TECHNICAL VOCATIONAL LIVELIHOOD SENIOR HIGH SCHOOLS READINESS BASIC REQUIREMENT SURVEY

Region : DIVISION:

School: School ID:

Specialization/Program: EIM-ELECTRICAL INSTALLATION AND MAINTENANCE

Available
PARTICULARS
QUANTITY AREA TYPE CAPACITY CONDITION NOT AVAILABLE REMARKS
1. Workshop
2. Storage Room
3. Electrical Wiring
4. Transformer
5. Circuit Breakers
6. Water Supply
7. Safety Devices
8. Fire Extinguisher
9. First Aid Kit
10.Emergency Devices
11.Furniture
12.Working Booth Welding or
other specialization)
NOTES: 1. If not available, describe the needs in the remarks, appropriate for the offered specialization or use separate sheet.

2. Part of the survey is to determine the condition of the school such as existing or not, for construction, no buildable space, relocated, change name, etc, Please provide your remarks in a
separate sheet with corresponding reasons.

Prepared by: Approved by:

Signature over printed name Signature over printed name
Position Position: Principal 1
Date: Contact Nos.