Name:________________________________________ Date:___________

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
a. 75 to 79 e. 75 to 79

Cultural and Ethnicity/culture:

language a. Tagalog
background
b. Bicolano
c. Mangyan
d. Cebuano
e. Muslim
f. Ilocano
g. Others( please specify)_____________

Education & Highest Educational Attainment:

general knowledge a. High School Level
b. High School Graduate
c. College Level
d. College Graduate

Sex a. Male
b. Female

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Obey and July 2021
Observe Traffic
Rules and Developed by:
Regulations Ivan Ismael M. Barola
 Characteristics of learners
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 DRIVING

with the topic a. Driving NC II Graduate
b. Driving NC III Trainer
Number of years as a competency trainer ______

Previous learning List down trainings related to Driving

experience ___________________________
___________________________
___________________________
National Certificates acquired and NC level
Training Level
completed ___________________________
___________________________

Special courses Other courses related to DRIVING

a. Units in education
b. Master’s degree units in education
c. Others(please specify)
_________________________

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Observe Traffic
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Regulations Ivan Ismael M. Barola
 Characteristics of learners

Learning a. Visual – good speller, fast reader, great

styles/ability seeing the big picture but often forget smaller
details and good at remembering faces but
have a hard time remembering names.
b. Kinesthetic - often referred to as hyperactive
students with concentration issues.
c. Auditory- strong language skills, well-
developed vocabulary, have the ability to
follow spoken direction well and have a hard
time remembering faces but easily
remembers names.
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. Working student
c. Solo parent
d. Others(please specify)
___________________________

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Regulations Ivan Ismael M. Barola
Name:____________________________________ Date:_______________

FORM 1.1 SELF-ASSESSMENT CHECK

INSTRUCTIONS: This Self-Check Instrument will give the trainer necessary
data or information which is essential in DRIVING NC II.
Please check the appropriate box of your answer to the
questions below.
BASIC COMPETENCIES
CAN I…? YES NO

1. Participate in Workplace Communication

1.1.1 Obtain and convey workplace information / 
1.1.2 Participate in workplace meetings and / 
discussions

1.1.3 Complete relevant work related documents /

2. Work in Team Environment

2.1.1 Describe team role and scope /

2.1.2 Identify own role and responsibility within team /
2.1.3. Work as a team member /
3. Practice Career Professionalism
3.1.1 Integrate personal objectives with organizational /
goals
3.1.2 Set and meet work priorities /
3.1.3 Maintain professional growth and development /
4. Practice Occupational Health and Safety Procedures
4.1.1 Identify hazards and risks /
4.1.2 Evaluate hazards and risks /
4.1.3 Control hazards and risks /

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Obey and July 2021
Observe Traffic
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Regulations Ivan Ismael M. Barola
 BASIC COMPETENCIES
CAN I…? YES NO

4.1.4 Maintain OHS awareness /

Name:____________________________________ Date:_______________

FORM 1.1 SELF-ASSESSMENT CHECK

INSTRUCTIONS: This Self-Check Instrument will give the trainer necessary
data or information which is essential in DRIVING NC II.
Please check the appropriate box of your answer to the
questions below.
COMMON COMPETENCIES
CAN I…? YES NO

1. Apply Appropriate Sealant/Adhesive

1.1.1 Identify appropriate Sealant/Adhesive / 
1.1.2 Prepare surface for Sealant/Adhesive / 
1.1.3 Apply sealant/adhesive evenly / 
1.1.4 Store/Dispose of sealant/adhesive /
2. Move and Position Vehicle

2.1.1 Prepare vehicle for driving /

2.1.2 Move and position vehicle /
2.1.3. Check the vehicle /
2 3. Perform Mensuration and Calculation
3.1.1 Select measuring instruments /
3.1.2 Carry out measurements and calculation /

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Obey and July 2021
Observe Traffic
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Regulations Ivan Ismael M. Barola
 COMMON COMPETENCIES
CAN I…? YES NO

3.1.3 Maintain measuring instruments /

3 4. Read, Interpret and Apply Specifications and Manuals
4.1.1 Identify and access manual/specification /
4.1.2 Interpret manuals /
4.1.3 Apply information in manual /
4.1.4 Store manuals /
5. Used and Apply Lubricant/Coolant
5.1.1 Identify types of lubricants/coolant /
5.1.2 Use and apply lubricants/coolant /
5.1.3 Perform housekeeping activities /
6. Perform Shop Maintenance
6.1.1 Inspect/clean tools and work area /
6.1.2 Store/arrange tools and shop equipment /
6.1.3 Dispose wastes/used lubricants /
6.1.4 Report damaged tools/equipment /

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Obey and July 2021
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Regulations Ivan Ismael M. Barola
Name:____________________________________ Date:_______________

FORM 1.1 SELF-ASSESSMENT CHECK

INSTRUCTIONS: This Self-Check Instrument will give the trainer necessary
data or information which is essential in DRIVING NC II.
Please check the appropriate box of your answer to the
questions below.
CORE COMPETENCIES
CAN I…? YES NO

4 1. Carry Out Minor Vehicle Maintenance and Servicing

1.1.1 Clean Vehicle Unit / 
1.1.2 Maintain and service the vehicle system /
5 2. Drive Light Vehicle

2.1.1 Perform light vehicle pre-starting and warm-up /

2.1.2 Drive light vehicle /
2.1.4 Monitor and maintain vehicle performance /
6 3. Obey and Observe Traffic Rules and Regulations
3.1.1 Observe traffic signs and road markers /
3.1.2 Obey traffic rules and regulations /
3.1.3 Respect traffic enforcers and other traffic /
management unit

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Obey and July 2021
Observe Traffic
Rules and Developed by:
Regulations Ivan Ismael M. Barola
 CORE COMPETENCIES
CAN I…? YES NO

7 4. Implement and Coordinate Accident-Emergency Procedures

4.1.1 Respond to emergencies /
4.1.2 Arrange follow-up support and assistance /

Evidences/Proof of Current Competencies

Form 1.2: Evidence of Current Competencies acquired related to

Job/Occupation

Current
Proof/Evidence Means of validating
competencies
Carry out minor National Certificate, Dry seal
vehicle maintenance Certificate of Employment,
and servicing Seminar Certificate
Drive light vehicles National Certificate, Dry seal
Certificate of Employment,
Seminar Certificate
Obey and observe
traffic rules and
regulations
Implement and Seminar Certificate, Dry seal
coordinate Certificate of Completion
accident/emergency
procedures

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Obey and July 2021
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Rules and Developed by:
Regulations Ivan Ismael M. Barola
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 Competencies Training
Competency/Learning Gaps/Requirements
Outcomes based on
CBC
1. Carry out minor vehicle maintenance and servicing
Clean vehicle unit Clean vehicle unit
Maintain and service Maintain and service the
the vehicle system vehicle system

Required Units of Current Competencies Training

Competency/Learning Gaps/Requirements
Outcomes based on
CBC
2. Drive light vehicle

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 Perform light vehicle Perform light vehicle pre-
pre-starting and warm- starting and warm-up
up
Drive light vehicle Drive light vehicle
Monitor and maintain Monitor and maintain
vehicle performance vehicle performance

3. Obey and observe traffic rules and regulations

Observe traffic signs Observe traffic signs
and road markers and road markers
Obey traffic rules and Obey traffic rules and
regulations regulations
4. Implement and coordinate accident/emergency procedures
Respond to emergencies Respond to emergencies
Arrange follow-up Arrange follow-up support
support and assistance and assistance

Using Form No.1.4, convert the Training Gaps into 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

Module Title/Module of
Instruction
Learning Outcomes

Observing traffic signs and

Observe traffic signs and road markers
road markers
Obeying traffic rules and
Obey traffic rules and regulations
regulations
Respecting traffic enforcers
Respect traffic enforcers and other traffic
and other traffic management
management unit
unit

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Regulations Ivan Ismael M. Barola
DRIVING NC II Date Developed: Issued by: Page 11
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Observe Traffic
Rules and Developed by:
Regulations Ivan Ismael M. Barola