Sector:

Qualification Title:

Unit of Competency:

Module Title:
 Plan
Training
Session
 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. Ifugao
background
b. Igorot
c. Ibanag
d. Gaddang
e. Muslim
f. Ibaloy
g. Others( please specify) Kapampangan

Education & Highest Educational Attainment:

general a. High School Level
knowledge
b. High School Graduate
c. College Level
d. College Graduate
e. with units in Master’s degree
f. Masteral Graduate
g. With units in Doctoral Level
h. Doctoral Graduate
Sex a. Male
b. Female
Age Your age: 16

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 Certificates:
 Characteristics of learners

experience with _____________________________

the topic Number of years as a competency trainer ______

Previous learning List down trainings related to Housekeeping

experience

National Certificates acquired and NC level

Training Level
completed

Special courses Other courses related to Housekeeping

a. _____________________________
b. _____________________________
c. Others(please specify)
_________________________

Learning styles a. Visual - The visual learner takes mental

pictures 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.
Other needs a. Financially challenged
b. Working student
Characteristics of learners

c. Solo parent
d. Others(please specify)
___________________________
 FORM 1.1 SELF-ASSESSMENT CHECK
Name of Trainee:
Qualification:
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
LO1: Obtain and convey workplace information
LO2: Speak English at a basic operational level
LO3: Participate in workplace meeting and discussion
LO4: Complete relevant work related documents
COMMON COMPETENCIES
CAN I…?
1. OBSERVE WORKPLACE HYGIENE PROCEDURE
LO1: Follow hygiene procedures
LO2: Identify and prevent hygiene risk
CORE COMPETENCIES
CAN I…?
1.
LO1:
LO2:
LO3:
LO4:
2.
LO1:
LO2:
LO3:
LO4:
LO5:
3.
LO1:
LO2:
LO3:
4.
LO1:
LO2:
LO3:
LO4:
5.
LO1:
LO2:
LO3:
LO4:
6.
LO1:
LO2:
LO3:
 FORM 1.2: EVIDENCE OF CURRENT COMPETENCIES ACQUIRED
RELATED TO JOB/OCCUPATION
Current
Proof/Evidence Means of Validating
Competencies
1. - Interview/Questioning
-

- Written examination

- Demonstration

2. - Interview/Questioning -

- Demonstration
3. - Interview/Questioning -

- Written examination

- Demonstration
4. - Interview/Questioning -
 - Demonstration
5. - Interview/Questioning
-

- Written examination

- Demonstration
6. - Interview/Questioning -

- Demonstration
FORM 1.3 SUMMARY OF CURRENT COMPETENCIES VERSUS REQUIRED
COMPETENCIES
Identifying Training Gaps
Required Units of Current Competencies Training Gaps/
Competency/Learning
Requirements
Outcomes based on CBC

1.
1.1 1.1
1.2 1.2

1.3 1.3
1.4 1.4
2.
2.1 2.1
2.2 2.2
2.3 2.3
2.4 2.4

2.5 2.5
3.
3.1 3.1
3.2
3.3 3.3

4.
4.1 4.1
4.2 4.2
4.3 4.3

4.4 4.4

5.
5.1 5.1

5.2 5.2

5.3 5.3
5.4 5.4

6. DEAL WITH/HANDLE INTOXICATED GUESTS

6.1 6.1
6.2 6.2
6.3 6.3
 FORM NO. 1.4: TRAINING NEEDS

Training Needs Module Title/Module of

Instruction
(Learning Outcomes)
5.1
5.2
5.3
5.4