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.PREPARE LAND FOR AGRICULTURAL CROP PRODUCTION
1.1 Prepare for cultivation ✓
1.2 Prepare the cultivating equipment ✓
1.3 Cultivate soil ✓
1.4 Prepare site for planting ✓
1.5 Complete land preparation operations ✓
2. IMPLEMENT POST-HARVEST PROGRAM
2.1 Prepare for implementation of post-harvest operations ✓
2.2 Coordinate postharvest work ✓
2.3 Implement postharvest treatments ✓
2.4 Implement hazardous waste disposal guideline ✓
2.3 Implement packaging requirements of produce ✓
2.4 Implement storage requirements of produce ✓
3. IMPLEMENT PLANT NUTRITION PROGRAM
3.1 Prepare for implementation of the plant nutrition
Program
✓
3.2 Monitor soil Ph ✓
3.3 Determine nutritional problems in plants ✓
3.4 Prepare to use fertilizers ✓
3.5 Prepare application equipment ✓
3.6 Apply specific products at appropriate rates ✓
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
4. CONTROL WEEDS
4.1 Assess weed infestation ✓
4.2 Plan the implementation of control measures ✓
4.3 Implement control measures ✓
4.4 Monitor control methods ✓
5. PREPARE AND APPLY CHEMICALS
5.1 Determine the need for chemical use ✓
5.2 Prepare appropriate chemical ✓
5.3 Prepare to use chemicals according to the label and ✓
MSDS
5.4 Apply chemicals ✓
5.5 Clean up following chemical application ✓
5.6 Record application details ✓
6. ESTABLISH AGRONOMIC CROPS
6.1 Prepare machinery and equipment for use ✓
6.2 Prepare for agronomic crop establishment ✓
6.3 Sow the crop ✓
6.4 Complete seeding operations ✓
7.UNDERTAKE AGRONOMIC CROP MAINTENANCE ACTIVITIES
7.1 Assess agronomic crop condition, growth and ✓
requirements
7.2 Apply fertilizer and amendments ✓
 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.

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
7.3 Monitor crop condition, growth and requirements ✓
7.4 Complete cleaning and hygiene operations ✓
8. UNDERTAKE AGRONOMIC CROP HARVESTING
ACTIVITIES
8.1 Prepare to harvest agronomic crops ✓
8.2 Prepare the harvesting equipment ✓
8.3 Harvest crops ✓
8.4 Complete harvesting operations ✓
9. SAVE, PREPARE AND STORE AGRICULTURAL SEED
9.1 Select seed from agricultural crops ✓
9.2 Evaluate and grade seed ✓
9.3 Store seed ✓
9.4 Collect and deliver seed ✓
10.IMPLEMENT VERTEBRATE PEST CONTROL
PROGRAM
10.1 Assess requirements for pest control ✓
10.2 Prepare to implement control program ✓
10.3 Control vertebrate pests ✓
10.4Complete control program ✓
 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.

 Evidences/Proof of Current Competencies(Sample)

Form 1.2: Evidence of Current Competencies acquired related to

Job/Occupation

Current
Proof/Evidence Means of validating
competencies
1.PREPARE LAND Certificate of Completion Submitted Photo copy of
FOR Certificate of Completion
AGRICULTURAL
CROP
PRODUCTION
2. IMPLEMENT Certificate of Completion Submitted Photo copy of
POST-HARVEST Certificate of Completion
PROGRAM
3. IMPLEMENT Certificate of Completion Submitted Photo copy of
PLANT Certificate of Completion
NUTRITION
PROGRAM
4. CONTROL Certificate of Completion Submitted Photo copy of
WEEDS Certificate of Completion
5. PREPARE AND Certificate of Completion Submitted Photo copy of
APPLY Certificate of Completion
CHEMICALS

6.ESTABLISH Certificate of Completion Submitted Photo copy of

AGRONOMIC Certificate of Completion
CROPS
7.UNDERTAKE Certificate of Completion Submitted Photo copy of
AGRONOMIC Certificate of Completion
CROP
MAINTENANCE
ACTIVITIES
8.UNDERTAKE Certificate of Submitted Photo copy
AGRONOMIC CROP Completion of Certificate of
HARVESTING Completion
ACTIVITIES
9. SAVE, PREPARE Certificate of Submitted Photo copy
AND STORE Completion of Certificate of
AGRICULTURAL Completion
SEED
10.IMPLEMENT Certificate of Submitted Photo copy
VERTEBRATE PEST Completion of Certificate of
CONTROL PROGRAM Completion
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 Training

Competency/Learning Competencies Gaps/Requirements
Outcomes based on CBC

1.PREPARE LAND FOR PREPARE LAND FOR

AGRICULTURAL CROP AGRICULTURAL
PRODUCTION CROP PRODUCTION
2. IMPLEMENT POST- IMPLEMENT POST-
HARVEST PROGRAM HARVEST PROGRAM
3. IMPLEMENT PLANT IMPLEMENT PLANT
NUTRITION PROGRAM NUTRITION
PROGRAM

Required Units of Current Training

Competency/Learning Competencies Gaps/Requirements
Outcomes based on CBC

4. CONTROL WEEDS CONTROL WEEDS

5. PREPARE AND APPLY PREPARE AND
CHEMICALS APPLY CHEMICALS

6.ESTABLISH AGRONOMIC ESTABLISH

CROPS AGRONOMIC CROPS

7. UNDERTAKE UNDERTAKE
AGRONOMIC CROP AGRONOMIC CROP
MAINTENANCE MAINTENANCE
ACTIVITIES ACTIVITIES
8.UNDERTAKE UNDERTAKE
AGRONOMIC CROP AGRONOMIC CROP
HARVESTING ACTIVITIES HARVESTING
ACTIVITIES

9. SAVE, PREPARE AND SAVE, PREPARE AND

STORE AGRICULTURAL STORE
SEED AGRICULTURAL
SEED
10. IMPLEMENT IMPLEMENT
VERTEBRATE PEST VERTEBRATE PEST
CONTROL PROGRAM CONTROL PROGRAM

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)

Module
Gaps Title/Module of Duration (hours)
Instruction
IMPLEMENT PLANT IMPLEMENTING 22 HOURS
NUTRITION PLANT NUTRITION
PROGRAM PROGRAM
 TRAINING PLAN
Qualification:
AGRICULTURAL CROPS PRODUCTION NC III

Date
Trainees’ Training Training Mode of Facilities/Tools Assessment
Staff Venue and
Requirements Activity/Task Training and Equipment Method
Time
1.PREPARE LAND 1.Prepare for OJT Angelin Shovel, ZOE ORIENTATI January
FOR cultivation Rake,Hand FARM ON 12-15
CRUZ
AGRICULTURAL Trowel,Sprinkler ,INTERVIEW From
CROP OJT s,Pick mattock EXAMINATI 8am to 2
PRODUCTION Supervi ON pm
sor
ACTUAL 22 hours
ASSESSME
Shovel,
2.Prepare the NT
Rake,Hand
cultivating Trowel,Sprinkler
equipment s,Pick mattock
3.Cultivate soil Shovel,
4.Prepare site for Rake,Hand
planting Trowel,Sprinkler
s,Pick mattock
5. Complete land
preparation Shovel,
operations Rake,Hand
Trowel,Sprinkler
s,Pick mattock

Prepared by: Wawie S. Reyes


Technical Education and Skills Development Authority
Pangasinan Technological Institute
TRAINEE’S RECORD BOOK
I.D.
Trainee’s No.____00367___________
NAME: ADMAR D. PERALTA
QUALIFICATION: AGRICULTURAL CROPS PRODUCTION NC
III
TRAINING DURATION: 540 H0URS/67.5 DAYS
TRAINEE: ADMAR D. PERALTA
Instructions:
This Trainees’ Record Book (TRB) is intended to serve as
record of all accomplishment/task/activities while undergoing
training in the industry. It will eventually become evidence
that can be submitted for portfolio assessment and for
whatever purpose it will serve you. It is therefore important
that all its contents are viably entered by both the trainees
and instructor.
The Trainees’ Record Book contains all the required
competencies in your chosen qualification. All you have to do
is to fill in the column “Task Required” and “Date
Accomplished” with all the activities in accordance with the
training program and to be taken up in the school and with
the guidance of the instructor. The instructor will likewise
indicate his/her remarks on the “Instructors Remarks”
column regarding the outcome of the task accomplished by
the trainees. Be sure that the trainee will personally
accomplish the task and confirmed by the instructor.
It is of great importance that the content should be
written legibly on ink. Avoid any corrections or erasures and
maintain the cleanliness of this record.
This will be collected by your trainer and submit the
same to the Vocational Instruction Supervisor (VIS) and shall
form part of the permanent trainee’s document on file.
THANK YOU.
NOTES:

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Unit of Competency: 1. PREPARE LAND FOR Unit of Competency: 2 IMPLEMENT POST-HARVEST
AGRICULTURAL CROP PRODUCTION PROGRAM

NC Level I Learning Task/Activity Date Instructors

Outcome Required Accomplished Remarks
Learning Task/Activity Date Instructors
Outcome Required Accomplished Remarks  IMPLEMENT  Prepare for
POST- implementation
 PREPARE  Prepare for HARVEST of post-harvest
LAND FOR cultivation PROGRAM operations
AGRICULTURAL  Prepare the  Coordinate
CROP cultivating postharvest
PRODUCTION equipment work
 Cultivate  Implement
soil postharvest
 Prepare site treatments
for planting  Implement
Complete hazardous
land waste disposal
preparation guideline
operations  Implement
packaging
requirements
__________________ ___________________ of produce
Trainee’s Signature Trainer’s Signature Implement
storage
requirements of
produce

____________________ ______________________
Trainee’s Signature Trainer’s
Unit of Competency: 3 IMPLEMENT PLANT NUTRITION
PROGRAM
Unit of Competency: 4 CONTROL WEEDS
NC Level I
Learning Task/Activity Date Instructors
Outcome Required Accomplished Remarks NC Level I
1.Prepare for Learning Task/Activity Date Instructor
IMPLEMENT implementation Outcome Required Accomplishe s Remarks
PLANT of the plant d
NUTRITION nutrition
 CONTROL  Assess
PROGRAM Program
WEEDS weed
  2.Monitor soil
infestation
Ph
 Plan the
 3. Determine
implementat
nutritional ion of
problems in control
plants measures
 4.Prepare to  Implement
use fertilizers control
 5.Prepare measures
application Monitor
equipment control
6.Apply specific methods
products at
appropriate rates
_____________________ ____________________
Trainee’s Signature Trainer’s Signature
_____________________ ______________________
Trainee’s Signature Trainer’s Signature
Unit of Competency: 5 PREPARE AND APPLY CHEMICALS
Unit of Competency: 6 ESTABLISH AGRONOMIC CROPS
NC Level I NC Level I
Learning Task/Activity Date Instructors Learning Task/Activity Date Instructor
Outcome Required Accomplished Remarks Outcome Required Accomplishe s Remarks
 Determine the d
 5 PREPARE need for  ESTABLISH  Prepare
AND APPLY chemical use AGRONOMIC machinery
CHEMICALS  Prepare CROPS and
appropriate
 equipment
chemical for use
 Prepare to use  Prepare for
chemicals agronomic
according to the crop
label and MSDS establishme
 Apply nt
chemicals  Sow the
 Clean up crop
following Complete
chemical seeding
application operations
Record
application
details _____________________ ____________________
Trainee’s Signature Trainer’s Signature

_____________________ ______________________
Trainee’s Signature Trainer’s Signature
 Unit of Competency: 7 UNDERTAKE AGRONOMIC CROP
MAINTENANCE ACTIVITIES

NC Level I
Learning Task/Activity Date Instructors
Outcome Required Accomplished Remarks
1 Assess
UNDERTAKE agronomic
AGRONOMIC crop
CROP condition,
MAINTENANCE growth and
ACTIVITIES requirements
 Apply
fertilizer and
amendments
 Monitor
crop
condition,
growth and
requirements
Complete
cleaning and
hygiene
operations

______________________ ____________________
Trainee’s Signature Trainer’s Signature
 Unit of Competency: 8 UNDERTAKE AGRONOMIC CROP
HARVESTING ACTIVITIES

NC Level I
Learning Task/Activity Date Instructors
Outcome Required Accomplished Remarks
 Prepare to
UNDERTAKE harvest
AGRONOMIC agronomic
CROP crops
HARVESTING  Prepare the
ACTIVITIES harvesting
equipment
 Harvest crops
Complete
harvesting
operations

______________________ ____________________
Trainee’s Signature Trainer’s Signature
 Unit of Competency: 9.SAVE, PREPARE AND STORE
AGRICULTURAL SEED

NC Level I
Learning Task/Activity Date Instructors
Outcome Required Accomplished Remarks
SAVE,  Select seed
PREPARE AND from
STORE agricultural
AGRICULTURAL crops
SEED  Evaluate
and grade
seed
 Store seed
Collect and
deliver seed

______________________ ____________________
Trainee’s Signature Trainer’s Signature
 Unit of Competency: 10 IMPLEMENT VERTEBRATE
PEST CONTROL PROGRAM

NC Level I
Learning Task/Activity Date Instructors
Outcome Required Accomplished Remarks
 Assess
IMPLEMENT requirements
VERTEBRATE for pest control
PEST  Prepare to
CONTROL implement
PROGRAM control
program
 Control
vertebrate
pests
Complete
control program
______________________ ____________________
Trainee’s Signature Trainer’s Signature
 TRAINEE’S PROGRESS SHEET

WAWIE S.
Name : ADMAR D. PERALTA Trainer :
REYES
Agricultural Crops Nominal
Qualification : : 36 hours
Production NC III Duration
Training Training Date Date Trainee’s Supervisor’s
Units of Competency Rating
Activity Duration Started Finished Initial Initial
PREPARE LAND FOR Prepare for 36 hours January January
AGRICULTURAL CROP cultivation 12,2019 15,2019
PRODUCTION

Total
Note: The trainee and the supervisor must have a copy of this form. The column for rating maybe used either by giving a numerical rating or
simply indicating competent or not yet competent. For purposes of analysis, you may require industry supervisors to give a numerical rating for
the performance of your trainees. Please take note however that in TESDA, we do not use numerical ratings
 Average Ratings

PREPARATION Average
1. Workshop layout conforms
with the components of a
CBT workshop
2. Number of CBLM is
sufficient
3. Objectives of every training
session is well explained
4. Expected activities/outputs
are clarified
General Average