You are on page 1of 6

Republic of the Philippines

Department of Education
Region V
DIVISION OF CAMARINES SUR
Freedom Sports Complex, San Jose, Pili, Camarines Norte

TITLE

(INCLUSIVE DATES)
I. GENERAL PROGRAM INFORMATION:
Program Title:

Program Description:

Proponent/s:

Duration:

Management level of Program:

Delivery Mode:

Direct Beneficiaries:

Indirect Beneficiaries:

Budgetary Requirements:

Competency Gap:

Values and Competencies:

Outputs:
A. Formal Face-to-Face
(F3) Component

B. Job-Embedded
Learning

Organizational Outcome

Development impact

Rationale

Objectives 1.
2.
3.
Success Indicators
II. PROGRAM CONTENT FOCUS

Content Matrix
Specific
Content Suggested Activity Duration Expected Output
Objectives
Formal Face-to-Face (F3) Component
Knowledge

Skills

Attitudes

Job-Embedded Learning (JEL) Component


Knowledge

Skills

Attitudes

Activity Schedule
A. Formal Face-to-Face (F3)
Target Date Activity Person Responsible

B. Job-Embedded Learning (JEL)


Target Date Activity Person Responsible

Resources



Monitoring and Evaluation


BUDGET PROPOSAL

Fund Source:

Total Amount per


Particulars Item Name/ Quantity/ Initial Amount Sub-Amount
Particular

SAMPLE:
Stage
Decoration
Tarpaulin (5x7) (₱25/feet) 875
Cloth (6 yards @ ₱25/ yard) 150
1,025.00

Sub-Total ₱ 6,825.00
Contingency (5%) 341.25
GRAND TOTAL ₱ 7,166.25
APPROVAL SHEET

This Program Design has been prepared by the following Members on _______________________:

________________________________________
Team Leader/ Proponent

Recommending Approval:

_____________________________________________
School Head

_____________________________________________
Area Supervisor/ Secondary Schools District Supervisor

Certifying the Availability of Funds:

_____________________________________________
Finance Officer
(If school funds will be used)
Date: ____________

APPROVED:

_____________________________________________
Schools Division Superintendent/ Assistant Schools Division Superintendent In-Charge of SGOD
For Division/ School Program Design

_____________________________________________
Regional Director
For Regional Program Design

Date: ____________
OTHER TRAINING LOGISTICS

Training Schedule
Person Who Will Speak/
Date/ Day/ Time Session/ Topic
Facilitate/ Administer

Working Committees
Communication Letters and
Registration
Ways and Means/ Logistics
Hall Preparation, Decoration
and Restoration
Audio/ Video Facility
Food
Certificates, Token, Programs
and Invitations
Documentation

*Note for Printing Certificates (Do not include this part in printing):
Issuance:
*Certificate of Participation and Appearance – participants who completed the training hours
*Certificate of Commendation – Resource Speaker/ Facilitator
*Certificate of Appreciation – members of the working staff
*Certificate of Commendation – member of the working staff whose performance/ output
is highly commendable

Color Coding/ Layout:


*Division – Blue background/ shade – White/ Beige paper
*District – Green background/ shade – White/ Beige paper
*School-Based – Red background/ shade – White/ Beige paper

Signatories:
*Division – SDS only or ASDS if delegated by SDS
*District – PSDS, Area Supervisor and ASDS
*School-Based – school head, area supervisor/ PSDS and ASDS

Content:
*Printed name of the participant and number of hours completed based from the attendance sheets

*Note for Approval/ Monitoring and Evaluation (Do not include this part in printing):
- Proposal shall be submitted one (1) month before the target conduct of the training. No project proposal
shall be signed after the training.
- A post-training assessment shall be conducted to determine the overall gains and to decide on the next
steps.
- An accomplishment report shall be submitted to the office of the SDS, copy furnished to ASDS.
- Attached with financial report.
- Proposals and trainings that do not follow these guidelines shall not be given points when submitted for
promotion and other similar personnel claims.