Templates

Sector :

Qualification Title:

Unit of Competency:

Module Title:
 Plan
Training
Session

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Data Gathering Instrument for Trainee’s Characteristics
Please answer the following instrument according to the
characteristics described below. Encircle the letter of your choice that best
describes you as a learner. Blank spaces are provided for some data that
need your response.
Characteristics of learners

Language, literacy Average grade in: Average grade in:

and numeracy English Math
(LL&N)
a. 95 and above a. 95 and above
b. 90 to 94 b. 90 to 94
c. 85 to 89 c. 85 to 89
d. 80 to 84 d. 80 to 84
a. 75 to 79 e. 75 to 79

Cultural and Ethnicity/culture:

language a. Ifugao
background
b. Igorot
c. Ibanag
d. Gaddang
e. Muslim
f. Ibaloy
g. Others( please specify)_____________

Education & Highest Educational Attainment:

general a. High School Level
knowledge
b. High School Graduate
c. College Level
d. College Graduate
e. with units in Master’s degree
f. Masteral Graduate
g. With units in Doctoral Level
h. Doctoral Graduate
Sex a. Male
b. Female
Age Your age: 35

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 Characteristics of learners
Physical ability 1. Disabilities(if any)_____________________
2. Existing Health Conditions (Existing illness
if any)
a. None
b. Asthma
c. Heart disease
d. Anemia
e. Hypertension
f. Diabetes
g. Others(please specify) ___________________
NC II Certificate
Previous
experience with NC II in HOUSEKEEPING
the topic
List down trainings related to
NC II in HOUSEHOLD

National Certificates acquired and NC level

Training Level
completed HOUSEKEEPING NC11

Other courses related to

Special courses
a. Units in education
b. Master’s degree units in education
c. Others(please specify)
_________________________
Learning styles a. Visual - The visual learner takes mental
pictures of information given, so in order for
this kind of learner to retain information,
oral or written, presentations of new
information must contain diagrams and
drawings, preferably in color. The visual
learner can't concentrate with a lot of activity
around him and will focus better and learn
faster in a quiet study environment.
b. Kinesthetic - described as the students in
the classroom, who have problems sitting
still and who often bounce their legs while
tapping their fingers on the desks. They are
often referred to as hyperactive students
with concentration issues.
c. Auditory- a learner who has the ability to
remember speeches and lectures in detail
but has a hard time with written text. Having
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 Characteristics of learners
to read long texts is pointless and will not be
retained by the auditory learner unless it is
read aloud.
d. Activist - Learns by having a go
e. Reflector - Learns most from activities
where they can watch, listen and then review
what has happened.
f. Theorist - Learns most when ideas are
linked to existing theories and concepts.
g. Pragmatist - Learns most from learning
activities that are directly relevant to their
situation.
a. Financially challenged
Other needs
b. Working student
c. Solo parent
d. Others(please specify)
___________________________

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FORM 1.1 SELF-ASSESSMENT CHECK

INSTRUCTIONS: This Self-Check Instrument will give the trainer necessary

data or information which is essential in planning training
sessions. Please check the appropriate box of your answer
to the questions below.
CORE COMPETENCIES
CAN I…? YES NO
1. Provide housekeeping services to guest
1.1 1 Receive Housekeeping Request 
1.1.2 Provide/ Service Housekeeping Requests 
1.1.3 Provide Advice to Guest 
1.1.4 Liaise with Other Departments 
2. Clean/Prepare rooms for guests

2.1.1 Set-up equipment and trolleys 

2.1.2 Access rooms for servicing 

2.1.3 Make-up beds 

2.1.4 Clean and clear rooms 

2.1.5 Clean and store trolleys and equipment 

3. Provide valet / butler Service
3.1.1 Identify valet Services 

3.1.2 Perform proper coordination to ensure optimum privacy, 

security and confidentiality of all guests

3.1.3 Display professional valet standards 

3.1.4 Ensure proper handling of guest’s property 

4. Clean public areas, facilities and equipment

4.1.1 Select and use equipment and materials properly for 
cleaning premises
4.1.2 Comply with occupational; health and safety 
requirements in preparing dry and wet cleaning agents
and chemicals
4.1.3 Identify and explain different cleaning operations, 
chemicals and treatment of common hazards in the
workplace
4.1.4 Dispose garbage and used chemicals properly 

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CORE COMPETENCIES
CAN I…? YES NO
4.1.5 Clean wet and dry areas according to enterprise procedures 
4.1.6 Maintain and store cleaning equipment and chemicals 

5. Laundry linen and guests clothes

5.1.1 Identify types of fabric and laundry equipment 
5.1.2 Observe safety practices in handling laundry equipment 
and chemicals

5.1.3 Follow correct procedure in laundering process for 

guest’s laundry items

5.1.4 Package and store laundry items 

6. DEAL WITH/HANDLE INTOXICATED GUESTS

6.1.1. Determine the level of intoxication 

6.1.2. Apply appropriate procedures 
6.1.3. Comply with legislation 

Note: In making the Self-Check for your Qualification, all required competencies
should be specified. It is therefore required of a Trainer to be well- versed
of the CBC or TR of the program qualification he is teaching.

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Evidences/Proof of Current Competencies

Form 1.2: Evidence of Current Competencies acquired related to

Job/Occupation

Current competencies Proof/Evidence Means of validating

1.Clean and prepare Certificate of training Submitted authenticated copy of
rooms for incoming certificate of training
guests
2.Provide valet/butler Certificate of training Submitted authenticated copy of
service certificate of training
3.Laundry linen and guest Certificate of training Submitted authenticated copy of
clothes certificate of training

4.Clean public areas, Certificate of training Submitted authenticated copy of

facilities and equipment certificate of training

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 Identifying Training Gaps

From the accomplished Self-Assessment Check (Form 1.1) and the

evidences of current competencies (Form 1.2), the Trainer will be able to
identify what the training needs of the prospective trainee are.

Form 1.3 Summary of Current Competencies Versus Required

Competencies (Sample)

Required Units of Current Competencies Training

Competency/Learning Gaps/Requirements
Outcomes based on CBC
1. PROVIDE HOUSEKEEPING SERVICES TO GUEST
1.1 1 Receive Housekeeping Receive Housekeeping
Request Request
1.1.2 Provide/ Service Provide/ Service
Housekeeping Requests Housekeeping
Requests
1.1.3 Provide Advice to Guest Provide Advice to Guest
1.1.4 Liaise with Other Liaise with Other
Departments Departments
Required Units of Current Competencies Training
Competency/Learning Gaps/Requirements
Outcomes based on CBC
2. CLEAN/PREPARE ROOMS FOR GUESTS
2.1.1 Set-up equipment and 2.1.1 Set-up equipment
trolleys and trolleys

2.1.2 Access rooms for servicing 2.1.2 Access rooms for

servicing

2.1.3 Make-up beds 2.1.3 Make-up beds

2.1.4 Clean and clear room and 2.1.4 Clean and clear room
equipment and equipment
2.1.5 Clean and store trolleys 2.1.5 Clean and store
trolleys
3. PROVIDE VALET / BUTLER SERVICE
3.1.1 Identify valet Services 3.1.1 Identify valet
Services

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3.1.2 Perform proper
coordination to ensure optimum
privacy, security and
confidentiality of all guest
3.1.3 Display professional valet
standards
3.1.4 Ensure proper handling of
guest’s property
4. CLEAN PUBLIC AREAS, FACILITIES AND EQUIPMENT
4.1.1 Select and use equipment
and materials properly for
cleaning premises
4.1.2 Comply with occupational;
health and safety requirements in
preparing dry and wet cleaning
agents and chemicals
4.1.3 Identify and explain
different cleaning operations,
chemicals and treatment of
common hazards in the
workplace
3.1.2 Perform proper
coordination to ensure
optimum privacy, security
and confidentiality of all
guest
3.1.3 Display professional
valet standards
3.1.4 Ensure proper
handling of guest’s
property
4.1.1 Select and use
equipment and materials
properly for cleaning
premises
4.1.2 Comply with
occupational; health and
safety requirements in
preparing dry and wet
cleaning agents and
chemicals
4.1.3 Identify and explain
different cleaning
operations, chemicals and
treatment of common
hazards in the workplace

4.1.4 Dispose garbage and used 4.1.4 Dispose garbage and

chemicals properly used chemicals properly
4.1.5 Clean wet and dry areas 4.1.5 Clean wet and dry
according to enterprise areas according to
procedures enterprise procedures

4.1.6 Maintain and store cleaning 4.1.6 Maintain and store

equipment and chemicals cleaning equipment and
chemicals
5. LAUNDRY LINEN AND GUESTS CLOTHES
5.1.1 Identify types of fabric and 5.1.1 Identify types of
laundry equipment fabric and laundry
equipment
5.1.2 Observe safety practices in 5.1.2 Observe safety
handling laundry equipment practices in handling
and chemicals laundry equipment
and chemicals

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5.1.3 Follow correct procedure in 5.1.3 Follow correct
laundering process for guest’s procedure in laundering
laundry items process for guest’s laundry
items
5.1.4 Package and store laundry 5.1.4 Package and store
items laundry items
6.DEAL WITH/HANDLE INTOXICATED GUESTS

6.1.1. Determine the level of 6.1.1. Determine the level

intoxication of intoxication
6.1.2. Apply appropriate 6.1.2. Apply appropriate
procedures procedures

6.1.3. Comply with legislation 6.1.3. Comply with

legislation

Using Form No.1.4, convert the Training Gaps into a Training Needs/
Requirements. Refer to the CBC in identifying the Module Title or Unit of
Competency of the training needs identified.

Form No. 1.4: Training Needs (Sample)

Training Needs Module Title/Module of Instruction

(Learning Outcomes)
Receive Housekeeping Request PROVIDING HOUSEKEEPING
SERVICES TO GUEST
Provide/ Service Housekeeping Requests

Provide Advice to Guests

Liaise with Other Departments

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 In template form, the session plan will look like this.
SESSION PLAN
Sector :
Qualification Title :
Unit of Competency :
Module Title :
Learning Outcomes:

A. INTRODUCTION
B. LEARNING ACTIVITIES
LO 1:
Learning Content Methods Presentation Practice Feedback Resources Time

LO 2:

C. ASSESSMENT PLAN
 Written Test
 Performance Test
D. TEACHER’S SELF-REFLECTION OF THE SESSION

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PARTS OF A COMPETENCY-BASED LEARNING MATERIAL
PACKAGE
References/Further Reading

Performance Criteria Checklist

Operation/Task/Job Sheet

Self Check Answer Key

Self Check

Information Sheet

Learning Experiences

Learning Outcome Summary

Module
Module Content
Content

Module
List of Competencies
Content

Module Content

Module Content

Front Page
In our efforts to standardize CBLM, the
above parts are recommended for use
in Competency Based Training (CBT) in
Technical Education and Skills
Development Authority (TESDA)
Technology Institutions. The next
sections will show you the components
and features of each part.

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 (Qualification Title)
COMPETENCY-BASED LEARNING MATERIALS

List of Competencies

No. Unit of Competency Module Title Code

1.

2.

3.

4.

5.

6.

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 MODULE CONTENT

UNIT OF COMPETENCY

MODULE TITLE

MODULE DESCRIPTOR:

NOMINAL DURATION:

LEARNING OUTCOMES:
At the end of this module you MUST be able to:

ASSESSMENT CRITERIA:

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LEARNING OUTCOME NO. 4
(LO Title)

Contents:

1.
2.
3.
4.
5.
Assessment Criteria

1.
2.
3.
4.

Conditions

The participants will have access to:

1.
2.
3.
Assessment Method:

1.
2.
3.

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 Learning Experiences
Learning Outcome 1
(LO TITLE)

Learning Activities Special Instructions

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 Information Sheet _______
(Title)

Learning Objectives:
After reading this INFORMATION SHEET, YOU MUST be able to:
1.
2.

(Introductory Paragraph)

(Body)

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 Self- Check ______

(Type of Test) : (Instruction)

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 ANSWER KEY ____

1.
2.
3.
4.

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 TASK SHEET _____
Title:

Performance Objective: Given (condition), ,you should be able to

(performance) following (standard).

Supplies/Materials :

Equipment :

Steps/Procedure:
1.
2.
3.
4.

Assessment Method:

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 Performance Criteria Checklist ______

CRITERIA
YES NO
Did you….
1.
2.
3.

4.
5.
6.
7.
8.
9.
10.

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 JOB SHEET _____
Title:

Performance Objective: Given (condition), ,you should be able to

(performance) following (standard).

Supplies/Materials :

Equipment :

Steps/Procedure:
5.
6.
7.
8.

Assessment Method:

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 Performance Criteria Checklist ______

CRITERIA
YES NO
Did you….
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.

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Evidence Plan

Competency
standard:
Unit of
competency:
Ways in which evidence will be collected:
[tick the column]

Third party Report

Demonstration &
Observation &
Questioning

Questioning

Portfolio

Written
The evidence must show that the trainee…













NOTE: *Critical aspects of competency

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 TABLE OF SPECIFICATION

# of
Objectives/Content
Knowledge Comprehension Application items/
area/Topics
% of test

TOTAL

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Performance Test

Specific Instruction for the Candidate

Qualification

Unit of Competency

General Instruction:

Specific Instruction:

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QUESTIONING TOOL
Satisfactory
Questions to probe the candidate’s underpinning knowledge
response
Extension/Reflection Questions Yes No
1.  
2.  
3.  
4.  
Safety Questions
5.  
6.  
7.  
8.  
Contingency Questions
9.  
10.  
11.  
12.  
Job Role/Environment Questions  
13.  
14.  
15.  
16.  
Rules and Regulations  
17.  
18.  
19.  
20.  

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The candidate’s underpinning  Satisfactory  Not
knowledge was: Satisfactory

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Templates for Inventory of Training Resources
Resources for presenting instruction
 Print Resources As per TR As per Remarks
Inventory

 Non Print Resources As per TR As per Remarks

Inventory

Resources for Skills practice of Competency #1

______________________________
 Supplies and Materials As per TR As per Remarks
Inventory

 Tools As per TR As per Remarks

Inventory

 Equipment As per TR As per Remarks

Inventory

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Note: In the remarks section, remarks may include for repair, for
replenishment, for reproduction, for maintenance etc.

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