ENTRY FORM 2013

leading public service provider

(agric colleges / fet’s, etc)

agriseta skills development

Tick which category you are entering:

Learnerships / Skills Programmes
Apprenticeships / Internships
Work Place Experience / Other (Specify)

SECTION A

1.  Institution Name :

Mr. / Mrs. / Miss / Dr / Prof

2.  Title :

3.  Contact Person :

4.  Contact Details : (w):

(C):

(F):

Email:

Physical Address :

(Where training is taking place)

Province :

SECTION B

Briefly narrate your institutional profile with specific reference to:

Research, practical, teaching, community engagement, learner welfare, capacity and resources

SECTION C

Compliance (Please tick where applicable)

1 / POLICIES / Y / N
1.1 / Employment Acts
1.2 / HIV/AIDS Policy
1.3 / Communication Policy
1.4 / Health and Safety Policy
1.5 / PFMA
1.6 / SCM
2 / PRACTICAL TRAINING
2.1 / Supervision of practical learning
2.2 / Adherence to the training plan
2.3 / Logbook / Progress Report
2.4 / Relevant Practical Tools / Applied Outcomes

SECTION D

PERFORMANCE ISSUES

EVALUATION CRITERIA (Briefly explain the following):

1.  Describe the process of implementing the learning programme.

2.  Did your institution conduct research work on the above mentioned programme and what is the impact it had on learning?

3.  How did you integrate theory simulated practical learning and work place experiences?

4.  How did you go about contextualizing learning to be relevant to the learners’ needs / circumstances?

5.  How did you go about in engaging all the role players actively e.g. Employers?

6.  How did you address challenges such as difficult learners?

7.  Site Visit Location

Province

AgriSETA will contact you should we require additional information.

Signed at ______on the ______day of ______2013.

SIGNATURE

AgriSETA Entry Form: leading public service provider (agric colleges / fet’s, etc) agriseta skills development 2013 / 6

ENTRY FORM 2013

Provider:
Evaluation Committee Member:
Item / Description
(EVALUATION CRITERIA) / Comment(s)
(AGRISETA office use only) / Total Scored
(1 – 5)
1 / Describe the process of implementing the learning programme.
2 / Did your institution conduct research work on the above mentioned programme and what is the impact it had on learning?
3 / How did you integrate theory simulated practical learning and work place experiences?
4 / How did you go about contextualizing learning to be relevant to the learners’ needs / circumstances?
5 / How did you go about in engaging all the role players actively e.g. Employers?
6 / How did you address challenges such as difficult learners?
TOTAL SCORE

Only scores higher than 24 points will be considered for short listing.

Signature:
Date:
AgriSETA Entry Form: leading public service provider (agric colleges / fet’s, etc) agriseta skills development 2013 / 6