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This is a TESDA Skills Training Needs Survey to be accomplished exclusively by the Barangay residents/members who wish to acquire

training skills for self-employment or employment. We would like to know what
specific skills training the barangay members/respondents would need so that TESDA may be able to plan and implement the training programs in the area given the resources.
To be able to gather the responses of all the barangay members, we would like to request the barangay council persons to assist us in accomplishing this survey form…… Thank you.

INSTRUCTIONS IN FILLING UP THE BARANGAY SKILLS NEED SURVEY (BSNS) FORM
1. Refer to the other side of this form.
2. The Focal Person should accomplish the information needed in Row 1. The Region,Province,District, City/Municipality,Barangay and Focal Person's information - refers to the area the barangay is
located and name, contact no., and email address of the barangay focal.
Ex. Region: NCR City/Municipality: Parañaque City Name of Brgy. Focal Person: Juan Dela Cruz
Province: N/A Barangay: La Huerta Brgy. Focal Contact Number: 09361234567
Email Address: focalperson@yahoo.com

3. Print all entries in BLOCK or CAPITAL LETTERS for Columns 1 to 8 except for Column 4 (email address).
First Name Middle Name Last Name Extention Name Ex. cellphone No.: (0921-778-4437) and/or
Column 2. 8899 M.H. del PILAR ST. Column 3:
Column 1. Name: Address: Contact No/s. Ex. Landline No.: 02-832-3783)
Ex. JOHN BALBIN CRUZ JR.

Ex. Yahoo email.: johnbcruz@yahoo.com Ex. Column 5. Training Programs Preferred: refers to the skills training or any technical vocational course the barangay
Column 4. Email member plans to enroll in. Print first choice/priority, second choice/priority and other preference.
Address: Ex. Google email: jonhbcruz@gmail.com
Other preference refers to training programs not 1st Choice: 2nd Other Preference:
found in the list provided by TESDA Provincial Choice:
Office.
MASONRY NC I CARPENTRY
NC I
Column 6. Date of Birth: Refers to the respondent's birth (mm/day/year). Ex. 9/13/1987 Ex. Ex.
Column 7. Place of Birth: Refers to the place where the respondent was born. Ex. La Huerta, Parañaque City

4. Write the corresponding letter/acronym for columns 8 to 12.
Column 8. Sex: M refers to Male and F refers to Column 9. Civil Status: S refers to Single, M is married, W is Widow/er, Column 10. Employment Status: E refers to Employed individuals either wage or self-
Female SIF for Separated-in-fact. employed. U refers to Unemployed individuals.
Ex. M Ex. S Ex. U

Column 11. Education Attaintment: Refers to the highest educational attaintment reached by the respondent.
Graduate refers to the educational level reached by the respondent and completed school Letter/Acronym: EG for Elementary Graduate , HSG for High School Graduate and CG for College Graduate
requirements which can either be Elementary, High School, or College Graduate.
Undergraduate refers to the highest educational level reached by the respondent but did not complete Letter/Acronym: EU for Elementry Undergraduate, HSU for High School Undergraduate and CU for College Undergraduate.
school requirements which can either be Elementary, High School, or College Undergraduate

Others refer to neither graduate nor undergraduate. Letter/Acronym: O for Others
Ex. HSG

Column 12. Classification of Respondents: Ex. IP
S for Student; IPs for Indigenous People; OSY for Out-of-School Youth; RRDC for Rebel Returnees or Decommissioned Combatants; DW for Disadvantaged Women; SC for Senior Citizen; OFW for returning/repatriated Overseas Filipino Workers; VSHT
for Victim or Survivor of Human Trafficking; FF for Farmers and Fisherfolks; VDAA for Victim of Disaster Affected Areas; DDS for Drug Dependent Surrenderees/-rers; URP for Urban and Rural Poor.
OFWD for OFW Dependent; WIAD for Wounded-in-Action AFP & PNP Personnel and their dependents; TVETT for TVET Trainers; SPD for Solo Parents and their Dependents. For Persons with Disability write PWD in addition to the classification
indicated above.

Note: For further clarification or inquiry, please contact TESDA Provincial/District Focal Person __________________________________ thru Landline No. _______________________
Mobile No. _________________and email address _____________________________.

H. Annex "A" TESDA BARANGAY SKILLS NEED SURVEY FORM Region: City/Municipality: Focal Person: Row 1 Province: Barangay: Focal Person Contact Number: Email Address: District: CLASSIFICATION OF COMPLETE NAME TRAINING PROGRAMS PREFERRED EMPLOYMENT EDUCATIONAL ATTAINTMENT RESPONDENT CELLPHONE/ PLACE OF BIRTH STATUS COMPLETE PERMANENT ADDRESS LANDLINE EMAIL ADDRESS DATE OF (Province/Munici SEX CIVIL (Number. Other First Name Name Last Name Name 1st Choice 2nd Choice Preference Column Column 9 Column Column Column 12 Column 1 Column 2 Column 3 Column 4 Column 5 Column 6 Column 7 8 10 11 Ex. BIRTH pality/City) STATUS NO. JOHN BALBIN CRUZ JR 8899 M. DEL PILAR ST.com MASONRY NC I CARPENTRY NC I 9/13/1987 PARAÑAQUE CITY M S U HSG IP 1 2 3 4 5 6 7 8 9 10 Submitted by: Date Accomplished: Noted by: Date Received: (Congressperson/Mayor/Governor) Provincial/District Director. TESDA (Signature over printed name) (Signature over printed name) Form 1: BSNS Form . 0921-778-4438 johnbcruz@gmail. Middle Extn. Street) NO.

Focal Person: Row 1 Province: Barangay: Brgy. Street) LANDLINE NO. Nueva Ecija 9081703897 figueroa. II.H.vladimir@yahoo. 0921-778-4438 johnbcruz@gmail. JOHN BALBIN CRUZ JR 8899 M. Quezon. Guimba. Nueva Ecija 0926-200-9719 kayepascuaalejandro@gmail.com 9/13/1987 Parañaque City F S E CG Trainer/Assessor Trainer/Assessor 3 4 5 6 7 8 9 10 Submitted by: Date Accomplished: Noted by: Date Received: Brgy. DEL PILAR ST. Brgy. Captain Provincial/District Director. BIRTH pality/City) STATUS NO. Middle Extn. Annex "A" TESDA BARANGAY SKILLS NEED SURVEY FORM Region: City/Municipality: Brgy. 2 Pascua Alejandro #73 Villasan St. Focal Contact Number: Email Address: District: CLASSIFICATION OF COMPLETE NAME TRAINING PROGRAMS PREFERRED EMPLOYMENT ATTAINTMENT EDUCATIONAL RESPONDENT PLACE OF BIRTH STATUS COMPLETE PERMANENT ADDRESS CELLPHONE/ EMAIL ADDRESS DATE OF (Province/Munici SEX CIVIL (Number.com MASONRY NC I CARPENTRY NC I 9/13/1987 PARAÑAQUE CITY M S U HSG IP Trainers Trainers 1 Vladimir Baldo Figueroa St' John.com Methodology Level I: Methodology Level I: 4/14/1974 Quezon City M M E CG Trainer/Assessor Trainer/Assessor Kareen Joy Marie Trainers Trainers Methodology Level I: Methodology Level I: La Huerta. Other First Name Name Last Name Name 1st Choice 2nd Choice Preference Column Column 9 Column Column Column 12 Column 1 Column 2 Column 3 Column 4 Column 5 Column 6 Column 7 8 10 11 Ex. TESDA (Signature over printed name) (Signature over printed name) Form 1: BSNS Survey Form ..

District. Graduate refers to the educational level reached by the respondent and completed school Letter/Acronym: CG EG for Elementary Graduate . and email address of the barangay focal. W is Widow/er. Vladimir Baldo Figueroa figueroa. Print first choice/priority. Column 5. To be able to gather the responses of all the barangay members. Letter/Acronym: O for Others Ex. Guimba. First Name Middle Name Last Name Extention Name 0908-170-3897 Column 2. St. HSG for High School Graduate and CG for College Graduate requirements which can either be Elementary. Address: Other preference refers to training programs not 1st Choice: 2nd Other Preference: found in the list provided by TESDA Provincial Choice: Office. Civil Status: S refers to Single. . Focal Contact Number: Email Address: 3. VDAA for Victim of Disaster Affected Areas. SC for Senior Citizen. City/Municipality. RRDC for Rebel Returnees or Decommissioned Combatants. DDS for Drug Dependent Surrenderees/-rers. Write the corresponding letter/acronym for columns 8 to 12. Column 10.vladimir@yahoo.refers to the area the barangay is located and name. Undergraduate refers to the highest educational level reached by the respondent but did not complete Letter/Acronym: EU for Elementry Undergraduate. U refers to Unemployed individuals. Classification of Respondents: Ex. 2. IPs for Indigenous People. Print all entries in BLOCK or CAPITAL LETTERS for Columns 1 to 8 except for Column 4 (email address). SPD for Solo Parents and their Dependents. Training Programs Preferred: refers to the skills training or any technical vocational course the barangay Column 4. WIAD for Wounded-in-Action AFP & PNP Personnel and their dependents.Barangay and Focal Person's information . 4/14/1974 Ex. Note: For further clarification or inquiry. FF for Farmers and Fisherfolks. Email member plans to enroll in. OSY for Out-of-School Youth. Name: Address: Ecija Contact No/s. OFW for returning/repatriated Overseas Filipino Workers. Employment Status: E refers to Employed individuals either wage or self- Female SIF for Separated-in-fact. Sex: M refers to Male and F refers to Column 9. Ex. M is married. HSU for High School Undergraduate and CU for College Undergraduate. DW for Disadvantaged Women. TVETT for TVET Trainers. Focal Person: Province: Nueva Ecija Barangay: St. We would like to know what specific skills training the barangay members/respondents would need so that TESDA may be able to plan and implement the training programs in the area given the resources. HSG Column 12. Refer to the other side of this form. URP for Urban and Rural Poor. M M E Column 11. Education Attaintment: Refers to the highest educational attaintment reached by the respondent. _________________and email address _____________________________. Ex. or College Undergraduate Others refer to neither graduate nor undergraduate. _______________________ Mobile No. Date of Birth: Refers to the respondent's birth (mm/day/year). please contact TESDA Provincial/District Focal Person __________________________________ thru Landline No. second choice/priority and other preference. or College Graduate. High School. Quezon City 4. VSHT for Victim or Survivor of Human Trafficking. Nueva Column 3: Column 1. Trainers Methodology Level I: Trainer/Assesso Column 6. The Focal Person should accomplish the information needed in Row 1. Column 8. High School.. IP S for Student. employed. Place of Birth: Refers to the place where the respondent was born. contact no. Region: III City/Municipality: Guimba Name of Brgy. we would like to request the barangay council persons to assist us in accomplishing this survey form…… Thank you.This is a TESDA Skills Training Needs Survey to be accomplished exclusively by the Barangay residents/members who wish to acquire training skills for self-employment or employment. For Persons with Disability write PWD in addition to the classification indicated above. r Ex.Province. John Brgy. school requirements which can either be Elementary. INSTRUCTIONS IN FILLING UP THE BARANGAY SKILLS NEED SURVEY (BSNS) FORM 1. OFWD for OFW Dependent. The Region. Column 7. John.com Ex.

Parañaque City 4. _______________________ Mobile No. F S E Column 11. SPD for Solo Parents and their Dependents. RRDC for Rebel Returnees or Decommissioned Combatants. DW for Disadvantaged Women. Write the corresponding letter/acronym for columns 8 to 12. . For Persons with Disability write PWD in addition to the classification indicated above. Print first choice/priority.District. second choice/priority and other preference. r Ex. II Brgy. HSG Column 12. FF for Farmers and Fisherfolks. and email address of the barangay focal. U refers to Unemployed individuals. Ex. Focal Contact Number: Email Address: 3. High School. II. Brgy. Email member plans to enroll in. SC for Senior Citizen. we would like to request the barangay council persons to assist us in accomplishing this survey form…… Thank you. #73 Villasan St. Letter/Acronym: O for Others Ex. Classification of Respondents: Ex. Column 7. First Name Middle Name Last Name Extention Name 0926-200-9719 Column 2. OFW for returning/repatriated Overseas Filipino Workers. Address: kayepascuaalejandro@gmail. High School. DDS for Drug Dependent Surrenderees/-rers. URP for Urban and Rural Poor. Sex: M refers to Male and F refers to Column 9. Graduate refers to the educational level reached by the respondent and completed school Letter/Acronym: CG EG for Elementary Graduate . _________________and email address _____________________________. Column 3: Column 1. school requirements which can either be Elementary. The Focal Person should accomplish the information needed in Row 1. IP S for Student. M is married. WIAD for Wounded-in-Action AFP & PNP Personnel and their dependents. OFWD for OFW Dependent. Note: For further clarification or inquiry. City/Municipality. 9/13/1987 Ex. Training Programs Preferred: refers to the skills training or any technical vocational course the barangay Column 4.Province. HSU for High School Undergraduate and CU for College Undergraduate. Column 10.. Print all entries in BLOCK or CAPITAL LETTERS for Columns 1 to 8 except for Column 4 (email address). HSG for High School Graduate and CG for College Graduate requirements which can either be Elementary. Region: III City/Municipality: Quezon Name of Brgy. Name: Address: Quezon. We would like to know what specific skills training the barangay members/respondents would need so that TESDA may be able to plan and implement the training programs in the area given the resources.refers to the area the barangay is located and name. Employment Status: E refers to Employed individuals either wage or self- Female SIF for Separated-in-fact. Undergraduate refers to the highest educational level reached by the respondent but did not complete Letter/Acronym: EU for Elementry Undergraduate. Refer to the other side of this form.com Other preference refers to training programs not 1st Choice: 2nd Other Preference: found in the list provided by TESDA Provincial Choice: Office. please contact TESDA Provincial/District Focal Person __________________________________ thru Landline No. VDAA for Victim of Disaster Affected Areas. Civil Status: S refers to Single. Kareen Joy Marie Pascua Alejandro Ex. or College Graduate. The Region. Trainers Methodology Level I: Trainer/Assesso Column 6. Education Attaintment: Refers to the highest educational attaintment reached by the respondent. VSHT for Victim or Survivor of Human Trafficking.Barangay and Focal Person's information . employed. OSY for Out-of-School Youth. Date of Birth: Refers to the respondent's birth (mm/day/year). IPs for Indigenous People. Column 8.. contact no. or College Undergraduate Others refer to neither graduate nor undergraduate. Focal Person: Province: Nueva Ecija Barangay: Brgy. INSTRUCTIONS IN FILLING UP THE BARANGAY SKILLS NEED SURVEY (BSNS) FORM 1. W is Widow/er. La Huerta. TVETT for TVET Trainers. Column 5. Place of Birth: Refers to the place where the respondent was born.This is a TESDA Skills Training Needs Survey to be accomplished exclusively by the Barangay residents/members who wish to acquire training skills for self-employment or employment. Nueva Ecija Contact No/s. 2. To be able to gather the responses of all the barangay members.