Data Collection and Registration Form

Your institution

Name of the institution *

Year of Establishment *

Place of Establishment *

Location of the institution

UGAPRIVI Region *
District *
County/Subcounty *
Plot No.
Description *
P.O. Box
Post Office
Phone*
Other Phone
Email Address
Website

Principal (Contact Person) * Phone* Other Phone

School Type

  1. Entry Requirements * PLEUCEUACE
  2. Sex * MixedGirlsBoys
  3. Boarding Facilities * DayBoardingDay and Boarding
  4. Location * UrbanPeri-UrbanRuralRural & Very Remote

Affiliations

Ministry of Education and Sports Licence No. Date
UBTEB Business Exams Centre No. Date
UBTEB Technical Junior Exams Centre No. Date
UBTEB Technical Craft Exams Centre No. Date
UBTEB Technical Diploma Exams Centre No. Date
DIT Exams and Assessment Centre No. Date
NCHE Provisional Licence No. Date
NCHE Certificate of Reg. & Classification No. Date
UGAPRIVI Registration No. Date
Affiliations to other institutions
Does the institution have other branches? NoYes

What's their location?

Ownership

Type of Ownership *
Name of Proprietor *
Phone *
Other Phone
Email
Website

Board of Govenors/Governing Council

No. Name Sex Appointment Date Expiry Date Representation Position Qualification
1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

Academic Staff

You can use the scroll bar down below in order to add more staff members.

No. Staff 1 Staff 2 Staff 3 Staff 4 Staff 5 Staff 6 Staff 7 Staff 8 Staff 9 Staff 10 Staff 11 Staff 12 Staff 13 Staff 14 Staff 15 Staff 16 Staff 17 Staff 18 Staff 19 Staff 20 Staff 21 Staff 22 Staff 23 Staff 24 Staff 25 Staff 26 Staff 27 Staff 28 Staff 29 Staff 30 Staff 31 Staff 32 Staff 33 Staff 34 Staff 35 Staff 36 Staff 37 Staff 38 Staff 39 Staff 40 Staff 41 Staff 42 Staff 43 Staff 44 Staff 45 Staff 46 Staff 47 Staff 48 Staff 49 Staff 50
Post/Title
Name
Sex
Date of Birth
Registration No. / UTS No.
Employment Status
Date of Appointment
Teaching Qualification
Qualification
Subjects (Choose multiple using the CTRL key on your keyboard)
Other Subjects
ICT Qualification (You can choose multiple usig CTRL on your keyboard)
Phone
Email


Programmes offered and Enrolment

No. Programme/Course Level Year one Year two
Male Female Male Female
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
UGAPRIVI is emphasising training with production, which of the above programmes have been embedded into production and what are you producing?

Students' Performance Details

No Course Title (if not found in the list please write) Year of Last Exam UBTEB Examination Results DIT Trade Tests
Pass Fail Total Pass Fail Total Actual Total
1
2
3
4
5
6
7
8
9
10
11
12
10
14
15
16
17
18
19
20
21
22
23
24
25

Basic Physical Training Facilities & Infrastructure

Buildings

Permanent (Number) Temporary (Number) Size Owned/Rented Total
Classrooms
Workshops
Staff Rooms
Library
Store
Staff Houses
Offices
Examination Hall

Land

Description Surveyed/Unsurveyed Address Hectares Rented/Owned

Machinery and Equipment

Type Brand/Model How many?

Water and Sanitation

What's your source of water? * National WaterBoreholeCommunity WellRain WaterStream/River


How many stances of pit latrines do you have? *

Male Female *



How many bathrooms/shelters do you have? *

Male Female *

Means of Communication and Power Source

Does your Institution have a vehicle? NoYes

How many?

Source of power UMEMESolarGeneratorNo Power

External Support

Does your institution receive any donor support? NoYes

Please specify

Monitoring and Inspection

Have you been inspected by any government organ? NoYes

Please specify

Did you receive the monitoring/inspection report? NoYes

Please attach the report (max. file size 1 MB)

Parents/Community Involvment

How often do you hold open days (in a year)? *
How often do you hold parents days (in a year)? *
How often do you hold sports days (in a year)? *
How often do you hold exhibition days (in a year)? *
Others
Do you conduct tracer studies? NoYes

What's the impact in Percent?
Formally Employed Self Employed Unemployed

How many students do you send for Industrial Training? *

Medical Facilities

Do you have a clinic at your institute? NoYes

How far are the next medical facilities from your school (in km)?


Membership

Membership is open to all institutions, groups and individuals provided they subscribe to the objectives of UGAPRIVI and are willing to pay for registration and renewable annual subscriptions fee.
Please choose the type of membership:



Additional suggestions and ideas

Attachments

For our website we request some photos. Please attache the files.
Logo of your institution (max. file size 1MB)

Pictures of your institution (max. file size 1MB)

Confirmation

Name *
Title *
Date *