Conduct Competency Assessment

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    CONDUCT

    COMPETENCYASSESSMENT

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    Technical Education and Skills Development Authority

    ASSESSMENT AND CERTIFICATION PROGRAM

    ATTENDANCE SHEET

    Name of Competency

    Assessment Center:

    Date of Assessment:

    No. CANDIDATES NAME SignatureAssessment

    Results

    1.

    2.

    3.

    4.

    5.

    6.

    7.

    8.

    9.

    10.

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    Assessor/s:

    Signature over Printed Name

    TESDA Representative:

    ______________________________

    Signature over Printed NameAccreditation Number:

    ________________________________Signature over Printed Name

    Accreditation

    Number:_______________

    CAC Manager:

    ______________________________

    Signature over Printed Name

    EVIDENCE PLAN/EVALUATION PLANTRAINEES NAME

    FACILITATORS NAME

    QUALIFICATION

    UNIT OF COMPETENCY

    COVERED

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    Ways in which evidence will be collected:

    [tick the column]

    Demon

    strationwithOral

    Questioning

    WittenTest

    Interview

    The evidence must show that the candidate

    Rating Sheet for Demonstration with Oral Questioning

    Candidates Name:

    Assessors Name:

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    Unit of Competency:

    Qualification:

    Date of Assessment

    Time of Assessment

    Instructions for demonstration

    Materials and equipment

    Tools and equipment

    Work Area

    During the demonstration of skills, the candidate: YES NO N/A

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    Oral Questioning

    Questions: Satisfactory Response

    The candidate should answer the following

    questions:

    YES NO

    The candidate underpinning knowledge

    was:

    Satisfactory Not Satisfactory

    Feedback to candidate:

    Candidates

    name:

    Assessors Name:

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    RATING SHEET FOR ORAL QUESTIONING

    QUESTIONS Satisfactory

    response

    The candidate should answer the following

    questions

    YES NO

    Feedback to candidate:

    The candidates overall performance was:

    Satisfactory Not Satisfactory

    Candidate Signature: Date:

    Assessor Signature: Date:

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    SELF ASSESSMENT GUIDE

    Qualification

    Unit of Competency

    Instruction:

    Can I? YES NO

    I agree to undertake assessment in the knowledge that information gathered will

    only be used for professional development and I can only be assessed by

    concerned assessment personnel and my manager/supervisor

    Candidate Signature: Date

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    COMPETENCY EVALUATION RESULT SUMMARY

    TRAINEES NAME

    FACILITATORS NAME

    QUALIFICATION

    DATE OF EVALUATION

    TIME OF EVALUATION

    THE PERFORMANCE OF THE TRAINEE IN

    THE FOLLOWING ASSESSMENT METHODS

    [PLEASE TICK APPROPRIATE BOX]

    SATISFACTORY

    NOT

    SATISFACTORY

    A. WRITTEN EXAM.

    B. INTERVIEW

    C. DEMONSTRATION

    DID THE TRAINEES OVERALL

    PERFORMANCE MEET THE REQUIRED

    EVIDENCES/STANDARDS?

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    RECOMMENDATION FOR RE-EVALUATION _______________________________

    QUALIFIED TO TAKE THE NEXT COMPETENCY ____________________________

    GENERAL COMMENTS (STRENGTHS/IMPROVEMENT NEEDED):

    TRAINEES SIGNATURE: DATE:

    FACILITATORS SIGNATURE: DATE:

    COMPETENCY ASSESSMENT AGREEMENT

    Candidates Name:

    Assessors Name

    Qualification:

    Units of Competency to

    be Assessed:

    BASIC UNITS

    COMMON UNITS

    CORE UNITS

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    YES NO

    Have the context and purpose of assessment been

    explained?

    Have the qualification and units of competency

    been explained?

    Do you understand the assessment procedure and

    evidence to be collected?

    Have your rights and appeal system been

    explained?

    Have you discussed any special needs to be

    considered during assessment?

    I agree to undertake assessment in the knowledge that

    information gathered will only be used for professional

    development purposes and can only be accessed by concerned

    assessment personnel and my manager/supervisor.

    Candidates Signature: Date:

    Assessors Signature: Date:

    COMPETENCY ASSESSMENT RESULTS SUMMARY

    Candidates Name:

    Assessors Name:

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    Title of Qualification /

    Cluster of Units of

    Competency

    ANIMATION NC II

    Assessment Center: Date:

    The performance of the candidate in the following unit(s) of competency and

    corresponding methodsSatisfactory Not Satisfactory

    Unit of Competency Assessment Method

    1. Produce Cleaned-up and In-

    between Drawings

    Demo. /Observation w/ Questioning

    Interview

    Note: Satisfactory Performance shall only be given to candidate who demonstrated successfully all the competencies

    identified in the above-named Qualification/Cluster of Units of Competency

    Recommendation:

    For issuance of NC/COC

    (Indicate title of COC, if full

    Qualification is not met)

    For submission of

    additional documents

    Specify: _______________

    ______________________

    For re-assessment (pls.

    specify)

    Did the candidate overall performance meet the required evidences/standards? YES NO

    OVERALL EVALUATION Competent Not Yet Competent

    Candidates signature: Date:

    Assessors signature: Date:

    Assessment Center Manager

    Signature:Date:

    COMPETENCY ASSESSMENT RESULTS SUMMARY

    Name of Candidate: Date:

    Name of Assessment Center: Date:

    Assessment Results: Competent Not Yet Competent

    Recommendation:

    For issuance of NC/COC

    (Indicate title of COC, if full

    Qualification is not met)

    For submission of

    additional documents

    Specify:

    For re-assessment (pls.

    specify)

    Assessed by: _____________________________

    Name and Signature

    Attested by: __________________________

    Name and Signature

    Date: Date:

    TECHNICAL EDUCATION AND SKILLS DEVELOPMENT AUTHORITY

    Pangasiwaan sa Edukasyong Teknikal at Pagpapaunlad ng Kasanayan

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    APPLICATION FORM

    REFERENCE

    NUMBER:

    _______________ _____________

    Applicants Signature Date

    Name of School/Training Center/Company:

    Address:

    Title of Assessment applied for:

    1. Client Type

    2. Profile

    2.1. Name:

    SURNAM

    EFIRSTNA

    ME

    MIDDLE

    NAME

    NAME EXTENSION (e.g,

    Jr., Sr.)

    2.2Mailing

    Address

    2.3Mothers Name 2.4. Fathers Name

    2.5. Sex 2.6. Civil

    Status

    2.7. Contact

    Number(s)

    2.8. Highest

    Educational

    dfdfAttainment

    2.9. Employment

    Status

    Tel: ______________

    Mobile :

    ______________

    E-mail :

    ______________

    Fax : ______________

    Others ;

    ______________

    2.

    1

    0.

    Birth Date: Mon

    th

    Day Year 2.11. Birth

    place:

    2.1

    1

    Ag

    e

    3. Work Experience (National Qualification-related)

    Name of Company Positi

    on

    Inclusive

    Dates

    Monthly

    Salary Status of

    Appointment

    No. of Yrs. Working

    Exp.

    Pictures; 3pcs.,

    colored,

    passport size,

    (3.5 cm x 4.5 cm

    with head size

    ranging from 27

    mm to 3 mm;

    white

    !ac"ground,

    with collar and

    TT Number

    SeriesRegio Provinc

    To be flled out by the Processing

    Number

    Series

    Full Qualifcation COC

    TVET Graduating TVETTVET Industr SCEP

    RegionProvince

    DistrictBarangayu!"er#

    $i% CodeCity&'unici%al

    Ele!entary

    'ale

    Fe!ale

    Se%arat

    ed

    (ido)&e

    'arried

    Single

    Ot*ers+

    College

    CollegeTVET

    TVETTVET

    .S Contractual

    Casual

    /o" Order

    Pro"ationar

    Per!anent

    Sel0 1

    OF(

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    1.Other Training/ Seminars Attended (national Qualification related)

    4.1.

    Title

    4.2.

    Venue

    4.3

    Inclusive Dates

    4.4. No. Of

    Hours

    4.5. Conducted By:

    (For more information, please use separate sheet)

    2.Licensure Examination(s) Passed

    5.1.

    Title

    5.2.

    Year

    Taken

    5.3.

    Examination

    Venue

    5.4.

    Rating

    5.5.

    Remarks

    5.6.

    Expiry Date

    (For more information, please use separate sheet)

    3.Competency Assessment(s) Passed

    6.1.

    Title

    6.2.

    Qualificat

    ion Title

    6.3.

    Industry

    Sector

    6.4.

    Certificate

    Number

    6.5.

    Date of Issuance

    6.6.

    Expiration

    Date

    (For more information, please use separate sheet)

    ADMISSION SLIP

    REFERENCE

    NUMBER:

    Name of Applicant: Tel. Number:

    Assessment Applied for: Official Receipt Number

    Date Issued:

    To be accomplished by the Processing Officer

    Name of Assessment Center:

    Check Submitted requirements: Remarks:

    Assessment Date; Assessment Time:

    _____________________________________

    Printed Name & Signature of Processing

    Officer

    ________________________________________

    Printed Name & Signature of Applicant

    Date: Date:

    Pictures; 3pcs.,

    colored,

    passport size,

    (3.5 cm x 4.5 cm

    with head size

    ranging from 27

    mm to 3 mm;

    white

    !ac"ground,

    with collar and

    2cco!%lis*ed Sel01

    T*ree 345 colored %ass%ort si6e

    Bring o)n Personal Protective

    Ot*er8s Pls9 S%eci0y

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    Note: Please bring this admission Slip on your assessment date.