Sample 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
e. 75 to 79 e. 75 to 79
Cultural and Ethnicity/culture:
language a. Tagalog
background
b. English
c. Kapampangan
e. Others (please specify) ______________
Education & general Highest Educational Attainment
knowledge a. Doctoral Graduate
b. With units in Doctoral Level
c. Masteral Graduate
d. With units in Master’s degree
e. College Graduate
f. College Level
g. Senior High School Graduate
h. Senior High School Level
i. Junior High School Graduate
j. Junior High School Level
k. Elementary Graduate
 l. Elementary Level
Sex a. Male
b. Female
Age Your age:

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) ______________
Previous experience Certificates
with the topic ____________________________________
____________________________________
____________________________________
Number of years as a company trainer ___________
List down training/s related to Organic Agriculture
Previous learning Production NC II
experience ____________________________________
____________________________________
____________________________________
____________________________________
Other courses related to Organic Agriculture
Special courses Production NC II
a. Units in education
b. Master’s degree units in education
c. Others (please specify) ____________________
a. Visual - The visual learner takes mental pictures
Learning styles 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 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) ___________________

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.

BASIC COMPETENCIES

CAN I…? YES NO

1. Participate in workplace communication

 Obtain and convey workplace information

 Participate in workplace meetings and discussions

 Complete relevant work-related documents

2. Work in a team environment

 Describe team role and scope

 Identify own role and responsibility within team

 Work as a team member

3. Practice Career Professionalism

 Integrate personal objectives with organizational goals

 Set and meet work priorities

 Maintain professional growth and development

4. Practice Occupational Health and Safety Procedures

 Identify hazard and risks

 Evaluate hazard and risks

 Control hazard and risks

 Maintain OHS awareness

I agree to undertake assessment in the knowledge that information
gathered will only be used for professional development purposes and can
only be accessed by concerned assessment personnel and my
manager/supervisor

Candidate’s signature Date

COMMON COMPETENCIES

CAN I…? YES NO

1. Apply Safety Measures in Farm Operations

 Determine areas of concern for safety measures

 Apply appropriate safety measures

 Safekeep/dispose tools, materials and outfit

2. Use Farm Tools and Equipment
 Select and use farm tools

 Select and operate farm equipment

 Perform preventive maintenance

3. Perform Estimation and Basic Calculation

 Perform estimations

 Perform basic workplace calculation

4. Develop and Update Industry Knowledge

 Seek information on the industry

 Update industry knowledge

5. Perform Record Keeping

 Carry out inventory activities

 Maintain production record

 Prepare financial records
I agree to undertake assessment in the knowledge that information
gathered will only be used for professional development purposes and can
only be accessed by concerned assessment personnel and my
manager/supervisor

Candidate’s signature Date

CORE COMPETENCIES

CAN I…? YES NO

1. Raise Organic Chicken

 Select healthy stocks and suitable housing

 Set-up cage equipment

 Feed chicken

 Grow and harvest chicken

2. Produce Organic Vegetables

 Establish nursery

 Plant seedlings

 Perform plant care and management

 Perform harvest and post-harvest activities
3. Produce Organic Fertilizer

 Prepare composting area and raw materials

 Compost and harvest fertilizer

4. Produce Organic Concoctions and Extracts

 Prepare for the production of various concoctions

 Process concoctions

 Package concoctions
I agree to undertake assessment in the knowledge that information
gathered will only be used for professional development purposes and can
only be accessed by concerned assessment personnel and my
manager/supervisor

Candidate’s signature Date

ELECTIVE COMPETENCIES

CAN I…? YES NO

1. Raise Organic Hogs

 Select healthy domestic hog breeds and suitable housing

 Feed hogs

 Grow and finish hogs

2. Raise Organic Small Ruminants
 Select healthy breeders and suitable cages

 Feed small ruminants

 Manage breeding of small ruminants

 Manage does/ewes and their progenies

 Grow and harvest small ruminants

I agree to undertake assessment in the knowledge that information
gathered will only be used for professional development purposes and can
only be accessed by concerned assessment personnel and my
manager/supervisor

Candidate’s signature Date

 Organic Agriculture Production NC II

PRE-ASSESSMENT TEST

I. MULTIPLE CHOICES: Read the following questions. Encircle the letter of the
correct answer. Please avoid erasures.

1. It is the policy that promotes, propagates, develops further, and implements

the practice of organic agriculture in the Philippines.
a. RA 10680
b. RA 10068
c. RA 10608
d. RA 16008

2. The following are examples of core competencies of Organic Agriculture

Production NCII except one
a. Raise organic hogs
b. Raise organic chicken
c. Produce organic vegetables
d. Produce organic fertilizer

3. It is used to improve the immune system in plants

a. FAA
b. FPJ
c. Calphos
d. LABS

4. The worm used in vermiculture

a. African Nail Crawler
b. African Nile Crawler
 c. African Night Crawler
d. African Day Crawler

5. It is mainly used for their leaves whether eaten raw or cooked

a. Cucurbits
b. Root crops
c. Solanaceous crops
d. Leafy vegetables

6. A set of procedures done to make the soil conducive for planting

a. Cultivation
b. Land Preparation
c. Basal Application
d. Mulching

7. FAA stands for

a. Fish Acidic Amino
b. Fish Acid Amino
c. Fish Amino Acid
d. Fish Amino Acidic

8. It is a feed material that is responsible for increasing the growth and weight
of livestock.
a. Vitamins
b. Lipids
c. Protein
d. Carbohydrates
9. The following are the advantages of organic vs chemical farming except
a. Environment friendly
b. Kill beneficial insects
c. Low cost
d. Safe from carcinogenic substances

10. It is done through fermentation where the potency is enhanced by

beneficial micro-organisms.
a. Concoction
b. Feeds
c. Fertilizer
d. Organic
11. It is done when there is a cannibalism outbreak on poultry.
a. Debeaking
b. Cleaning
c. Land Preparation
d. Basal Application

12. Example of carbonaceous plant

a. Leguminous plants
b. Urea
c. Ipil-Ipil
d. Cornstalk

13. Unproductive does/ewes and buck/ram are listed below, except

a. Overfat
b. Poor growth
 c. Shiny feathers
d. Infertile

14. The watts requirement for brooding

a. 1 watt per chick
b. 2 watts per chick
c. 1.5 watts per chick
d. 2.5 watts per chick

15. It is an attractant to suppress the male population of the fruit fly

a. Detergent
b. Soap
c. Fruit
d. Pheromones

II. MATCHING TYPE: Write the letter corresponding to the correct match in
the space provided.

____1. Conversion period of annual crops a. African Night Crawler

____2. Potassium fertilizer b. CRH
____3. ANC c. Vermicast
____4. Partial burning of rice hull d. FAA
____5. Calcium and phosphorus source e. OHN 2
____6. Space requirement of 50 chick g. FFJ
____7. Product of vermicomposting h. 18 months
____8. Pest repellant in plants i. 12 months
____9. Conversion period of perennial crops j. Calphos
____10. Protein supplements in animals k. 1 sqm
III. TRUE OR FALSE: Write T if the statement is TRUE and F if the statement
is FALSE. Write your answer in the space provided.
____1. Bedding material is not important in housing of livestock.
____2. There is no conversion period done when the land was not exposed to
prohibited inputs for a minimum of two.
____3. Culling is the removal of unproductive animals.
____4. Small ruminants have four compartments.
____5. The ratio in C:N ratio in composting is 75:25.
____6. Infertile and poor growth is an example of a productive ram.
____7. PPE is not important in processing concoctions.
____8. Eggplant is an example of a solanaceous crop.
____9. Debeaking is done when a sow is not productive.
____10. Castration is done to prevent inbreeding.
____11. Applying chemicals is prohibited in organic agriculture
____12. IMO is used to sanitize the plot.
____13. Cuddling is done to check the development of the embryo of an egg.
____14. The ratio in potting media is 1:1:1
____15. CRH can use as an odor suppressant.