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3 2020 HRD Form No 5 Training Summary and Evaluation Form 1

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SGOD-HRD FORM NO.

Republic of the Philippines


Department of Education
Region I
Schools Division Office II of Pangasinan
Canarvacanan, Binalonan

TRAINING SUMMARY AND EVALUATION FORM

TRAINING TITLE: _________________________________________________ SUBJECT AREA:


_________________________________________________________________
DATES OF TRAINING/ACTIVITY:___________________________________ VENUE:
________________________________________________________________________
AMOUNT OF FUND USED: _______________________________________ SOURCE OF FUND: ______________________________________________________________
NAME OF PROPONENT/ORGANIZER: _____________________________ POSITION: ______________________________________________________________________
OFFICE/SCHOOL ADDRESS: _____________________________________ CONTACT NUMBER: _________________EMAIL
ADDRESS:____________________________

A. PARTICIPANTS ATTENDANCE INFORMATION


NUMBER OF
TITLE OF TARGET ACTUAL VARIANCE REMARKS NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF PARTICIPANTS WHO DID
TRAININGS NUMBER OF NUMBER OF (Target – Actual) (Reasons TEACHER I TEACHER II TEACHER III MASTER OTHER NOT COMPLETE
IMPLEMENTED PARTICIPANTS PARTICIPANTS for PARTICIPANTS PARTICIPANTS PARTICIPANTS TEACHER PARTICIPANTS TRAINING
Variance) PARTICIPANTS (Principal/PSDS/HT)

PSDS Principal HT

1.
2.
3.

TOTAL

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SGOD-HRD FORM NO. 5

B. DISTRICT AND SCHOOL INFORMATION (NOTE: USE THIS FORM FOR MUNICIPAL/DISTRICT LEVELS ONLY)

DISTRIC NAME OF PARTICIPATING SCHOOLS MUNICIPALITY/DISTRICT NO. OF PARTICIPANTS


T

4TH
DISTRIC
T

5TH
DISTRIC
T

6TH
DISTRIC
T

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SGOD-HRD FORM NO. 5

C. WORKING COMMITTEE

OVER-ALL CHAIRMAN AND ORGANIZER: (Name)

PLANNING COMMITTEE TECHNICAL COMMITTEE & SECRETARIAT

Chairman Chairman
Printed Name and Signature: Printed Name and Signature:

School/Office: School/Office:

Contact Number: Contact Number:

Vice-chairman Vice-chairman
Printed Name and Signature: Name:

School/Office: School/Office:

REGISTRATION AND ATTENDANCE FACILITATORS

Chairman Chairman
Printed Name and Signature: Printed Name and Signature:

School/Office: School/Office:

Contact Number: Contact Number:

ATTENDING NURSE
Printed Name and Signature:

D. ISSUES/ CONCERNS/ COMMENTS / SUGGESTIONS

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SGOD-HRD FORM NO. 5

E. RESOURCE SPEAKERS INFORMATION


CURRENT HIGHEST ATTENDE
POSITION/ EDUCATIONAL D CONTACT DETAILS
NAME OF RESOURCE SPEAKERS DESIGNATION OFFICE ADDRESS ATTAINMENT TITLE OF TOPIC/S Training
DISCUSSED Of
Trainors?
MOBILE/
YES/NO OFFICE EMAIL ADDRESS
PHONE

DAY 1
(Date)

DAY 2
(Date)

PREPARED AND SUBMITTED BY:


__________________________
PROPONENT / ORGANIZER
POSITION / DESIGNATION

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SGOD-HRD FORM NO. 5

Republic of the Philippines


Department of Education
Region I
Schools Division Office II of Pangasinan
Canarvacanan, Binalonan
HUMAN RESOURCE DEVELOPMENT UNIT
TRAINING TITLE: ________________________________________________ SUBJECT AREA:
___________________________________________________________
DATES OF TRAINING:____________________________________________
NAME OF PROPONENT/ORGANIZER: ____________________________ POSITION: _______________________________________________________________
TRAINING EVALUATION SUMMARY AND RECOMMENDATION (FOR ONLINE / VIRTUAL)
RATING RATING AVERAGE RATING SCALE:
MANAGEMENT OF TRAINING FROM FROM RATING RECCOMENDATION / ASSESSMENT 5 . . . . . . . . Excellent
PARTICIPANT HRD 4 . . . . . . . . Very Good
3 . . . . . . . . Good
S
2 . . . . . . . . Fair
1. Online Registration 1 . . . . . . . . Poor
2. Resource Speakers/Facilitators
3. Time Management on Sessions
4. Topics relevant to work
5. Objectives of the session were achieved
6. Presentations/Lectures
7. Activities were relevant to adult learners
8. Program Management
9. Delivery of Content
10. Program Management Team
Suggestions/comments to improve the training program

PREPARED BY: SUBMITTED TO:

NAME OF PROPONENT MARIA LUISA C. CATALAN, PhD


Senior Education Program Specialist
Human Resource Development

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