Department of Education

Region I

PANGASINAN DIVISION II
Binalonan
Office of the School Governance and Operations Division
HUMAN RESOURCE DEVELOPMENT

TRAINING & DEVELOPMENT NEEDS SURVEY FORM

I. BACKGROUND INFORMATION
NAME:
ELVIRA R. MUYANO
NAME OF SCHOOL:
MANGALDAN INTEGRATED SCHOOL SPED CENTER
SCHOOL ADDRESS:
BANTAYAN,MANGALDAN
DISTRICT: 4th / 5th / 6th (Pls. encircle)
Sex: FEMALE
BIRTHDAY:
SEPTEMBER 30,1953
Mobile No.: 9487951647
BACHELOR'S DEGREE:
BSMT +27EDUC.UNITS

No. of years in the current po

SCIENCE

26
POST GRADUATE STUDIES (if any)

Master Course:

School Attended:

FAR

LYCEUM NORTHWESTERN

Doctoral Course (if any)

School Attended:

NONE

NONE

No. of years as Teacher I:

No. of years as Teacher II:
No. of years as Teacher III:
No. of years as Master Teacher I:
No. of years as Master Teacher II:
1.
Special Skills: Eating

90
90
90
90
90

Subject/s
Subject/s
Subject/s
Subject/s
Subject/s

Taught: Amin
Taught: Amin
Taught: Amin
Taught: Amin
Taught: Amin
2.

Eating

Other Designations / Special Assignments

1. Etc.
2.
TRAININGS ATTENDED (Last 2 Years)

International Level
1. Meron
National Level
1.

Major:
NONE

SPECIALIZATION:

Title of Training

Civil Status

Venue

Regional Level
1.
2.
Division Level
1.
2.
School-Based Level
1.
2.
3.

Note: Please do not abbreviate entries in this form.

vision

VEY FORM

Civil Status: WIDOW

Major:
NONE

years in the current position:

26

Year/s Attended:
3
Year/s Attended:
NONE

n
n
n
n
n
3.
Eating

Date
From

To