Application Form - OAP NC II CompetencyAssessment
Application Form - OAP NC II CompetencyAssessment
Application Form - OAP NC II CompetencyAssessment
Rev. 00 – 03/01/17
SURNAME
FIRSTNAM
E
Female
Married Mobile:
High School Graduate
Job Order
Widow/er E-mail:
TVET Graduate
Probationary
Separated Fax:
College Level
Permanent
College Graduate
Self - Employed
Others:
Others: ____________
OFW
2.1 Birth date 2.1 Birth 2.1
M M D D Y Y Age:
0 (mm/dd/yy): 1 place: 2
3. Work Experience (National Qualification-related)
3.1. 3.2. 3.3. 3.4. 3.5. 3.6
Monthly Status of No. of Yrs.
Name of Company Position Inclusive Dates
Salary Appointment Working Exp.
(For more information, please use separate sheet)
ADMISSION SLIP
REFERENCE NUMBER :
Printed Name & Signature of Processing Officer Printed Name & Signature of Applicant
Date: Date:
Reference No.
to be filled out by the Processing Officer
Qualification:
Units of Competency
Covered:
Instruction:
Read each of the questions in the left-hand column of the chart.
Place a check in the appropriate box opposite each question to indicate your
answer.
Can I? YES NO
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.
___________________________________ Date:
Candidate’s Name & Signature
Evaluated by:
_______________________________ Qualified for Assessment
AC Manager
Not yet Qualified for Assessment
Date:
TESDA-OP-CO-05-F31
Rev.No.00-03/08/17
ATTENDANCE SHEET
Name of Competency
Assessment Center: 6L’S INTEGRATED FARM SCHOOOL, INC
Date of Assessment:
No. CANDIDATE’S NAME Reference Number: Signature Assessment Results
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Assessor/s:
TESDA Representative:
__________________________________
Signature over Printed Name ______________________________
Signature over Printed Name
Accreditation Number:_______________
AC Manager:
__________________________________
Signature over Printed Name RICO A. DEYPALAN
Signature over Printed Name
Accreditation Number:_______________
TESDA-OP-CO-05-F28
Rev.No.00-03/08/17
LETTER OF APPOINTMENT
_______________
Date
___________________
___________________
___________________
Dear Sir/Madam:
______________________
AC Manager
Conforme:
_____________________
Signature of Assessor
TESDA-OP-CO-05-F30
Rev.No.00-03/08/17
TITLE OF QUALIFICATION
NAME OF ASSESSMENTCENTER
DATE OF ASSESSMENT
REQUESTED BY
(PO CAC Focal)
DATE OF REQUEST
APPROVED BY
(Provincial Director)
DATE APPROVED
TESDA-OP-CO-05-F29
Rev.No.00-03/08/17
LETTER OF ASSIGNMENT
_________________
Date
___________________
___________________
___________________
___________________:
If you have any questions/ queries, please call the undersigned at telephone
number/s ______________.
____________________
Provincial Director
Conforme:
_____________________
Signature over printed name
of TESDA Representative
TESDA-OP-CO-05-F34
Rev.No.00-03/08/17
____________________________________ _____________________
Signature over Printed Name (TESDA Rep)
LETTER OF DESIGNATION
_______________
Date
Dear ________________:
___________________ _____________________
AC Manager TESDA Provincial Director
CONFORME:
___________________
Head, TVI/ Company
TESDA-OP-CO-05-F36
Rev.No.00-03/08/17
ASSIGNMENT OF ASSESSORS
For the month of ____________________
QUALIFICATIO PROVINCE
N TITLE
NAME OF ASSESSOR ASSESSMENT CENTER DATE OF
ASSESSMENT
TESDA-OP-CO-05-F37
Rev.No.00-03/08/17
Performance Evaluation Instrument
Assessor’s Name
Qualification
Date
Name of Respondent
Accomplished
[Pls. Tick () where applicable]
ACAC Manager Candidate
INSTRUCTIONS: Put a tick () mark in the appropriate column
5– Very Satisfactory 3 – Good
SCALE GUIDE 1 – Poor
4 – Satisfactory 2 – Fair
RATING
ITEM
5 4 3 2 1
1. Physical appearance and composure
(Pangkalahatang anyong pisikal at kung paano magdala sa sarili)
2. Ability to pace instruction
(Kakayahang magpaliwanag ng malumanay at mahusay kung ano ang
mga dapat gawin)
3. Ability to establish good rapport with candidates
(Kakayahang magpadaloy ng komunikasyon sa pagitan niya at ng mga
kukuha ng pagsusulit)
4. Ability to ensure that the candidate understands the instruction
(Kakayahang siguraduhing ang lahat ng instruksyon ay naiintindihan
ng mga kukuha ng pagsusulit)
5. Ability to answer querries, comments, etc.
(Kakayahang magbigay ng karapat dapat nasagot o tugon sa mga
tanong, puna o mga paglilinaw)
6. Ability to establish the assessment context and purpose of
assessment
(Kakayahang magpaliwanag tungkol sa layunin ng pagsusulit)
7. Ability to plan and prepare the evidence gathering process
(Kakayahang paghandaan at iayos ang mga pangangailangan sa
pagsusulit)
8. Ability to provide allowable/reasonable adjustments in the
assessment procedure
(Kakayahang magbigay ng makabuluhang konsiderasyon sa may
Mga pangangailangan sa pagsusulit)
9. Ability to conduct assessment in accordance with the
methodologies
(Kakayahang ipatupad ang pagsusulit ayon samga itinakdang
panuntunan)
10. Ability to collect appropriate evidence during the conduct of
assessment
(Kakayahang mangalap at sumuri ng mga tamang ebidensya
habang nagbibigay ng pagsusulit
11. Ability to provide clear and constructive feedback on the
assessment decision
(Kakayahang magbigay ng malinaw at tamang kaukulang opinyon
sa resulta ng pagsusulit)
12. Ability to provide fair, reliable and valid assessment decision
(Kakayahang magbigay ng pantay, ugma at tamang desisyon sa
resulta ng pagsusulit)
Sub - score
FINAL RATING
Signature of Respondent
EVALUATOR’S REMARKS:
RECOMMENDATION:
YES
For re-accreditation For further review
NO
*Frequency
For AC Manager – once a month
For Candidate - at least 2 candidates per assessment schedule
TESDA-OP-CO-05-F38
Rev.No.00-03/08/17
LETTER OF AUTHORIZATION
__________________________
Signature of the Certified Worker
__________________________
Authorized Representative
(Signature over Printed Name)
___________________________________________________________________
For TESDA use only
__________________________________
TESDA PO CAC Focal person
(Signature over Printed Name)