Name of Trainee

Other Needs

Learning Style

Special Courses

Completed Training Level

experience Previous Learning

with the topic Previous experience

Physical ability

Age

Sex

knowledge Education & general

language Cultural and

and Numeracy Language, Literacy

Characteristics of learners

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 UNITS OF COMPETENCY

YES

NO

COMMON UNITS OF COMPETENCY

YES

NO

CORE UNITS OF COMPETENCY

YES

NO

Form 4.2: Evidence of Current Competencies acquired related to Job/Occupation

Current competencies

Proof/Evidence

Means of validating

In reviewing the documents submitted by the prospective Trainee, the following should be considered:

1. Authenticity of the document

2. Date acquired
3. Standing of the company/employer who issued the certificate

Form 4.3 Summary of Current Competencies Versus Required Competencies

Required Units of
Competency/Learning Outcomes
based on CBC

Current Competencies

Training Gaps/Requirements

Form 4.3 Summary of Current Competencies Versus Required Competencies

Required Units of
Competency/Learning Outcomes
based on CBC

Current Competencies

Training Gaps/Requirements

Form 4.3 Summary of Current Competencies Versus Required Competencies

Required Units of
Competency/Learning Outcomes
based on CBC

Current Competencies

Training Gaps/Requirements

Using Form No. 4.4, convert the Training Gaps into a Training Needs/Requirements. Refer to the CBC in
identifying the Module Title or Unit of Competency of the training needs identified

Form No. 4.4: Training Needs

Training Needs
(Learning Outcomes)

Module Title/Module of Instruction

Training Needs
(Learning Outcomes)

Module Title/Module of Instruction

Training Needs
(Learning Outcomes)

Module Title/Module of Instruction

Template for Learning Activities

Learning Activities

Special Instructions

Learning Resources Template

Competency
BASIC

Print Materials

Non-print
materials

Tools

Equipment

Learning Resources Template

Competency
COMMON

Print Materials

Non-print
materials

Tools

Equipment

Learning Resources Template

Competency
CORE

Print Materials

Non-print
materials

Tools

Equipment

SESSION PLAN
Sector:
Qualification Title:
Unit of Competency:
Module Title:
Learning Outcomes:

A. INTRODUCTION

B. LEARNING ACTIVITIES
LO 1:

Learning Content

Methods

Presentation

Practice

Feedback

Resources

Tim
e

Methods

Presentation

Practice

Feedback

Resources

Tim
e

Methods

Presentation

Practice

Feedback

Resources

Tim
e

LO 2:
Learning Content

LO 3:

Learning Content

C. ASSESSMENT PLAN

D. TEACHERS SELF-REFLECTION OF THE SESSION

PACKAGING A CBLM

Evidence Plan
Competency
Standard
Unit of
Competency

Portfolio

Interview

(Tick the column)

ation with Demonstr

Ways in which evidence will be collected

Exam Written

Module Title

NOTE: *Critical aspects of competency

Prepared
by:

Date:

Checked
by:

Date:

TABLE OF SPECIFICATIONS
TEST ITEM DISTRIBUTION
Content/Objectives

TOTAL

Factual
Knowledge

Comprehension

Application

TOTAL
NUMBER OF
ITEMS

PERCENTAGE
(%)

Template 1 Demonstration with Quetioning

Candidates name:
Assessor name:
Unit of competency:

[insert name of unit of competency]

Module Title:

[insert title of the module]

Competency standards:

[insert title of competency standards]

Date of assessment:
Time of assessment:
Instructions for demonstration
[insert the instructions for the candidate]

Materials and equipment:[insert details of materials and equipment needed for the demonstration]

OBSERVATION
During the demonstration of skills, did the
candidate:
[insert the evidence requirements]

to show if evidence is
demonstrated

Yes

No

N/A

The candidates demonstration was:

Satisfactory

Not Satisfactory

Demonstration [continued]
QUESTIONS

Satisfactory
response

The candidate should answer the following questions:

Yes

No

1.

[insert questions to be asked of the candidate]

2.
3.
4.
5.
6.
The candidates underpinning knowledge was:
Satisfactory

Not Satisfactory

Feedback to candidate:

The candidates overall performance was:

Satisfactory

Not Satisfactory

Candidate signature:

Date:

Assessor signature:

Date: