2023 POST-TRAINING EVALUATION AND
LEARNING IMPACT ASSESSMENT FORM
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Name: __________________________________________ Position:_____________________________ here.
Functional Division:______________________________ Age and Sex:_________________________
Rater:____________________________________________ Rating Period:________________________
Individual Learning and Development Needs (from the IPCR/OPCR):
Job Summary:
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KRA Duties and Responsibilities
Competencies found in the IPRC/OPCR:
LEARNING AND DEVELOPMENT ATTENDED:
Title of L&D Activity: _________________________________________________________________________________________
Date:________________________ Venue:_______________________________________________________________________
Level: ( ) Nationwide ( ) Regionwide ( ) Division wide ( ) Others, pls specify__________
Role: ( ) TWG member ( ) Trainer ( ) RS/facilitator ( ) Participant
Modality: ( ) Workshop/Training Program ( ) Seminar/Conference ( ) Online Learning/Webinar
( ) Coaching/Mentoring Program ( ) Action Research/PLC ( ) Others, please specify ___________________________
Type: ( ) Leadership Workshop ( ) Professional Development Program
( ) Peer Learning & Collaboration ( ) Management & Administration Training
( ) Personal & Professional Wellbeing ( ) Others, please specify _____________________________________________
Sponsoring Agency:___________________________________ Participation Approved by:______________________________
Competency/ies Addressed:___________________________________________________________________________________
Learning Level 1 – Reaction: Participant’s Satisfaction and Perception
1. On a scale of 1 to 5, please rate your overall satisfaction with the training program.
(1 - Very Dissatisfied, 2 - Dissatisfied, 3 - Neutral, 4 - Satisfied, 5 - Very Satisfied)
2. Did the training program meet your expectations? Please provide your feedback.
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3. What did you find most valuable or beneficial about the training program?
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4. Do you have any suggestions or recommendations for improving the training program?
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Learning Level 2 – Learning: Knowledge and Skill Acquisition
1. Please indicate the extent to which you have acquired the following knowledge and skills during the
training program: (Rating: 1 - No Knowledge/Skill Acquired, 2 - Limited Knowledge/Skill Acquired, 3 - Moderate
Knowledge/Skill Acquired, 4 - Good Knowledge/Skill Acquired, 5 - Excellent Knowledge/Skill Acquired)
a. Knowledge/skill 1: ___________________________________________________________________________
b. Knowledge/skill 2: ___________________________________________________________________________
c. Knowledge/skill 3: ___________________________________________________________________________
2. Have you been able to apply the knowledge and skills acquired from the training program in your job
responsibilities? Please provide examples.
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3. What additional support or resources do you need to further enhance your application of the acquired
knowledge and skills?
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Learning Level 3 – Behavior: Transfer of Learning to the Workplace
1. To what extent have you implemented the knowledge and skills acquired from the training program in your
work?
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2. Have you observed any positive changes or improvements in your work performance or the work
environment as a result of the training program? Please provide examples.
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3. Are there any barriers or challenges you have encountered in applying the acquired knowledge and skills in
your work? If yes, please explain.
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Learning Level 4 – Results: Organizational Impact
1. How has the training program contributed to your professional growth and development?
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2. Have you achieved any specific goals or objectives as a result of applying the acquired knowledge and
skills? Please describe.
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3. Has the training program positively impacted your team, department, or the DepEd Region 10 as a whole?
Please provide examples.
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Reflection:
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Attestation:
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Signature Over Printed Name of the Immediate Head
Attachments: Copies of the following: (a) Memorandum/Letter of Invitation; (b) Authority to Travel;
(c) Certificate of Appearance; (d) Certificate of Participation; (e) Post-travel Report
