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ADB SUPPORTED CAPABILITY BUILDING FOR CSOs ON January 7-11 2013

ENGAGEMENT WITH GOVERNMENT AGENCIES Hotel Rembrandt, Quezon City

Department of Social Welfare and DevelopmentPantawid Pamilyang Pilipino Program

ADB SUPPORTED CAPABILITY BUILDING FOR CSOs ON ENGAGEMENT WITH

GOVERNMENT AGENCIESTraining Needs Assessment Form

A. General Information

Name of Participant:

Age: Sex: Status:

Position/Function inOrganization:

Length of Stay in Organization:

Contact Numbers: Email Address:

Name of Organization:

Office address:

Telephone/fax number: Website:

B. Background of Organization

B1. Does your organization represent any sector? If so, what sector?

B2. What is your organizations purpose/advocacy? What servicesdoes your organization offer?

C. Organizations Experience and Capacities

C1. Has your organization previously engaged with DSWD or anyother government agency?

( ) Yes( ) No

If yes, with what agency and for what purpose?

C2. Is your organization aware of protocols and requirements in

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ADB SUPPORTED CAPABILITY BUILDING FOR CSOs ON January 7-11 2013

ENGAGEMENT WITH GOVERNMENT AGENCIES Hotel Rembrandt, Quezon City

engaging with DSWD or any other government agency?

( ) Yes( ) No

C3. Is your organization planning or already preparing to engagewith DSWD, particularly for the Family Development Session andFamily Development Session Plus implementation of the PantawidPamilyang Pilipino Program?

( ) Yes( ) No

If yes, what has your organization done or accomplished at thispoint in terms of preparing for this engagement?

C4. Is your organization aware of protocols and requirements inengaging with the Pantawid Pamilyang Pilipino Program on the FDSand FDS Plus implementation?

( ) Yes( ) No

C5. What are your expected outcomes on the capability building?

D. Individual Competencies and Learning Needs

D1. Have you attended any training or similar learning event (e.g.,forum, workshop) on engagement with government agencies?

( ) Yes( ) No

If yes, please provide a brief description on the learning event andanswer the following questions:

When was the training/learning eventconducted?Who conducted the training/learningevent?What were you key lessons or take away from the training/learningevent?

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ADB SUPPORTED CAPABILITY BUILDING FOR CSOs ON January 7-11 2013

ENGAGEMENT WITH GOVERNMENT AGENCIES Hotel Rembrandt, Quezon City

D2. Please list down your top three (3) concerns or questionsregarding engaging with government agencies, or DSWD on the 4PsFDS and FDS Plus implementation that you want to be addressedduring the workshop.

E. Dietary Requirements and Other Concerns

E1. Please list down any specific dietary requirements or nutritionalneeds that you may have during the activity.

E2. Please list down any other concerns (lodging, food,

transportation, etc.) you may have during the activity.

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