Download - 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.