Supervise

Work-Based
Learning
FORM 4.1 SELF-ASSESSMENT CHECK

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
PARTICIPATE IN WORKPLACE COMMUNICATION
Obtain and convey workplace information 
Participate in workplace meetings and discussions 
Complete relevant work related documents 
WORK IN TEAM ENVIRONMENT
Describe team role and scope 
Identify own role and responsibility within team 
Work as a team member 
Describe team role and scope 
PRACTICE CAREER PROFESSIONALISM
Integrate personal objectives with organizational goals 
Set and meet work priorities 
Maintain professional growth and development 
PRACTICE OCCUPATIONAL HEALTH AND SAFETY PROCEDURES
Identify hazards and risks 
Evaluate hazards and risks 
Control hazards and risks 
Maintain OHS awareness 
COMMON COMPETENCIES
CAN I…? YES NO
APPLY QUALITY STANDARDS
Assess quality of received materials 
Assess own work 
Engage in quality improvement 
PERFORM COMPUTER OPERATIONS
Plan and prepare for task to be taken undertaken 
Input data into computer 
Access information using computer 
PERFORM MENSURATION AND CALCULATION
Select measuring instruments 
Carry out measurements and calculation 
Maintain measuring instruments 
PREPARE AND INTERPRET TECHNICAL DRAWING
Identify different kinds of technical drawings 
Interpret technical drawing 
Prepare/make changes to electrical/electronic schematics 
and drawings
Store technical drawings and equipment /instruments 
USE HAND TOOLS
Plan and prepare for tasks to be undertaken 
Prepare hand tools 
Use appropriate hand tools and test equipment 
Maintain hand tools 
TERMINATE AND CONNECT ELECTRICAL WIRING AND
ELECTRONICS CIRCUIT
Plan and prepare for termination/connection of electrical 
wiring/electronics circuits
Terminate/connect electrical wiring/electronic circuits 
Test termination/ connections of electrical wiring/electronics 
circuits
TEST ELECTRONIC COMPONENTS
Determine criteria for testing electronics components 
Plan an approach for component testing 
Test components 
Evaluate the testing process 
CORE COMPETENCIES
CAN I…? YES NO
INSTALL AND CONFIGURE COMPUTER SYSTEMS
Assemble computer hardware 
Prepare installer 
Install operating system and drivers for peripherals/ devices 
Install application software 
Conduct testing and documentation 
SET-UP COMPUTER NETWORKS
Install network cables 
Set network configuration 
Set router/Wi-Fi/ wireless access point/repeater 
configuration
Inspect and test the configured computer networks 
SET-UP COMPUTER SERVERS
Set-up user access 
Configure network services 
Perform testing, documentation and pre-deployment 
procedures
MAINTAIN AND REPAIR COMPUTER SYSTEMS AND NETWORKS
Plan and prepare for maintenance and repair 
Maintain computer systems and networks 
Diagnose faults of computer systems and networks 
Rectify/correct defects in computer systems and networks 
Inspect and test the computer systems and networks 

Note: In making the Self-Check for your Qualification, all required competencies
should be specified. It is therefore required of a Trainer to be well- versed
of the CBC or TR of the program qualification he is teaching.
Evidences/Proof of Current Competencies

Form 4.2: Evidence of Current Competencies acquired related to

Job/Occupation

Current competencies Proof/Evidence

PARTICIPATE IN WORKPLACE COMMUNICATION
Obtain and convey workplace information Training
Certificate
Participate in workplace meetings and discussions
Complete relevant work related documents
WORK IN TEAM ENVIRONMENT
Describe team role and scope Training
Identify own role and responsibility within team Certificate
Work as a team member
Describe team role and scope
PRACTICE CAREER PROFESSIONALISM
Training
Integrate personal objectives with organizational goals
Certificate
Set and meet work priorities
Maintain professional growth and development
PRACTICE OCCUPATIONAL HEALTH AND SAFETY
PROCEDURES
Identify hazards and risks Training
Certificate
Evaluate hazards and risks
Control hazards and risks
Maintain OHS awareness
APPLY QUALITY STANDARDS
Assess quality of received materials Training
Certificate
Assess own work
Engage in quality improvement
PERFORM COMPUTER OPERATIONS
Plan and prepare for task to be taken undertaken Training
Certificate
Input data into computer
Access information using computer
PERFORM MENSURATION AND CALCULATION
Select measuring instruments Training
Certificate
Carry out measurements and calculation
Maintain measuring instruments
PREPARE AND INTERPRET TECHNICAL DRAWING
Identify different kinds of technical drawings
Training
Interpret technical drawing
Certificate
Prepare/make changes to electrical/electronic
schematics and drawings
Store technical drawings and equipment /instruments
USE HAND TOOLS
Plan and prepare for tasks to be undertaken Training
Prepare hand tools Certificate
Use appropriate hand tools and test equipment
Maintain hand tools
TERMINATE AND CONNECT ELECTRICAL WIRING
AND ELECTRONICS CIRCUIT
Plan and prepare for termination/connection of Training
electrical wiring/electronics circuits Certificate
Terminate/connect electrical wiring/electronic circuits
Test termination/ connections of electrical
wiring/electronics circuits
TEST ELECTRONIC COMPONENTS
Determine criteria for testing electronics components Training
Plan an approach for component testing Certificate
Test components
Evaluate the testing process
INSTALL AND CONFIGURE COMPUTER SYSTEMS
Assemble computer hardware
Prepare installer Training
Install operating system and drivers for peripherals/ Certificate
devices
Install application software
Conduct testing and documentation
SET-UP COMPUTER NETWORKS
Install network cables
Training
Set network configuration
Certificate
Set router/Wi-Fi/ wireless access point/repeater
configuration
Inspect and test the configured computer networks
SET-UP COMPUTER SERVERS
Set-up user access Training
Configure network services Certificate
Perform testing, documentation and pre-deployment
procedures
MAINTAIN AND REPAIR COMPUTER SYSTEMS AND
NETWORKS
Plan and prepare for maintenance and repair
Maintain computer systems and networks Training
Certificate
Diagnose faults of computer systems and networks
Rectify/correct defects in computer systems and
networks
Inspect and test the computer systems and networks
 TRAINING PLAN

Qualification: COMPUTER SYSTEMS SERVICING NC II

HOURS: 280 HOURS
Trainees’
Training Mode of Facilities/Tools Assessment Date and
Training Staff Venue
Activity/Task Training and Equipment Method Time
Requirements
INSTALL AND Assemble computer Internship/ James Dela AmKor Observation September 1-
CONFIGURE hardware apprenticeship Cruz –OJT -Protective eyewear 12, 2015
COMPUTER Coordinator -Digital multi-meter
SYSTEMS Prepare installer -Wire stripper with Demonstration
bolt cutter 8:00-5:00
Install operating Olaine -Pliers (assorted) daily
system and drivers for Mendoza- -Screw drivers Oral Questioning
peripherals/ devices OJT (assorted)
Supervisor -Soldering iron
Install application -Desoldering tool Written Test
software -Allen wrench (0.05
– 0.25 inch)
Conduct testing and -Flashlight
documentation
-IC
insertion/extraction
tool
-Mirror (inspection)
-RS 232 pin
insertion/extraction
tool
-Sharp pointed
tweezers
-Antistatic wrist
wrap
-LAN Tester
-Crimping tools
SET-UP Install network cables Internship/ James Dela -Protective eyewear AmKor Observation September 14-
COMPUTER apprenticeship Cruz –OJT -Digital multi-meter 23, 2015
NETWORKS Set network Coordinator -Wire stripper with
configuration bolt cutter Oral Questioning
-Pliers (assorted) 8:00-5:00
Set router/Wi-Fi/ Olaine -Screw drivers daily
wireless access Mendoza- (assorted) Written Test
point/repeater OJT -LAN Tester
configuration Supervisor Crimping tools

Inspect and test the

configured computer
networks
SET-UP Set-up user access Internship/ James Dela AmKor Observation September 24,
COMPUTER apprenticeship Cruz –OJT 2015 –
SERVERS Configure network Coordinator October 3,
services Oral Questioning 2015

Perform testing, Olaine

documentation and Mendoza- Written Test 8:00-5:00
pre-deployment OJT daily
procedures Supervisor
MAINTAIN AND Plan and prepare for Internship/ James Dela -Pliers (assorted) AmKor Observation October 5-9,
REPAIR maintenance and apprenticeship Cruz –OJT -Screw drivers 2015
COMPUTER repair Coordinator (assorted)
8:00-5:00
SYSTEMS AND -Special tools Oral Questioning
Olaine daily
NETWORKS Maintain computer -Soldering iron/gun
Mendoza-
systems and networks -Wrenches
OJT
-Utility Written Test
Supervisor
knife/stripper
Diagnose faults of -Hot air soldering
computer systems and station
networks -LAN Tester
-Crimping tools
Rectify/correct defects
in computer systems
and networks

Inspect and test the

computer systems and
networks
 International Electronics and Technical
Institute, Inc.

Instructions:
TRAINEE’S RECORD BOOK This Trainees’ Record Book (TRB) is intended to serve as
record of all accomplishment/task/activities while undergoing
training in the industry. It will eventually become evidence
that can be submitted for portfolio assessment and for
whatever purpose it will serve you. It is therefore important
I.D. that all its contents are viably entered by both the trainees
and instructor.
The Trainees’ Record Book contains all the required
competencies in your chosen qualification. All you have to do
is to fill in the column “Task Required” and “Date
Trainee’s No. 1021-A Accomplished” with all the activities in accordance with the
training program and to be taken up in the school and with
the guidance of the instructor. The instructor will likewise
indicate his/her remarks on the “Instructors Remarks”
column regarding the outcome of the task accomplished by
NAME: DOMINA L. BAUSA
the trainees. Be sure that the trainee will personally
accomplish the task and confirmed by the instructor.
QUALIFICATION:COMPUTER SYSTEMS SERVICING NC II It is of great importance that the content should be
written legibly on ink. Avoid any corrections or erasures and
maintain the cleanliness of this record.
TRAINING DURATION:280 HOURS
This will be collected by your trainer and submit the
same to the Vocational Instruction Supervisor (VIS) and shall
TRAINER: MARLON S. PAGUIO form part of the permanent trainee’s document on file.

THANK YOU.
NOTES:

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Unit of Competency 1: Install and configure computer systems
NC Level II
Date Instructors
Learning Outcome Task/Activity Required
Accomplished Remarks
Assemble computer  Unit assembly is planned and prepared to ensure OH&S Competent
hardware policies and procedures are followed in accordance with
systems requirements
 Materials necessary to complete the work are identified and
obtained in accordance with established procedures and
checked against systems requirements
 Tools, equipment and testing devices needed to carry out the
installation work are obtained in accordance with established
procedures and checked for correct operation and safety
 Computer hardware is assembled in accordance with
established procedures and systemsrequirements
 Basic-input-output-system (BIOS) configuration is performed
in accordance with hardware requirements.
Prepare installer  Portable bootable devices are created in accordance with Competent
software manufacturer instruction
 Customized installers are prepared in accordance with software
utilization guide and end user agreement.
 Installation of portable applications are carried out in
accordance with software user guide and software license
Install operating system  Operating system (OS) is installed in accordance with Competent
and drivers for established installation procedures and to comply withend-
peripherals/ devices
userrequirements
 Peripherals/devices drivers are installed and configured in
accordance with manufacturer’s instructions and/or OS
installation procedures.
 OS and drivers updates/patches are accessed and installed in
 accordance with manufacturer’s recommendations and
requirements
 On-going checks of the quality of the work are undertaken in
accordance with established procedures
Install application  Application software are installed based on software installation Competent
software guides, end-user requirements and software license agreement
 Variation to application software installation is carried out in
accordance to customer/client requirements
 Software updates are accessed and installed in accordance
with manufacturer’s recommendations and requirements

Conduct testing and  Devices / systems and/or installation is tested to determine Competent
documentation whether it conforms to requirements
 Stress test is conducted to ensure reliability of equipment in
accordance with manufacturer’s instructions and
systemrequirements
 5S and 3Rs are followed according to environmental policies
 Documentation in relation to the test is forwarded to
appropriate personnel and/or authority in accordance with
requirements

__________________ ___________________
Trainee’s Signature Trainer’s Signature
Unit of Competency2: Set-up Computer Networks
NC Level II
Learning Date Instructors
Task/Activity Required
Outcome Accomplished Remarks
Install network  Cable routes are determined and planned in accordance with network Competent
cables design and actual installation site
 Network materials necessary to complete the work are identified and
obtained in accordance with established procedures and checked
against systems requirements
 Tools, equipment and testing devices needed to carry out the installation
work are obtained in accordance with established procedures and
checked for correct operation and safety
 Appropriatepersonal protective equipment is used and OHS policies and
proceduresare followed
 Copper cable splicing is performed based on Electronic Industries
Alliance/Telecommunications Industry Association (EIA/TIA) standards
 Network cablesand cable raceway areinstalled in accordance with
established procedures and installation requirements
 Installation work is performed and is checked to ensure no unnecessary
damage has occurred and complies with requirements
 OHS standards and 5S principles are followed according to enterprise
requirements
 Excess components and materials are disposed of based on WEEE
directives and 3Rs waste management program
Set network  Network connectivity of each terminal is checked in accordance with Competent
configuration network design
 Any fault or problem in the networksystem is diagnosed and remedied
in line with the standard operating procedures
 Network interface card (NIC) settings are configured in accordance with
 network design
 Communication checking between terminals are carried out in
accordance with OS network configuration guides
 Unplanned events or conditions are responded to in accordance with
established procedures
Set router/Wi-Fi/  Client Device systems settings are configured in accordance with Competent
wireless access manufacturers’ instructions and end-user preferences
point/repeater  Local area network (LAN) port is configured in accordance with
configuration
manufacturers’ instructions and network design
 Wide area network (WAN) port is configured in accordance with
manufacturers’ instructions and network design
 Wireless settings are configured in accordance manufacturers’
instructions, network design and end-user preferences
 Security/Firewall/Advance settings are configured in accordance with
manufacturers’ instructions and end-user preferences
Inspect and test  Final inspections are undertaken to ensure that the configuration done Competent
the configured on the computer networks conforms with the manufacturer’s
computer instruction/manual
networks
 Computer networks are checked to ensure safe operation
 Reports are prepared/completed according to company requirements

____________________ ______________________
Trainee’s Signature Trainer’s Signature
Unit of Competency 3: Set-up Computer Servers
NC Level II
Learning Date Instructors
Task/Activity Required
Outcome Accomplished Remarks
Set-up user  User folder is created in accordance with network operating system (NOS) Competent
access features
 User access level is configured based on NOS features and established
network access policies/end-user requirements
 Security check is performed in accordance with established network access
policies/end-user requirements
Configure  Normal functions of server are checked in accordance with manufacturer’s Competent
network services instructions
 Required modules /add-ons are installed/updated based on NOS
installation procedures
 Network services to be configured are confirmed based on user/system
requirements
 Operation of network services are checked based on user/system
requirements
 Unplanned events or conditions are responded to in accordance with
established procedures
Perform testing,  Pre-deployment procedures is undertaken based on enterprise policies and Competent
documentation procedures
and pre-  Operation and security check are undertaken based on end-user
deployment requirements
procedures  Reports are prepared/completed according to enterprise policies and
procedures.

__________________ ___________________
Trainee’s Signature Trainer’s Signature
Unit of Competency4: Maintain and Repair Computer Systems and Networks
NC Level II
Learning Date Instructors
Task/Activity Required
Outcome Accomplished Remarks
Plan and  Maintenance and/or Diagnosis of faults is planned and prepared in line Competent
prepare for with job requirements
maintenance  Tools, equipment and testing devices needed for the maintenance are
and repair obtained and checked for correct operation and safety
 Materials necessary to complete the work are obtained in accordance with
established procedures and checked against job requirements
 OHS policies and procedures are followed in line with job requirements
 Computer systems and networks for maintenance are checked against
job/service order or instructions and specifications
Maintain  Appropriate personal protective equipment is used in line with standard Competent
computer procedures.
systems and  Normal function of computer systems and networksare checked in
networks accordance with manufacturer’s instruction
 Scheduled/periodic maintenance is performed in accordance with
manufacturer’s requirements
 Where necessary, needed repairs/replacements are made in accordance
with established procedures
 Unplanned events or conditions are responded to in accordance with
established procedures
Diagnose faults  Appropriate personal protective equipmentis used in line with standard Competent
of computer procedures
systems and  Faults or problems in the computer systems and networks are diagnosed
according to requirements and in line with the standard procedures
networks
 Contingency measures are managed and implemented in accordance with
established procedures
  Unplanned events or conditions are responded to in accordance with
established procedures
Rectify/correct  Appropriate personal protective equipment is used in line with standard Competent
defects in procedures
computer  Defective components or parts are replaced or corrected without damage to
systems and the surrounding environment or services
networks  Adjustments, if necessary are made in accordance with established
procedures
 Unplanned events or conditions are responded to in accordance with
established procedures
Inspect and test  Final inspections are undertaken to ensure that the testing conducted on Competent
the computer the device conforms with the manufacturer’s instruction/manual
systems and  Computer systems and networks are checked/tested to ensure safe
networks operation
 OHS standards and 5S principles are followed according to enterprise
policies
 Work site is cleaned and cleared of all debris and left in safe condition in
accordance with company procedures
 Excess components and materials are disposed of based on WEEE
directives and 3Rs waste management program

____________________ ______________________
Trainee’s Signature Trainer’s Signature
 TRAINEE’S PROGRESS SHEET
Name:DOMINGA L. BAUSA Trainer:MARLON S. PAGUIO
Qualification: COMPUTER SYSTEMS SERVICING NC II Nominal Duration:280 hours
Units of Training Date Supervisor’s
Training Activity Date Started Rating Trainee’s Initial
Competency Duration Finished Initial
 Assemble computer hardware
INSTALL AND  Prepare installer
CONFIGURE  Install operating system and
September 1, September
COMPUTER drivers for peripherals/ devices 88 hours COMPETENT I.M O.M
SYSTEMS  Install application software 2015 12, 2015
 Conduct testing and
documentation
 Install network cables
 Set network configuration
SET-UP  Set router/Wi-Fi/ wireless
September September
COMPUTER access point/repeater 80 hours COMPETENT I.M O.M
NETWORKS configuration 14, 2015 23, 2015
 Inspect and test the configured
computer networks
 Set-up user access
SET-UP
 Configure network services September October 3,
COMPUTER
Perform testing, documentation
72 hours COMPETENT I.M O.M
SERVERS
 24, 2015 2015
and pre-deployment procedures
 Plan and prepare for
maintenance and repair
 Maintain computer systems and
MAINTAIN AND
networks
REPAIR
 Diagnose faults of computer October 5, October 9,
COMPUTER
systems and networks
40 hours COMPETENT I.M O.M
SYSTEMS AND 2015 2015
 Rectify/correct defects in
NETWORKS
computer systems and networks
 Inspect and test the computer
systems and networks
280
TOTAL
Hours
Note: The trainee and the supervisor must have a copy of this form. The column for rating maybe used either by giving a numerical rating or
simply indicating competent or not yet competent. For purposes of analysis, you may require industry supervisors to give a numerical rating for
the performance of your trainees. Please take note however that in TESDA, we do not use numerical ratings
Name: DOMINGA L. BAUSA Date: September 16, 2016
Qualification:Computer Systems Servicing NC II
TRAINING SESSION EVALUATION FORM
This post-training evaluation instrument is intended to measure how satisfactory your trainer
prepared and facilitated your training . Please give your honest rating by checking on the
corresponding cell of your response. Your answers will be treated with utmost confidentiality
TRAINER/ Poor/ Fair/ Good Very Outstandin
/Adequat Good/Very g
INSTRUCTORS Unsatisfactory Satisfactory
e satisfactory
Name of Trainer:
4
1 2
3
5
MelvieB.Acedo
1. Orients trainees
about CBT, the
use of CBLM and
the evaluation
system
2. Exhibits clearly
the unit of
competencies to
be attained at the
start of every
module
3. Motivates and
elicits active
participation from
the students or
trainees
4. Keeps records of
evidence/s of
competency
attainment of
each student
/trainee
5. Instills value of
safety and
orderliness in the
classrooms and
workshops
6. Instills the value
of teamwork and
positive work
values
7. Instills good
grooming and
hygiene
8. Instills value of
time
9. Quality of voice
while teaching
10. Clarity of
 language /dialect
used in teaching
11. Provides extra
attention to
trainees and
students with
specific learning
needs
12. Attends classes
regularly and
promptly
13. Shows energy and
enthusiasm while
teaching
14. Maximizes use of
training supplies
and materials
15. Dresses
appropriately
16. Shows empathy

17. Demonstrates
self-control
PREPARATION Poor/ Fair/ Good Very Outstandin
/Adequat Good/Very g
Unsatisfactory Satisfactory
e satisfactory
4
1 2
3
5
1. Workshop layout
conforms with the
components of a
CBT workshop.
2. Number of CBLM
is sufficient
3. Objectives of
every training
session is well
explained
4. Expected
activities/outputs
are clarified
PROGRAM Poor/ Fair/ Good Very Outstandin
DESIGN AND /Adequat Good/Very g
Unsatisfactory Satisfactory
DELIVERY e satisfactory
4
1 2
3
5
1. Course contents
are sufficient to
attain objectives
2. CBLM are
logically
organized and
presented
3. Information
Sheet are
comprehensive
in providing the
required
knowledge
4. Examples,
illustrations
and
demonstrations
help you learn
PROGRAM Poor/ Fair/ Good Very Outstandin
DESIGN AND /Adequat Good/Very g
Unsatisfactory Satisfactory
DELIVERY e satisfactory
4
1 2
3
5
5. Practice
exercises like
Task/Job
Sheets are
sufficient to
learn required
skills
6. Valuable
knowledge are
learned through
the contents of
the course
7. Training
Methodologies
are effective
8. Assessments
Methods and
evaluation
system, are
suitable for the
trainees and the
competencies
9. Recording of
achievements
and
competencies
acquired is
prompt and
comprehensive
10. Feedback about
the performance
of learners are
 given
immediately
TRAINING Poor/ Fair/ Good Very Outstandin
FACILITIES / /Adequat Good/Very g
Unsatisfactory Satisfactory
RESOURCES e satisfactory
4
MELVIE B.
1 2
ACEDO 3
5
1. Training
Resources are
adequate2.
Training Venue
is conducive
and appropriate
2. Training Venue
is
conducive and
appropriate
3. Equipment,
Supplies and
Materials are
sufficient
4. Equipment,
supplies and
Materials are
suitable and
appropriate
5. Promptness in
providing
supplies and
Materials
SUPPORT AND Poor/ Fair/ Good Very Outstandin
STAFF /Adequat Good/Very g
Unsatisfactory Satisfactory
e satisfactory
4
1 2
3
5
1. Support Staff
are
accommodating

COMMENTS /SUGGESTIONS:

_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
__________________________________________
Name:DOMINGA L. BAUSA Date:July25, 2017
Qualification:Computer Systems Servicing NC II

The Supervised Industry Training or On the Job Training Evaluation Form below is an
evaluation form to evaluate the implementation of SIT /OJT. It is recommended that this
evaluation form be used and improved so that appropriate areas to be evaluated are covered.

SUPERVISED INDUSTRY TRAINING OR ON THE JOB TRAINING EVALUATION FORM

Dear Trainees:
The following questionnaire is designed to evaluate the effectiveness of the Supervised Industry
Training (SIT) or On the Job Training (OJT) you had with the Industry Partners of HRB-Phil.
Training Center, Inc. Please check ( √ ) the appropriate box corresponding to your rating for
each question asked. The results of this evaluation shall serve as a basis for improving the
design and management of the SIT/OJT to maximize the benefits of the said Program. Thank
you for your cooperation.
Legend:
5 – Outstanding
4 – Very Good/ Very Satisfactory
3 – Good/Adequate
2 – Fair/ Satisfactory
1 – Poor/Unsatisfactory
NA – not applicable
Item No. Question Ratings
INSTITUTIONAL EVALUATION 1 2 3 4 5 NA
Has IETI conducted an orientation about the
1 SIT/OJT program, the requirements and
preparations needed and its expectations?
Has IETI the provided the necessary assistance
2 such as referrals or recommendations in finding
the company for your OJT?
Has IETI showed coordination with the Industry
3 partner in the design and supervision of your
SIT/OJT?
Has your in-school training adequate to undertake
4
Industry partner assignment and its challenges?
5 Has IETI monitored your progress in the Industry?
Has the supervision been effective in achieving
6 your OJT objectives and providing feedbacks when
necessary?
Did IETI conduct assessment of your SIT/OJT
7
program upon completion?
Were you provided with the results of the Industry
8
and IETI assessment of your OJT?
Comments/Suggestions

Item No. Question Ratings

INDUSTRY PARTNER EVALUATION 1 2 3 4 5 NA
Was the Industry partner appropriate for your type
1
of training required and/or desired?
Has the industry partner designed the training to
2
meet your objectives and expectations?
Has the industry partner showed coordination
3 with AmKorin the design and supervision of the
SIT/OJT?
Has the Industry Partner and its staff welcomed
4 you and treated you with respect and
understanding?
Has the industry partner facilitated the training,
including the provision of the necessary resources
5
such as facilities and equipment needed to achieve
your OJT objectives?
Has the Industry Partner assigned a supervisor to
6
oversee your work or training?
Was the supervisor effective in supervising you
7 through regular meetings, consultations and
advise?
Has the training provided you with the necessary
8 technical and administrative exposure of real
world problems and practices?
Has the training program allowed you to develop
9 self-confidence, self-motivation and positive
attitude towards work?
Has the experience improved your personal skills
10
and human relations?
Are you satisfied with your training in the
11
Industry?
Comments/Suggestions

Signature: ________________________
Printed Name:DOMINGA L. BAUSA
Qualification:COMPUTER SYSTEMS SERVICING NC II
Host Industry Partner: AmKor
Supervisor:OLAINE MENDOZA
Period of Training:280 hours
Instructor:MELVIE B. ACEDO
 Self-Evaluation

The trainer shall design a self-evaluation questionnaire that

he/she shall answer after the conduct of the training. This shall serve as
a checklist of what he/she must do. A short sample is given below.

During the session, did I? Yes No

1. Establish an atmosphere of trust?
2. Encourage participation of the
trainees?
3. Assist the trainees when they needed
assistance?
4. Consider the feedback of trainees?
5. Remain aware of non-verbal
communication?
6. Praise effort?
7. Summarize key points?
8. Vary activities and tasks to aid
attainment of competency?
9. Provide opportunities for practice?
10. Achieve the learning objectives?