GOVERNMENT ELEMENTARY SCHOOL PROFILE, SY 2023-2024

TABLE BOX Page # TITLE

1 SCHOOL INFORMATION
1 2 Box 1. NUMBER OF CLASSES, SY 2023 -2024 (As of December 31, 2023)
1 3 Table 1. LEARNERS BY PROGRAM, SY 2023-2024 (As of October 31, 2023)
2 3 Table 2. ASATIDZ/MUSLIM TEACHERS HANDLING ALIVE CLASSES, SY 2023-2024 (As of December 31, 2023)
Table 3. NUMBER OF FUNCTIONAL ASSISTIVE TECHNOLOGY AND ADAPTIVE DEVICES FOR DEVICES FOR SNEd LEARNERS,
3 4
SY 2023-2024 (As of December 31, 2023),
4 5 Table 4. NUMBER OF FUNCTIONAL EQUIPMENT AND TOOLS FOR SNEd LEARNERS, SY 2023-2024 (As of December 31, 2023)
5 6 Table 5. LEARNING RESOURCES NEEDED FOR SNEd LEARNERS, SY 2023-2024 (As of December 31, 2023)
7 (Definitions of Tables 5 and 6)
6 8 Table 6. TEACHERS HANDLING SNEd LEARNERS (Nationally-funded teachers only), SY 2023-2024 (As of December 31, 2023)
7 9 Table 7. LOCALLY-FUNDED TEACHERS WORKING IN THE SCHOOL BY FUNDING SOURCE, SY 2023-2024 (As of December 31, 2023)
Table 8. LOCALLY-FUNDED TEACHERS WORKING IN THE SCHOOL WHO ARE QUALIFIED AND TRAINED, SY 2023-2024 (As of December 31,
8 9
2023)
9 10 Table 9. LOCALLY-FUNDED NON-TEACHING PERSONNEL WORKING IN THE SCHOOL BY FUNDING SOURCE, SY 2023-2024 (As of December
31, 2023)
10 11 Table 10. TEACHING RELATED AND NON-TEACHING PERSONNEL (Nationally-funded), SY 2023-2024 (As of December 31, 2023)
11 12 Table 11. TEACHING PERSONNEL (Nationally-funded), SY 2023-2024 (As of December 31, 2023)
12 13 Table 12. TEACHER ASSIGNMENTS (Nationally-funded teachers working in the school), SY 2023-2024 (As of December 31, 2023)
Table 13. TEACHERS WHO RECEIVED TRAINING WHILE IN-SERVICE FROM JULY 2022 TO DECEMBER 2023
13 13
(Nationally-funded teachers working in the school)
Table 14. TEACHERS WHO RECEIVED TRAINING ON INFORMATION AND COMMUNICATIONS TECHNOLOGY (ICT)
14 14
(Nationally-funded teachers working in the school), SY 2023-2024 (As of December 31, 2023)
Table 15. TEACHERS WHO RECEIVED TRAINING ON PEDAGOGY
15 14
(Nationally-funded teachers working in the school), SY 2023-2024 (As of December 31, 2023)
Table 16. NUMBER OF TEACHERS BY GRADE LEVEL AND SEX, COUNTED ONLY ONCE
16 15
(Nationally-funded teachers working in the school), SY 2023-2024 (As of December 31, 2023)
Table 17. Table 17. NUMBER OF TEACHERS BY GRADE LEVEL AND SEX, COUNTED MORE THAN ONCE
17 15
(Nationally-funded teachers working in the school), SY 2023-2024 (As of December 31, 2023)
Table 18. NUMBER OF TEACHERS BY TEACHING ASSIGNMENT IN GRADES 4 TO 6 BY SEX
18 15
(Nationally-funded teachers working in the school), SY 2023-2024 (As of December 31, 2023)
Table 19. NUMBER OF TEACHERS BY HIGHEST EDUCATIONAL ATTAINMENT
19 16
(Nationally-funded teachers working in the school), SY 2023-2024 (As of December 31, 2023)
2 16 Box 2. LEARNING ACTION CELL (LAC) SESSIONS, SY 2023-2024 (As of December 31, 2023)
3 16 Box 3. ACTION RESEARCH, SY 2023-2024 (As of Dercember 31, 2023)
4 17 Box 4. LEARNER GOVERNMENT PROGRAM (SGP), SY 2023-2024 (As of December 31, 2023)
5 18 Box 5. CAREER GUIDANCE PROGRAM, SY 2023-2024 (As of December 31, 2023)
6 19 Box 6. SCHOOL CLUBS AND ORGANIZATIONS, SY 2023-2024 (As of December 31, 2023)
7 19 Box 7. YOUTH FOR ENVIRONMENT IN SCHOOLS ORGANIZATION (YES-O) PROGRAM, SY 2023-2024 (As of December 31, 2023)
20 20 Table 20. NUMBER OF FUNCTIONAL COMPUTERS IN THE SCHOOL BY FUNDING SOURCE, SY 2023-2024 (As of December 31, 2023)
21 21 Table 21. NUMBER OF FUNCTIONAL ICT EQUIPMENT IN THE SCHOOL BY FUNDING SOURCE,SY 2023-2024 (As of December 31, 2023)
8 22 Box 8. NUMBER OF E-CART COMPONENTS IN THE SCHOOL BY FUNDING SOURCE, SY 2023-2024 (As of December 31, 2023)
9 23 Box 9. INTERNET CONNECTIVITY, SY 2023-2024 (As of December 31, 2023)
22 24 Table 22. INTERNET CONNECTIVITY BY PROVIDER, SY 2023-2024 (As of December 31, 2023)
23 25 Table 23. CELLULAR COMMUNICATION, SY 2023-2024 (As of December 31, 2023)
24 26 Table 24. AVAILABILITY OF PRINTER / PHOTOCOPIER, SY 2023-2024 (As of December 31, 2023)
25 27 Table 25. BROADCASTING STATION, SY 2023-2024 (As of December 31, 2023)
26 28 Table 26. SCHOOL TWO-WAY RADIO, SY 2023-2024 (As of December 31, 2023)
27 29 Table 27. MOOE ALLOCATION, UTILIZATION AND LIQUIDATION FROM FROM JANUARY 2022 TO DECEMBER 2022
10 29 Box 10. AVAILABILITY OF ELECTRICAL SUPPLY, SY 2023-2024 (As of December 31, 2023)
11 30 Box 11. SCHOOL SITE, SY 2023-2024 (As of December 31, 2023)
31 (Continuation of definitions from previous page, Box 11)
28 32 Table 28. TRAVEL DETAILS (ONE-WAY) FROM SCHOOL, SY 2023-2024
12 32 Box 12. MODE OF TRANSPORTATION, SY 2023-2024
13 32 Box 13. SCHOOL LOCATION, SY 2023-2024 (As of December 31, 2023)
29 33 Table 29. HEALTH AND NUTRITION, SY 2023-2024 (As of December 31, 2023)
29 33 A. Number of learners who were vaccinated by the Department of Health (based on LGU health records)
29 33 B. Number of learners who underwent vision screening
29 33 C. Number of learners by nutritional status
29 34 D. Number of learners who were dewormed (based on LGU health records)
14 34 Box 14. SCHOOL CLINIC, 2023-2024 (As of December 31, 2023)
15 35 Box 15. AVAILABILITY OF WATER SUPPLY, SY 2023-2024 (As of December 31, 2023)
30 35 Table 30. NUMBER OF EXISTING WASH FACILITIES, SY 2023-2024 (As of December 31, 2023)
31 36 Table 31. ORAL HEALTH, PREVIOUS SY 2022-2023
32 36 Table 32. MEDICAL AND NURSING SERVICES, PREVIOUS SY 2022-2023
33 36 Table 33. MENTAL HEALTH, SY 2023-2024 (As of December 31, 2023)
16 37 Box 16. SCHOOL MENTAL HEALTH, PREVIOUS SY 2022-2023
17 38 Box 17. CANCER CASES, PREVIOUS SY 2022-2023
18 39 Box 18. ADOLESCENT REPRODUCTIVE HEALTH, PREVIOUS SY 2022-2023
19 40 Box 19. COMPREHENSIVE TOBACCO CONTROL, SY 2023-2024 (As of December 31, 2023)
20 41 Box 20. NATIONAL PREVENTIVE DRUG EDUCATION, SY 2023-2024 (As of December 31, 2023)
21 41 Box 21. FEEDING PROGRAM, SY 2023-2024 (As of December 31, 2023)
22 41 Box 22. FOOD HANDLING, SY 2023-2024 (As of December 31, 2023)
23 42 Box 23. SOLID WASTE MANAGEMENT,SY 2023-2024 (As of December 31, 2023)
24 42 Box 24. OPERATION AND MAINTENANCE OF SANITATION FACILITIES, SY 2023-2024 (As of December 31, 2023)
25 42 Box 25. MENSTRUAL HYGIENE, SY 2023-2024 (As of December 31, 2023)
26 43 Box 26. LEARNER RIGHTS AND PROTECTION, PREVIOUS SY 2022-2023
27 43 Box 27. LEARNER RIGHTS AND PROTECTION CONCERNS, PREVIOUS SY 2022-2023
26 44 (Continuation from previous page, Box 26)
28 45 Box 28. SCHOOL SPORTS PROGRAM: AVAILABLE SPORTS EVENTS, CLUBS, AND EQUIPMENT, SY 2023-2024 (As of December 31, 2023)
34 46 Table 34. SCHOOL SPORTS PROGRAM: SPORTS PERSONNEL (DepEd Funded), SY 2023-2024 (As of December 31, 2023)
29 47 Box 29. SCHOOL SPORTS PROGRAM: AVAILABLE SPORTS FACILITIES, SY 2023-2024 (As of December 31, 2023)
35 48 Table 35. DISASTERS/CALAMITIES, For the months of June 2022 to May 2023
36 49 Table 36. DISASTERS/CALAMITIES (Human-Induced Hazards), For the months of June 2022 to May 2023
30 50 Box 30. ENABLING ENVIRONMENT, For the months of June 2022 to May 2023
30 50 Part 1. DRRM and CCAM Policies
30 50 Part 2. DRRM and CCAM Plans
30 51 Part 3. DRRM and CCAM Organizational and Budget Support
30 51 Part 4. Research and Information System
30 51 Part 5. Monitoring and Evaluation
31 52 Box 31. PILLAR 1. SAFE LEARNING FACILITIES, For the months of June 2022 to May 2023
32 53 Box 32. PILLAR 2. SCHOOL SAFETY AND EDUCATIONAL CONTINUITY MANAGEMENTFor the months of June 2022 to May 2023
32 53 Part 1. School-level Risk Assessment, Plans, and Partnerships
32 53 Part 2. Disaster Preparedness
32 54 Part 3. Disaster Response
55 (Definitions of Box 32)
33 56 Box 33. Pillar 3. Risk Reduction and Resilience Education, For the months of June 2022 to May 2023
33 56 Part 1. Curriculum Integration
33 56 Part 2. Information, Education, and Communication (IEC) and Advocacy
33 57 Part 3a-3b Resilience Education
33 58 Part 3c-3d. Resilience Education
34 59 Box 34. INDIGENOUS PEOPLES EDUCATION (IPEd) PROGRAM, SY 2023-2024 (As of December 31, 2023)

SY 2023-2024
36 34 59
 School ID: 1 3 1 4 7 9

Republic of the Philippines

DEPARTMENT OF EDUCATION
PLANNING SERVICE
Education Management Information System Division

GOVERNMENT ELEMENTARY SCHOOL PROFILE

INSTRUCTIONS

This form shall be accomplished by the head of all government elementary schools . In the case of schools with annexes, extensions, etc., a separate school profile shall be accomplished by every annex, extension, etc.

The head of the school shall sign the forms certifying to the correctness of the data, and shall be responsible and accountable for any inaccuracy or false data/information reported. He/She shall submit the accomplished forms to the respective Schools Division Office (SDO).

Important: Read the definitions/instructions found at the bottom of each table before filling out the form. No item shall be left blank. Instead, "zero ( 0 )" or "not applicable (n/a)" shall be written. Shaded boxes shall not be filled.
`
SCHOOL INFORMATION
SY 2023-2024

School Name : SUBAIT ELEMENTARY SCHOOL Region : CARAGA

(Official Name)
Division : AGUSAN DEL NORTE

N/A School District : LAS NIEVES

(Previous Name, if any)
Legislative District : 1ST District

Address : SUBAIT BONIFACIO Telephone Number : N/A

No. Street/Sitio/Purok Barangay
Mobile Number : 9669032741

LAS NIEVES AGUSAN DEL NORTE 8610 Fax Number : N/A

Municipality/City Province Zip Code
Website (if any) : N/A

Check (a) if the school is: (check all applicable) E-Mail Address : senesmande.polongasa@deped.gov.ph

 Central School  Annex/Extension School Date Established (Year) : 1971


(Indicate Mother School ID: _______________ )
SNEd (formerly SPED) Center Mother Tongue used in


school as medium of
with SNEd Classes/Programs instruction (K to 3) : Sinugbuanong Binisaya


Implementing Shifting
(Indicate the highest number of shift if a school has multiple shifts: _______ ) Check (a) if the school has the following Curricular Offering Classification (COC):

Note: Shift - refers to time schedules corresponding to different sets of classes with different sets of / Kindergarten
learners (e.g., morning and afternoon shifts). Night classes are not considered a shifting
schedule. For Kindergarten, consider only those classes with more than two (2) sessions. / Grades 1 to 6

Certified True and Correct by: Validated by Planning Officer III (PRS-SGOD): Noted by the Schools Division Office:
School Head : SENES MANDE B. POLONGASA Head of the Office : JEANIE L. MATIVO /4-30-2024
(Signature Over Printed Name) / Date SONIA A. MONTALBAN / 4-30-2024 (Signature Over Printed Name) / Date
Position Title : (Signature Over Printed Name) / Date
TIC Position Title : SCHOOL DIVISION SUPERINTENDENT
Box 1. NUMBER OF CLASSES, SY 2023 -2024 (As of December 31, 2023)

1. For Monograde classes, indicate the number of classes by grade level.

Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 TOTAL (K to Gr 6)

1 1 1 1 1 1 1 7

2. For Multigrade classes, check the appropriate grade levels combined.

Example, if the school have two (2) Multigrade Classes:

MG Class 1 : Grade 5 Grade 6 MG Class 2 : Grade 1 Grade 2 Grade 3

Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6

MG Class 1       
MG Class 2 / / / / /  
MG Class 3       

Note: Monograde and Multigrade Classes data is based on Learners Information System (LIS) for Beginning of the School Year 2023-2024.

1. Monograde Classes - refers to the number of classes by grade level from Kindergarten to Grade 6 offering regular curricula.
2. Multigrade Classes - refers to number of classes with a combination of two or more grade levels offering regular curricula.

Certified True and Correct by : Validated by Planning Officer III (PRS-SGOD):

School Head : ____ SENES MANDE B. POLONGASA
(Signature Over Printed Name) SONIA A. MONTALBAN
(Signature Over Printed Name) / Date
Position Title T-III/TIC Date : __________

Page 2 of 59
Table 1. LEARNERS BY PROGRAM, SY 2023-2024 (As of December 31, 2023)
TOTAL
Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6
Enrollment by Program (Kindergarten to Grade 6)

Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female
1. Madrasah Education Program (MEP):
Arabic Language and Islamic Values Education
(ALIVE)
1.a. Muslim 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1.b. Non-Muslim 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2. Special Science Elementary School (SSES) 0 0) 0 0 0 0 0 0 0

Enrollment by Program - refers to the number of learners according to programs offered in elementary school.
Types of Special Programs:
1. Madrasah Education Program (ALIVE) - a program which aims to preserve the Arabic language and Muslim culture through its inclusion in the regular basic education curriculum.
2. Special Science Elementary School (SSES) - a program which aims to enrich the science curriculum in public elementary school.

Table 2. ASATIDZ/MUSLIM TEACHERS HANDLING ALIVE CLASSES,

SY 2023-2024 (As of December 31, 2023)

Azatidz/Muslim Teachers Handling ALIVE Classes

Classification Male Female TOTAL

Wth Plantilla Item 0 0 0

DepEd Subsidized COS 0 0 0
COS who are LET Passers 0 0 0
COS who are not LET Passers 0 0 0

ASATIDZ DepEd Subsidized/COS Teachers - assigned to teach ALIVE classes and not having plantilla
positions but paid by DepEd through honorarium.

Reminder: Those serving two or more schools simultaneously shall be counted only in the
school with the most teaching loads or number of learners handled, in that order.

Certified True and Correct by: Validated by Division ALIVE Coordinator: Validated by Planning Officer III (PRS-SGOD):
School Head : SENES MANDE B. POLONGASA / 4-30-2024
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date
Position Title : TIC / T-III Position Title :
Page 3 of 59
Table 3. NUMBER OF FUNCTIONAL ASSISTIVE TECHNOLOGY AND ADAPTIVE
DEVICES FOR SNEd LEARNERS, SY 2023-2024 (As of December 31, 2023)
Types of Devices Number of Devices
A. ASSISTIVE TECHNOLOGY DEVICES Notes:
1 Accessible Graphing Talking Calculator 1. Assistive Technology Device - refers to any
2 Amplified Answering Machines device that helps someone do something that
might not otherwise be able to do well or at all.
3 Augmentative/Alternative Communication (AAC) Systems
Generally, the term is used for devices that help
4 Big Keys Keyboard people overcome a handicap such as a mobility,
5 Bluetooth Hearing Aid (per learner) vision, mental, dexterity or hearing loss.
6 Braille Embosser-Double sided
7 Braille Machine
8 Braille Printer 2. Adaptive Device - refers to any device that are
9 Braille Translation Software used to assist with completing activities of daily
living.
10 Chair with Writing Board
11 Clerical Chair
12 Computer Printer
13 Computer Set
14 Crutches (per learner)
15 Ergonomic trackballs
16 Foot Mouse
17 Head Mouse & Eye Trackers
18 Hearing Aid (per learner)
19 Job Access with Speech (JAWS)
20 LCD Projector
21 LED Flashlight Buzzer Alarm
22 Musical Instruments
23 One Touch Magic Screen
24 Remote Control with enlarged Buttons
25 Sewing Machine
26 Speech Synthesizer
27 Talking Calculator
28 Talking Desktop
29 Telephone Amplifiers
30 Telescope
31 Wheelchair (per learner)
32 Personal amplication systems (per learner)
33 Wireless TV listening systems
34 Vibrating Alarm Clocks
35 Buzzer with flashing light alert
Voice amplification systems
36
(wireless microphone worn by teachers)
37 Fluency assistance devices
38 Communication Boards
39 Speech Generating Devices
40 Text-to-Speech Systems
41 Notetaking Sytems
42 Canes (per learner)
43 Walkers (per learner)
44 Automatic Page Turners
45 Smart pens
TOTAL
B. ADAPTIVE DEVICES
1 Big Bubbles Kit
2 First Aid Kit
3 Rubber Mat
4 Safety Wall Mirror
5 Sleeping Bag
6 Stop Watch
7 Tent
8 Water Jug
9 Whistle
10 Adapted kitchen tools
11 Adaptive eating utensils
12 Adapted pencil grips
13 Accessible Bathrooms
14 Door and hallway widening
15 Handrails
16 Universal turning handles
TOTAL

Reminder: Table 3 shall be accomplished ONLY by Elementary Schools with SNEd classes/programs and SNEd Centers.

This table shall be accomplished ONLY by elementary schools with SPED classes/programs and SPED Centers.
Certified True and Correct by: Validated by Division SNEd Coordinator: Validated by Planning Officer III (PRS-SGOD):
School Head : SENES MANDE B. POLONGASA
SONIA A.MONTALBAN / 4-30-2024
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date
Position Title : TIC/T-III Position Title :

Page 4 of 59
 Table 4. NUMBER OF FUNCTIONAL EQUIPMENT AND TOOLS FOR SNEd LEARNERS,
SY 2023-2024 (As of December 31, 2023)
Number of Equipment
Types of Equipment and Tools
and Tools
1 Blender Machine
2 Cake Turntable
3 Claw Hammer
4 Cross Cut Saw
5 Dipping Can
6 Double Boiler
7 Fire Extinguisher
8 Frying Pan
9 Garden Hose
10 Gas Range
11 Gloves
12 Kitchen Knife
13 Measuring Cups
14 Measuring Spoons
15 Mixing Bowl
16 Pastry Blender
17 Pastry Tubes
18 Pie Pan
19 Portable Electric Drill
20 Prunning Shear
21 Refrigerator
22 Roasting Pan
23 Seedling Tray
24 Sheet Pan
25 Spade
26 Spatula
27 Sprinkler
28 Strainer
29 Tong
30 Wooden Spoons
31 Adapted kitchen tools
32 Adaptive eating utensils
33 Adapted pencil grips
34 Accessible Bathrooms
35 Door and hallway widening
36 Handrails
37 Universal turning handles
TOTAL

Equipment/Tools or Devices for SNEd Learners are instructional supports and which are appropriate
assistive/materials or technology. These are powerful tool to increase a child's independence and
depending on disability or difficulty as down syndrome, hearing loss, intellectual and learning
disabilities, muscular dystrophy. This includes devices, equipment, instruments and software .

Reminder: Table 4 shall be accomplished ONLY by Elementary Schools with SNEd

classes/programs and SNEd Centers.

Certified True and Correct by: Validated by Division SNEd Coordinator: Validated by Planning Officer III (PRS-SGOD):
School Head : SENES MANDE B. POLONGASA
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date
Position Title : Position Title :

Page 5 of 59
Table 5. LEARNING RESOURCES NEEDED FOR SNEd LEARNERS, SY 2023-2024 (As of December 31, 2023)

Quantity
Needed for
DepEd
Classification/Types of Disabilities
Procured
Learning
Resources

With Diagnosis from Licensed Medical Specialist:

1. Visual Impairment DepEd procured Learning Resources (LRs ) - refers to the instructional
materials provided by the Central Office.
1.a. Blind

1.b. Low Vision Types of Visual Impairment:

2. Hearing Impairment Blind Braille User, with light perception, legally blind
3. Learning Disability Low Vision Large Print User, with assessement to know the visual
4. Intellectual Disability acuity for font size

5. Autism Spectrum Disorder

6. Emotional-Behavioral Disorder ```

7. Orthopedic/Physical Handicap

8. Speech /Language Disorder

9. Cerebral Palsy

10. Special Health Problem/Chronic Disease

10.a. Cancer

11. Multiple Disabilities

12. Attention Deficit Hyperactivity Disorder

Quantity
Learning Resouces for SNEd Learners SNEd Learners Materials:
Needed
Braille Brailler - is a tactile system of reading and writing made up of raised dot patterns for letters,
LR numbers, and punctuation marks use by people with visual impairment. Braille may be either
Digital Talking Book/ embossed (a permanently printed document) or refreshable (electronically generated and
E-text accessed via a braille display device).
Large Print Books

Cranmer Abacus Digital Talking Book/ E-text - provides electronic content that is delivered on a computer or another
device. Electronic content can be changed in many ways (e.g., size, contrast, read aloud) to
Braille Protractor
accommodate the needs and preferences of a learner. Content is presented dependent on the
Talking Dictionary technology and learner's needs.

Large Print - refers to formatting of book or other text document where the typeface (or font), and
Pencil (Claw) Grips Small
medium are considerably larger than usual to accommodate learners who have poor vision.
Pencil (Claw) Grips Medium Pencil (Claw) Grips (Small, Medium, and Large) - for all grade levels are pencil grips that place
the fingers of the learners in the correct position.
Pencil (Claw) Grips Large

Sign language dictionary Sign language dictionary - it’s a compilation of term and language done through finger signing.

Braille chart - is a tactile writing system used by people who are visually impaired, including people
Braille chart
who are blind, deafblind or who have low vision.
Sharpie pens - are pens for low vision learners that create easy to see and read, highly visible, crisp,
Sharpie pens bold, black line which do not smudge or bleed through in most paper.
Stylus and Slates Stylus and Slates (Board slates) - are tools used by learners with visual impairment to write braille
(Board slates) that they can read without assistance.
Taylor Slate - is arithmetic and algebra device consists of a rectangular aluminum type frame, 432
Taylor Slate octagonal cells are stamped in the top in an 18 x 24 grid, with a recessed compartment at one end for
holding the extra type when the frame is in use.

Drawing kit - is a set of brailled ruler, triangles, protractor, compass, and drawing board that are
Drawing Kit
used to draw raised geometrical figures.
Bocce Ball Sets Bocce Ball Sets - are sport equipment use in paragames.
Goal Ball Goal Ball - is a sport equipment use in paragames.
Duralex glasses, mugs, bowls, plates Duralex glasses, mugs, bowls, and plates - are breakable but SNEd learners friendly.

Reminders:
1. For 1.a. and 1.b., identify the learning resources needed by learners who are either blind or have low vision from the total number of LR of learners with Visual Impairment.
2. For 10.a., determine the learning resources needed by cancer patients, living with cancer and cancer survivor from the total number of LR of learners with Special Health Problems.
3. Table 5 shall be accomplished ONLY by Elementary Schools with SNEd classes/programs and SNEd Centers.

Certified True and Correct by: Validated by Division SNEd Coordinator: Validated by Planning Officer III (PRS-SGOD):
School Head : SENES MANDE B. POLONGASA
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date
Position Title : Position Title :

Page 6 of 59
(Definitions of Tables 5 and 6)

LWDs With Diagnosis from Licensed Medical Specialist:

1. Visual Impairment - refers to a learner with an impairment that even with correction, adversely affects a
child's educational performance. This includes both partial sight and blindness.
2. Hearing Impairment - refers to a learner with an impairment, whether permanent or fluctuating that
adversely affects a child’s educational performance such as deafness.
3. Learning Disability - refers to a learner with a disorder in perception, listening, thinking, reading,
writing, spelling, and arithmetic although normal in sensory, emotional and intellectual abilities.
4. Intellectual Disability - refers to a learner with significantly subaverage general intellectual functioning
which originates during the developmental period and associated with impairment in adoptive behavior
like maturation, learning and social adjustment.
5. Autism Spectrum Disorder - refers to a learner characterized by varying degrees of impairment in
communication skills and social interactions and in restrictive, repetitive patterns of behavior.
6. Emotional-Behavioral Disorder - refers to a learner with a condition exhibiting one or more of the
following characteristics over a long period of time and to a marked degree that adversely affects a child's
educational performance: (i) an inability to learn that cannot be explained by intellectual, sensory, or
health factors, (ii) an inability to build or maintain satisfactory interpersonal relationships with peers and
teachers, (iii) inappropriate types of behavior or feelings under normal circumstances, (iv) a general
pervasive mood of unhappiness or depression, (v) a tendency to develop physical symptoms or fears
7. Orthopedic /Physical Handicap - refers to a learner with any condition that interferes with a child's
8. ability to use his or Disorder
Speech/Language her body. - refers to a learner with a communication disorder, such as stuttering,
impaired articulation, a language impairment, or a voice impairment, that adversely affects a child’s
educational performance.
9. Cerebral Palsy - refers to a learner that is caused by damage to developing brain either before or during
birth, or in the first few years of life. The impairment depends on where in the brain the damage occurs.
10. Special Health Problem/Chronic Illness - refers to a learner with a chronic or acute health problems
such as asthma, attention deficit disorder or attention deficit hyperactivity disorder, diabetes, epilepsy, a
heart condition, hemophilia, lead poisoning, leukemia, nephritis, rheumatic fever, sickle cell anemia, and
Tourette syndrome; that adversely affect a child's educational performance.
10.a. Cancer - refers to a learner who are cancer patients, living with cancer and cancer survivor.
11. Multiple Disabilities - refers to a learner with a combination of disabilities that causes severe educational
needs that require multiple special education programs such as mental retardation-blindness or mental
retardation-orthopedic impairment.
12, ADHD (Attention Deficit Hyperactivity Disorder) is a neurobiologically-based developmental
disability in children and adults with a persistent pattern of problems in the area of inattention,
hyperactivity and impulsivity that is more frequent and severe that is typically observed in individuals at
a comparable level of development.
LWDs With Manifestations:
1. Difficulty in Seeing - refers to a learner that manifest difficulty in vision that even with correction,
adversely affects a child educational performance. They include those that are totally blind, functionally
blind or low vision.
2. Difficulty in Hearing - refers to a learner that have difficulty in hearing, hard of hearing, suffering from
3. hearing lossinorApplying
Difficulty deafness.Knowledge - refers to a learner that has a problem that interferes with learning
basic skills such as reading, writing, acquiring skills and/or math. It can also delay higher level thinking
skills such as organization, time planning, abstract reasoning, long and short term memory and attention.
4. Difficulty in Remembering, Concentrating, Paying Attention and Understanding - refers to a learner
that manifest significant limitations in general intellectual functioning; in adaptive functioning
(communication, self-care, home living, health and safety, social skills, functional academics, community
use, leisure and work) which exist concurrently; it includes those medically diagnosed as learners with:
Reading Disability or Dyslexia; Written Expression Disability; Spelling Disability; Handwriting
Disability or Dysgraphia; Mathematical Disability or Dyscalculia.
5. Difficulty in Performing Adaptive Skills (self-care) - refers to a learner manifesting difficulty in
washing oneself, caring of body parts, toileting, dressing, eating and drinking.
6. Difficulty in Displaying Interpersonal Behavior (Emotional and Behavioral) - refers to a learner
whose conditions are characterized by emotional or behavioral responses in school programs so different
from appropriate age, cultural or ethnic norms which affects their educational performance (academic,
social, vocational or personal skills) more than temporary and responses are stressful to environment
behavior is exhibited in two different settings (one of which is school related). They are also
unresponsive to direct intervention in general education.
7. Difficulty in Mobility (Walking, Climbing and Grasping) - refers to a learner that manifest difficulty
in maintaining one’s position or changing a body position. They include those diagnosed as having
cerebral palsy, spina bifida and muscular dystrophy.
8. Difficulty in Communicating - refers to a learner whose developmental conditions are causing problems
in communication, learning and social behaviors. It is typically characterized by difficulty in:
Understanding others; Producing message; Communicating using devices.

Page 7 of 59
Table 6. TEACHERS HANDLING SNEd LEARNERS (Nationally-funded teachers only), SY 2023-2024 (As of December 31, 2023)
Number of Teachers Handling Learners with Types of Disabilities Years in Service Years of Teaching SNEd Learners
Autism Emotional
Hearing Learning Spectrum Behavioral
Visual Intellectual Orthopedically Communication Attention Two (2) or 16 13
Position Title Impairment Disability/ Disorder/ Disorder/
Impairment/ Disability/ Handicap/ Disorder/ Multiple Deficit More Types 0-3 4-6 7-9 10-12 13-15 years 0-3 4-6 7-9 10-12 years
/ Difficulty in Difficulty in Difficulty in
Difficulty in Difficulty in Difficulty in Difficuly in Disabilities Hyperactivity of disability years years years years years and years years years years and
Difficulty in Applying Performing Displaying
Seeing Remembering Mobility Communicating Disorder in a class above above
Hearing Knowledge Adaptive Interpersonal
Skills Behavior

Master Teacher IV 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Master Teacher III 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Master Teacher II 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Master Teacher I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Teacher III 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Teacher II 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Teacher I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

TOTAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1. If a teacher is handling group of learners with two (2) or more types of disabilities, he/she shall be counted in "Multiple Disabilities".
2. If a teacher is handling learners with different disabilities or combinations of SNEd Learners, he/she shall be counted in "Two (2) or More Types of SNEd Learners (Mixed SNEd Learners)".
3. Years in Service - refers to the number of years in service as a teacher.
4. Years of Teaching SNEd Learners - refers to the number of years of teaching SNEd Learners.

Reminder: Table 6 shall be accomplished ONLY by Elementary Schools with SNEd classes/programs and SNEd Centers.

Certified True and Correct by: Validated by Division HR Personnel: Validated by Division SNEd Coordinator: Validated by Planning Officer III (PRS-SGOD):
School Head : SENES MANDE B. POLONGASA
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date
Position Title : Position Title : Position Title :

Page 8 of 59
Table 7. LOCALLY-FUNDED TEACHERS WORKING IN THE SCHOOL BY FUNDING SOURCE, SY 2023-2024 (As of December 31, 2023)
Number of Locally-Funded Teachers by Funding Source
Class Special Education Fund (SEF) TOTAL
Local Gov't Unit
Others Locally-funded
Provincial Municipal/City (LGU) funded
Teachers
Kindergarten * 0 0 0 0 0
Elementary (excluding handling ALIVE classes) 0 0 0 0 0

Locally-funded teachers working in the school - teachers not having plantilla positions and whose compensation is chargeable against the local budget.
These are classified according to the following:
a. Special Education Fund (SEF) Teachers - teachers whose salaries are being paid by the Local School Board Fund (Provincial or Municipal/City) where the school is located.
b. Local Government Unit (LGU) funded Teachers - teachers paid out of the general fund (not the SEF) of the LGU.
c. Others - teachers who are being funded by other sources not mentioned above (e.g., Parents-Teachers Association, etc.).

Reminders: 1. * - Those serving two or more schools simultaneously shall be counted only in the school with the most teaching loads or number of learners handled, in that order.
2. - Total of Locally-funded Teachers shall be greater than or equal to the Total of Qualified / Trained Teachers in Table 8.

Table 8. LOCALLY-FUNDED TEACHERS WORKING IN THE SCHOOL WHO ARE QUALIFIED AND TRAINED,
SY 2023-2024 (As of December 31, 2023)
Qualified Teachers Trained Teachers
Class
Male Female TOTAL Male Female TOTAL Validated by Senior Education Program Specialist (HRTD):
Kindergarten * 0 0 0 0 0 0 SWEET LOUEIJIE A.ARCITE/ 4-30-2024
Signature Over Printed Name / Date
Elementary (excluding handling ALIVE classes) 0 0 0 0 0 0

1. Qualified teacher - locally-funded teacher who has the minimum academic qualifications necessary to teach Elementary School
Education. He/She must be a Licensure Examination for Teacher (LET) passer given by the Professional Regulation Commission
(PRC) and the Board for Professional Teachers (BPT) or a Professional Board Examination for Teachers (PBET) passer given by the
Civil Service Commission (CSC) and Department of Education, Culture and Sports (DECS [now DepEd]).

2. Trained teacher - locally funded teacher who received at least the minimum organized teacher-training requirements (pre-service or
in-service) to teach Elementary School Education.

Reminders: 1. * - Those serving two or more schools simultaneously shall be counted only in the school with the most teaching loads or number of learners handled, in that order.
2. - Total of Qualified / Trained Teachers shall be less than or equal to the Total of Locally-funded Teachers in Table 7.

Certified True and Correct by: Validated by Division HR Personnel: Validated by Planning Officer III (PRS-SGOD):
School Head : SENES MANDE B. POLONGASA
SONIA A. MONTALBAN
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date
Position Title : TIC / T-III Position Title :

Page 9 of 59
Table 9. LOCALLY-FUNDED NON-TEACHING PERSONNEL WORKING IN THE SCHOOL BY FUNDING SOURCE, SY 2023-2024 (As of December 31, 2023)
Number of Locally-Funded Non-Teaching Personnel by Funding Source
Average
Position Monthly Special Education Fund (SEF) TOTAL
Local Gov't Unit
Salary Others Locally-funded
Provincial Municipal/City (LGU) funded
Non-Teaching
Learning Support Aides 0 0 0 0 0 0
Administrative Officers 0 0 0 0 0 0
Administrative Assistants 0 0 0 0 0 0
Administrative Aides 0 0 0 0 0 0
Project Development Officer/Program Officer 0 0 0 0 0 0
Medical Officer/School Doctor 0 0 0 0 0 0
School Dentist 0 0 0 0 0 0
School Nurse 0 0 0 0 0 0
Librarian 0 0 0 0 0 0
Library Assistant/Aide 0 0 0 0 0 0
Guidance Counselor 0 0 0 0 0 0
Guidance Advocate 0 0 0 0 0 0
Guidance Assistant/Aide 0 0 0 0 0 0
Computer Technician/ICT Services/ICT Assistant 0 0 0 0 0 0

Locally-funded non-teaching personnel working in the school - non-teaching personnel not having plantilla positions and whose compensation is chargeable against the local budget.
Learning Support Aide - refers to a person who works together in collaboration with a teacher and contributes to the provision of learning opportunities that promote achievement and progression of learners.

These are classified according to the following:

a. Special Education Fund (SEF) - non-teaching personnel whose salaries are being paid by the Local School Board Fund (Provincial or Municipal/City) where the school is located.
b. Local Government Unit (LGU) funded - non-teaching personnel paid out of the general fund (not the SEF) of the LGU.
c. Others - non-teaching personnel who are being funded by other sources not mentioned above (e.g., Parents-Teachers Association, etc.).

Reminders: 1. Those serving two or more schools simultaneously shall be counted only in the school (a) where the non-teaching personnel have longer reporting
hours as identified by the SDO or (b) where the non-teaching personnel is originally intended to be deployed.
2. The non-teaching personnel shall be counted under its generic title if it has a parenthetical title.

Certified True and Correct by: Validated by Division HR Personnel: Validated by Planning Officer III (PRS-SGOD):
School Head : SENES MANDE B. POLONGASA
SONIA A. MONTALBAN / 4-30-2024
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date
Position Title : TIC / T-III Position Title :

Page 10 of 59
Table 10. TEACHING RELATED AND NON-TEACHING PERSONNEL (Nationally-funded), SY 2023-2024 (As of December 31, 2023)
NATIONALLY-FUNDED PERSONNEL
POSITIONS ASSIGNED IN THE SCHOOL
Personnel detailed to Personnel borrowed from other TOTAL
Number of Number of personnel actually Nationally-funded personnel
positions school(s)/ DepEd office(s) working in the school
working in the school DepEd office(s)/ TOTAL
Position Title assigned in DepEd Secondary school(s) outside TOTAL
the school Position(s)
On leave office(s) school(s) the division or
per latest TOTAL vacant (Col.5+Col.6 + TOTAL Male Female TOTAL
within the within the other (Col.8+Col.9+ Col.7+Col.11 )
PSI-POP Male Female division division government Male Female
Col.10) (Col.13+Col.1 (Col.3+Col. (Col.4+Col. (Col.16+Col.
(Col.3+Col.4) agencies
4) 13) 14) 17)
Col. 1 Col. 2 Col. 3 Col. 4 Col. 5 Col. 6 Col. 7 Col. 8 Col. 9 Col. 10 Col. 11 Col. 12 Col. 13 Col. 14 Col. 15 Col. 16 Col. 17 Col. 18
School Principal IV - - - - - - - - - - - - - - - - -
School Principal III - - - - - - - - - - - - - - - - -
School Principal II - - - - - - - - - - - - - - - - -
School Principal I - - - - - - - - - - - - - - - - -
Head Teacher VI - - - - - - - - - - - - - - - - -
Head Teacher V - - - - - - - - - - - - - - - - -
Head Teacher IV - - - - - - - - - - - - - - - - -
Head Teacher III - - - - - - - - - - - - - - - - -
Head Teacher II - - - - - - - - - - - - - - - - -
Head Teacher I - - - - - - - - - - - - - - - - -
Guidance Coordinator III - - - - - - - - - - - - - - - - -
Guidance Coordinator II - - - - - - - - - - - - - - - - -
Guidance Coordinator I - - - - - - - - - - - - - - - - -
Guidance Counselor III - - - - - - - - - - - - - - - - -
Guidance Counselor II - - - - - - - - - - - - - - - - -
Guidance Counselor I - - - - - - - - - - - - - - - - -
Administrative Officer II - - - - - - - - - - - - - - - - -
Project Development Officer I - - - - - - - - - - - - - - - - -
Administrative Assistant III
- - - - - - - - - - - - - - - - -
(Senior Bookkeeper)
Administrative Assistant II
- - - - - - - - - - - - - - - - -
(Disbursing Officer II)
Security Guard - - - - - - - - - - - - - - - - -
Utility Worker I - - - - - - - - - - - - - - - - -
TOTAL - - - - - - - - - - - - - - - - -
- -
Reminders: 1. Totals in column 12 shall tally with entries in column 2.
2. For the definitions, refer to Teaching Personnel Data (Table 11).

Certified True and Correct by: Validated by Division HR Personnel: Validated by Planning Officer III (PRS-SGOD):
School Head ELMA M. CADAVOS
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date SONIA A. MONTALBAN / 4-30-2024
(Signature Over Printed Name) / Date
Position Title SCHOOL HEAD / 4-30-2024 Position Title :

Page 11 of 59
Table 11. TEACHING PERSONNEL (Nationally-funded), SY 2023-2024 (As of December 31, 2023)
NATIONALLY-FUNDED PERSONNEL
POSITIONS ASSIGNED IN THE SCHOOL
Teachers detailed to Teachers borrowed from other TOTAL
Number of Number of teachers actually Nationally-funded teachers
Position Title positions school(s)/ DepEd office(s) working in the school
working in the school DepEd office(s)/ TOTAL
assigned in DepEd Secondary school(s) outside TOTAL
the school Position(s)
On leave office(s) school(s) the division or
per latest TOTAL Vacant (Col.5+Col.6 +
(Col.8+Col.9 Col.7+Col.11 ) TOTAL Male Female TOTAL
within the within the other
PSI-POP Male Female division division government + Male Female
Col.10) (Col.13+Col (Col.3+Col.13) (Col.4+Col.14) (Col.16+Col
(Col.3+Col.4) agencies
.14) .17)
Col. 1 Col. 2 Col. 3 Col. 4 Col. 5 Col. 6 Col. 7 Col. 8 Col. 9 Col. 10 Col. 11 Col. 12 Col. 13 Col. 14 Col. 15 Col. 16 Col. 17 Col. 18
11.a. Teaching Positions
Master Teacher IV - - - - - - - - - - - - - - - - -
Master Teacher III - - - -
Master Teacher II - - - -
Master Teacher I - -
Teacher III 5 1 4 5
Teacher II - - -
Teacher I 3 - 3 3
SPED/SNEd Teacher V - - -
SPED/SNEd Teacher IV - - -
SPED/SNEd Teacher III - - -
SPED/SNEd Teacher II - - -
SPED/SNEd Teacher I - - -
TOTAL 8 1 7 8
11.b. Assignment (Number of teachers working in the school):
Handling Kindergarten classes 1 1
Handling Grades 1-6 1 5 6
Handling ALIVE classes - - -
Handling SNEd classes - - -
Handling ALS classes (Mobile Teacher) - 1 1
District ALS Coordinator - - -
School ALS Coordinator - - -
Handling Full Time Ancilliary Services - - -
TOTAL 1 7 8
1. Nationally-funded personnel - teaching, teaching-related and non-teaching personnel having plantilla positions, including those with provisional appointments.
2. Number of positions assigned in the school per latest PSI-POP - number of plantilla items assigned to the school.
3. Number of teachers actually working in the school - teaching, teaching-related and non-teaching personnel with plantilla positions who are actually performing their specific assignments in the school.
4. On leave personnel - personnel who are on leave for the whole school year approved by the School Division Superintendent.
5. Position(s) vacant - plantilla positions that are unfilled whether existing plantilla or newly created positions.
6. Personnel detailed to DepEd office(s) within the division - personnel assigned/designated to the district office or to the division office.
7. Personnel detailed to Secondary school(s) within the division - personnel assigned/designated to secondary schools within the division.
8. Personnel detailed to DepEd office(s)/school(s) outside the division or other government agencies - personnel assigned/designated to other DepEd office(s)/school(s) outside the division or other government agencies.
9. Personnel borrowed from other school(s)/ DepEd office(s) - personnel who are actually working in the school but whose items belong from secondary school(s) or from other DepEd office(s) like the district, division, regional, central office or from other school division(s).

Reminders: 1. In Table 11a, totals in column 12 shall tally with entries in column 2.
2. In Table 11b, if a teacher is handling two or more assignments, he/she shall be counted in his/her assignment where he/she has the most number of loads.
3. Totals in Tables 11a & 11b shall tally.
4. In Table 11a, totals in column 18 shall tally with entries in Table 12 column 7.
5. In Table 11b columns 16. 17 & 18, totals of entries in Handling Kindergarten classes, Handling Grades 1-6 and Handling SNEd classes shall tally with the entries in the Number of Teachers (counted only once) in Table 16.
6. Totals in Table 11a (columns 16. 17 & 18 - Total Nationally-funded teachers working in the school) shall be greater than or equal with entries in Table 13.
7. Totals in Tables 11a / 11b (columns 16. 17 & 18 - Total Nationally-funded teachers working in the school) shall be equal to the totals in Table 19.

Certified True and Correct by: Validated by Division HR Personnel: Validated by Planning Officer III (PRS-SGOD):
School Head : SENES MANDE B. POLONGASA
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
Position Title : TIC/T-III Position Title : (Signature Over Printed Name) / Date

Page 12 of 59
Table 12. TEACHER ASSIGNMENTS (Nationally-funded teachers working in the school), SY 2023-2024 (As of December 31, 2023)
Carries full-time class teaching load Assigned part-time to class teaching,
(360 min. or more) part-time to ancillary services Assigned full-time to TOTAL
Position Title (Col.2+Col.3+Col.4+
Not assigned to ancillary Assigned to ancillary Class teaching 200 min. per Class teaching less than 200 ancillary services Col.5+Col.6)
services services as additional load day or more min. per day
Col. 1 Col. 2 Col. 3 Col. 4 Col. 5 Col. 6 Col. 7
Master Teacher IV - - - - - -
Master Teacher III - - - - - -
Master Teacher II - - - - - -
Master Teacher I - - - - - -
Teacher III 1 5 - - - 6
Teacher II - - - - - -
Teacher I - 3 - - - 3
SPED/SNEd Teacher V - - - - - -
SPED/SNEd Teacher IV - - - - - -
SPED/SNEd Teacher III - - - - - -
SPED/SNEd Teacher II - - - - - -
SPED/SNEd Teacher I - - - - - -
TOTAL
1. Full-time Teachers – refers to teachers who carry/render full-time class teaching load of 360 minutes or more per day with or without assigned ancillary services.
2. Part-time Teachers – refers to teachers who carry/render part-time class teaching load of less than 360 minutes per day and part-time to ancillary services.
3. Ancillary services - those rendered as a guidance teacher, librarian, property custodian, office clerk, canteen manager, coordinator (ALS, Boy/Girl Scout, etc.), teacher nurse. Class advisorship is not included.
Reminder: Totals in column 7 of this table shall be equal to the totals in Table 11a (column 18 - Total Nationally-funded teachers working in the school).

Table 13. TEACHERS WHO RECEIVED TRAINING WHILE IN-SERVICE FROM JULY 2022 TO DECEMBER 2023
(Nationally-funded teachers working in the school)
Number of Teachers
Position Title
Male Female TOTAL
Master Teacher IV - - -
Master Teacher III - - -
Master Teacher II - - -
Master Teacher I - - -
Teacher III 2 4 6
Teacher II - - -
Teacher I - 3 3
SPED/SNEd Teacher V - - -
SPED/SNEd Teacher IV - - -
SPED/SNEd Teacher III - - -
SPED/SNEd Teacher II - - -
SPED/SNEd Teacher I - - -
TOTAL

Note: Number of teachers who received training relevant to the subject matter they are teaching for the past eighteen(18) months.
Reminder: Entries in this table shall be less than or equal to the totals in Table 11a (columns 16, 17 and 18 - Total Nationally-funded teachers working in the school).

Certified True and Correct by: Validated by Division HR Personnel: ` Validated by Planning Officer III (PRS-SGOD):
School Head
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date
Position Title : Position Title :

Page 13 of 59
Table 14. TEACHERS WHO RECEIVED TRAINING ON INFORMATION AND COMMUNICATIONS TECHNOLOGY (ICT)
(Nationally-funded teachers working in the school), SY 2023-2024 (As of December 31, 2023)
Number of Teachers
Training on ICT Kindergarten Grades 1 to 6 TOTAL (Kindergarten to Grade 6)
Male Female TOTAL Male Female TOTAL Male Female TOTAL
ICT Integration ₱ - 0 0 ₱ - 0 0 ₱ - 0 0
ICT Literacy/Content ₱ - 0 0 ₱ - 0 0 ₱ - 0 0
Software ₱ - 0 0 ₱ - 0 0 ₱ - 0 0
Hardware ₱ - 0 0 ₱ - 0 0 ₱ - 0 0
Others ₱ - 0 0 ₱ - 0 0 ₱ - 0 0
TOTAL ₱ - 0 0 ₱ - 0 0 ₱ - 0 0
1. ICT Integration - it is a strategy to incorporate information and communications technology into all facets of education and training,
including the administrative functions and models required to support learning.
2. ICT Literacy/Content - knowledge to use digital technology, communication tools, and/or networks appropriately to solve information
problems in order to function in an information society.
3. Software - refers to the programs and other operating information used by a computer.
4. Hardware - refers to the machines, writing, and other physical components of a computer or other electronic system.
5. Others - refers to the other training on ICT.
Reminder: If a teacher is receiving more than one training on ICT, he/she can be counted more than once.

Table 15. TEACHERS WHO RECEIVED TRAINING ON PEDAGOGY

(Nationally-funded teachers working in the school), SY 2023-2024 (As of December 31, 2023)
Number of Teachers
Training on Pedagogy Kindergarten Grades 1 to 6 TOTAL (Kindergarten to Grade 6)
Male Female TOTAL Male Female TOTAL Male Female TOTAL
Constructivist 0 0 0 0 0 0 0 0 0
Inquiry based 0 0 0 0 0 0 0 0 0
Reflective 0 0 0 0 0 0 0 0 0
Collaborative 0 0 0 0 0 0 0 0 0
Integrative 0 0 0 0 0 0 0 0 0
Inclusive Education 0 0 0 0 0 0 0 0 0
Others 0 0 0 0 0 0 0 0 0
TOTAL 0 0 0 0 0 0 0 0 0
1. Pedagogy - strategies/approaches in teaching and learning. Based on RA 10533; Rule 2, Section 10.2.
2. Constructivist teaching - based on the belief that learning occurs as learners are actively involved in a process of meaning and knowledge
construction as opposed to passively receiving information.
3. Inquiry based - is a form of active learning that starts by posing questions, problems or scenarios-rather than simply presenting established
facts or portraying a smooth path to knowledge.
4. Reflective teaching - means looking at what you do in the classroom, thinking about why you do it, and thinking about if it works - a
process of self-observation and self-evaluation.
5. Collaborative learning - is a method of teaching and learning in which learners team together to explore a significant question or create a
meaningful project.
6. Integrated approach - allows learners to explore, gather, process, refine and represent information about topics they want to investigate
without the constraints imposed by traditional subject barriers (Pigdon and Wolly, 1992).
7. Inclusive Education - embraces the philosophy of accepting all children regardless of race, size, shape, color, ability or disability with
support from school staff, learners, parents and the community (DepED Order No. 72, s. 2009).
8. Others - refers to the other training on Pedagogy.
Reminder: If a teacher is receiving more than one training on pedagogy, he/she can be counted more than once.

Certified True and Correct by: Validated by Planning Officer III (PRS-SGOD):
School Head : SENES MANDE B. POLONGASA
(Signature Over Printed Name) / Date
Position Title : TIC/T-III (Signature Over Printed Name) / Date

Validated by Chief Education Supervisor (CID): Validated by Chief Education Supervisor (SGOD):

(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date

Page 14 of 59
Table 16. NUMBER OF TEACHERS BY GRADE LEVEL AND SEX, COUNTED ONLY ONCE Table 17. NUMBER OF TEACHERS BY GRADE LEVEL AND SEX, COUNTED MORE THAN ONCE
(Nationally-funded teachers working in the school), SY 2023-2024 (As of December 31, 2023) (Nationally-funded teachers working in the school), SY 2023-2024 (As of December 31, 2023)
Number of Teachers (counted only once) Number of Teachers (counted more than once)
Grade Level Grade Level
Male Female TOTAL Male Female TOTAL
Kindergarten 1 1 Kindergarten 1 1
Grade 1 1 1 Grade 1 1 1
Grade 2 1 1 Grade 2 1 1
Grade 3 1 1 Grade 3 1 1
Grade 4 1 1 Grade 4 1 1
Grade 5 1 1 Grade 5 1 1
Grade 6 1 1 Grade 6 1 1
SNEd SNEd
TOTAL 7 TOTAL 7 7
Reminders: Reminders:
1. If a teacher is teaching more than one grade, he/she shall be counted to the grade level 1. A teacher shall be counted in all the grade levels that he/she is handling.
where he/she teaches the most number of hours. A teacher that handles one grade level shall also be counted in the grade level where
However, if he/she teaches an equal number of hours per grade level, he/she shall be he/she is assigned.
counted to the highest grade level assignment. 2. Entries in this table shall be greater than or equal to the entries in Table 16.
2. Entries in the Number of teachers (counted only once) shall tally with the totals of
entries in Handling Kindergarten classes, Handling Grades 1-6 and Handling SNEd
classes in Table 11b columns 16, 17 & 18.
3. Entries in this table shall be less than or equal to the entries in Table 17.

Table 18. NUMBER OF TEACHERS BY TEACHING ASSIGNMENT IN GRADES 4 TO 6 BY SEX (Nationally-funded teachers only), SY 2023-2024 (As of December 31, 2023)
Grade 4 Grade 5 Grade 6
Learning Areas
Male Female TOTAL Male Female TOTAL Male Female TOTAL
English 1 0 1 0 1 1 0 1 1
Mathematics 1 0 1 0 1 1 0 1 1
Filipino 1 0 1 0 1 1 0 1 1
Science 1 0 1 0 1 1 0 1 1
Araling Panlipunan (AP) 1 0 1 0 1 1 0 1 1
Edukasyong Pantahanan at Pangkabuhayan (EPP)/
1 0 1 0 1 1 0 1 1
Technology and Livelihood Education (TLE)
Music, Art, Physical Education, Health (MAPEH) 1 0 1 0 1 1 0 1 1
Edukasyon sa Pagpapakatao (EsP) 1 0 1 0 1 1 0 1 1

Reminder: A teacher who is teaching more than one learning area or grade level can be counted more than once.

Certified True and Correct by: Validated by Division HR Personnel: Validated by Planning Officer III (PRS-SGOD):
School Head :
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date
Position Title : Position Title :
Page 15 of 59
Table 19. NUMBER OF TEACHERS BY HIGHEST EDUCATIONAL ATTAINMENT

(Nationally-funded teachers working in the school), SY 2023-2024 (As of December 31, 2023)
Number of Teachers
Highest Educational Attainment
Male Female TOTAL
Bachelor Degree 0 0 0 Validated by Division HR Personnel:
Master Degree Units 1 7 8
Master Degree 1 0 1
Doctorate Degree Units 0 0 0 (Signature Over Printed Name) / Date

Doctorate Degree 0 0 0 Position Title :

TOTAL
Note: A teacher shall be counted based on his/her highest level of educational attainment regardless if it is
related to his/her specialization/subject or not (i.e., Master of Public Administration [MPA], Master in
Business Administration [MBA], etc.).

Reminder: Totals in this table shall be equal to the totals in Table 11a / 11b (columns 16, 17 and 18 - Total
Nationally-funded teachers working in the school).

Box 2. LEARNING ACTION CELL (LAC) SESSIONS, SY 2023-2024 (As of December 31, 2023)
(Check/Provide appropriate answers)
Validated by Curriculum Implementation Division (CID) Personnel:
1. Do you conduct LAC Session/s in your school?  Yes  No
If Yes, indicate the number of LAC Session/s conducted:
1.a. Conducted last SY 2022-2023 10 (Signature Over Printed Name) / Date

1.b. Planned to be conducted this SY 2023-2024 10 Position Title :

Box 3. ACTION RESEARCH, SY 2023-2024 (As of December 31, 2023)

(Check/Provide appropriate answers)

1. Do you conduct Action Research in your school?  Yes  No Validated by Senior Education Program Specialist (PRS-SGOD):
If Yes, indicate the number of Action Research conducted:
1.a. Completed last SY 2022-2023 0
1.b. On-going 0 (Signature Over Printed Name) / Date

1.c. To be conducted 0

Certified True and Correct by: Validated by Planning Officer III (PRS-SGOD):
School Head :
(Signature Over Printed Name) / Date
Position Title : (Signature Over Printed Name) / Date

Page 16 of 59
Box 4. LEARNER GOVERNMENT PROGRAM (LGP), SY 2023-2024 (As of December 31, 2023)
(Check/Provide appropriate answers)

1. Do you have a Supreme Elementary Learner Government (SELG) in your school? / Yes  No
1.a. If yes, did the school conduct an SELG election? / Yes  No
2. Did the school establish Commission on Election and Appointment (COMEA)? / Yes  No
3. Based on the records of the last or previous SELG election, how many learners participated and cast their votes
Grade Level Male Female TOTAL
Grade 2 0 0 0
Grade 3 11 9 20
Grade 4 14 12 26
Grade 5 14 12 26
TOTAL 39 46 85
4. Do you have a designated SELG teacher-adviser in the current school year? / Yes  No
4.a. What is the position of the deisgnated SELG Teacher-Adviser?
/ Teacher I  Master Teacher II
 Teacher II  Master Teacher III
 Teacher III  Master Teacher IV
 Master Teacher I  Others, (specify)
4.b. If yes, how long has the teacher-adviser been in charge of the SELG on consecutive basis?
/ 0-3 years  4-6 years  7-9 years  10 years and above
4.c. Is the teaching load of the SELG teacher-adviser reduced?  Yes / No
4.d. Does your SELG teacher-adviser attend DepEd initiated training for the SELG-related program?  Yes / No
 Yes
4.e. Does the SDO grant Service Credit (SC) for activities conducted/attended by SELG teacher-advisers
during weekend / holiday? / No
4.f. Does the Teacher-Adviser have any other responsibilities in the school other than being the SELG Teacher-Adviser? / Yes  No
5. Does the SELG able to perform their function as part of the Child Protection Committee (CPC)? / Yes  No
6. Does the SELG Officer able to serve as a learner representative in the School Governing Council? / Yes  No
7. Did the school allocate a budget for SELG-initiated activities as part of the School Implementation Plan (SIP)/
Annual Implementation Plan (AIP)?  Yes / No
7.a. If yes, what percentage (%) of the MOOE is alloted to SELG?
 Less than 1%  1-2%  3-5%  More than 5%
8. Is there a dedicated room for the SELG to utilize?  Yes / No
9. Does the SELG conduct learner-initiated activities? / Yes  No
Conducted Activities, Fund Utilization, and Fund Source
Number of Fund Source (Check all applicable)
Related Programs, Projects, and Activities Total Amount
Activities Private Other Gov't
(Advocacy, Training, Orientation, IEC materials, etc.) Utilized MOOE LGUs/SEF PTA
Conducted Donation Agencies
Childs Right and Protection    
    
Comprehensive Sexual Education (CSE)
- Adolescent Reproductive Health
Mental Health     
Drug, Tobacco and Alcohol Prevention     
Inclusivity (LGBTQ, IP, LWD, Muslim, etc.)     
Climate Change, Environment, Agriculture     
Entrepreneurship     
Future Readiness     
Culture, Arts, and Peace     
Others     
10. Has the Division Youth Formation Coordinator (YFC) visited the school to monitor the implementation of SELG?  Yes / No

Certified True and Correct by : Validated by Division Youth Formation Coordinator: Validated by Planning Officer III (PRS-SGOD):
School Head :
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
Position Title : Position Title :

Page 17 of 59
Box 5. CAREER GUIDANCE PROGRAM, SY 2023-2024 (As of December 31, 2023)
(Check/provide appropriate answers)
1. Is there a Guidance Counselor assigned in your school? Yes / No
1.a. If yes, how many Guidance Counselor/s is assigned in your school?
1.b. Does the guidance counselor also serve as a Career Guidance Advocate?  Yes  No
1.c. Does your Guidance Counselor/s attend DepEd-initiated training for Career Guidance-related programs?  Yes  No
2. Do you have a designated Career Guidance Advocate? / Yes  No
2.a. If Yes, how many designated Career Guidance Advocates does your school have?
Personnel Male Female TOTAL
Teaching 0 1 1
Teaching-Related 0 0 0
Non-Teaching 0 0 0
TOTAL 0 1 1

2.b. Does your Career Guidance Advocate/s attend DepEd initiated training for Career Guidance-related programs?  Yes / No
3. Do you have a designated Career Guidance Office?  Yes / No
4. Does your school conduct Career Guidance-related activities?  Yes / No
4.a. If yes, how many career guidance-related activities your school conducted?
4.b. What was the total amount utilized for the conducted Career Guidance-related activities?
4.c. What grade level/s participated in the Career Guidance-related activities? (Check all applicable)
 Kindergarten  Grade 2  Grade 4  Grade 6
 Grade 1  Grade 3  Grade 5  SNEd
4.d What are the funding source/s for Career Guidance-related activities? (Check all applicable)
 MOOE  PTA fund  Other Gov't Agencies
 LGU fund  Private Individual / Sector
5. Are there learners who consulted regarding career-related concerns?  Yes / No
5.a. If yes, how many learners have asked for consultation on Career-related concerns?
Grade Level Male Female TOTAL
Kindergarten 0 0 0
Grade 1 0 0 0
Grade 2 0 0 0
Grade 3 0 0 0
Grade 4 0 0 0
Grade 5 0 0 0
Grade 6 0 0 0
SNEd
TOTAL 0 0

Certified True and Correct by : Validated by Division Youth Formation Coordinator: Validated by Planning Officer III (PRS-SGOD):
School Head :
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
Position Title : Position Title :
Page 18 of 59
Box 6. SCHOOL CLUBS AND ORGANIZATIONS, SY 2023-2024 (As of December 31, 2023)
(Provide/Check appropriate answers)
1. How many learners have joined the clubs and organizations?
Grade Level Male Female TOTAL
Kindergarten 0 0 0
Grade 1 0 0 0 ``
Grade 2 0 0 0 ``
Grade 3 0 0 0
Grade 4 14 12 26
Grade 5 10 7 17
Grade 6 9 8 17
SNEd
TOTAL 33 27 60
2. What are the existing co-curricular school clubs and organizations in your school related to the following subject areas? (Check all applicable)
 Araling Panlipunan (AP) / Science
/ English  Music
 Edukasyong Pantahanan at Pangkabuhayan (EPP)  Arts
 Edukasyon sa Pagpapakatao (EsP) / Sports/Physical Education
 Filipino  Others, (specify) ______________
/ Mathematics
3. What are other existing school clubs and organizations in your school? (Check all applicable)
 Barkada Kontra Droga (BKD) / Journalism
 Batang Emergency Response Team (BERT) / Project W.A.T.C.H
 Boy Scout of the Philippines (BSP)  Red Cross Youth Council (RCYC)
 Drums and Lyres / Youth for Environment in Schools Organization (YES-O)
 Girl Scout of the Philippines (GSP)  Others, (specify) ______________

Box 7. YOUTH FOR ENVIRONMENT IN SCHOOLS ORGANIZATION (YES-O) PROGRAM, SY 2023-2024 (As of December 31, 2023)
(Check/Provide appropriate answers)

1. Does the school establish the Youth for Environment in Schools Organization (YES-O)? / Yes  No
2. How many learners does the YES-O have?
Number of Learners
Grade Level
Male Female TOTAL
Kindergarten 0 0 0
Grade 1 0 0 0
Grade 2 0 0 0
Grade 3 10 7 17
Grade 4 14 12 26
Grade 5 10 7 17
Grade 6 9 8 17
SNEd
TOTAL
3. Answer the following questions regarding teacher-advisers.
Does the school have a What is the length of tenure Was the Teacher- Does SDO grant Service Credit
Organization designated Teacher- of the Teacher-Adviser on a Adviser reduced a for TA who attend activities
Adviser? consecutive basis? teaching load? during weekends or holidays?

/ 0-3 yrs.  4-6 yrs.

YES-O / Yes  No
 7-9 yrs.  10 yrs. above 
Yes / No  Yes / No

4. Does the school have a dedicated room for YES-O?  Yes / No

5. Does the YES-O conduct learner-initiated activities? / Yes  No
Conducted Activities, Fund Utilization, and Fund Source
Number of Fund Source (Check all applicable)
YES-O Related Programs, Total Amount Other
Activities LGUs/ Private
Projects, and Activities Utilized MOOE PTA Gov't
Conducted SEF Donation
Agencies
Seedbank and Nursery Establishment 0 0     
   
Planting, Growing and Caring for
Trees/Mangroves
1 0 /
    
Environmental Information Education
0 0
Advocacy (E-IEA)
Conservation of Resources 0 0     
Clean Up Drives 1 0   /  
Ecological Solid Waste Management 1 0   /  
Outreach Programs 0 0     
Promotion of Local Ecotourism Sites 0 0     
Environmental Camps 0 0     
6. Has the Division Youth Formation Coordinator (YFC) visited the school to monitor the implementation of YES-O?  Yes / No

Certified True and Correct by : Validated by Division Youth Formation Coordinator: Validated by Planning Officer III (PRS-SGOD):
School Head :
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
Position Title : Position Title :

Page 19 of 59
Table 20. NUMBER OF FUNCTIONAL COMPUTERS IN THE SCHOOL BY FUNDING SOURCE, SY 2023-2024 (As of December 31, 2023)
(Provide appropriate answers)
NUMBER OF FUNCTIONAL COMPUTERS BY FUNDING SOURCE

Types of Computer Other

DepEd DepEd
LGU/SEF PTA Private Donations Government Others TOTAL
DCP non-DCP
Agencies
Academic Use
Desktop 0 0 0 0 0 0 0 0
Laptop 4 0 0 0 0 0 0 4
All-in-One 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Tablet PC 0 0 0 0 0 0 0 0
Virtual Terminal (Thin Client) 0 0 0 0 0 0 0 0
Administrative Use
Desktop 0 0 0 0 0 0 0 0
Laptop 1 0 0 0 0 0 0 1
All-in-One 0 0 0 0 0 0 0 0
Tablet 0 0 0 0 0 0 0 0
Tablet PC 0 0 0 0 0 0 0 0
TOTAL 1 0 0 0 0 0 0 0

1. Indicate the number of functional computers according to the following funding sources:
a. DepEd DCP - computers procured through the DepEd Computerization Program.
b. DepEd non-DCP - computers procured through other DepEd downloaded funds.
c. LGU/SEF - computers procured from the Special Education Fund (SEF) and the budgets of Local Government Units (LGU): provincial, municipal or barangay units.
d. PTA - computers funded from the Parents-Teachers Association (PTA).
e. Private Donations - computers donated/procured by private individuals, corporations, alumni associations, non-government organizations, philanthropic organizations or through foreign-assisted funds.
f. Other Government Agencies - computers funded from other government agencies such as DTI, DOST, CICT, etc.
g. Others - computers procured from other sources not listed above.
2. Computer - refers to electronic devices for storing and processing data such as :
a. Desktop - refers to a computer that is designed to be used on a table.
b. Laptop - refers to a compact and portable personal computer featuring a hinged display and an integrated keyboard, designed for mobile use with the convenience of battery-powered operation.
Notebook also fall into this category.
c. All-in-One - refers to a type of computer that integrates all the components of a traditional desktop computer into a single unit, including the monitor, central processing unit (CPU), speakers,
and often a webcam and microphone.
d. Tablet - refers to a portable computer that has a touchscreen feature as the primary means of input.
e. Tablet PC - features a touchscreen display that can be used with a stylus or finger, and can be converted into a laptop-like configuration by attaching a keyboard or a keyboard dock.
f. Virtual Terminal (Thin Client) - refers to a computer terminal consisting of monitor, keyboard and mouse connected to a terminal device that connects to a computer host.
(Reminder: Do not count the computer host.)
3. Computer for Academic Use - refers to computer units utilized in the classroom/laboratory as an aid to instruction.
4. Computer for Administrative Use - refers to computer units used for encoding administrative data of the school (e.g., enroIlment, attendance, disbursements, financial statements, and other reports).

Certified True and Correct by: Validated by Information Technology Officer: Validated by Planning Officer III (PRS-SGOD):
School Head :
(Signature Over Printed Name) / Date
Position Title : (Signature Over Printed Name) / Date (Signature Over Printed Name) / Date

Page 20 of 59
Table 21. NUMBER OF FUNCTIONAL ICT EQUIPMENT IN THE SCHOOL BY FUNDING SOURCE,SY 2023-2024 (As of December 31, 2023)
(Provide appropriate answers)
NUMBER OF FUNCTIONAL ICT EQUIPMENT BY FUNDING SOURCE

Types of ICT Equipment Other

DepEd DepEd
LGU/SEF PTA Private Donations Government Others TOTAL
DCP non-DCP
Agencies
Academic Use
LED TV 0 0 0 0 0 0 0 0
SMART TV 1 0 0 0 0 0 0 1
Network Switch 0 0 0 0 0 0 0 0
Printer 0 4 0 0 0 0 0 4
Projector 0 0 0 0 0 0 0 0
External Hard Drive 0 0 0 0 0 0 0 0
UPS 0 0 0 0 0 0 0 0
Wireless Router 0 0 0 0 0 0 0 0
Lapel 0 0 0 0 0 0 0 0
Administrative Use
LED TV
SMART TV
Network Switch
Printer
Projector
External Hard Drive
UPS
Wireless Router
TOTAL

ICT Equipment - refers to electronic devices such as hardware and software that are intended to perform information processing and communication functions.
1. LED TV - refers to a type of television that uses Light Emitting Diodes (LEDs) to illuminate the display.
2. SMART TV - refers to a television set that has integrated internet connectivity and built-in software or applications, enabling it to access online content and interactive services.
3. Network Switch - refers to a device used to network multiple computers together.
4. Printer - refers to a machine for printing text or illustrations on paper.
5. Projector- refers to a machine that projects images onto a screen or a wall.
6. External HardDrive- portable storage device that is connected to a computer or other digital devices via an external interface, typically USB, Thunderbolt, eSATA, or other connection methods.
7. Uninterruptible Power Source (UPS) - refers to an electronic equipment that provides battery backup when the electrical power source fails.
8. Wireless Router - refers to electronic device that works as router and as a wireless access point, to provide access to the internet or a private computer network.
9. Lapel - refers to an electronic device used to amplify voice.

Certified True and Correct by: Validated by Information Technology Officer: Validated by Planning Officer III (PRS-SGOD):
School Head
(Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
Position Title
Page 21 of 59
Box 8. NUMBER OF E-CART COMPONENTS IN THE SCHOOL BY FUNDING SOURCE, SY 2023-2024 (As of December 31, 2023)
(Provide appropriate answers)

A. DCP (DepEd Computerization Program) B. Local Government Unit (LGU) & Private Donations
Number of E-Cart Components Number of Functional E-Cart Components
Types of E-Cart Components Types of E-Cart Components
Local Government
Functional Non-Functional Private Donations
Unit (LGU)
BATCH 41 Host Mini PC
Host Mini PC 2in1 Tablet PC
2in1 Tablet PC Laptop
Laptop Charging Carts
Charging Carts LED TV
LED TV Printer
Printer Wireless Router
Wireless Router Smart TV
BATCH 44 External HDD
2in1 Tablet PC Others
Charging Carts TOTAL
Wireless Router
2018-01
2in1 Tablet PC
Laptop
Wireless Router
Charging Carts
2019-01
2in1 Tablet PC
Laptop
LED TV
Wireless Router
Charging Carts
Printer
2022-01
Laptop
Smart TV
Charging Carts
Wireless Router
External HDD
TOTAL

E-Cart Package - refers to a set of mobile educational resources. These packages might include a combination of electronic devices (such as laptops or tablets), charging cart, Smart TV and other possible
educational technology tools. These packages are designed to enhance digital learning, facilitate technology-enabled teaching, or support various educational initiatives."
1. Host Mini PC - refers to a compact computing device designed to serve as a central hub or controller in a network or system, offering computing power in a small form factor
suitable for various applications.
2. 2in1 Tablet PC - refers to a versatile computing device that combines the features of a tablet and a laptop, featuring a detachable or convertible design that allows users to switch
between tablet and laptop modes, providing flexibility in functionality and usage.
3. Laptop - refers to a personal computer designed for mobile use, typically featuring a hinged display screen attached to a keyboard.
4. Charging Carts - refers to a mobile storage units equipped with multiple charging ports designed to securely store and recharge electronic devices.
5. LED TV- refers to a television display technology that uses light-emitting diodes (LEDs) to illuminate the screen.
6. Printer- refers to a peripheral device that produces hard copies of digital documents or images by transferring ink or toner onto paper .
7. Wireless Router - refers to a network device that enables the creation of a local area network (LAN) by connecting to a modem.
8. Smart TV - refers to a television set integrated with internet connectivity and interactive features.
9. External HDD - refers to a portable storage device connected to a computer through a USB or other external interface.

Reminder: Count the "Host Laptop" as Laptop for DCP Package.

Certified True and Correct by: Validated by Information Technology Officer: Validated by Planning Officer III (PRS-SGOD):
School Head :
(Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
Position Title :

Page 22 of 59
Box 9. INTERNET CONNECTIVITY, SY 2023-2024 (As of December 31, 2023)
(Check/Provide appropriate answers)

1. Are there internet service providers in the area?  Yes  No

If Yes, check the appropriate internet service provider/s servicing the area:
 GLOBE  SKYCABLE  EASTERN COMMUNICATIONS
 SMART  CONVERGE  DITO TELECOMMUNITY
 PLDT  STARLINK  Others, (specify)
2. Does the school subscribe to any internet service provider/s?  Yes  No
If Yes, tick the purpose:
 For administrative use  For classroom instruction use  For both administrative and classroom instruction use

If No, what keeps the school from subscribing to internet services? (Kindly provide a short answer).
3. What is the coverage area of your internet subscription? (Check all applicable)
 School-wide  Elementary School Area  ICT Room/Laboratory
 Faculty area  Junior High School (JHS) Area  Library
 Principal's office  Senior High School (SHS) Area  Other area/s, (specify)
4. How many rooms were utilizing the school internet service:
a. For administrative use b. For classroom instruction use
5. Are you a recipient of DICT Free Wifi?  Yes  No

1. Internet Service Provider (ISP) - refers to an organization that provides a myriad of services for accessing, using, or participating in the internet.
2. Coverage Area:
a. School-wide - refers to the entirety of a school's physical space, encompassing all its buildings, facilities, and outdoor grounds.
b. Faculty Area - refers to a specific section within a school where teaching staff, including teachers and educators, gather for academic and professional purposes.
c. Principal's office - refers to the official workspace of the school's principal or head administrator.
d. Elementary Schools Area - refers to the designated section of the school where students in elementary grades congregate for classes, activities, and social interaction.
e. Junior High Schools (JHS) Area - refers to the designated section of the school where students in Junior High Schools (JHS) congregate for classes, activities, and social interaction.
f. Senior High School (SHS) Area - refers to the designated section of the school where students in Senior High School (SHS) congregate for classes, activities, and social interaction.
g. ICT Room/Laboratory - refers to the space that serves as an environment for learning and teaching related to information technology and digital skills.
h. Library - refers to the place where a collection of organized information resources, including books, digital media, periodicals, and more, made available for research, learning, reference,
and leisure reading.

Certified True and Correct by: Validated by Information Technology Officer: Validated by Planning Officer III (PRS-SGOD):
School Head :
(Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
Position Title :

Page 23 of 59
Table 22. INTERNET CONNECTIVITY BY PROVIDER, SY 2023-2024 (As of December 31, 2023)
(Provide appropriate answers)
Funding Source
Purpose Average Monthly Expense
Types of Internet Quality / (DepEd DICP, MOOE, School Funds, LGU/SEF, PTA, Private Donations, Other Government Agencies, Others)

(For administrative use, Speed Test (in PhP)

Internet Service Connection Realibity
For classroom instruction use,
Provider (Satellite, DSL, Fiber,
For both administrative & classroom instruction use)
Date Tested Time Tested Ping Download Upload (Strong, Stable,
Point-to-point, (mm/dd/yyyy) (HH:MM:SS (ms) (Mbps) (Mbps) Weak,
Wireless Broadband, 24 hrs. format)
e.g. 1:20 AM = 1:20:00 Intermittent,
(Select from the available ISPs Mobile Data, Cable) Poor)
1:20 PM = 13:20:00)
in Box 9)

1. Types of Internet Connection:

a. Satellite - refers to a broadband connection that uses communication satellites in orbit to transmit data between a user's satellite dish and an internet service provider (ISP).
b. DSL - refers to the type of internet connection that uses existing telephone lines to transmit digital data.
c. Fiber - refers to the high-speed broadband internet connection that utilizes thin strands of glass or plastic fibers to transmit data as pulses of light.
d. Point-to-Point - refers to the internet connection that involves a dedicated link between two locations, often using wireless or wired connections.
e. Wireless Broadband - refers to the internet access delivered wirelessly, typically using radio signals or microwave technology.
f. Mobile Data - refers to the internet access provided through cellular networks.
g. Cable - refers to the internet connection that utilizes the same coaxial cable infrastructure as cable television to provide internet access.
2. Purpose - refers to the purpose of internet connectiion if for administrative use, for classroom instruction use or for both administrative & classroom instruction use.
3. Types of Quality / Reliability:
a. Strong - refers to a connection that is robust, has a high data throughput, and is unlikely to experience disruptions or drops in speed.
b. Stable - suggests that the signal maintains a steady and predictable performance without significant fluctuations or interruptions.
c. Weak - the connection is not very robust, may have low data throughput, and is more susceptible to disruptions or fluctuations in speed.
d. Intermittent - the signal may be unreliable, with interruptions or gaps in connectivity.
e. Poor - the connection is significantly below acceptable standards, often resulting in slow speeds, frequent disruptions, and a generally unreliable performance.
4. Average Monthly Expense - refers to the average cost spent in Philippine Peso for the internet connection by type, ISP and funding source.
5. Funding Source - refers to the financial resource of the government or other entity set aside for specific purposes to finance specific programs and projects.

Note: This table shall be filled out if the school subscribe to any internet service provider or if the answer is "YES" in Box 9 Item number 2.

Certified True and Correct by: Validated by Information Technology Officer: Validated by Planning Officer III (PRS-SGOD):
School Head :
(Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
Position Title :

Page 24 of 59
Table 23. CELLULAR COMMUNICATION, SY 2023-2024 (As of December 31, 2023)
(Check/Provide appropriate answers)
Cellular Service Provider Signal Capacity Types of Cellular Wireless Average Monthly Expense Funding Source
(SMART, GLOBE, TALK n TEXT, (Check all applicable) Technology (in PhP) (DepEd DICP, MOOE, School Funds,
SUN, DITO, RED MOBILE, LGU/SEF, PTA, Private Donations,
TOUCH MOBILE, Others) (2G/3G/LTE/5G) Other Government Agencies, Others)

 Text/SMS  Video Call

 Call  No Signal at all
 Send/View Images
 Text/SMS  Video Call
 Call  No Signal at all
 Send/View Images
 Text/SMS  Video Call
 Call  No Signal at all
 Send/View Images
 Text/SMS  Video Call
 Call  No Signal at all
 Send/View Images
 Text/SMS  Video Call
 Call  No Signal at all
 Send/View Images
1. Cellular Service Provider - refers to an authorized telecommunication company to provide cellular , mobile, and telephone service in a specified service area.
a. SMART d. SUN g. TOUCH MOBILE
b. GLOBE e. DITO f. Others
c. TALK n TEXT f. RED MOBILE
2. Signal Capacity - refers to the ability of the cellular's signal to perform activities.
a. Text/ SMS - refers to the ability to receive and send text or Small Message Service (SMS).
b. Call - refers to the ability to complete a call without signal drop.
c. Send / View images - refers to the ability to receive and send images without image corruption.
d. Video Call - refers to the ability to initiate and receive video call without interruption.
e. No Signal at all - refers to the cellular's reception/signal with no ability to perform all the above-mentioned activities.
3. Types of Cellular Wireless Technology - refers to the type/level of wireless mobile telecommunications technology available.
a. 2G (Second Generation) - refers to a cellular wireless technology that offers a theoretical maximum transfer speed of 40 kbit/s (5 KB/s) .
b. 3G (Third Generation) - refers to a cellular wireless technology that offers a speed of at least 7.2 Mbps.
c. LTE (Long Term Evolution) - refers to a mobile wireless technology that offers a speed of 50 Mbps to 100 Mbps.
d. 5G (FifthGeneration) - refers to a cellular wireless technology that offers a speed of around 1 Gbps to 20 Gbps.
4. Average Monthly Expense - refers to the average cost spent in Philippine Peso for the cellular communication by type of cellular wireless technology, cellular service provider and funding source.
5. Funding Source - refers to the identified source of financial support/fund type.

Note: This table shall be filled out if the school subscribe to any cellular service provider.

Certified True and Correct by: Validated by Information Technology Officer: Validated by Planning Officer III (PRS-SGOD):

School Head :
(Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
Position Title :

Page 25 of 59
Table 24. AVAILABILITY OF PRINTER / PHOTOCOPIER, SY 2023-2024 (As of December 31, 2023)
(Provide appropriate answers)
Types of Printer / Photocopier Brand / Model Average Monthly Expense Funding Source Purpose
(Inkjet Printer, Laser Printer, (in PhP) (DepEd DICP, MOOE, School Funds, (For administrative use,
LED Printer, Multifunction Printer, LGU/SEF, PTA, Private Donations, For classroom instruction use,
Solid Ink Printer, Photocopier, Others) Other Government Agencies, Others) For both administrative & classroom
instruction use)

1. Types of Printer / Photocopier:

a. Inkjet Printer - refers to a printer that uses ink to print documents.
b. Laser Printer - refers to a printer that uses laser to print documents.
c. LED Printer - refers to a printer that uses light-emitting diode (LED) to print documents.
d. Multifunction Printer - refers to a machine that has a scanner, photocopier, printer, and fax machine all rolled into one unit.
e. Solid Ink Printer - refers to a technology using a unique type of tinting, which is previously melted into a fluid.
f. Photocopier - refers to a machine that makes copies of documents and other visual images.
g. Others - refers to a printer/photocopier that are not mentioned above.
2. Brand/Model - refers to the product manufactured by a particular company under a particular name.
3. Average Monthly Expense - refers to the average cost spent in Philippine Peso for the printer/photocopier use by type, brand/model, funding source and purpose.
4. Funding Source - refers to the identified source of financial support/fund type.
5. Purpose - refers to the purpose of printer/photocopier if for administrative use, for classroom instruction use or for both administrative & classroom instruction use.

Certified True and Correct by: Validated by Information Technology Officer: Validated by Planning Officer III (PRS-SGOD):
School Head :
(Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
Position Title :

Page 26 of 59
Table 25. BROADCASTING STATION, SY 2023-2024 (As of December 31, 2023)
(Provide appropriate answers)
Types of Date of
Status of
Broadcasting Name of Station Frequency Owner Broadcasting Contact Details of Partner/s
Partnership
Station Permit to Operate Started
(Local TV, CATV, DTT, (e.g. 594 kHz/ (Yes or No) (w/ signed MOA, (mm/dd/yyyy)
AM/FM Radio Station) 97.1 MHz) Ongoing, for MOA Telephone / Cellphone
Address E-mail Address
signing) Number

1. Types of Broadcasting Station - refers to the transmission of audio (sound)/video intended to reach a wide audience.
a. Local TV - refers to the local content or local television.
b. Community Antenna Television (CATV) - refers to the use a “community antenna” to receive broadcast signals to retransmit via cables to homes and establishments in the local area subscribing to the service.
c. Digital Terrestrial Television (DTT) - refers to the television stations broadcast in digital format.
d. AM Radio Station - refers to the radio broadcasting using Amplitude Modulation (AM).
e. FM Radio Station - refers to the radio broadcasting using Frequency Modulation (FM).
2. Name of Station - refers to the name of the broadcasting station.
3. Frequency - refers to the band at which wireless telecommunications signals are being transmitted and broadcast. This ranges from 3 kHz to 300 GHz.
4. Owner - refers to the full name of the owner.
5. Permit to Operate - verifies whether the broadcasting station is licensed / has a permit to operate.
6. Status of Partnership - refers to the MOA status of the partnership.
7. Date of Broadcasting Started - refers to the date when a contract begins.
8. Contact Details of Partner/s - refers to the telephone/cellphone number, address, and e-mail address to reach out the said partner.

Note: This table shall be filled out if the school implements broadcasting station and partnered to any broadcasting service provider.

Certified True and Correct by: Validated by Information Technology Officer: Validated by Planning Officer III (PRS-SGOD):
School Head :
(Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
Position Title :

Page 27 of 59
Table 26. SCHOOL TWO-WAY RADIO, SY 2023-2024 (As of December 31, 2023)
(Provide appropriate answers)
Types of Two-way Radio Purpose Frequency Number of Units Funding Source
(UHF Two-Way Radio, (For administrative use,
VHF Two-Way Radio) For classroom instruction use,
For both administrative & classroom (DepEd Fund, School Funds, LGU/SEF, PTA, Private Donations, Other Government Agencies, Others)

instruction use)

1. Types of Radio
a. UHF - refers to the Two-Way Radio that uses Ultra High Frequency (UHF).
b. VHF - refers to the Two-Way Radio that uses Very High Frequency (VHF).
2. Purpose - refers to the purpose of the school radio if for administrative use, for classroom instruction use or for both administrative & classroom instruction use.
3. Frequency - refers to the band at which wireless telecommunications signals are being transmitted and broadcast. This ranges from 3 kHz to 300 GHz.
4. Number of Units - refers to the number of possessed units.
5. Funding Source - refers to the financial resource of the government or other entity set aside for specific purposes to finance specific programs and projects.

Note: This table shall be filled out if the school implements radio-based instruction.

Certified True and Correct by: Validated by Information Technology Officer: Validated by Planning Officer III (PRS-SGOD):
School Head :
(Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
Position Title :

Page 28 of 59
Table 27. MOOE ALLOCATION, UTILIZATION AND LIQUIDATION Box 10. AVAILABILITY OF ELECTRICAL SUPPLY, SY 2023-2024 (As of December 31, 2023)
FROM JANUARY 2022 TO DECEMBER 2022 (Check/Provide appropriate answers)
MOOE Amount in PhP 1. Electrical Supply Sources:
Allocation  Grid Supply
Utilization  Off Grid Supply
Liquidation  Solar Power
 Generator
1. Maintenance and Other Operating Expenses (MOOE) - is the
 Others, (specify)
 No source of electricity
allocated funds for public elementary and secondary schools that can
be spent on activities and necessities (i.e. electricity and water) that
support learning programs and help maintain a safe and healthy
environment in schools. 2. Average Cost of Monthly Bills/Maintenance: (Indicate the amount in PhP)

 School MOOE  School Canteen Fund

3. What is the funding source?
2. MOOE Allocation - refers to the MOOE provided for the previous fiscal year.
 LGU  Private Individual/Sector
3. MOOE Utilization - refers to the amount of MOOE utilized from  PTA  Others, (specify)
the MOOE allocation of the previous fiscal year.
4. Number of hours that the electricity is usually available in a day:
4. MOOE Liquidation - refers to the amount of MOOE liquidated from the
MOOE utilized from the MOOE allocation of the previous fiscal year. 1. Grid Supply - electricity coming from major or local power distributors (e.g., electric cooperatives such as ANTECO,
BASELCO, CASURECO, MERALCO, NAPOCOR, etc.).
2. Off Grid Supply - electricity coming from alternative source of power (e.g., solar power, generator, hydro electric,
micro hydro, wind turbine, windmill, etc.).

3. No source of electricity - without existing electrical supply at all.

Validated by Division Accountant: Validated by Phy. Facilities Coordinator/Div. Engineer:

(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date

Position Title : Position Title :

Certified True and Correct by: Validated by Planning Officer III (PRS-SGOD):
School Head :
(Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date
Position Title :

Page 29 of 59
Box 11. SCHOOL SITE, SY 2023-2024 (As of December 31, 2023)
(Check/Provide appropriate answers)
1. School Site Ownership and / or Proof of Occupancy
2. Total Land Area (in square meters): 4. Within Ancestral Domain :
a. Ownership in the name of: With Usufruct Agreement?


DepEd

Other Government Agency 3. Mode of Acquisition of School Site:  Yes  No
 
LGU Private Entity / Individual/s Year With Certificate of Ancestral Domain Title (CADT)?
Mode
b. With Document?  Yes  No Acquired  Yes  No
If Yes, what Document Type:  Donation
 Original Certificate of Title (OCT)  Purchase 5. Within Ancestral Land :

 Transfer Certificate of Title (TCT)  Usufruct Agreement With Usufruct Agreement?

 Certificate of Land Ownership Award (CLOA)  Expropriation  Yes  No

 Special Patent  Deed of Exchange (Land Swapping) With Certificate of Ancestral Land Title (CALT)?

 Presidential Proclamation  Presidential Proclamation  Yes  No

 Tax Declaration  Special Patent
 Deed of Absolute Sale  (CLOA)
Certificate of Land Ownership Award 6. Legal Ownership Issues :

 Deed of Donation  With Adverse Claim

 Certificate of Stewardship  Special Land Use Permit (SLUP)  Encroachment
 Special Land Use Permit (SLUP)  Others, (specify)  With Informal Settlers
 Contract of Usufruct  Others, (specify)
 Memorandum of Agreement or Understanding
 Lease Agreement 7. School Site within :
 Special Forest Landuse Agreement (FLAg)  Protected Areas
 Gratuitous Special Use Permit (GSUP)  Areas classified as Timberland and Forestland
 Others, (specify)

1. School Site Ownership and / or Proof of Occupancy - refers to any legal and official document that acts as a competent proof of one's ownership and/or occupancy of the subject property.
Document Type:
Certificate of Title - refers to the transcript of the decree or registration made by the Register of Deeds.
a. Original Certificate of Title (OCT) - refers to a document when the land has been adjudicated and decreed in the name of its owner in registration proceeding and the title issued for the first time is pursuant of such decree.
b. Transfer Certificate of Title (TCT) - refers to a document when the land title is cancelled and replaced by another title by reason of sale or transfer.
c. Certificate of Land Ownership Award (CLOA) - refers to a proof of ownership of the agrarian reform beneficiary with respect to private and agricultural land covered under RA 6657.
d. Special Patent - refers to a public instrument issued by the government confirming the grant by the State of the ownership over a parcel of agricultural land (alienable and disposable) in favor of a grantee.
e. Presidential Proclamation - refers to a proclamation issued by the President reserving an untitled land for public use.
f. Tax Declaration - refers to a document issued by the Assessor's Office of the jurisdiction (e.g., city or municipality) evidencing the payment of taxes on the use of the real property.
g. Deed of Absolute Sale - refers to a document executed by the vendor evidencing the absolute (without conditions) sale of the real property in favor of the vendee.
h. Deed of Donation - refers to a document executed by the donor, under the formalities required by law, evidencing the donation of the property.
i. Certificate of Stewardship - refers to a document awarded to individuals or families actually occupying or tilling portions of forest lands pursuant to LOI 1260 for a period of 25 years’ renewable for another 25 years.
j. Special Land Use Permit (SLUP) - refers to a privilege granted by the State to a person to occupy, possess and manage in consideration of specified return, any public forest lands for a specific use or purpose.
k. Contract of Usufruct - refers to a document which stipulates that DepEd/school is allowed of full use or perpetual right of use of property without consideration as long as the property is
used solely for educational or designated purposes.
l. Memorandum of Agreement or Understanding/Lease Agreement - refers to a document executed by the legal owner/occupant of the land setting unnecessary the conditions on the use of the property.
m. Special Forest Landuse Agreement (FLAg) - refers to contract between the government as first party represented by the Secretary or the Regional Director concerned, and a second party or a person, authorizing the latter to
temporarily occupy, manage and develop in consideration of a government share, any forestland of the public domain for specific use for a period of 25 years.
n. Gratuitous Special Use Permit (GSUP) - refers to a 5-year permit authorizing a head of a government agency and/or local chief executive to use certain portions of forest lands free of charge for the development of government
managed projects of national interest and infrastructures for public service and use, and non-commercial projects of GOCCs.
o. Others - refers to the other documents that are competent proof of ownership and occupancy.

(See continuation of definitions on the next page)

Note: In case the school head does not have adequate information on the items listed above, the assistance of the Industrial Arts Teacher/Division Physical Facilities Coordinator/Division Project Engineer can be asked.

Certified True and Correct by: Validated by Phy. Facilities Coordinator/Div. Engineer: Validated by Planning Officer III (PRS-SGOD):
School Head :
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date
Position Title : Position Title :
Page 30 of 59
(Continuation of definitions from previous page, Box 11)

2. Total Land Area - refers to the size in square meters of all areas designated as land used for some particular purpose such as school building.
3. Mode of Acquisition of School Site - refers to the means of acquiring the school site.
a. Donation - includes the four (4) types of donation: .
a.1. Simple Donation - refers to a type of donation whereby a person, through an act of liberality
a.2. disposes a piece
Conditional of land- in
Donation favortoof
refers the government.
a type of donation which imposes a condition (e.g., "that the
land shall be used only for education"). In such case, the property is reverted to the owner when
the condition as stipulated in the donation is not met.
a.3. Inter Vivos Donation - refers to a type of donation that is in effect during the lifetime of the
a.4. donor.
Mortis Causa - refers to a type of donation that takes effect only after the donor's death.
Donations
b. Purchase by to
- refers mortis
a modecausa should conform
of acquisition to thesites
of school formalities
by directrequired
purchaseoffrom
the last
thewill.
legal owner who voluntarily sold it as evidenced by a Deed of Sale duly executed, notarized and registered with the Register of Deeds.
c. Expropriation - refers to a mode of acquisition of school sites by the government through the exercise its power of eminent domain (i.e. by taking private property for public use upon payment of just compensation).
d. Exchange (Land Swapping) - refers to a mode of acquisition of school sites by exchanging an existing school site for a new site for justifiable reasons as identified by law.
e. Presidential Proclamation - refers to a mode of acquisition of school sites by virtue of a declaration by the President under the procedures established by law.
4. Within Ancestral Domain - refers to all areas generally belonging to Indigenous Cultural Communities /
Indigenous People (ICCs/IPs) comprising lands, inland waters, coastal areas, and natural resources
therein, held under a claim of ownership, occupied or possessed by ICCs/IPs, communally or individually
since time immemorial. It covers the total environment, including the spiritual and cultural bonds to the
a. Certificate of Ancestral Domain Titles (CADT) - refers refers to a title formally recognizing the
rights of possession and ownership of ICCs/IPs over their ancestral domains identified and
delineated in accordance with RA No. 837 otherwise known as the Indigenous People’s Rights Act
5. Within Ancestral Land - refers to occupied land, possessed and utilized by individuals, families and
of 1973.
clans who are members of the ICCs/IPs since time immemorial. Ancestral lands include residential lots,
rice terraces or paddies, private forests, swidden farms and tree lots. These may be found within ancestral
a. Certificate of Ancestral Land Title (CALT) - refers to a title formally recognizing the rights of ICCs/IPs over their ancestral lands.
domains.
6. Legal Ownership Issues:
a. Adverse Claim - refers to a written statement setting forth claim to the title or right to possession over a registered property, alleging how and under whom such alleged right was acquired.
b. Encroachment - refers to unlawful interference or gaining upon the land, property, other possessions, or the rights of another.
c. With Informal Settlers - refers to groups of housing units illegally constructed on a land that the occupants have no legal claim.
7. School Site within:
a. Protected Areas – refers to identified portions of land and water set aside by reason of their unique
physical and biological significance, managed to enhance biological diversity and protected against
destructive human exploitation, such as National Parks, Natural Parks, Natural Monuments,
Protected Landscape, Protected Seascape, Game Refuge and Bird Sanctuaries, Resource Reserves,
b. Timberland and Forestland – refers to lands of the public domain which have been the subject of the present system of land classification and determined to be needed for forest purposes. Eventually, these lands will be proclaimed as forest reserves by the President.

Page 31 of 59
Table 28. TRAVEL DETAILS (ONE-WAY) FROM SCHOOL, SY 2023-2024
For each ONE-WAY trip from your school to the specified reference points (i.e., Schools Division Office, Municipal Office, and Nearest Schools), indicate the following:
1. Travel cost - How much does it USUALLY* cost to travel from your school to the reference point? Specify your answers in Pesos.
2. Travel time - How many minutes does it USUALLY* take to travel from your school to the reference point?
3. Time spent walking - Given the USUAL* travel time in item 2, how much of this is spent walking? Specify your answers in minutes.
4. Travel time if walking the entire way - If you were to walk the entire way from your school to the reference point, how long would it take? Estimate your answer in minutes.
5. Crossing any body of water without a bridge - Do you need to cross any body of water (e.g., river, lake, sea) without a bridge to travel from your school to the reference point? Specify if yes or no.
6. Passing difficult terrain - Do you need to pass difficult terain (e.g., mountains, forests) to travel from your school to the reference point? Specify if yes or no.
From your EXAMPLE:
From your
school to your
school to your
Travel Details Schools
Municipal Over the course of 3 years, a school head has travelled from her school to the Schools Division Office 50 times
Division Office
Office already. During that time, the total cost of travelling from the school to the Schools Division office was as
(SDO) follows:
1. Travel cost (in PhP) - P40 when taking public transportation (i.e., two jeepney rides);
- P200 for gas when the school service was available.
2. Travel time (in minutes)

3. Time spent walking (in minutes) And, the travel time was as follows:
4. Travel time if walking the entire way (in minutes) - 60 minutes when taking public transportation which required her to walk between jeepney stops;
- 30 minutes when the school service was available which did not require her to walk.
5. Crossing any body of water without a bridge (yes/no)

6. Passing difficult terrain (yes/no) Out of those 50 trips, 40 trips were via the school service. Hence, the USUAL travel cost and travel time from
the school to the Schools Division Office should be based on trips using the school service, as follows:

Notes : 1. USUAL* - most frequent. - Travel cost = P200;

2. For Integrated Schools (Elementary, JHS and/or SHS Schools) and Secondary Schools - Travel time = 30 minutes;
details should
details should be
be provided
provided separately
separately for
for each
each level.
level. - Time spent walking = 0 minute.
(e.g.,
(e.g., Integrated
Integrated School:
School: Elementary
Elementary -- Php
Php 20;
20; JHS
JHS -- Php
Php 20)
20)

Box 12. MODE OF TRANSPORTATION, SY 2023-2024

(Check/Provide appropriate answers)

Mode of transportation from the centro to your school: (Check all applicable) Note: Centro (Poblacion) - where the Municipal Office is located
 Banca  Animal ride (e.g., carabao, horse)  Jeepney
 Motorized boat  Habal-habal  Van/UV Express/Bus
 Tricycle  Hike (for more than 2km)  Others, (specify)

Box 13. SCHOOL LOCATION, SY 2023-2024

(Check/Provide appropriate answers)

Location descriptions for your school: (Check all applicable) Notes: * - facing or directly beside a national road/public road
 Along the highway *  On a small island ****  Near a faultline ***** ** - on an inclined or steeped area
 By the hillside **  Near the coastline *****  Others, (specify) *** - on an elevated area
 On top of a mountain ***  Near a river or waterway ***** **** - an island with an area less than 200 sq. km.
***** - near if within 1.5 km from the school

Certified True and Correct by : Validated by Phy. Facilities Coordinator/Div. Engineer: Validated by Planning Officer III (PRS-SGOD):
School Head :
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date
Position Title : Position Title :

`
Page 32 of 59
Table 29. HEALTH AND NUTRITION, SY 2023-2024 (As of December 31, 2023)
A. Number of learners who were vaccinated by the Department of Health (based on LGU health records)
Grade 1 Grade 4
Type of Vaccines
Male Female TOTAL Female
Measles Containing Vaccine

Tetanus Diphtheria

Human Papiloma Virus

B. Number of learners who underwent vision screening

TOTAL
Kindergarten Grade 1 Grade 2 Grade 3
Vision Screening Results (Kindergarten to Grade 3)
Male Female Male Female Male Female Male Female Male Female
Passed

Failed

TOTAL

C. Number of learners by nutritional status

SNEd Learners TOTAL (Kindergarten

Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 to SNEd Learners
Nutritional Status (Non-Graded) (Non-Graded)
Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female
Weight
Normal

Obese

Overweight

Severely Wasted

Wasted

TOTAL

Height
Severely Stunted

Stunted

Normal

Tall

TOTAL

Learners Nutritional Status in Weight:

1. Normal - refers to a learner with normal weight for his/her age whose BMI-for-age fall between -2 to +2 z-score line or standard deviation (SD).
2. Obese - refers to a learner who is severely overweight for his/her height and whose BMI-for-age fall beyond +3 z-score line or standard deviation (SD).
3. Overweight - refers to a learner weighing too much for his/her height and whose BMI-for-age fall between +2 to +3 z-score line or standard deviation (SD).
4. Severely wasted - refers to a very thin learner whose BMI-for-age is below -3 z-score line or standard deviation (SD).
5. Wasted - refers to a thin learner whose BMI-for-age fall between -2 to -3 z-score line or standard deviation (SD).
Learners Nutritional Status in Height:
1. Severely Stunted - refers to a learner who is very short for his/her age and whose height-for-age (HFA) fall below -3 z-score line or standard deviation (SD).
2. Stunted - refers to a learner who is short for his/her age and whose height-for-age (HFA) fall between -2 to -3 z-score line or standard deviation (SD).
3. Normal - refers to a learner with normal height for his/her age and whose height-for-age (HFA) fall between -2 to +2 z-score line or standard deviation (SD).
4. Tall - refers to a learner who is tall for his/her age and whose height-for-age (HFA) fall beyond +2 z-score line or standard deviation (SD).

Certified True and Correct by: Validated by Division School Health Coordinator/Medical Officer/Nurse: Validated by Planning Officer III (PRS-SGOD):
School Head :
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date
Position Title : Position Title :

Page 33 of 59
(Continuation from previous page,Table 29. HEALTH AND NUTRITION)

D. Number of learners who were dewormed (based on LGU health records)

TOTAL
SNEd Learners (Kindergarten
Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 to SNEd Learners
(Non-Graded)
(Non-Graded)
Number of Learners Dewormed
Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female

Box 14. SCHOOL CLINIC, 2023-2024 (As of December 31, 2023)

(Check/Provide appropriate answers)

1. Does the school have a designated school clinic?  Yes  No

2. Does the school have a designated Clinic Teacher?  Yes  No
3. Number of medical devices/equipment/instruments in the school:

Number of Units
Medical Devices / Equipment / Instruments
Available

Weighing Scales

Bathroom

Beam balance

Others, (specify)

First Aid Kits

Medical Thermometers
Blood Pressure Apparatus

4. Which of the following tools does the school use for taking height?
 Tape Measure  Microtoise  Others, (specify)
 Steel tape  Stadiometer
5. How many school personnel has a training on basic life support and/or first aid?

Certified True and Correct by: Validated by Division School Health Coordinator/Medical Officer/Nurse:
School Head :
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date

Position Title : Position Title :

Validated by Planning Officer III (PRS-SGOD):

(Signature Over Printed Name) / Date

Page 34 of 59
 Box 15. AVAILABILITY OF WATER SUPPLY, SY 2023-2024 (As of December 31, 2023)
(Check/Provide appropriate answers)
1. What is the school's main water supply?
1.1. What is the Water Supply Source:
 Piped water from local service provider  Rainwater Catchments
 Water Well  Others, (specify)
 Natural source
1.2. Average Cost of Monthly Bills/Maintenance: (Indicate the amount in PhP)
1.3. Who pays for the Cost of Monthly Bills/Maintenance?
 School MOOE  School Canteen Fund
 LGU  Private Individual/Sector
 PTA  Others, (specify)
1.4. Is the water source inside the school ground being used for drinking?
 Yes  No
1.5. Has the water source inside the school been tested to determine safety of the water?
 Yes  No
1.5.a. If Yes, did the test results show that the water source inside the school is safe to drink?
 Yes  No
1.5.b. How frequent is the water source tested for safety?
 Monthly  Annually
 Quarterly  Others, (specify)
1.5.c. When was the last time the water source was tested?
1.6. Are there times in the year when water is not available for an extended period of time?
 Yes  No

2. Does the school have mechanism to ensure that the learners have safe drinking water?  Yes  No
2.1. If Yes, what mechanism is used?
 Teachers ask the learners to bring their own drinking water to school
 Safe water in refillable containers are provided in designated areas within the school
 Water from an accessible water source is treated (i.e., boiled, etc.)
 Others, (specify)
1. Local piped water - water source coming from local water service providers.
2. Water well - an excavation structure in the ground by digging, driving, boring or drilling to access water in underground aquifiers.
3. Rainwater catchment - water sourced from rainwater and collected thru a rainwater collector.
4. Natural source - water sourced from a spring or stream that is either located inside the school grounds or located outside school grounds but water is supplied via pipes.

Table 30. NUMBER OF EXISTING WASH FACILITIES, SY 2023-2024 (As of December 31, 2023)
Functional TOTAL Number
Usage Non-Functional Number of Wash of
with soap without soap Facilities Water Outlets
Facilities for group handwashing
Facilities for individual handwashing
1. Group handwashing facility - a facility to be used in supervised handwashing and toothbrushing activtity that can accommodate at least 10 learners.
2. Individual handwashing facility - a facility in the classroom, drinking points, near toilets, near the canteen, etc. that learners can be used for handwashing at critical times.
3. Functional facilities for handwashing - the hand washing facility is accessible, with daily water supply, learner-appropriate height and with appropriate drainage.
4. Non-functional facilities for handwashing - the hand washing facility is broken, clogged or damaged in such a way that it cannot be used.
5. Water Outlet - any opening where water comes out for handwashing (e.g., Faucets, Punch Pipes, etc.).

Certified True and Correct by: Validated by Division School Health Coordinator/Medical Officer/Nurse: Validated by Planning Officer III (PRS-SGOD):
School Head :
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date
Position Title : Position Title :

Page 35 of 59
Table 31. ORAL HEALTH, PREVIOUS SY 2022-2023
(Provide appropriate answers)
TOTAL
Details Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 (Kindergarten
to Grade 6)

Number of learners examined

Decayed, Missing, and Filled Teeth (DMFT) - Permanent Teeth
Number of learners with DMFT
Number of DMFT
Decayed, Missing, and Filled Teeth (dmft) - Temporary Teeth
Number of learners with dmft
Number of dmft
Number of learners found to have gum disease
Number of learners with other significant dental anomalies
Number of learners who underwent flouridization

1. Decayed, Missing, and Filled Teeth (DMFT) Index - refers to the common method use in oral epidemology for assessing dental carries prevalence as well as dental treatment
needs among populations.
2. Gum Disease - refers to an inflammation of the gum line that can progress to affect the bone that surrounds and supports the teeth.
3. Dental Anomalies - refers to the craniofacial abnormalities of form, function or position of the teeth, bones, and tissues of the jaw and mouth.
4. Fluoridization - refers to the topical application of fluoride compounds onto the tooth surface to reduce the incidence of dental caries.

Table 32. MEDICAL AND NURSING SERVICES, PREVIOUS SY 2022-2023

(Provide appropriate answers)
TOTAL
Details Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 (Kindergarten
to Grade 6)

Number of learners examined

Number of learners with findings

Number of learners given interventions by clinic teachers and

DepEd health personnel
Number of learners referred to city/rural health units or other
private health professionals

Table 33. MENTAL HEALTH, SY 2023-2024 (As of December 31, 2023)

(Provide the number of cases of suicide and attempted suicide among learners and school personnel that were recorded by the school)
Number of Cases from August 2023 to December 2023
Cases* Among Learners Among School Personnel
August September October November December August September October November December
Deaths by Suicide within the School

Deaths by Suicide outside the School

Attempted Suicide within the School

Attempted Suicide outside the School

TOTAL

Note:
*Cases related to suicide can only be defined and confirmed through a process of collaboration, investigation, and validation with relevant professionals including authorities, medical officers, and/or
guidance couselors or mental health coordinators or social worker involved in the case of the learners. Only cases with proper documentation can only be reported as cases of suicide. Please refer to
Annex A, Section III of OUOPS No. 2023-06-7518 for interim guidelines on validation of data regarding suicide incident reporting.

Certified True and Correct by: Validated by Division School Health Coordinator/Medical Officer/Nurse: Validated by Planning Officer III (PRS-SGOD):
School Head :
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date
Position Title : Position Title :

Page 36 of 59
Box 16. SCHOOL MENTAL HEALTH, PREVIOUS SY 2022-2023
(Check/Provide appropriate answers)
1. Does the school have a guidance office?
 Yes  No
2. Is the person in charge of the guidance office a Registered Guidance Counselor?
 Yes  No
3. Number of learners who sought guidance counseling or life coaching from the school’s guidance counselor or guidance advocate:
Grade Level Number of Learners
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
SNEd
TOTAL

4. Does the school screen learners and personnel for mental health problems?  Yes  No
5. Does the school identify learners at risk for mental health problems?  Yes  No
 Yes  No
6. Does the school currently use a “screening tool” for identification of learners at risk
of mental health conditions?
 Yes  No
 Yes  No
7. Did the school celebrate the National Mental Health Week in October 2022?
8. Did the school conduct trainings or extra-curricular activities for learners related to any of the topics below?
If Yes, indicate the number of learners who participated in the activities that covered each of the following topics.

Mental Health and

Addressing Psychosocial Issues
Suicide Psychological
Grade Level the Problem of and Conditions Self-Care Other Topics
Prevention First Aid
Bullying including
Depression

Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 5
SNEd
TOTAL

9. Did the school conduct trainings or extra-curricular activities for teachers related to any of the topics below?
 Yes  No
If Yes, indicate the number of teachers who participated in the activities that covered each of the following topics.

Mental Health and

Addressing Psychosocial Issues
Suicide Psychological
Grade Level the Problem of and Conditions Self-Care Other Topics
Prevention First Aid
Bullying including
Depression

Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
SNEd
TOTAL

Certified True and Correct by : Validated by Division School Health Coordinator/Medical Officer/Nurse:
School Head :
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date

Position Title : Position Title :

Validated by Planning Officer III (PRS-SGOD):

(Signature Over Printed Name) / Date

Page 37 of 59
 Box 17. CANCER CASES, PREVIOUS SY 2022-2023
(Provide appropriate answers)
1. Cancer Cases among Learners
Number of Learners
Learners with Cancer
Cancer Cases
Cancer Patients Living with Cancer Cancer Survivors Died due to Cancer
(Symptomatic) (Asymptomatic)
Leukemia

Brain and Spinal Cancer

Other Types of Cancer

TOTAL

2. Cancer Cases among School Personnel

Number of School Personnel

Cancer Cases School Personnel with Cancer

Cancer Patients Living with Cancer Cancer Survivors Died due to Cancer
(Symptomatic) (Asymptomatic)
Breast Cancer

Lung Cancer

Other Types of Cancer

TOTAL

1. Cancer Patients - are those with symptomatic and/or under definitive or palliative treatment.
Living with Cancer - are those with microscopic or residual disease, asymptomatic, or with supportive treatment subclinical symptoms on maintenance or supportive
2.
treatment.
3. Cancer Survivors - are those who have completed all of their anti-cancer therapy and presently show no signs of disease.

Certified True and Correct by: Validated by Division School Health Coordinator/Medical Officer/Nurse: Validated by Planning Officer III (PRS-SGOD):
School Head :
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date
Position Title : Position Title :

Page 38 of 59
 Box 18. ADOLESCENT REPRODUCTIVE HEALTH, PREVIOUS SY 2022-2023
(Check/Provide appropriate answers)
1. Number of Pregnant Learners
On Alternative Transferred
Grade Level In School Dropped
Delivery Mode (ADM) In Out
Grade 4

Grade 5

Grade 6

TOTAL

2. Does the school have an operational teen center?

 Yes  No
3. Number of Learners Reached by Adolescent Reproductive Health Trainings/Activities
Trained as Peer
Educators for
Participated in Screened for ARH Catered to by Teen
Grade Level Adolescent Sexual and Red Cross Youth
HIV/AIDS Training Concerns Centers
Reproductive Health
(ASRH)

Grade 4

Grade 5

Grade 6

TOTAL

4. Number of Teachers Reached by Adolescent Reproductive Health Trainings/Activities

Trained on Adolescent
Trained on
Health Education and
Grade Level Adolescent Job Aid HIV/AIDS Training
Practical Training
(AJA)
(ADEPT)

Grade 4

Grade 5

Grade 6

TOTAL

Certified True and Correct by: Validated by Division School Health Coordinator/Medical Officer/Nurse: Validated by Planning Officer III (PRS-SGOD):
School Head :
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date
Position Title : Position Title :
Page 39 of 59
Box 19. COMPREHENSIVE TOBACCO CONTROL, SY 2023-2024 (As of December 31, 2023)
(Check/Provide appropriate answers)

 Yes  No
1. Does the school display the following IEC materials:
1.a. "No Smoking" Signages (EO 26, s.2017, DO 48, s.2016)

 Yes  No
1.b. Poster at the school gate about prohibition of selling of cigarettes within 100 meters from the perimeter of the
school (EO 26, s.2017)
2. Is there at least one store or shop with in 100 meters from any point of the perimeter of the school that sells:
2.a. Tobacco products (e.g., cigarettes)?  Yes  No
2.b. Vape or e-cigarettes?  Yes  No
3. Measures Against Tobacco Industry Interference:
3.a. How many partnerships did the school have from January to December 2022?
3.b. How many of these partnerships have the proper partnership instrument needed (e.g., service contract,
memorandum of agreement (MOA), deed of donation (DOD)/deed of acceptance, memorandum of
understanding, etc.)?

3.c. How many of the partnerships with memoranda of agreement/deeds of donation include a provision in the
MOA/DOD that the partner/donor is not connected to the tobacco industry, does not received funding from
tobacco companies, or does not sell cigarettes?
Prevalence of the Use of Cigarettes and E-cigarettes/Vapes Among Learners and School Personnel
4.
4.a. Is the school head ___ (Check only one)
 a tobacco (cigarette) smoker but not an ENDS/ENNDS (vape/e-cigarette) user?  both a tobacco (cigarette) smoker and an ENDS/ENNDS (vape/e-cigarette) user?
 an ENDS/ENNDs (vape/e-cigarette) user but not a tobacco (cigarette) smoker?  neither a tobacco (cigarette) smoker nor an ENDS/ENNDS (vape/e-cigarette) user?
4.b. How many teachers are tobacco (cigarette) smokers and/or ENDS/ENNDS (vape/e-cigarette) users? How many have been provided with Brief Tobacco Intervention (BTI)?

Number of Teachers

Grade Level Tobacco (Cigarette) Smokers ENDS/ENNDS Tobacco (Cigarette) Smokers

but are not ENDS/ENNDS (Vape/E-cigarette) Users but are and also ENDS/ENNDS Provided with BTI
(Vape/E-cigarette) Users not Tobacco (Cigarette) Smokers (Vape/E-cigarette) Users

GradKindergarten

Grade 1

Grade 2

GradGrade 3

Grade 4

GradGrade 5

GradGrade 6

TOTAL

4.c. How many personnel in the school have been trained to provide brief tobacco intervention to personnel or learners who smoke?

4.d. In the previous school year, how many learners were recorded by the school to have smoked tobacco and/or used ENDS/ENNDS? How many have been provided with
Brief Tobacco Intervention (BTI)?

Number of Learners

Grade Level Tobacco (Cigarette) Smokers ENDS/ENNDS Tobacco (Cigarette) Smokers

but are not ENDS/ENNDS (Vape/E-cigarette) Users but are and also ENDS/ENNDS Provided with BTI
(Vape/E-cigarette) Users not Tobacco (Cigarette) Smokers (Vape/E-cigarette) Users

GradKindergarten

Grade 1

Grade 2

GradGrade 3

Grade 4

GradGrade 5

GradGrade 6

TOTAL

ENDS/ENNDS - stands for Electronic Nicotine Delivery Systems and Electronic Non-Nicotine Delivery Systems, which include vape and e-cigarettes.

Certified True and Correct by: Validated by Division School Health Coordinator/Medical Officer/Nurse: Validated by Planning Officer III (PRS-SGOD):
School Head :
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date
Position Title : Position Title :

Page 40 of 59
Box 20. NATIONAL PREVENTIVE DRUG EDUCATION, SY 2023-2024 (As of December 31, 2023)
(Check/Provide appropriate answers)

1. Does the school implement a preventive drug education program?  Yes  No

2. Which of the following components are part of the school's preventive drug education program?
 Curriculum integration  Partnership with the Barangay Anti-Drug Abuse Council
 Extra-curricular activities  Others, (specify)
3. Does the school have a National Drug Education Program (NDEP) Coordinator?  Yes  No
4. How many classrooms have NDEP Corners?

Box 21. FEEDING PROGRAM, SY 2023-2024 (As of December 31, 2023)

(Check/Provide appropriate answers)

1. Does the school have a feeding program?  Yes  No

If Yes, what is the funding source of school feeding program?
 School MOOE  Barangay Fund
 School Canteen Fund  Private Individual/Sector Fund
 LGU Fund  School-Based Feeding Program (SBFP)
 PTA Fund  Others, (specify)
2. Availability of agriculture and fishery resources in the school :
 Gulayan sa Paaralan, If check, which of the following types of vegetables are present in the school garden?
 Legumes  Leafy vegetables  Fruit-bearing  Rootcrops
 Fish Pond
 Agricultural Crops
 Livestock
 Others, (specify)
 None
3. Are agricultural and fishery in the school used for feeding program?  Yes  No
If Yes, what is the funding source?
 School MOOE  Barangay Fund
 School Canteen Fund  Private Individual/Sector Fund
 LGU Fund  Others, (specify)
 PTA Fund

Box 22. FOOD HANDLING, SY 2023-2024 (As of December 31, 2023)

(Check/Provide appropriate answers)

1. Does the school have a canteen?  Yes  No

If Yes,
1.a. Managed by: 1.b. Sanitary Permit 1.c. Do canteen personnel/food
handlers have health certificates?

 School  Yes  No  Yes  No

 Teacher-Coop  Yes  No  Yes  No

 Others, (specify)
 Yes  No  Yes  No

Sanitary Permit - is the official document issued by proper authorities to an establishment that has been determined to have met the minimum
requirements for the sanitary operation.

Certified True and Correct by : Validated by Division School Health Coordinator/Medical Officer/Nurse:
School Head :
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date

Position Title : Position Title :

Validated by Planning Officer III (PRS-SGOD):

(Signature Over Printed Name) / Date

Page 41 of 59
 Box 23. SOLID WASTE MANAGEMENT,SY 2023-2024 (As of December 31, 2023)
(Check as appropriate)

1. Is your school compliant to the Ecological Solid Waste Management Act (RA 9003)?  Yes  No

2. How is the school implementing Solid Waste Management?

 Composting  Posting of signage  Use of paper plates/cups instead of plastic
 Designation of trash collection point  Recycling Projects  Use of recycled materials are teaching tool
 Poster making and/or slogan making contest  School representative at the Barangay Solid  Use of reusable food containerts
Waste Management Committee  Waste segregation
3. Who are the school stakeholders actively engaged on the implementation of solid waste management?
 Barangay  Local business partners  Parents
 Community leaders  Municipal/City government

Box 24. OPERATION AND MAINTENANCE OF SANITATION FACILITIES, SY 2023-2024 (As of December 31, 2023)
(Check/Provide appropriate answers)

1. How often are the sanitation facilites cleaned? (Check only one)
 Daily  Once a week
 At least twice a week  Less than once a week
1.1. Average Cost of Monthly Bills/Maintenance: (Indicate the amount in Php)
1.2. Who Pays for the Cost of Monthly Bills/Maintenance?
 School MOOE  School Canteen Fund
 LGU  Private Individual/Sector
 PTA  Others, (specify)

Box 25. MENSTRUAL HYGIENE, SY 2023-2024 (As of December 31, 2023)

(Check/Provide appropriate answers)

Does the school have a provision for availability of sanitary pads?  Yes  No
If Yes, where can the learners avail the sanitary pads?
 School Canteen  Guidance Office
 School Clinic  Others, (specify)

Certified True and Correct by: Validated by Division School Health Coordinator/Medical Officer/Nurse: Validated by Planning Officer III (PRS-SGOD):
School Head :
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date
Position Title : Position Title :
Page 42 of 59
Box 26. LEARNER RIGHTS AND PROTECTION, PREVIOUS SY 2022-2023
(Check/Provide appropriate answers)

1. Does the school have a Child Protection Committee (CPC)?  Yes  No

1.a. If Yes, what is the CPC's overall score in the CPC Functionality Tool?

2. Does the school have a Localized Child Protection Policy?  Yes  No

3. Does the school have an Anti-Bullying Policy?  Yes  No

4. Does the school have a Student Code of Conduct?  Yes  No

 
5. Does the school have a Code of Conduct for other stakeholders
Yes No
(teaching and non-teaching personnel, visitors, temporary workers)?

Note: The CPC Functionality Tool can be viewed at https://drive.google.com/drive/folders/1LNGbqpLZv55Mlpxtqfwc3um2ZJQsPJK0.

Box 27. LEARNER RIGHTS AND PROTECTION CONCERNS, PREVIOUS SY 2022-2023

(Provide appropriate answers)

1. Number of reported incidents relative on Learner Rights and Protection

1.a. Bullying 1.c. Children-At-Risk (CAR)

Number of Victims Number of Victims
Types of Bullying Types of Children-At-Risk
Male Female TOTAL Male Female TOTAL

Physical Bullying Victims of Abuse

(sexual, physical, psychological,
Social Bullying mental, economic and other means)

Gender-based Bullying Victims of Neglect

Coming from a Dysfunctional family
Cyberbullying
or without parent or guardian
Retaliation Being a member of a gang

Living in a Community with a

TOTAL
Higher Level of Criminality

Living in a situation of armed conflict

Committed a status Offense under

1.b. Child Abuse Section 57 of RA 9344, as amended
Number of Victims
Types of Abuse Mendicant under PD 1563
Male Female TOTAL

Physical Abuse Solvent or Rugby User

Sexual Abuse Marijuana/ Drug Use/ Dependency

Verbal / Psychological
Smoking
Abuse

TOTAL TOTAL

1.d. Children in Conflict with the Law (CICL)

Count (Offender) Count (Victim) TOTAL Count (Offender & Victim)
Offense
Male Female TOTAL Male Female TOTAL Male Female TOTAL
Theft

Violation of RA 9165

Rape

Physical Injuries

Robbery

Others

TOTAL

(See continuation on the next page)

Certified True and Correct by : Validated by Division Child Protection Focal Person/Coordinator:
School Head :
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date

Position Title : Position Title :

Validated by Planning Officer III (PRS-SGOD):

(Signature Over Printed Name) / Date

Page 43 of 59
(Continuation from previous page, Box 27)

1.e. Other Learner Protection Concerns

Other Learner Number of Victims
Protection Concerns Male Female TOTAL

Child Labor

Suicide

Child Trafficking

Online Sexual
Exploitation of Children
Sexual Exploitation
of Children

Corporal Punishment

Other Acts of Abuse

(Learner-to-Leaner)

TOTAL

2. Status of Learner Rights and Protection Concerns

Number by Type of Action Taken
Referred to other
LRP Concerns Referred to other
Government Agencies
Resolved Cases Cases for Monitoring Non-Government Agencies
(e.g. PNP, LSWDO, NGOs,
(e.g. CPN, Bantay Bata, etc.)
etc.)

Bullying

Child Abuse

CAR

CICL

Other LRP Concerns

1. Bullying or peer abuse - refers to any severe, or repeated use by one or more students of a written, verbal or electronic expression, or a physical act or gesture, or any
combination thereof, directed at another student (DO 55, s.2013).
2. Child abuse - refers to the maltreatment of a child, whether habitual or not (DO 40, s. 2012).
3. Child-at-risk - refers to a child who is vulnerable to and at risk of behaving in a way that can harm himself, herself, or others, or vulnerable and at risk of being
pushed and exploited to come into conflict with the law because of personal, family and social circumstances (DO 18, s. 2015) .
4. Child in conflict with the law - refers to a child who is alleged as, accused of, or adjudged as, having committed an offense under Philippine laws
(Section 4. (e) RA No. 9344, as amended).
5. Child labor - refers to any work or economic activity performed by a child that subjects him/her to any form of exploitation or is harmful to his/her health and safety
or physical, mental or psychosocial development (DOLE Order 149, s. 2016).
6. Trafficking in persons - refers to the recruitment, obtaining, hiring, providing, offering, transportation, transfer, maintaining, harboring, or receipt of persons...for the
purpose of exploitation (RA 11862).
7. Online sexual exploitation of children - refers to the use of ICT as a means to exploit children sexually, which includes cases in which offline child exploitation is
combined with an online component (RA 11930).
8. Child sexual exploitation - refers to any of the following acts even if consent appears to have been granted by the child: child sexual abuse; actual sexual intercourse
with a child; employing fraud, machination, undue influence, intimidation, threat or deception by any person to commit sexual abuse of or sexual intercourse with a
child or children; or any other similar or analogous acts related to child abuse, cruelty or exploitation or to be responsible for other conditions prejudicial to the
development of the child (RA 11930).
9. Corporal Punishment - refers to a kind of punishment or penalty imposed for an alleged or actual offense, which is carried out or inflicted, for the purpose of
discipline, training or control, by a teacher, school administrator, an adult, or any other child who has been given or has assumed authority or responsibility for
punishment or discipline (DO 40, s. 2012).
10. Other Acts of Violence - refers to physical, sexual, or psychological nature that are prejudicial to the child (DO 40, s.2012) .

Certified True and Correct by : Validated by Division Child Protection Focal Person/Coordinator:
School Head :
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date

Position Title : Position Title :

Validated by Planning Officer III (PRS-SGOD):

(Signature Over Printed Name) / Date

Page 44 of 59
 Box 28. SCHOOL SPORTS PROGRAM: AVAILABLE SPORTS EVENTS, CLUBS, AND EQUIPMENT, SY 2023-2024 (As of December 31, 2023)
(Check multiple sports events, clubs, and facilities being offered in the school)
Sports Sports Sports Sports Sports Sports
Sports Program Sports Program
Event/s Club/s Equipment Event/s Club/s Equipment

1. Archery    17. Ryhtmic Gymnastics (RG)   

2. Arnis    18. Pencak Silat   
3. Athletics (Track events)    19. Sepak Takraw   
4. Athletics (Field events)    20. Softball   
5. Badminton    21. Swimming   
6. Basketball    22. Table Tennis   
7. Baseball    23. Taekwondo   
8. Billards    24. Tennis   
9. Boxing    25. Volleyball   
10. Chess    26. Wrestling   
11. Dance Sports    27. Wushu   
12. Football    28. Athletics (Paragame)   
13. Futsal    29. Swimming (Paragame)   
14. Aerobic Gymnastics (AER)    30. Goal Ball (Paragame)   
15. Men Artistic Gymnastics (MAG)    31. Bocce (Paragame)   
     
Philippine Games (e.g. patintero,
16. Women's Artistic Gymnastics (WAG) 32.
luksong baka, tumbang preso)

1. Sports events - current sports events being offered by the school.

2. Sports clubs - current sports clubs existing in the school.
3. Sports equipment - current sports equipment existing in the school.

Certified True and Correct by: Validated by Division Sports Coordinator: Validated by Planning Officer III (PRS-SGOD):
School Head :
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date
Position Title : Position Title :
Page 45 of 59
 Table 34. SCHOOL SPORTS PROGRAM: SPORTS PERSONNEL (DepEd Funded), SY 2023-2024 (As of December 31, 2023)
(Provide appropriate answers)
Number of
Number of Number of
Number of Non-teaching
Number of PE teacher/s Non PE teacher/s
Sporting Events Officiating personnel with
Coach/es with sports with sports
Official/s sports
specialization specialization
specialization

1. Archery

2. Arnis

3. Athletics (Track events)

4. Athletics (Field events)

5. Badminton

6. Basketball

7. Baseball

8. Billards

9. Boxing

10. Chess

11. Dance Sports

12. Football

13. Futsal

14. Aerobic Gymnastics (AER)

15. Men Artistic Gymnastics (MAG)

16. Women Artistic Gymnastics (WAG)

17. Ryhtmic Gymnastics (RG)

18. Pencak Silat

19. Sepak Takraw

20. Softball

21. Swimming

22. Table Tennis

23. Taekwondo

24. Tennis

25. Volleyball

26. Wrestling

27. Wushu

28. Athletics (Paragame)

29. Swimming (Paragame)

30. Goalball (Paragame)

31. Bocce (Paragame)

1. Coaches - identified personnel (DepEd funded) who is qualified/currently handling the identified sporting event.
2. Officiating Officials - identified personnel (DepEd funded) who is an NSA accredited officiating official in the identified sporting event.
3. PE teachers - identified BSPE personnel (DepEd funded) and their sports specialization.
4. Non PE teachers - identified personnel teaching academics (DepEd funded) and their sports specialization.
5. Non-teaching personnel - identified non academic personnel (DepEd funded) and their sports specialization.

Reminder: PE teacher/s, Non PE teacher/s and Non-teaching personnel may be identified in multiple sports events.

Certified True and Correct by: Validated by Division Sports Coordinator: Validated by Planning Officer III (PRS-SGOD):
School Head :
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date
Position Title : Position Title :

Page 46 of 59
 Box 29. SCHOOL SPORTS PROGRAM: AVAILABLE SPORTS FACILITIES, SY 2023-2024 (As of December 31, 2023)
(Check multiple sports facilities existing in the school)

Sports Facility Type

1. Multi-Purpose Gymnasium  6. Open Field 

2. Stand-Alone Gymnasium 7. Track Oval
V

2.1. Covered  7.1. Standard (for competition purposes) 

2.2. Open  7.2. Non-standard (for recreational/training purposes) 
3. Racket Sports Facility 8. Swimming Pool

5.1. Covered (Badminton and Table Tennis)  8.1. Standard (for competition purposes) 
5.2. Open (Badminton and Tennis)  8.2. Non-standard (for recreational/training purposes) 
4. Martial Arts Gymnasium  9. Goal Ball Gymnasium 
5. Dance Studio  10. Buildable Space 
1. Multi-Purpose Gymnasium - refers to a facility that can accommodate 2 or 3 sports (badminton, basketball, volleyball, sepak takraw,
etc.) simultaneously.
2. Stand-Alone Gymnasium - refers to a facility that can accommodate 1 sport (badminton, basketball, volleyball, sepak takraw, etc.) at a time.
3. Racket Sport Facility - refers to a facility intended for racket sports such as badminton, table tennis, and tennis.
4. Martial Arts Gymnasium - refers to a facility intended for combative sports such as arnis, boxing, pencak silat, taekwondo, wrestling, and
5. wushu.
Dance Studio - refers to a facility (particularly with wooden flooring) intended for dancesport.
6. Open Field - refers to a facility, with a minimum area of 110 x 80 meters, that can accommodate outdoor/field sports such as
archery, baseball, football, softball, and bocce.
7. Track Oval - refers to a facility that intended for athletics (track and field events).
8. Swimming Pool - refers to a facility intended for swimming/aquatics events.
9. Goal Ball Gymnasium - refers to a noise-insulated facility intended for goal ball.
10. Buildable Space - refers to an open space/land mass, with a minimum area of 10,000 square meters, that can accommodate
construction of new sports facilities.

Certified True and Correct by: Validated by Division Sports Coordinator: Validated by Planning Officer III (PRS-SGOD):
School Head :
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date
Position Title : Position Title :
Page 47 of 59
Table 35. DISASTERS/CALAMITIES, For the months of June 2022 to May 2023
(Provide the number of times the following hazards occurred in your school and its immediate surroundings)
2022 2023
Disasters
June July Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. April May
Natural Hazards
Drought
Earthquake
Fire *
Flood
Landslide
Low PressureArea / Monsoon / Shear Line
Storm Surge
Tropical Cyclones
Tsunami
Volcanic Eruption

1. Disaster - a serious disruption of the functioning of a community or a society involving widespread human, material, economic or environmental losses and impacts, which
exceeds the ability of the affected community or society to cope using its own resources.
Source of Definition: UNISDR Terminologies. https://www.unisdr.org/files/7817_UNISDRTerminologyEnglish.pdf
2. Drought - pronounced absence or marked deficiency of precipitation. It is characterized by a deficiency in water supply that is the result of constantly below average
precipitation.
Source of Definition:Reliefweb Glossary of Humanitarian Terms. https://reliefweb.int/taxonomy-descriptions
3. Earthquake - a weak to violent shaking of the ground produced by the sudden movement of rock materials below the earth’s surface that originate from the tectonic plate
boundary. Tectonic earthquakes are produced by sudden movement along faults and plate boundaries. Earthquakes induced by rising lava or magma beneath active volcanoes is
called volcanic earthquakes.
Source of Definition:DOST-PHIVOLCS: Introduction to Earthquake. https://www.phivolcs.dost.gov.ph/index.php/earthquake/introduction-to-earthquake
4. Fire - a destructive burning (as of a building). Include in this category urban, industrial or rural fires, but not including wild (forest) fires. Limited to those induced or highly
connected to natural phenomena, such as storms, earthquakes, droughts, etc.
* Includes forest or bush fires, or burning as consequence of other natural hazard, such as earthquakes.
** Includes fires due to human negligence, such as electrical wiring failure
Source of Definition: ReliefWeb Glossary of Humanitarian Terms. GLIDE Working Group, Global Identifier Number, 2006. https://www.who.int/hac/about/reliefweb-
aug2008.pdf
5. Flood - a progressive abnormal increase in the elevation of the surface level of streamflow until it reaches a maximum height from which the level slowly drops to what is its
normal level. The sequence described all takes place within a certain period of time.
Source of Definition:DOST-PAGASA Learning Tools: Floods. bagong.pagasa.dost.gov.ph/learning-tools/floods
6. Landslide - a mass movement of rock, soil, and debris down a slope due to gravity. It occurs when the driving force is greater than the resisting force. It is a natural process that
occurs in steep slopes. The movement may range from very slow to rapid. It can affect areas both near and far from the source.
Source of Definition: DOST-PHIVOLCS: Introduction to Landslide. https://www.phivolcs.dost.gov.ph/index.php/landslide/introduction-to-landslide
7. Low Pressure Area / Monsoon / Shearline - a wind that reverses its direction with the season, blowing more or less steadily from the interior of a continent toward the sea in
winter, and in the opposite direction during summer.
Source of Definition: Department of Science and Technology, Philippine Atmospheric, Geophysical and Astronomical Services Administration, Meteorological Terms.
https://www.pagasa.dost.gov.ph/learning-tools/meteorological-terms)

8. Storm Surge - an abnormal increase in water level in seashores when a storm nears coastal lines caused by strong winds brought by low pressure at the eye wall.
Source of Definition: DOST-PAGASA Learning Tools: Meteorological Terms, Storm Surge. http://bagong.pagasa.dost.gov.ph/learning-tools/meteorological-terms
9. Tropical Cyclones - a non-frontal, synoptic-scale cyclone developing over tropical and sub-tropical waters at any level and having a definitely organized circulation. In other parts
of the world, these are referred to as hurricanes, typhoons or simply tropical cyclones depending on the region. Includes Tropical Depression, Tropical Storm, Severe Tropical
Storm, Typhoon, and Super Typhoon.
Source of Definition: DOST-PAGASA: About Tropical Cyclones. http://bagong.pagasa.dost.gov.ph/information/about-tropical-cyclone
10. Tsunami - an ocean wave produced by a submarine earthquake, landslide, or volcanic eruption that may reach enormous dimensions and have sufficient energy to travel across
entire oceans.
Source of Definition: DOST-PAGASA Learning Tools: Meteorological Terms, Tsunami. http://bagong.pagasa.dost.gov.ph/learning-tools/meteorological-terms
11. Volcanic Eruption - the transport of magma or gases to the Earth's surface, which can be accompanied with tremors and eruptions; and the interaction of magma and water
underneath the Earth's surface which can result in phreatic eruptions.
Source of Definition: DOST PHIVOLCS: Introduction to Volcanoes. https://www.phivolcs.dost.gov.ph/index.php/volcano-hazard/introduction-to-volcanoes

Certified True and Correct by: Validated by DRRM Coordinator: Validated by Planning Officer III (PRS-SGOD):
School Head :
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date
Position Title : Position Title :

Page 48 of 59
Table 36. DISASTERS/CALAMITIES (Human-Induced Hazards), For the months of June 2022 to May 2023
(Provide appropriate answers)
2022 2023
Human-Induced Hazards
June July Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. April May
1. Armed Conflict
1a. Number of times armed conflict occurred in your school and its immediate surroundings.
Armed conflict incident experienced in the past months
1b. Number of times the following state/non-state actors were involved in the armed conflict incidents.
1b1. State Actors:
Armed Forces of the Philippines (AFP)
Philippine National Police (PNP)
Others, (specify)

1b2. Non-State Actors:

Abu Sayyaf Group (ASG)
Bangsamoro Islamic Freedom Fighters (BIFF)
Communist Party of the Philippines/
New People's Army/
National Democratic Front (CPP-NPA-NDF)
Maute Group
Others, (specify)

2. Grave Child Rights Violations (GCRVs)

2a. Number of reports of GCRVs within the school and immediate surroundings that were filed through government channels.
Killing and maiming of children
Abduction of children
Attacks against schools or hospitals
Denial of humanitarian access for children
Recruitment or use of children as soldiers
Sexual violence against children
3. Others
Bomb Threat in School Premises
Bombing in School Premises
Fire **
Hazardous Materials Incident
(e.g. chemical explosion, chemical spill, oil spill,
exposure to radioactive substances)
Health Threat
(i.e. Dengue, Malaria, Measles, food poisoning,
disease outbreak)
Hostage-taking within school premises
Shooting incident within school vicinity
Structural collapse (as a result of engineering
failures)
Others, (specify)

1. Armed conflict - refers to armed confrontations occurring between government forces and one or more armed groups, or between such groups arising in the Philippine territory.
These shall include activities which may lead to, or are undertaken in preparation of armed confrontation or armed violence that put children‘s lives at risk and their rights
violated. (R.A. 11188). - Armed conflict incidents include armed encounters such as the All-Out-War in 2000, the September 2013 Zamboanga Siege, the 2017 Marawi Siege,
among others.
Source of Definition: R.A. 11188, or the Special Protection of Children in Situations of Armed Conflict (2017)
2. State and/or Non-State Actors - refers to parties involved in non-international armed conflict in which hostilities occur between governmental (state) armed forces and non-
governmental (non-state) armed groups or between such groups only.
Source of Definition: D. Schindler, The Different Types of Armed Conflicts According to the Geneva Conventions and Protocols, RCADI, Vol. 163, 1979-II, p. 147. as cited
in International Committee of the Red Cross (ICRC): "How is the Term "Armed Conflict" Defined in International Humanitarian Law?".
https://www.icrc.org/en/doc/assets/files/other/opinion-paper-armed-conflict.pdf

Certified True and Correct by: Validated by DRRM Coordinator: Validated by Planning Officer III (PRS-SGOD):
School Head :
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date
Position Title : Position Title :

Page 49 of 59
Box 30. ENABLING ENVIRONMENT, For the months of June 2022 to May 2023
(Check the boxes or provide the correct numbers for all DRRM and CCAM Policies)

Part 1. DRRM and CCAM Policies

1. School has adopted/ localized existing policies relating to DRRM and CCAM
Policy Number Title
A. DRRM-CCAM Policies
 DO 21 s.2015 DepEd DRRM Information Management and Coordination Protocol
 DO 23 s.2015 School Watching and Hazard Mapping
 DO 27 s.2015 Family Earthquake Preparedness
 DO 37 s.2015 Comprehensive DRRM in Basic Education Framework
 DO 28 s.2016 Strengthening Fire Safety and Awareness Program


Guidelines on the Coordination for Establishment of Schools in
DO 24 s.2021
Resettlement Sites Due to Disasters and/or Emergencies
School-based Disaster Preparedness and Response Measures For
 DO 33 s.2021 Tropical Cyclones, Flooding, and Other Weather-related
Disturbances and Calamities
Guidelines on the Cancellation or Suspension of Classes and Work in
 DO 37 s. 2022 Schools in the Event of Natural Disasters, Power Outages/Power
Interruptions, and Other Calamities
 DO 53 s. 2022 Mandatory Unannounced Earthquake and Fire Drills in Schools

Part 2. DRRM and CCAM Plans

1.  School has a comprehensive, inclusive, culture- and gender-sensitive Plan for
 DRRM  CCAM
2.  School DRRM and CCAM Plans are developed together with the following: (check all applicable)
 School Personnel  Parents  LGU  External Partners
3. Number of learners who participated in the development of the School DRRM and CCAM Plans
Learners
EXCLUDING IP Learners Muslim Learners SNED Learners
IP, Muslim and SNEd

Male Female Male Female Male Female Male Female

Reminder: A learner can be counted more than once if he/she is either an IP Learner, Muslim
Learner or SNEd Learner at the same time.

Note: For the definitions, refer to Box 29 - Part 3 to 5.

Certified True and Correct by: Validated by DRRM Coordinator:

School Head :
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date

Position Title : Position Title :

Validated by Planning Officer III (PRS-SGOD):

(Signature Over Printed Name) / Date

Page 50 of 59
(Continuation from previous page, Box 30)
Part 3. DRRM and CCAM Organizational and Budget Support
1.  School has a functional DRRM Team with defined roles and responsibilities

2.  School has designated a School DRRM Coordinator

3. Number, cost, and percentage of DRRM and CCAM Programs, Projects, and Activities (PPAs) included
in the school's budget
DRRM CCAM - Climate Change Expenditure Tagging
% in the School's % in the School's
Number of Cost of Number of Cost of
Budget Budget
PPAs PPAs (e.g. 99.54%) PPAs PPAs (e.g. 99.54%)

Part 4. Research and Information System

1. Number of evidence-based DRRM- and CCAM-related research that the school has undertaken

2. Number of programs developed or enhanced by the school based on research

3.  School has used DRRMS-developed DRRM- and CCAM-related software for data collection and reporting

Part 5. Monitoring and Evaluation

1.  School has used the Comprehensive School Safety (CSS) monitoring tool to keep track of their DRRM and
CCAM initiatives
2. Number of DRRM- and CCAM-related good practices documented by the school

DRRM CCAM
Documented Good
Practices

3. Number of programs developed or enhanced by the school as a result of their monitoring and
evaluation

1. CCAM (Climate Change Adaptation and Mitigation) - Climate change refers to a change in the state of the climate that can be identified
(e.g., by using statistical tests) by changes in the mean and/or the variability of its properties and that persists for an extended period,
typically decades or longer. (Intergovernmental Panel on Climate Change). Change of climate which is attributed directly or indirectly to
human activity that alters the composition of the global atmosphere and which is in addition to natural climate variability observed over
comparable time periods. Adjustments in ecological, social, or economic systems in response to actual or expected climatic stimuli and
their effects or impacts. It refers to changes in processes, practices, and structures to moderate potential damages or to benefit from
opportunities associated with climate change (United Nations Framework Convention on Climate Change).

Climate Change Adaptation - a climate change response that intends to reduce the vulnerability of human or natural systems to the
impacts of climate change and climate-related risks, by maintaining or increasing adaptive capacity and resilience.
Climate Change Mitigation - a climate change response that aims to reduce greenhouse gas emissions (GHG), directly or indirectly, by
avoiding or capturing GHG before they are emitted to the atmosphere or sequestering those already in the atmosphere by enhancing
"sinks" such as forests.

Source of Information: Joint Memorandum Circular No. 2015-01 (July 23, 2015). Revised Guidelines for Tagging / Tracking Climate
Change Expenditures in the Local Budget. https://niccdies.climate.gov.ph/files/documents/Local%20CCET%20-DBM-DILG-
CCC-.pdf
2. DRRM (Disaster Risk Reduction and Management) - is the systemic process of using administrative directives, organizations, and
operational skills and capacities to implement strategies, policies, and improved coping capacities in order to lessen the adverse impacts
of hazards and the possibility of a disaster.
Source of Definition: DO No. 37, s. 2015 The Comprehensive Disaster Risk Reduction and Management in Education Framework.
http://www.deped.gov.ph/wp-content/uploads/2015/08/DO_s2015_37.pdf

3. NGOs (Non-Government Organizations) and External Partners - refers to organizations both public and private, for-profit and non-
profit, and other funding sources (private foundations and federal, state, and local monies) that the schools have partnered with and were
funded for research and conceptual development activities; includes organizations such as Save the Children and UNICEF, among others.
4 Teaching Personnel - refers to school personnel that includes Teacher I-III, Master Teacher I-IV, and SNEd Teacher I-V .
5. Non-Teaching Personnel - refers to school personnel that includes School Principal I-IV, Head Teacher I-VI, Guidance Coordinator I-III,
Guidance Counselor I-III, Administrative Assistant II-III (Disbursing Officer and Senior Bookkeeper), Security Guard, and Utility
Worker I.

Certified True and Correct by: Validated by DRRM Coordinator:

School Head :
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date

Position Title : Position Title :

Validated by Planning Officer III (PRS-SGOD):

(Signature Over Printed Name) / Date

Page 51 of 59
Box 31. PILLAR 1. SAFE LEARNING FACILITIES, For the months of June 2022 to May 2023
(Check the boxes or provide the correct numbers for all DRRM and CCAM initiatives conducted)

School Safety, and Disaster Prevention and Mitigation

1. Number of identified safe and unsafe instructional and non-instructional spaces

Learning Facilities Safe Unsafe

Instructional Spaces

Non-instructional Spaces

2. Number of instructional spaces retroffited

3. Number of non-instructional spaces retroffited

4. Number of instructional spaces constructed using inclusive and resilient designs

5. Number of non-instructional spaces constructed using inclusive and resilient designs

6. School has the following structural hazard mitigation measures: (check all applicable)
 Flood Wall  Slope Protection
 Firewall  Others, (specify)
 Sea Wall
7. School has the following non-structural hazard mitigation measures: (check all applicable)
 Non- structural slope protection  Pruning of trees
 Vegetation (e.g. mangrove, shrubs, and trees)  Others, (specify)
 Porous Landscaping
8.  School conducts regular inspection of instructional and non-instructional spaces

9.  School Head has allotted budget for routine maintenance of instructional and non-instructional spaces

10.  School has undertaken regular repair of damaged instructional and non-instructional spaces

11. School has undertaken the maintenance of facilities within the following months: (check all applicable)
Jan. Feb. Mar. Apr. May June

Maintenance of School Facilities      

in Year 2022 July Aug. Sept. Oct. Nov. Dec.

     
1. Instructional Spaces - these spaces are designed to directly accommodate the educational program. The basic instructional spaces for
elementary schools are classrooms and work education shops or multi-purpose buildings for Home Economics and Industrial Arts
Classes. However, for secondary schools offering general curriculum, the basic instructional spaces are classrooms, computer rooms,
science laboratories, and Technology and Livelihood Education (TLE) shops. In secondary vocational schools, basic instructional spaces
also include specialized shops. Other spaces such as libraries, learning centers, gymnasiums, and similar spaces are classified as
instructional spaces when they are used directly in conjunction with the curriculum. In line with the changing curriculum, a modular type
of school building has been designed to include components for home economics, industrial arts, agricultural arts, etc. in one building unit
known as multipurpose workshop building.
Source of Definition: DepEd Educational Facilities Manual
2. Non-instructional Spaces - refers to administrative, non-programmed, and service spaces within the school, including ancillary facilities.
- The administrative and services spaces are those which serve to facilitate administrative and administration-related functions and
services such as administrative offices, canteens, or lunch counters, medical-dental clinics, guidance room, dormitories, etc.
- Non-programmed spaces are those which are not directly related to the implementation of the educational program and administrative
functions or services such as lobbies, corridors, stairs, etc.
- Ancillary facilities are one of a group of buildings having a secondary or dependent use, such as an annex.
Source of Definition: DepEd Educational Facilities Manual

3. Retrofit - the process of modifying an existing structure to render it more resilient to the hazard effects.
Source of Definition: DepEd Educational Facilities Manual
4. Unsafe Classroom - refers to classrooms that have one or a combination of hazards listed in the School Watching Checklist.
Source of Definition: DO No. 23, s. 2015 Student-led School Watching and Hazard Mapping

Certified True and Correct by: Validated by DRRM Coordinator:

School Head :
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date

Position Title : Position Title :

Validated by Planning Officer III (PRS-SGOD):

(Signature Over Printed Name) / Date

Page 52 of 59
 Box 32. PILLAR 2. SCHOOL SAFETY AND EDUCATIONAL CONTINUITY MANAGEMENT
For the months of June 2022 to May 2023
(Check the boxes or provide the correct numbers for all DRRM and CCAM initiatives conducted)

Part 1. School-level Risk Assessment, Plans, and Partnerships

1.  School has conducted Risk Assesssment
2.  School has incorporated results of Student-led School Watching, Hazard Mapping, and Risk Assessment in the SIP
3. School has a Contingency Plan for each natural and human-induced hazard that it is affected with: (check all applicable)
Natural Hazards: Human-induced Hazards:
 Tropical Cyclone  Earthquake  Armed Conflict
 Storm Surge  Volcanic Eruption  Bomb Threats / Bombing
 Flood  Tsunami  Civilian Violence
 Drought  Fire  Fire
 Landslide  Others, (specify)  Others, (specify)
4. School Contingency Planning is conducted together with the following: (check all applicable)

 Learners  Personnel  Parents  LGU  Partners

5.  School has documented a Memorandum of Understanding or Memorandum of Agreement with the LGU and DSWD for the
use of its facilities as evacuation centers following the JMC No. 1, s. 2013 and RA 10821
6.  School has presented the results of the Family Earthquake Preparedness Plan to the PTA and LGU
7.  School has taken appropriate actions based on the results of the Family Earthquake Preparedness Plan
8.  School has participated in the different DRRM and CCAM activities of the LGUs and other partners
Number of partners mobilized to support the school's DRRM and CCAM PPAs, including those after a disaster/
9.
emergency

10. Number of DRRM and CCAM PPAs the school has implemented with partners

Part 2. Disaster Preparedness

1.  School has conducted Brigada Eskwela to ensure school safety and that disaster preparedness measures are in place
2. School has a functional early warning system to inform learners and personnel of natural and human-induced hazards
(e.g. protocol, warning signs, devices, IEC)
3. Number of safety and emergency, response, and rescue supplies and equipment in the schools provided by DepEd and partners
A. Emergency Supplies B. Response and Rescue
DepEd Partners DepEd Partners
and Equipment Supplies and Equipment
2-fold Aluminum Stretcher Bicycle
Cadaver bag Fire Hose
C-Collar Motor Banca (For coastal and
Cot (Battlefield Bed) island schools only)
CPR board Power Sprayer
Emergency Head Lamp
Emergency Whistle
Fire Extinguisher
Go bag with Multi-Tool for
each learner

Go bag with Multi-Tool for

each personnel
Handheld / Base Radios
LED search light, 850 lumens
Life Vest / Life Jacket
Medical cushion
Plastic Spine Board with
Safety Belts
Portable P.A. system
Safety Coat
Safety Helmet
Safety Shoes
Splinter
Steel boxes
Steel cabinets
Traffic Vest
Transport bags, 45 L
Trauma Bag with contents
for 20 - 25 persons
Universal head immobilizer

4. Number of conducted regular hazard-specific drills with the participation of key stakeholders
(e.g. BFP, Medic, LGUs, NGOs, community, PTA, alumni, and others) from January to December 2022
Hazard-specific Drills Jan. Feb. Mar. April May June July Aug. Sept. Oct. Nov. Dec.
Earthquake Drill
Fire Drill
Flood Evacuation Drill
Lockdown Drill
Storm Surge Drill
Tsunami Drill

Note: For the definitions, refer to the next page of Box 32 - Part 3

Certified True and Correct by: Validated by DRRM Coordinator: Validated by Planning Officer III (PRS-SGOD):
School Head :
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date
Position Title : Position Title :

Page 53 of 59
 Box 32-Part 3. Disaster Response
1.  School conducted Brigada Eskwela in the aftermath of a disaster/ emergency to ensure learning continuity

2. Number of response interventions received from Partners 3. Number of personnel trained and mobilized for Alternative Delivery Mode
Number of Teaching Personnel
response Details
Types of Intervention Male Female
interventions
received 1. Trained as part of disaster/emergency
response
Donations in cash or in-kind
Emergency School Feeding 2. Mobilized for the implementation in
aftermath of a disaster/emergency
Hygiene Kits
Learners' Kits
Teachers' Kits
Materials for Alternative
Delivery Modes
Materials for MHPSS
Temporary Learning Spaces or
Tents
Temporary WASH Facilities

4.  School has implemented resumption strategies and Alternative Delivery Modes to ensure education continuity due to a disaster resulting
from natural hazards

5. School has implemented the following resumption strategies: 6. School has implemented the following alternative delivery
(check all applicable) modes: (check all applicable)
Resumption Strategies Number of Days Alternative Delivery Modes Number of Days
 Class Shifting  E-Impact
 Make-up Classes  Home School
 Modular Learning  MISOSA
 Online Learning  Night High School
 Peer Group Learning  Open High School
 Programmed Teaching Program

7. Number of learners affected and provided by the following disasters/emergencies response

Learners
EXCLUDING IP Learners Muslim Learners SNED Learners
Details IP, Muslim and SNEd

Male Female Male Female Male Female Male Female

1. Provided with Mental Health and
Psychosocial Support (MHPSS)

 Security
Layer 1: Basic Services and

 Support
Layer 2: Family and Community

 specialized support
Layer 3: Focused, non-


Layer 4: Specialized support

2. Utilized the established referral

mechanism
Reminder: A learner can be counted more than once if he/she is either an IP Learner, Muslim Learner or SNEd Learner at the same time.
8. Number of school personnel affected and provided by the following disasters/emergencies respon
Non-Teaching
Teaching Personnel
Details Personnel
Male Female Male Female
1. Provided with Mental Health and
Psychosocial Support (MHPSS)
2. Affected by disasters/ emergencies
and needing specialized psychosocial
support (PSS)
2a. Utilized the established referral
mechanism
Reminder: For 2a, out of the total number of school personnel affected by disasters/ emergencies and needing specialized psychosocial
support (PSS), determine the number of school personnel who utilized the established referral mechanism.

9  School has utilized established feedback and accountability mechanisms for learners to report issues and concerns, observations, and good
practices on response, rehabilitation and recovery interventions

(See definitions on the next page)

Certified True and Correct by: Validated by DRRM Coordinator: Validated by Planning Officer III (PRS-SGOD):
School Head :
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date
Position Title : Position Title :

Page 54 of 59
(Definitions of Box 32)

1. Bomb Threats / Bombing - refers to a threat or actual detonation of an explosive or

incendiary device to cause property damage, death, or injuries.
Indiana University: Emergency Planning
Source of Definition: https://protect.iu.edu/emergency-planning/procedures/bomb-
2. Child-centred
threats.html approach - placing the child at the notional centre of the learning process in
which they are active participants. Involves giving children choices of learning activities,
with the teacher acting as facilitator of learning.
Source of Definition: United Nations Educational, Scientific and Cultural Organization
3. Civilian Violence - refers to the use of physical force brought by a noncombatant person, so
as to injure, abuse, damage, or destroy. This includes crimes against school heads, teachers,
learners, and school property.
Merriam-Webster Dictionary
Source of Definition: https://www.merriam-webster.com/dictionary/violence
4. Contingency Plan - a management process that analyses specific potential events or
emerging situations that might threaten society or the environment and establishes
arrangements in advance to enable timely, effective and appropriate responses to such events
and situations.
Source of Definition: UNISDR Terminologies.
5. Early Warning - the provision of timely and effective information, through identified
institutions, that allows individuals exposed to a hazard to take action to avoid or reduce their
risk and prepare for effective response. (International Strategy for Disaster Risk Reduction)
6. E-Impact - the Enhanced Instructional Management by Parents, Community and Teachers
(e-IMPACT) learning system is a technology-enhanced alternative delivery mode developed
by the SEAMEO Regional Center for Educational Innovation and Technology (INNOTECH)
to address issues in accessibility and quality of education in schools usually handled by a few
teachers teaching multigrade classes.
Source of Definition: UNICEF Evaluation on Alternative Delivery Modes.
7. Emergency - a sudden and usually unforeseen event that calls for immediate measures to
minimize its adverse consequences.
Source of Definition:United Nations Department of Humanitarian Affairs
8. Evacuation Center - refers to a safe site, building or center hosting internally displaced
persons, which includes covered courts, barangay or community halls, camping areas,
collective centers, multi-purpose centers, established “tent cities” or schools.
Source of Definition: DSWD-DILG-DOH-DepEd- Joint Memorandum No. 1, S. 2013 on
the Guidelines on Evacuation Center Coordination and Management, Part III.
9. Hazard Mapping - the process of mapping hazard information within a study area of varying
scale, coverage, and detail.
Source of Definition: United Nations Human Settlements Programme
10. Learners with Disabilities (LWDs) - refer to children, youth, and adult learners with
substantial limitations in their functions, characterized by significantly sub-average
intellectual capacity and/or existing concurrently with related limitedtaions in two or more
adaptive skills areas. These learners may have any or a combination of the following:
intellectual disabilities, learning disabilities, mental, emotional or behavioral disorders,
sensory impairments, autism, long term physical or health disabilities, deaf blindness, and
multiple handicapping conditions. These conditions may be a hindrance to the learners' full
and effective participation in the society; thus, these conditions necesstiate the provision of
special education services and other allied services that will enable LWDs to live functional
11. Lockdown Drill - an emergency procedure intended to secure and protect occupants who are
in the proximity of an immediate threat. This procedure is used when it may be more
dangerous to evacuate a building than stay inside. By controlling entry/ exit and movement
within a facility, emergency personnel are better able to contain and handle any threats.
Source of Definition: University of British Columbia: Emergency Procedures.
https://emergency.ok.ubc.ca/procedures/lockdown/
12. Mental Health and Psychosocial Support (MHPSS) - any type of local or outside support
that aims to protect or promote psychosocial well-being and/or prevent or treat mental
disorder.
Source of Definition: IASC Guidelines on Mental Health and Psychosocial Support in
Emergency Settings.
13. Modified In-School, Off-School Approach (MISOSA) aims to: (i) solve congestion in
schools with big enrolment; (ii) address the need of children for adequate learning materials;
(iii) mobilize and strengthen community support; and (iv) improve students’ performance.
Source of Definition: UNICEF Evaluation on Alternative Delivery Modes.
https://www.unicef.org/evaldatabase/files/Philippines_ADM_Evaluationl_Philippines-
14. 2012-001.pdf
Open High School - an alternative mode of delivering secondary education for both public
and private schools. It puts premium on independent, self-pacing and flexible study to reach
learners who are unable to start or complete secondary education due to problems of time,
distance, physical impairment, financial difficulties, social or family problems.
Source of Definition: DepEd Order No. 46, s. 2006 Guidelines on the Implementation of
the Open High School Program.
15. Preparedness - the capacities and knowledge developed by governments, professional
http://www.deped.gov.ph/wp-content/uploads/2006/11/DO_s2006_46.pdf
response organizations, communities and individuals to anticipate and respond effectively to
the impact of likely, imminent or current hazard events or conditions.
Source of Definition: International Strategy for Disaster Risk Reduction
16. Referral - one of the guidance services where learners are facilitated to avail other assistance
or services that address their mental health or other concerns. This requires a wide range of
internal partners (i.e. counselors, teachers, nurses, and school administrators), external
partners (i.e. government, nongovernment agencies, organizations), and individuals in
different professions, fields and interest.
17. Resilience - the capacity of a system, community or society potentially exposed to hazards to
resist, adapt, and recover from hazard events, and to restore an acceptable level of
functioning and structure.
Source of Definition: International Strategy for Disaster Risk Reduction
18. Specialized Psychosocial Support - this assistance should include psychological or
psychiatric supports for people with severe mental disorders whenever their needs
exceed the capacities of existing primary/general health services. such problems require
either (a) referral to specialised services if they exist, or (b) initiation of longer-term
training and supervision of primary/general health care providers. although specialised
services are needed only for a small percentage of the population, in most large
emergencies this group amounts to thousands of individuals.
Source of Definition:
19. Temporary IASC Guidelines
Learning Spaces on Mental
- refers to spaces Health and
or structures thatPsychosocial
is establishedSupport in
in transitional
Emergency
sites, Settings.
permanent relocation sites, or in damaged schools, which is intended for the immediate
resumption of formal and non-formal education to ensure continuity of learning of children
while awaiting the construction or repair of permanent classrooms. This includes space for
supervised neighborhood play services for preschoolers and learning activities for school-
20. Temporary WASH - refers to Water, Sanitation, and Hygiene Facilities built during the
21. response phase.
Vulnerability - the conditions determined by physical, social, economic and environmental
factors or processes, which increase the susceptibility of a community to the impact of
hazards. For positive factors, which increase the ability of people to cope with hazards, see
definition of 'capacity'.
22. Warning - dissemination of message signalling imminent hazard which may include advice
on protective measures.
Source of Definition: United Nations Department of Humanitarian Affairs
Page 55 of 59
Box 33. Pillar 3. Risk Reduction and Resilience Education, For the months of June 2022 to May 2023
(Check the boxes or provide the correct numbers for all DRRM, CCAM, and Peacebuilding initiatives conducted)

Part 1. Curriculum Integration

1. School teaches DRRM- and CCAM- related concepts

DRRM-related concepts CCAM-related concepts
Subjects
K Gr 1 Gr 2 Gr 3 Gr 4 Gr 5 Gr 6 K Gr 1 Gr 2 Gr 3 Gr 4 Gr 5 Gr 6
Science              
Araling Panlipunan              
Edukasyon sa Pagpapakatao (EsP)              
Physical Education              
Health              
Edukasyong Pantahanan at Pangkabuhayan (EPP)              
Others              
2. Number of DRRM- and CCAM-related topics integrated in SNEd/IPEd/ALS program, learning competencies and contents introduced by the
school/teachers to supplement the Curriculum Guide, and learning competencies contextualized in learning resources

Integrated to the following Program Introduced by School/Teachers Contextualized

Topics/
Learning Learning
Competencies SNEd IPEd ALS Contents
Competencies Resources
DRRM
CCAM

Part 2. Information, Education, and Communication (IEC) and Advocacy

1.  School used DRRMS-developed DRRM, CCAM and Peacebuilding Information, Education and Communication Materials (IEC) materials
2.  School has DRRM, CCAM, and Peacebuilding corners, with updated IEC materials posted in it
3. Number of school personnel who participated in the survey on the effectiveness of IEC materials developed by DRRMS and/or contextualized by the
region or division
Teaching Personnel Non-Teaching Personnel
Male Female Male Female

4. Number of learners who have participation in the development of IEC Materials

Learners
EXCLUDING IP, IP Learners Muslim Learners SNEd Learners
Details Muslim and SNEd
Male Female Male Female Male Female Male Female
1. Participated in the survey on
the effectiveness of IEC
materials developed by DRRMS
and/or contextualized by region
or division

2. Consulted in the
development of IEC materials
3. Co-developed IEC materials

4. Initiated and developed IEC

materials

Reminder: A learner can be counted more than once if he/she is either an IP Learner, Muslim Learner or SNEd Learner at the same time.

Certified True and Correct by: Validated by DRRM Coordinator: Validated by Planning Officer III (PRS-SGOD):
School Head : ______________________________
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
Position Title : ______________________________ Position Title : _________________________ (Signature Over Printed Name) / Date

Page 56 of 59
Box 33.- Part 3a. Resilience Education
1. Number of school personnel trained by partners on DRRM and CCAM
Non-Teaching
Teaching Personnel
Topics Personnel
Male Female Male Female
DRRM

CCAM

2. Number of stakeholders that participated in DRRM and CCAM activities

LGU or Barangay
Learners School Personnel Parents NGOs
Officials

3. Number of school personnel that participated in DRRM and CCAM activities

Teaching Personnel Non-Teaching Personnel
Activities
Male Female Male Female
A. DRRM
Basic First Aid
Family Earthquake Preparedness
School Watching and Hazard Mapping
Celebration and commemoration of special events related to DRRM
DRRM-related Campus Journalism Activities (Photojournalism, Editorial
Cartoons, Comic Script Writing, Broadcasting and News Writing)
Other, (specify):

B. CCAM
Art, essay, slogan, etc. contests for climate change adaptation and mitigation
Environmental Journalism Training
Gulayan sa Paaralan
Installation or Maintenance of a Material Recovery Facility
Celebration and commemoration of special events related to climate change
Other, (specify):

Part 3b. Resilience Education

1. Number of learners that participated in DRRM, CCAM, and Peacebuilding activities

Learners
EXCLUDING IP, IP Learners Muslim Learners SNEd Learners
Activities Muslim and SNEd

Male Female Male Female Male Female Male Female

A. DRRM
Basic First Aid
Family Earthquake Preparedness
School Watching and Hazard Mapping
Celebration and commemoration of special
events related to DRRM

DRRM-related Campus Journalism Activities

(Photojournalism, Editorial Cartoons, Comic
Script Writing, Broadcasting and News
Writing)

Other, (specify):

B. CCAM
Art, essay, slogan, etc. contests for climate
change adaptation and mitigation
Environmental Journalism Training
Celebration and commemoration of special
events related to climate change
Other, (specify):

Reminder: A learner can be counted more than once if he/she is either an IP Learner, Muslim Learner or Learner with Disability at the same time.

2.  School used DepEd developed learning resources on DRRM and CCAM

3. Number of DRRM and CCAM trainings conducted for learners
Trainings
Topics
Conducted
DRRM
CCAM

Certified True and Correct by: Validated by DRRM Coordinator: Validated by Planning Officer III (PRS-SGOD):
School Head :
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date
Position Title : Position Title :

Page 57 of 59
 Box 33.- Part 3c. Resilience Education
1. Number of DRRM and CCAM PPAs led by learners
PPAs led by
Topics
learners
DRRM
CCAM

2.  School used DepEd developed and DepEd approved standardized training manuals on DRRM and CCAM

Part 3d. Resilience Education

1. Number of teaching and non-teaching personnel who 2. Number of teachers trained in integrating
completed the accredited training courses on DRRM and DRRM and CCAM in their daily learning log
CCAM
Non-Teaching
Teaching Personnel Teaching Personnel
Topics Personnel
Male Female Male Female Male Female
DRRM

CCAM

3.  School has used DepEd developed MHPSS standardized training manuals

4. Number of MHPSS trainings conducted for learners and personnel 5. Number of school personnel trained in MHPSS
and Psychological First Aid
MHPSS Trainings
Topics Non-Teaching
Learners Personnel Teaching Personnel
Personnel
DRRM Male Female Male Female
CCAM

1. Psychological First Aid - An evidence-informed modular approach to help children, adolescents, adults, and families in the immediate aftermath of
disaster and terrorism. Individuals affected by a disaster or traumatic incident, whether survivors, witnesses, or responders to such events, may struggle
with or face new challenges following the event. PFA was developed by the National Child Traumatic Stress Network and the National Center for
PTSD, with contributions from individuals involved in disaster research and response.
Source of Definition: National Child Traumatic Stress Network: Psychological First Aid
https://www.nctsn.org/treatments-and-practices/psychological-first-aid-and-skills-for-psychological-recovery/about-pfa

2. Change the Current: Climate Action Online Training for Adolescents aims to enhance adolescents' knowledge on the science of climate change and
adaptation and mitigation strategies, and hone skills that they need to increase adaptation and mitigation awareness and practices in their communities.
Project grants amounting to Php 15,000.00 will be awarded to selected adolescents.

3. YSEALI Climate Changemakers is an online training course that aims to increase the competence of teachers in teaching climate change concepts and
encouraging learners to act on climate. It consists of one core training subject on introduction to climate change and a specialized training subject on
` teaching climate change. Additionally, learning facilitators will receive supplementary training on online learning delivery. YSEALI Climate
Changemakers aims to train 50 region and division as learning facilitators who will train a total of 2,000 teachers from their respective regions and
divisions.
4. The Green Beat Initiative (TGBI) An Environmental Journalism Training for Campus Journalists and School Paper Advisers is a 6-week pilot intensive
online environmental journalism training. It aims to equip participants with the necessary skills and knowledge to pursue, develop, and report stories
about the environment with a focus on climate change adaptation and mitigation.
5. KaLIKHAsan Climate Action Action Advocacy Show is a theater arts performance, ideation, and devising workshops based on the KaLIKHAsan! Likha
at Lakas ng Kabataan para sa Kalikasan Creative Sourcebook.
6. The KaLIKHAsan! Likha at Lakas ng Kabataan para sa Kalikasan: A Creative Sourcebook on the Use of Theater for Climate Change Education and
Action is a resource intended for teachers, theater and performance practitioners, and workshop facilitators. It explains how to design and facilitate a
collaborative performance-making process with youth that includes climate action and the environment as central themes. Teachers are encouraged to
use the sourcebook as a guide in replicating the process in making the Climate Action Advocacy Show and empowering the learners toward climate
change education and action.

Certified True and Correct by: Validated by DRRM Coordinator:

School Head :
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date

Position Title : Position Title :

Validated by Planning Officer III (PRS-SGOD):

(Signature Over Printed Name) / Date

Page 58 of 59
Box 34. INDIGENOUS PEOPLES EDUCATION (IPEd) PROGRAM, SY 2023-2024 (As of December 31, 2023)
(Check/Provide appropriate answers)

1. Does the school have learners belonging to IP communities?  Yes  No

2. Is the school implementing the IPEd Program?
 Yes  No
3. Check if the school has any of the following conditions (check all applicable):

 experienced worse, like armed conflict or evacuation in the past 5 years are included
Peace and order tensions in the community experienced at least once in the past five years caused by the presence of armed groups and/or potential violence; areas that have


Cannot be reached by regular cars or through regular public utility vehicles (PUVs; jeep, bus, tricycle); specialized transportation (e.g., single motor or habal-habal, skylab,
horse, bangka) and/or walking is needed


Occasional dangerous geographical challenges affecting learners coming to school (e.g., river to be crossed by learners swells during rains; area to school or of the school prone
to landslides)
4. Number of teachers residing within and outside the school municipality
Number of Teachers
Teachers Residence Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 TOTAL (K to 6)
Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female
Within the School Municipality
` Outside the School Municipality
TOTAL

5. Does the school have experience in working with the IP community for the development of contextualized lesson plans,
development of learning resources, and other activities?
 Yes  No

6. To be answered only by schools with a population of K to 3 learners that is dominantly IP (70% and above of all K to 3 learners):
6.1 Does the school use the IP community's cultural language in the Mother Tongue-Based Multilingual Education (MTB-MLE)  Yes  No
6.2 subject?
Does the school use the IP community's cultural language as medium of teaching and learning in K to 3?  Yes  No
7. Does the school celebrate IP Day?  Yes  No
8. Does the school celebrate IP Month?  Yes  No
9. Is the school head an IP?  Yes No 
If Yes, what ethnicity? _____________________________
10. Did the school head attend the Orientation on IPEd provided by DepEd? Yes  No
11. Number of teachers in the school who are IPs
Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 TOTAL (K to 6)
Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Total

12. Number of teachers who have attended the Orientation on IPEd provided by DepEd 13. Number of teachers who have attended trainings on IPEd outside of DepEd
Male Female TOTAL Male Female TOTAL

 
14. Are the teachers in the school receiving 15. Number of teachers in school received Special Hardship Allowance
Yes No
Special Hardship Allowance (SHA)? (SHA) in the last School Year?
Male Female TOTAL

16. Number of IP learners who were vaccinated by the Department of Health

(based on LGU health records)
Grade 1 Grade 4
Type of Vaccines
 
Male Female TOTAL Female 17. Is the school located in the ancestral domain
and affected by armed conflict? (both Yes No
Measles Containing Vaccine
Tetanus Diphtheria conditions must hold)
Human Papiloma Virus

Reminders: 1. Teachers shall be counted only once. If a teacher is teaching more than one grade, he/she shall be counted to the grade level where he/she teaches the most number of hours.
However, if he/she teaches an equal number of hours per grade level, he/she shall be counted to the highest grade level assignment.
2. For list of Ethnicity, kindly refer to the page 17 of DepEd Order 3 s. 2018 or the Basic Education Enrollment Policy

1. Indigenous Cultural Communities/Indigenous Peoples (ICCs/IPs)— refer to a group of people or homogenous societies identified by self-ascription and ascription by others, who have
continuously lived as an organized community on communally bounded and defined territory, and who have, under claims of ownership since time immemorial, occupied, possessed and utilized such
territories, sharing common bonds of language, customs, traditions and other distinctive cultural traits, or who have, through resistance to political, social and cultural inroads of colonization, non-
indigenous religions and cultures, became historically differentiated from the majority of Filipinos. ICCs/IPs shall likewise include peoples who are regarded as indigenous on account of their descent
from the populations which inhabited the country, at the time of conquest or colonization, or at the time of inroads of non-indigenous religions and cultures, or the establishment of present state
boundaries, who retain some or all of their own social, economic, cultural and political institutions, but who may have been displaced from their traditional domains or who may have resettled outside
their ancestral domains;
Source: IPRA of 1997
Link: https://www.officialgazette.gov.ph/1997/10/29/republic-act-no-8371/

2. Ethnicity is a primary sense of belonging to an ethnic group. Ethnic group is consanguine in nature, meaning, the ties are reckoned by blood and traced through the family tree. Thus, ethnicity refers to
the household member's identity, by blood and not by choice nor by adoption/confirmation for any ethnic group, primarily the Indigenous Peoples (IPs).
Generally, ethnic grouping denotes genealogical and paternal lineage to any of the Philippines' group of native population. However, for the purpose of census, ethnic grouping also includes maternal
lineage. As such, anybody whose consanguinity with either both parents or any one of them who is a member of an IP group, is an Indigenous Person.
The updated categories of ethnicity are provided by the National Commission on Indigenous Peoples and the National Commission on Muslim Filipinos.
Source: 2010 Census of Population and Housing (CPH) & 2015 Population Census (POPCEN)
Link: https://psa.gov.ph/content/ethnicity-1

3. Ancestral Domain - refers to all areas generally belonging to ICCs/IPs comprising lands, inland waters, coastal areas, and natural resources therein, held under a claim of ownership, occupied or
possessed by ICCs/IPs, by themselves or through their ancestors, communally or individually since time immemorial, continuously to the present except when interrupted by war, force majeure or
displacement by force, deceit, stealth or as a consequence of government projects or any other voluntary dealings entered into by government and private individuals/corporations, and which are
necessary to ensure their economic, social and cultural welfare.
Source: IPRA of 1997 (REPUBLIC ACT NO. 8371)

Certified True and Correct by : Validated by Division IPEd Focal Person/Coordinator: Validated by Planning Officer III (PRS-SGOD):
School Head :
(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date
(Signature Over Printed Name) / Date
Position Title : Position Title :

Validated by Division School Health Coordinator/Medical Officer/Nurse: Validated by Division HR Personnel:

(Signature Over Printed Name) / Date (Signature Over Printed Name) / Date

Position Title : Position Title :

Page 59 of 59