FORM 1.

1
SELF-ASSESSMENT CHECKLIST

INSTRUCTION: This Self-Check Instrument will give your

trainer a data that is essential in designing a
Training Plan for you. Please check the
appropriate box of your answer to each of the
questions below.

CAN I?... YES NO

BASIC COMPETENCIES

COMMON COMPETENCIES

CORE COMPETENCIES

FORM 1.2
DETERMINING AND VALIDATING
TRAINEES CURRENT COMPETENCY/IES

Date Developed:
Document No.
July 2010
CBLMs on Trainers Date Revised: Issued by:
Methodology Level March 2012
I NTTA
Revised by: Page 40 of 100
Supervise Work-Based Nomer Pascual
Learning Redilyn C. Agub Revision # 01
Identify Current Competencies acquired related to
Job/Occupation and Indicate Proof of Evidence

Current competencies Proof of Evidence

Date Developed:
Document No.
July 2010
CBLMs on Trainers Date Revised: Issued by:
Methodology Level March 2012
I NTTA
Revised by: Page 41 of 100
Supervise Work-Based Nomer Pascual
Learning Redilyn C. Agub Revision # 01
FORM 1.3

COMPARING AND CROSS MATCHING OF COMPETENCIES

Required Units of
Current Training
Competency/Learning
Competencies Gaps/Requirements
Outcomes
FORM 1.4
TRAINEES TRAINING REQUIREMENT

Module
Gaps Title/Module Duration (hours)
of Instruction