Data Gathering Instruments for Trainee’s Characteristics

Name: Saburnido, Brixter C. Date:OCT. 15,

2022

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 and Average grade in: Average grade in:

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.d 80 to 84 d.d 80 to 84
e. 75 to 79 e. 75 to 79

Cultural and Ethnicity/culture:

Language a. Manobo
b. Subanon
background c. Higaonon
d. Muslim
e. Others (please specify) ______________

Education & Highest Educational Attainment:

general a. Junior High School Graduate

b.b Senior High School Graduate
knowledge c. ALS Graduate
d. College Graduate
Sex a. Male
a
b. Female

Age Your age: __22___

Physical ability 1. Disabilities (if any) ___N/A____________

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) _________________

Previous NC/COC Certificates

experience with a. _____N/A__________

b. Others (please specify) _____________
the topic

Previous List Down trainings related to Electronics Sector

learning a. ______N/A_____________
b. ____N/A_______________
experience c. Others (please specify) _____________

Training Level National Certificates acquired and NC Level

Completed a. ______N/A_____________
b. ________n/a___________

Special courses Other courses related to Qualification

a. __________n/a________
 b. 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 quite 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 finger 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 to read long
texts is pointless and will not be retained by the
auditory learner unless it is real 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.
Other needs a. Financially challenged
b. Person with Disability
c. Working students
d. Solo parent
e. Others (Please specify) ________________
 Form 1.1 SELF-ASSESSMENT CHECK

Name: Saburnido, Brixter C. Date:_______________

CORE COMPETENCIES

CAN I…? YES NO

N/A
 n/a

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.

Evidences/Proof of Current Competencies

Form 1.2: Evidence of Current Competencies acquired related to

Job/Occupation

Current Proof/Evidence Means of validating

Competencies

n/a n/a n/a

n/a n/a n/a

n/a n/a n/a

n/a n/a n/a

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

Required Units of Current Training

Competency/Learning
Outcomes based on CBC Competencies Gaps/Requirement

n/a n/a n/a

 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

Training Needs Module Title/Module Duration

of Instruction
(Learning Outcome)

n/a n/a n/a