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CONDUCT

COMPETENCY
ASSESSMENT

Technical Education and Skills Development Authority


ASSESSMENT AND CERTIFICATION PROGRAM
ATTENDANCE SHEET

Name of Competency
Assessment Center:
Date of Assessment:
No.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

CANDIDATES NAME

Signature

Assessment
Results

Assessor/s:
TESDA Representative:
Signature over Printed Name
Accreditation Number:
________________________________
Signature over Printed Name
Accreditation
Number:_______________

______________________________
Signature over Printed Name
CAC Manager:
______________________________
Signature over Printed Name

EVIDENCE PLAN/EVALUATION PLAN


TRAINEES NAME
FACILITATORS NAME
QUALIFICATION
UNIT OF COMPETENCY
COVERED

The evidence must show that the candidate

Rating Sheet for Demonstration with Oral Questioning


Candidates Name:
Assessors Name:

Interview

Witten Test

Demonstration with Oral


Questioning

Ways in which evidence will be collected:


[tick the column]

Unit of Competency:
Qualification:
Date of Assessment
Time of Assessment
Instructions for demonstration

Materials and equipment

Tools and equipment

Work Area

During the demonstration of skills, the candidate:

YES

NO

N/A

Oral Questioning
Questions:
The candidate should answer the following
questions:

The candidate underpinning knowledge


was:
Feedback to candidate:
Candidates
name:
Assessors Name:

Satisfactory Response
YES

Satisfactory

NO

Not Satisfactory

RATING SHEET FOR ORAL QUESTIONING


QUESTIONS

Satisfactory
response

The candidate should answer the following

YES

NO

questions

Feedback to candidate:

The candidates overall performance was:


Satisfactory

Not Satisfactory

Candidate Signature:

Date:

Assessor Signature:

Date:

SELF ASSESSMENT GUIDE


Qualification
Unit of Competency
Instruction:

Can I?

YES

NO

I agree to undertake assessment in the knowledge that information gathered will


only be used for professional development and I can only be assessed by
concerned assessment personnel and my manager/supervisor
Candidate Signature:

Date

COMPETENCY EVALUATION RESULT SUMMARY

TRAINEES NAME
FACILITATORS NAME
QUALIFICATION
DATE OF EVALUATION
TIME OF EVALUATION
THE PERFORMANCE OF THE TRAINEE IN
THE FOLLOWING ASSESSMENT METHODS
[PLEASE TICK APPROPRIATE BOX]
A. WRITTEN EXAM.
B. INTERVIEW
C. DEMONSTRATION
DID THE TRAINEES OVERALL
PERFORMANCE MEET THE REQUIRED
EVIDENCES/STANDARDS?

NOT
SATISFACTORY SATISFACTORY

RECOMMENDATION FOR RE-EVALUATION _______________________________


QUALIFIED TO TAKE THE NEXT COMPETENCY ____________________________
GENERAL COMMENTS (STRENGTHS/IMPROVEMENT NEEDED):

TRAINEES SIGNATURE:

DATE:

FACILITATORS SIGNATURE:

DATE:

COMPETENCY ASSESSMENT AGREEMENT


Candidates Name:
Assessors Name
Qualification:
BASIC UNITS
Units of Competency to
be Assessed:

COMMON UNITS

CORE UNITS

YES
Have the context and purpose of assessment been
explained?
Have the qualification and units of competency
been explained?
Do you understand the assessment procedure and
evidence to be collected?
Have your rights and appeal system been
explained?
Have you discussed any special needs to be
considered during assessment?
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.
Candidates Signature:

Date:

Assessors Signature:

Date:

COMPETENCY ASSESSMENT RESULTS SUMMARY


Candidates Name:
Assessors Name:

NO

Title of Qualification /
Cluster of Units of
Competency

ANIMATION NC II

Assessment Center:

Date:

The performance of the candidate in the following unit(s) of competency and


corresponding methods
Unit of Competency

1.

Satisfactory

Not Satisfactory

Assessment Method

Produce Cleaned-up and Inbetween Drawings

Demo. /Observation w/ Questioning


Interview

Note: Satisfactory Performance shall only be given to candidate who demonstrated successfully all the competencies
identified in the above-named Qualification/Cluster of Units of Competency

Recommendation:

For issuance of NC/COC

(Indicate title of COC, if full


Qualification is not met)

For submission of
additional documents
Specify: _______________
______________________

Did the candidate overall performance meet the required evidences/standards?


OVERALL EVALUATION

Competent

For re-assessment (pls.


specify)

YES

NO

Not Yet Competent

Candidates signature:

Date:

Assessors signature:

Date:

Assessment Center Manager


Signature:

Date:

COMPETENCY ASSESSMENT RESULTS SUMMARY


Name of Candidate:

Date:

Name of Assessment Center:

Date:

Assessment Results:

Recommendation:

Assessed by:
Date:

Competent

For issuance of NC/COC

(Indicate title of COC, if full


Qualification is not met)

_____________________________
Name and Signature

For submission of
additional documents
Specify:

Attested by:

Not Yet Competent

For re-assessment (pls.


specify)

__________________________
Name and Signature

Date:

TECHNICAL EDUCATION AND SKILLS DEVELOPMENT AUTHORITY


Pangasiwaan sa Edukasyong Teknikal at Pagpapaunlad ng Kasanayan

APPLICATION FORM
REFERENCE
NUMBER:

Pictures; 3pcs.,
colored,
passport
size,
(3.5 cm x 4.5 cm
with head size
ranging from 27
mm to 31 mm;
white
background,
with collar; and

Number
Series

TT
Regio Provinc Number
n
e
Series

To beAssigned
filled to
out by the Processing
Officer

_______________
Applicants Signature

_____________
Date

Name of School/Training Center/Company:


Address:
Title of Assessment applied for:

Full Qualification
1.

COC

Client Type

TVET Graduating

SCEP

Industry

TVET

2. Profile
2.1. Name:
SURNAM
E
FIRSTNA
ME
MIDDLE
NAME

NAME EXTENSION (e.g,


Jr., Sr.)

2.2 Mailing
Address

Number,

2.3 Mothers Name


2.5. Sex

2.6. Civil
Status

Male

Single

Female

Married

3.

Mon
th

Day

2.4. Fathers Name

2.7. Contact
Number(s)

2.8. Highest
Educational
Elementary
dfdfAttainment

District
Region

Tel: ______________
Mobile :
______________
E-mail :
______________
Fax : ______________
Others ;
______________

Year

2.11.

Zip Code

2.9. Employment
Status

Graduated

Separat
ed

Birth Date:

Province

City/Municipal

Widow/e

2.
1
0.

Barangay

Casual

HS
Graduate
TVET

Contractual
Job Order

Graduate
College
TVET
Level
Graduate
College

Probationary

Graduate
Others:
_________

Self -

Permanent
OFW
2.1
1

Birth
place:

Ag
e

Work Experience (National Qualification-related)

Name of Company

Positi
on

Inclusive
Dates

Monthly
Salary

Status of
Appointment

No. of Yrs. Working


Exp.

1. Other Training/ Seminars Attended (national Qualification related)


4.1.
Title

4.2.
Venue

4.3
Inclusive Dates

4.4. No. Of
Hours

4.5. Conducted By:

(For more information, please use separate sheet)

2. Licensure Examination(s) Passed


5.1.
Title

5.2.
Year
Taken

5.3.
Examination
Venue

5.4.
Rating

5.5.
Remarks

5.6.
Expiry Date

6.4.
Certificate
Number

6.5.
Date of Issuance

6.6.
Expiration
Date

(For more information, please use separate sheet)

3. Competency Assessment(s) Passed


6.1.
Title

6.2.
Qualificat
ion Title

6.3.
Industry
Sector

(For more information, please use separate sheet)

ADMISSION SLIP
REFERENCE
NUMBER:
Name of Applicant:

Tel. Number:

Assessment Applied for:

Official Receipt Number


Date Issued:

To be accomplished by the Processing Officer


Name of Assessment Center:
Check Submitted requirements:

Remarks:

Accomplished SelfAssessment Guide


Three (3) colored passport size
pictures

Bring own Personal Protective


Equipment
Others Pls. Specify

Assessment Date;

Assessment Time:

_____________________________________

________________________________________
Printed Name & Signature of Applicant

Printed Name & Signature of Processing


Officer
Date:

Date:

Pictures; 3pcs.,
colored,
passport
size,
(3.5 cm x 4.5 cm
with head size
ranging from 27
mm to 31 mm;
white
background,
with collar; and

Note: Please bring this admission Slip on your assessment date.