CERTIFICATION FOR RESIDENCY - FORM A

SCHOLARSHIPS FOR GRADUATE STUDIES - LOCAL

SCHOLAR NAME: UNID:

SHEI NAME:
DHEI NAME:
PROGRAM:

School Year
Term: ◻ 1st Term ◻ 2nd Term ◻ 3rd Term ◻ 4th Term
◻ Non-Regular Term (please specify): __________________________________

Certification ◻ Residency ◻ Others: ___________________________________

requested:

Residency

The scholar is currently enrolled in residency for the term stated above. This is to certify that this is in line with
his/her study plan, and is a requirement to complete his/her degree.

During this time, he/she will be taking:

◻ Thesis / Dissertation ◻ Practicum
◻ Comprehensive Exam ◻ Research Work
◻ Others (please specify): ________________________________________________________

EXPECTED OUTPUTS
In sentence form, enumerate all expected tasks and target milestones.
Tasks Milestones
OCTOBER 2018
 Review the different methods of research, types of research  Attained knowledge on the application of quality research
methods and types of research.

 Review history of nursing, nursing theories, current trends  Achieved full knowledge on the application of nursing skills.
in nursing, knowledge-based economy, personnel and
financial management in nursing administration.

 Historical perspective, early beliefs and practices, nursing  Adapted the various concepts, theories and health models in
models and theories. nursing practice.
NOVEMBER 2018
 Review global initiative models, nursing role in  Established a program of global initiative for nursing
international and global health. education.

 Concepts of clinical reasoning.  Applied the concept of critical thinking.

 Role of nursing leadership and professionals.  Applied leadership skills in nursing practice.

 Effective communication.  Initiated good collaboration within the healthcare setting.

 Managing staff, employee and patient satisfaction
DECEMBER 2018
 Mapping human resource management.
 Developed camaraderie among personnel within the whole
organization.
 Attained knowledge on the concept of human resource
management.

 Strategic human resource, organizational structure and  Applied leadership styles within the organization.
styles of leadership.

 Application for comprehensive examination is SPUP (Dec.  Valued what had been learned and have positive thoughts to
15, 2018) pass the examination.

Attach separate sheet if necessary

(Attach enrollment form when residency was taken, if any)
 CERTIFICATION FOR RESIDENCY - FORM A
SCHOLARSHIPS FOR GRADUATE STUDIES - LOCAL

SCHOLAR NAME: UNID:

SHEI NAME:
DHEI NAME:
PROGRAM:

School Year
Term: ◻ 1st Term ◻ 2nd Term ◻ 3rd Term ◻ 4th Term
◻ Non-Regular Term (please specify): __________________________________

Certification ◻ Residency ◻ Others: ___________________________________

requested:
To be accomplished by the scholar: To be accomplished by the DHEI Representative:

I certify that the information indicated are valid , This is to certify that the above information is correct
authentic, true and correct based on my own and is consistent with the policies of the institution.
personal knowledge and based on documents in my
possession. I further certify that my actions are in
line with the terms and conditions of my scholarship
grant.
________________________________________
HELEN GRACE R. RIVERA Name and Signature of the Authorized
Name and Signature of the Scholar and Date Signed Representative and Date Signed
 CERTIFICATION FOR RESIDENCY - FORM B
SCHOLARSHIPS FOR GRADUATE STUDIES - LOCAL

SCHOLAR NAME: HELEN GRACE R. RIVERA UNID: 2017-a-0206534

SHEI NAME: CAGAYAN VALLEY COMPUTER & INFORMATION TECHNOLOGY COLLEGE
DHEI NAME: ST. PAUL UNIVERSITY PHILIPPINES (TUGUEGARAO CITY)
PROGRAM: MASTER OF ARTS IN NURSING

School Year 2018-2019

Term: ◻ 1st Term ✔ 2nd Term
◻ ◻ 3rd Term ◻ 4th Term
◻ Non-Regular Term (please specify): __________________________________

Certification ✔ Residency
◻ ◻ Others: ___________________________________
requested:

Residency

The scholar was enrolled in residency for the term stated above. This is to certify that this is in line with his/her
study plan, and is a requirement to complete his/her degree.

At the time of residency, she was taking:

◻ Thesis / Dissertation ◻ Practicum
◻ Comprehensive Exam ◻ Research Work
◻ Others (please specify): ________________________________________________________

OUTPUTS PRODUCED
In sentence form, enumerate all tasks and milestones achieved.
Tasks Milestones
 Took the comprehensive examination on December 27-29,  Successfully passed the comprehensive examination.
2018 at St. Paul University Philippines – Tugegarao City.
 Enrolled thesis writing 1.  Successfully passed all the pre-requisite subjects prior to
the thesis writing 1 and 2.

Attach separate sheet if necessary

(Attach grades with Residency reflected, or other supporting documents)

To be accomplished by the scholar: To be accomplished by the DHEI Representative:

I certify that the information indicated are valid, This is to certify that the above information is correct
authentic, true and correct based on my own and is consistent with the policies of the institution.
personal knowledge and based on documents in my
possession. I further certify that my actions are in
line with the terms and conditions of my scholarship
grant.
________________________________________
HELEN GRACE R. RIVERA Name and Signature of the DHEI Representative
Name and Signature of the Scholar and Date Signed