PhilRice Client Profile Survey

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Greetings, PhilRice Client! This survey serves to obtain a brief snapshot of your professional profile. In compliance to the Data Privacy Act of 2012, the information/data that you will provide in this registration form will not be shared to any affiliates and partners of PhilRice.

Full Name (Pangalan) *

Email address *

Age (Edad) *

24 below

25-34

35-44

45-54

55 and above

Sex (Kasarian) *

Male (Lalaki)

Female (Babae)

Occupation (Trabaho) *

Researcher

Teacher/Educator

Extension/Development Worker

Administrative Staff

Farmer

Student

Other:

Name of Company/Organization (Pangalan ng Kumpanya/Organisasyon) *if applicable/kung kinakailangan

The webinar that you intend to attend: *

LLS No. 7, Series of 2023. Who are the Filipino Farmers and what are their aspirations? - May 12, 2023 (10:00 A.M.)

LLS No. 9, Series of 2023. Identifying ways to strengthen family farming in the Philippines - May 24, 2023 (2:00 P.M.)

Required

LLS house rules:

1. This webinar will be recorded for documentation purposes;
2. In asking your questions, kindly use the Q&A chat box for our Zoom participants and use the comment box for our Facebook/YouTube live participants. You may start posting your questions while the talk is on-going;
3. Mentimeter link will be used for your evaluation, which will be posted in the comment section of both Facebook and zoom live;
4. Only those who have successfully finished the 1-hour webinar and accomplished the evaluation form will be provided with e-certificates. Kindly note that we will not be entertaining email or Facebook messages asking for the webinar evaluation link. Also, please double check your email addresses before submitting your accomplished feedback form. This is to avoid failure of email delivery. For this webinar, please expect your e-certificates within 2 working days;
5. In posting of certificates online, participants must blur or censor out signatories; and
6. Finally, please remember to be polite, pay attention, and actively participate in our LLS.

I allow PhilRice to send me notifications (such as reminders and links) to the email address that I provided in this form.

Yes, I understand the terms and conditions of PhilRice.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms