Community Needs Assessment
This form will be used to determine the training (Knowledge & Skills needed by the community) needed by the community to be able to plan and prepare the training session/event. Ito ay upang malaman kung anung mga pagsasanay ang mga kailangan o ang mga gustong matutunan ng bawat myembro ng komunidad upang maisaoras at mapaghandaan ayon sa mga pangangailangan.
Data Privacy
 *
All data gathered will be kept confidential in compliance with the Republic Act 10173 otherwise known as the Data Privacy Act of 2012 and shall only be used for Local Training and shall be accessed only by authorized personnel. Do you agree?
Required
Full/Nick Name/Palayaw: *
Address/Purok
 *
 Example/Halimbawa -  Purok 3  #117 Poblacion, Bustos
Educational Attainment
 *

What is your highest educational attainment. Ito ay patungkol sa iyong edukasyon o pinagtapusan. 

A. Grade School Graduate
B. High School Graduate
C. College Graduate/With Post Degree
D. Prefer not to say (Maaring hindi sumagot)
Employment condition
 *

What is your current Career/Employment Status or Condition 

A. Unemployed 
B. Casual (Looking for opportunities/new field)
C. Employed (Looking to switch to a new field)
D. Employed (Just needs additional training for career growth)
Event Participant *
Have you previously participated in one of an organization/intitution training or seminars? (Ikaw ba ay naging bahagi ng isa sa mga training o seminar ng isang institusyon o organisasyon?)

Option 1 - Yes / Oo (ako ay naging bahagi ng nakaraang seminar o pagsasanay mula sa isang institusyon o organisasyon  )
Option 2 - No / Hindi (ako ay hindi naging bahagi ng anumang seminar o pagsasanay mula sa isang institusyon o organisasyon  )
Interest/s *
Which of the following topics below would you like to attend in the future? (Alin sa mga Topiko na nabanggit sa ibaba ang iyong nais kalahukan?)

A. Computer Servicing & IT Admin/Pagkumpuni at Pangangasiwa ng Technolohiyang pang Impormasyon
B. Office Productivity/Computer Software & Application/Paggamit ng Kompyuter
C. Electronics Repair & Electrical Maintenance/Trade Skill/Pagkabit ng Elektrikal
D. Automotive Servicing Shop Management/ Pagkumpuni ng Sasakyan  at pangangasiwa ng Talyer
E. Language or Communication Skills in English/Pagpapabuti ng Komunikasyon
F. Entrepreneurship & E-Commerce/Pagnenegosyo at Komersyo
G. Career Development & Work Abroad Preparation/Pagbubuti ng Karera ibang Oportunidad

Please choose only one of the choices mentioned above. In case you want to select other items, just add it to the comment section. (Pumili lamang ng isa sa mga pagpipilian na nabanggit sa itaas. Kung sakaling nais mong pumili ng iba pang mga item, idagdag lamang ito sa seksyon ng komento.)

Comments/additional info that will help an indiviual improve his current career status or other opportunities (Karagdagang impormasyon patungkol sa hangad na maging trabaho o anumang opurtinidad):

 *
Iba pang mga hiling or maaaring ilista mula sa mga nabanggit na pagsasanay
Contact number/Numero upang makapanayam: *
Age *
Current age Age (Kasalukuyang Edad)

A. 18-21
B. 21-30
C. 31-40
D. 41-50
E. 51-59
F. 60 & above
G. Prefer not to say
Contact *
Mobile or Land line number/Numero upang makapanayam:
Date/Petsa ng pagsumite: *
MM
/
DD
/
YYYY
Reminder *
I understand that I need to respond to an e-mail message and someone will  contact me once I register  (Naiintindihan ko na kailangan kong tumugon sa isang mensahe ng e-mail at may kokontak sa akin sa sandaling magparehistro ako)
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