES AND STUDENTS

    STEP 1 Present ID card for identification pull out dental record 3min dental aide

    STEP 2 History taking get chief complaint/history 3min dental aide

    STEP 3 Dental examination dental evaluation 5min dentist

    STEP 6 Final disposition treatment, drug provision 30min dentistand/or prescriptionand/or dental procedure

    STEP 7 Recording fill up logbook and 2min dentist/dental aidemedicines issuance form

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    C. Accreditation of Student Organization

    STEP CLIENT SERVICE PROVIDER DURATION OFACTIVITY

    PERSON IN-CHARGE

    1 Secure application form and list of requirements forrecognition/renewal of organization

    Briefs applicant on how to accomplish the formsand other requirements for the recognition/renewalof organization

    5 minutes SAC

    2 Accomplish application form and other requirementsfor renewal/recognition of organization

    Guides the adviser and the officers of theorganization in the accomplishment of therecognition/renewal documents

    3 days SAC

    3 Secure approval of the Student Affairs Coordinator(SAC)

    Evaluates the contents of the submitteddocuments. Affixes signature on the applicationform.

    20 minutes SAC

    4 Secure approval of the Dean Assists the organization in securing the Deansapproval

    5 minutes SAC

    5 Submit application form and other requirements forapproval to the Office of Student Services and

    Development (OSSSD)

    Assists the organization in the submission of therecognition/renewal documents to OSSD

    1 hour SAC

    D. Holding of Student Activities

    STEP CLIENT SERVICE PROVIDER DURATION OFACTIVITY

    PERSON IN-CHARGE

    1 Secure permission from the Dean to conduct anactivity

    Assist the adviser and officers/students in the preparation of communication letter to the Dean

    5 minutes SAC

    2 Secure OSSD Application Form to hold an activity Advises the students to accomplish the form 2 minutes SAC

    3 Accomplish application form Guides the students in accomplishing the form 2 days SAC

    4 Secure approval of the Student Affairs Coordinator Evaluate the submitted application form. Affixessignature on the form

    10 minutes SAC

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    5 Seeks approval of the Dean Approves the request 2 minutes Dean

    III. EXTENSION SERVICES

    STEP CLIENT SERVICE PROVIDERDURATION OF

    ACTIVITYPERSON IN-CHARGE

    1Writes a letter to the University Presidentrequesting for extension services

    Acts on the request. If unfavorable,notify the client. When favorable,transmit letter request to the College.

    Notifies the College ExtensionCoordinator.Assess the needed action and coordinateswith the needed technical experts to betapped.

    Notify the client on the action takenregarding his/her request.

    5 minutes

    2 minutes

    5 minutes

    1 minute

    University President/Office of theUniversity President

    Dean

    Extension Coordinator

    Extension Coordinator

    2Attend meeting

    Arrange/present specific activities to beundertaken.Prepare MOA (if necessary)

    15 minutes Extension Coordinator, TechnicalExperts

    3Sign MOA Arranges schedule with signatories.Affix signature 1 hour

    Dean, Extension Coordinator, Client,University President

    Prepared by:

    CESARIO Y. PACISDean