DOST-SEI SCHOLAR GRADUATES TRACER
(Tracking Actual Career Experience Report)
General Directions: Please read each item carefully and answer as accurately as you can. Write answers in block letters and please do not leave any
item unanswered. Mark check ( ) appropriately in the box provided. Your answers will be valuable inputs towards the improvement of the DOST-SEI
Scholarship Programs. Kindly mail this form to
[email protected] or submit it at the Research Unit of Science Education Institute office, Science
Heritage Bldg., DOST Compound, Bicutan, Taguig City. You may fax this also at (02)-8371925 or sign-up/update online at www.sei.dost.gov.ph/tracer.
I. PERSONAL INFORMATION
NAME: _________________________________________________________________________ SEX: Male Female
(LAST NAME) (FIRST NAME) (MIDDLE NAME OR MAIDEN NAME) (SUFFIX NAME)
PRESENT ADDRESS: ________________________________________________________________ DATE OF BIRTH: __ /__ /___
(HOUSE NO. OR LOCATION, STREET, PUROK/SUBDIVISION NAME, BARANGAY, MUNICIPALITY, CITY/PROVINCE, REGION) (MM) (DD) (YYYY)
EMAIL: ______________ CELLPHONE NUMBER: ______________ TELEPHONE NUMBER: _________ CIVIL STATUS: ____________
II. DOST SCHOLARSHIP INFORMATION
YEAR YEAR AWARDS
LEVEL / COURSE COMPLETED PROGRAM TYPE SCHOOL AWARDED GRADUATED RECEIVED
PROGRAM A: RA 7687 RA 10612
PROGRAM B: MERIT OTHERS:
Technical / Technician: JLAP / JLSS ________________
(Course Taken) SCHOLARSHIP PROGRAM IN BSE PHYSICS
COOPERATIVE PRE-SERVICED ED. FOR SCIENCE
AND MATH TEACHERS
PROGRAM A: RA 7687 RA 10612
PROGRAM B: MERIT OTHERS:
Bachelor’s Degree: JLAP / JLSS _________________
(Course Taken) SCHOLARSHIP PROGRAM IN BSE PHYSICS
COOPERATIVE PRE-SERVICED ED. FOR SCIENCE
AND MATH TEACHERS
ASTHRDP OTHERS: ___________________
Masters Degree: ERDTP
(Course Taken) DOST-HRDP (OFF CAMPUS / REGULAR)
ASTHRDP OTHERS: ___________________
Doctoral Degree: ERDTP
(Course Taken) DOST-HRDP (OFF CAMPUS / REGULAR)
III. CURRENT EMPLOYMENT INFORMATION
EMPLOYMENT TYPE: Employed, Locally Employed, Abroad Self-Employed Unemployed SINCE: __________________
FOR THOSE WHO ARE CURRENTLY EMPLOYED / SELF EMPLOYED (LOCALLY & ABROAD):
Occupation: S&T Non-S&T (Please Specify): ___________________________
If S&T Occupation choose one category below:
Engineering & Technology Agricultural and Veterenary Science IT / ICT
Life Sciences Medical and Health Sciences Mathematicians, Actuaries and Statisticians
Physical and Earth Sciences Science / Mathematics Teaching Others (Please Specify): ___________________________
Sector: Government Private NGO/Foundation Academe Others (Please Specify): ________________________________
Status of Employment: Permanent Temporary Contractual Part-Time Job Order Others (Please Specify): ______________
Current Position / Designation: __________________________________________________________________________________________
Name of Company: _____________________________________________________________________________________________________
Address of Company: ____________________________________________________________________________________________________
FOR THOSE WHO ARE CURRENTLY UNEMPLOYED:
Reason(s) for Unemployment:
Pursuing Graduate Studies Family / Personal Matters End of contract and now looking for a job
Recently Resigned and still looking for a job Preparing for licensure exam Planning / Preparing to work abroad
Recently graduated and looking for a job Others (Please Specify): __________________________________________________
IV. SIGNIFICANT ACCOMPLISHMENTS / CONTRIBUTIONS TO S&T DEVELOPMENT
(e.g., Publications / Research / Patents / Inventions / Awards / Recognitions, etc.)
_______________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________
Accomplished by: _____________________ Date Accomplished: ___________________
Signature (mm/dd/yyyy)
Keep your DOST-SEI Family INFORMED. Thank you very much!
---TRACER Form (Revised 2019)---
