ABDB Registration and Pre-Post Assessment Form
Lead India 2020
Name Of The School/ Collage *
School/ Collage Registration Number *
School/College Mandal Name *
Mandal Incharge Name *
Student First Name *
Student Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Are you a Change Agent? *
If you are a change agent what is your Department? *
If you are a change agent what is your your role in the above selected Department? *
Phone Number
Father First Name / Last Name *
Mother First Name / Last Name *
Pre Training Assessment Date *
MM
/
DD
/
YYYY
What is your Present Goal(Before Training) *
What is your Life Time Goal(Before Training) *
To what extent you have got the following value and skills BEFORE going through Lead India Program *
A - Excellent
B - Average
C - Not inculcated
Truthfulness
Self Discipline
Respect for school/college
Respect for Parents
Respect for the Nation
Respect for food
Respect for teachers
Sense of responsibility
Planning and Organization skills
Positive attitude
Problem solving decision making
Self control
Goal Setting
Patriotism
Team work
Interpersonal Relationship skills
Post Training Assessment Date *
MM
/
DD
/
YYYY
What is your Present Goal (After Training) *
What is your Life Time Goal(After Training) *
To what extent you have got the following value and skills AFTER going through Lead India Program *
A - Excellent
B - Average
C - Not inculcated
Truthfulness
Self Discipline
Respect for school/college
Respect for Parents
Respect for the Nation
Respect for food
Respect for teachers
Sense of responsibility
Planning and Organization skills
Positive attitude
Problem solving decision making
Self control
Goal Setting
Patriotism
Team work
Interpersonal Relationship skills
To Reach your Goals what are your Strengths *
To Reach your Goals what is your Weakness
What Problems are you facing to reach your Goals *
Required
Who is responsible for national problems *
Photo *
Required
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