Program Intake Form

Program Intake Form Template for Philippines

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Key Requirements PROMPT example:

"I need a Program Intake Form for a 12-week professional development course starting March 2025, which will collect participant information including work experience, educational background, and preferred payment plans, while ensuring compliance with Philippine data privacy laws and including sections for employer sponsorship details."

Document background

The Program Intake Form serves as an essential administrative tool for organizations operating in the Philippines that offer structured programs, courses, or services. This document is specifically designed to comply with Philippine regulations, including the Data Privacy Act of 2012 (RA 10173) and relevant administrative requirements. The form should be used at the initial stage of program enrollment to collect participant information, verify eligibility, gather necessary consents, and document program-specific requirements. It typically includes personal information, contact details, program selection, relevant background information, and necessary declarations. The Program Intake Form also incorporates data privacy notices and consent mechanisms to ensure compliance with Philippine privacy laws. Organizations should customize the form based on their specific program requirements while maintaining the core elements required by local regulations.

Suggested Sections

1. Personal Information: Basic identification details including full name, date of birth, contact information, and government-issued ID numbers

2. Contact Details: Complete contact information including current address, permanent address, email, phone numbers, and emergency contact information

3. Program Selection: Specific program or service being applied for, including preferred schedules or options if applicable

4. Educational Background: Relevant educational history and qualifications pertinent to the program

5. Data Privacy Notice: Statement explaining how personal information will be collected, used, stored, and protected in compliance with the Data Privacy Act

6. Consent Declaration: Participant's explicit consent for data collection and processing, with specific permissions outlined

7. Certification: Declaration that all information provided is true and correct, with space for signature and date

Optional Sections

1. Medical Information: Include when program involves physical activities or health considerations, covering medical conditions, allergies, and emergency protocols

2. Financial Information: Required when program involves fees, scholarships, or financial assistance applications

3. Employment History: Include for professional development or career-related programs

4. Special Assistance Requirements: Optional section for participants to indicate any special needs or accommodations required

5. Program-Specific Questions: Customizable section for specific questions relevant to particular programs or services

6. Guardian Information: Required for minors or programs that need guardian consent

Suggested Schedules

1. Schedule A - Required Documents Checklist: List of supporting documents that need to be submitted with the intake form

2. Schedule B - Program Terms and Conditions: Detailed terms and conditions specific to the program

3. Schedule C - Fee Schedule: Breakdown of any applicable fees, payment terms, and refund policies

4. Appendix 1 - Privacy Policy: Detailed privacy policy and data handling procedures in compliance with the Data Privacy Act

5. Appendix 2 - Program Schedule: Detailed timeline, activities, and important dates related to the program

Authors

Alex Denne

Head of Growth (Open Source Law) @ ��Ƶ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Education

Healthcare

Professional Training

Social Services

Non-Profit

Government Services

Corporate Training

Youth Development

Community Development

Vocational Training

Sports and Recreation

Arts and Culture

Relevant Teams

Administration

Program Management

Admissions

Operations

Compliance

Data Protection

Human Resources

Student Services

Client Services

Registration

Legal

Training

Relevant Roles

Program Coordinator

Program Manager

Admissions Officer

Administrative Assistant

Data Privacy Officer

Compliance Manager

Training Coordinator

Education Director

Human Resources Manager

Program Director

Enrollment Specialist

Student Services Coordinator

Operations Manager

Client Services Manager

Registration Officer

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