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
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    Academic Staff

    No. Name Sex Instructor / Teacher Reg. No. Teaching Qualification Employment Status Date of Appointment Profession Qualification
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    11
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    Administrative Staff

    No Name Sex Position Qualification
    1
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    Programmes offered and Enrolment

    No. Programme/Course Level Year one Year two
    Male Female Male Female
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    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:



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