Online Registration Form

    Your Institution

    Name of the Institution

    Year of Establishment

    Location of the Institution

    UGAPRIVI Region
    District
    County/Subcounty
    Plot No.
    Description
    P.O. Box / Town

    Phone

    Other Phone

    Email Address
    Website

    Principal

    Phone

    Other Phone

    Type of the Institution

    1. Entry Requirements PLEUCEUACENon Formal

    2. Sex MixedGirlsBoys

    3. Boarding Facilities DayBoardingDay and Boarding

    4. Location UrbanPeri-UrbanRuralRural & Very Remote

    Registration

    Ministry of Education and Sports Licence No.

    Date

    UBTEB Business Exams Centre No.

    Date

    UBTEB Technical Junior Exams Centre No.

    Date

    UBTEB Technical Certificate 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

    Others

    Affiliations to other Institutions

    Does the Institution have other campuses? NoYes

    What's their location?

    Ownership

    Type of Ownership
    Name of Director

    Phone

    Other Phone

    Email
    Website

    Board of Govenors/Governing Council

    No.

    Name

    Sex

    Appointment Date

    Expiry Date

    Representation

    Position

    1

    2

    3

    4

    5

    6

    7

    8

    9

    10

    11

    12

    13

    14

    15

    Academic Staff

    No.

    Name

    Sex

    Instructor / Teacher Reg. No.

    Teaching Qualification

    Employment Status

    Date of Appointment

    Profession

    Qualification

    2

    3

    4

    5

    6

    7

    8

    9

    10

    11

    [

    12

    13

    14

    15

    16

    17

    18

    19

    20

    21

    22

    23

    24

    25

    26

    27

    28

    29

    30

    31

    32

    33

    34

    35

    36

    37

    38

    39

    40

    11

    42

    43

    44

    45

    46

    47

    48

    49

    50

    Administrative Staff

    No

    Name

    Sex

    Position

    Qualification

    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

    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?

    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/RiverLakeOthers

    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 UMEMESolarGeneratorOtherNo 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 (per year)?

    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 attach the files.
    Logo of your Institution (max. file size 1MB)

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

    Confirmation

    Name
    Title

    Please check whether you have filled all the fields. After successful sending you will see a confirmation message.