GAD RESOURCE POOL (GRP) PROFILE FORM

Instructions: This 5-page Gender Resource Pool (GRP) Profile Form is to be

filled out by the prospective GR Pool as one of the requirements for application.
All fields with asterisk (*) are required information. The information gathered from
this Profile Form are treated with utmost confidentiality. Thank you very much. 1.5 x 1.5 ID
Picture
I. BASIC INFORMATION

Surname *
First Name *
Middle Name *
Sex *
Birth date*
Title or Prefix Used Name Extension
(i.e. Atty, Engr, Etc) (e.g. Jr. Sr.)
Ethnicity
Religion
TIN*
Contact Information
Current Address
Permanent
Address
Home Telephone Number
Cell phone Number*
Email Address*
Website (if any)
Office/Work Name
Designation
Office Address
Work Telephone Number
Fax Number

II. Educational Background

Level Degree Name of Year Highest Inclusive Scholarships/
Course School Graduated Level/ Dates Academic
Units From To Honors
Earned Received
(If not
Graduated)
Post
Graduate

College

Vocational

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III. Work Experience ((Start with most recent work experience and include volunteer work)

Currently employed? ☐ Yes ☐ No If Yes, Sector: ☐ Public ☐ Private

Inclusive Position Organization Type1 Status of Area(s)

Dates Title Employment2 Specialized In
From To

IV. Professional Certifications

Certification3 Rating Date of Place of License (if applicable)
Examination/ Examination/ Number Date of
Conferment Conferment Release

V. Other Information

Languages/Dialects Spoken:

_________________________________________________________________________

Skills4 :

__________________________________________________________________________

1
Organization Type: GO, NGO, Private, Academe
2
Indicate if permanent or contract-based
3
Civil Service Eligibility, Board or Bar Certification, etc.
4
Facilitating, Negotiating, Etc. Refer to Annex B: Skills. You may add if your skill is not in the list. Separate using commas.

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AREA OF SPECIALIZATION (Please check all that applies and encircle the number
that corresponds to your knowledge and level of expertise on the selected areas)
1 Beginner; 2 – Advance; 3-Competent; 4-Proficient; 5-Expert
☐ Agriculture and Gender 1 2 3 4 5
☐ Anthropology and Gender 1 2 3 4 5
☐ Business and Entrepreneurship and Gender 1 2 3 4 5
☐ Civil Aviation and Gender 1 2 3 4 5
☐ Communication Development and Gender 1 2 3 4 5
☐ Community Development and Gender 1 2 3 4 5
☐ Culture Studies and Gender 1 2 3 4 5
☐ Disaster Risk Reduction and Management (DRRM) and Gender 1 2 3 4 5
☐ Economics and Gender 1 2 3 4 5
☐ Education and Gender 1 2 3 4 5
☐ Energy and Gender 1 2 3 4 5
☐ Environment and Gender 1 2 3 4 5
☐ Finance and Gender 1 2 3 4 5
☐ Gender and Development 1 2 3 4 5
☐ Governance and Gender 1 2 3 4 5
☐ Health and Gender 1 2 3 4 5
☐ Housing and Gender 1 2 3 4 5
☐ Human Rights and Gender 1 2 3 4 5
☐ ICT Management and Gender 1 2 3 4 5
☐ Information Technology and Gender 1 2 3 4 5
☐ Infrastructure and Gender 1 2 3 4 5
☐ International Relations and Gender 1 2 3 4 5
☐ Justice and Judicial Reforms and Gender 1 2 3 4 5
☐ Labor and Employment and Gender 1 2 3 4 5
☐ Law and Gender 1 2 3 4 5
☐ Legislative Advocacy and Gender 1 2 3 4 5
☐ Linguistics and Gender 1 2 3 4 5
☐ Management and Gender 1 2 3 4 5
☐ Media and Gender 1 2 3 4 5
☐ Music and Gender 1 2 3 4 5
☐ Military and Gender 1 2 3 4 5
☐ Nutrition and Gender 1 2 3 4 5
☐ Police and Gender 1 2 3 4 5
☐ Policy Advocacy and Gender 1 2 3 4 5
☐ Peace Studies and Gender 1 2 3 4 5
☐ Political Science/Public Administration and Gender 1 2 3 4 5
☐ Psychology and Counseling and Gender 1 2 3 4 5
☐ Religion Studies and Gender 1 2 3 4 5
☐ Taxation and Gender 1 2 3 4 5
☐ Transport and Storage and Gender 1 2 3 4 5
☐ Tourism and Gender 1 2 3 4 5
☐ National Security and Gender 1 2 3 4 5
☐ Social Welfare and Gender 1 2 3 4 5
☐ Sociology and Gender 1 2 3 4 5
☐ Statistics and Gender 1 2 3 4 5
Others, please specify: 1 2 3 4 5

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VI. GAD Trainings and Seminars Received (In the Last 3 Years5)
Title of GAD Training Organized Venue Inclusive Dates No. of
(start with most recent) By (Use format M/D/Y) Hours
e.g. Levelling Session on Gender Analysis and Department of Deped 10/28/1 10/30/201 20
GA Tools Education Conference 8 8
Hall, Ortigas

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

VII. Trainings, Workshops or Seminars you conducted or served as resource person under
your specified field/s (In the last 10 years)
Training / Session Title6 Session Title Inclusive Dates No. of Organized
(start with most recent) (specific topic/s (Use format M/D/Y) Hours /Requested
discussed) By
Example: Gender and 10/26/18 10/27/18 4 Department of
● Concepts on Sex and
Development Towards Food Agriculture
Security Gender
● Gender mainstreaming

1.
2.
3.
4.
5.
6.
7.
8.

5
Please use additional sheet(s) if necessary
6
Please indicate session title(s) if you only conducted a particular session(s) in that training. Training title if you have conducted the entire
training. Please use additional sheet(s) if necessary

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9.
10.

VIII. Projects Involved In (In the Last 10 years)7

Inclusive
Organized For/ By Dates Role/ Position in
Project
or Funded By (Use format Project
M/D/Y)
e.g. Lingap Kalusugan para sa 8/14/1 Presen
Quezon Province Provincial Coordinator
Barangay program 5 t

1.
2.
3.
4.
5.

IX. Published Works

Title of work Published By Publication Date of
Publication
e.g. The Situation of Rural UP Center for Women and Annual GAD Gazette 2017
Women since RA 9710 Gender Studies 8th Issue

X. Social Media
Title of work Web Address or URL
e.g. “The Woman I am Today” DSWD FO2 Official Website

XI. Awards Received

Title of Award Awarded By Year Awarded
e.g. GAWAD Ala GAD PCW 2018

7
Indicate here projects that handled or involved in, i.e. GREAT Women Project, etc

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XII. Membership in Organizations

Inclusive Dates of Designation in
Organization
Membership Organization
e.g. Philippine Statistics Association Since 2012 to date Founding member

XIII. If you were to serve as a Resource Person or tapped for technical assistance, which
geographical location would you be available to work in? (Check appropriate boxes)

☐ I can work anywhere in the Philippines

☐ I can work only in the following regions or localities:
Region (s) ___________________________

Province(s) ___________________________

Dietary requirements:
____________________________________________________________________

Health concerns:

_______ _________

XIV. Person to Contact in Case of Emergency

Name Relationship
Address
Contact
Number

__________________________________________
Signature over Printed Name

Dated signed: __________________

By submitting this Profile Form, it is understood that the person gave the consent to share his/her
information with the Philippine Commission on Women (PCW) and are aware of his/her rights as data
subjects in accordance to Republic Act 10173 or the Data Privacy Act of 2012.
 

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