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Doc Code: FM-SGO-HRD-008 Rev: 00

As of: July 2, 2018 Page: 1

LEARNING & DEVELOPMENT (L&D) COMPLETION REPORT


Part 1: SUMMARY ACCOMPLISHMENT (to be accomplished by PMT Secretariat)

Title of the L & D Activity: ________________________________________________________________________________


Learning Area/Focus: ______________________________________ L & D Duration: _____________________
No. of Hours Credited
Target Actual
Date: _______________________________________________ ________________________________________________
Venue: _______________________________________________ ________________________________________________

A. Program Management Team Key Members


Task Name Position Office/School
Proponent/s
Program Manager
Training Manager
Class Managers, if any
Logistics Officer
Finance Officer
Welfare Officer
Head Secretariat

B. Trainers, Facilitators & Resource Persons


Name Position Office/School

C. Participants ( attached filled out and signed Registration Form and Attendance Sheet )
No. of Participants Attended
Participants Target Male Female Total
ES HS ES HS
1. Teachers I – III
2. Master Teachers
3. School-Based Non-Teaching Personnel
4. School Heads / Head Teachers
5. SDO Related-Teaching Personnel (SDS, ASDS,
CES, Supervisors/Specialists)
6. Other SDO Non-Teaching Personnel
7. External Stakeholders, Learners & Others
(Parents, LGU, Non-SDO, etc)
Total
Note: ES-Elementary Participants HS-High School Participants

Alibagu, City of Ilagan, Isabela 3300 deped-isabela.com.ph


(078) 323-0281; (078) 323-2015 Sdo Isabela
isabela@deped.gov.ph
Doc Code: FM-SGO-HRD-008 Rev: 00
As of: July 2, 2018 Page: 2

D. Cost of Activity / Training


Expenses Proposed Actual
Amount Fund Source Amount Fund Source
Food
Training Materials & Hand-outs
Other Expenses
Total

E. Documentation (one-page, 3-4 pictures only with caption)

Caption Caption
_____________________________________ _____________________________________
_____________________________________ _____________________________________
AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA

Caption Prepared by:Caption


_____________________________________ _____________________________________
_____________________________________ ________________________________________________
_____________________________________
Program Manager / Training Proponent

Concurred by:

____________________________________________
Immediate Supervisor / Section Chief
Part 2: QATAME EXECUTIVE SUMMARY
(to be accomplished by QATAME Associate Team Leader)

Alibagu, City of Ilagan, Isabela 3300 deped-isabela.com.ph


(078) 323-0281; (078) 323-2015 Sdo Isabela
isabela@deped.gov.ph
Doc Code: FM-SGO-HRD-008 Rev: 00
As of: July 2, 2018 Page: 3

Title of the L & D Activity: ________________________________________________________________________________


Date: _______________________________________________ Venue: ________________________________________

A. Program Objectives & Key Results and Outputs


Program Objectives Key Results and/or Outputs
(refer to Terminal Objectives)

B. Resource Materials Used

C. M & E Analysis (attach accomplished Revised QAME Analysis Forms 1 & 2)


Based on the M&E Analysis Form 1 or 2 this part should include:
1. Results from the participants’ evaluation of the program
2. Results from the facilitators review of the program
3. Results from the program managers review of the program
4. Strengths and areas for improvement should be identified in this section

D. General Comments and Issues Encountered


Area of Concern General Comment/s and Issues Encountered, if any
Program Delivery
1. Trainers / Facilitators
2. Participants
3. Content of Program
4. Delivery Strategies
5. Training Materials
Program Management
Prior to Delivery 1.
2
3.
During the Training Proper 1.
2.
3.
Other Issues Encountered, if any
1.
2.
3.

E. Recommendations (refer to QAME Analysis Form 2)

Prepared by: Recommending Approval: APPROVED:


Alibagu, City of Ilagan, Isabela 3300 deped-isabela.com.ph
(078) 323-0281; (078) 323-2015 Sdo Isabela
isabela@deped.gov.ph
Doc Code: FM-SGO-HRD-008 Rev: 00
As of: July 2, 2018 Page: 4

_________________________ _________________________________ JESUS D. ANTONIO, PhD


QATAME Team Leader EPS-SGOD or SEPS-HRD Chief Education Supervisor, SGOD

Conforme:

__________________________________________ ____________________________________________
Training Proponent / Program Manager Immediate Supervisor of Proponent/Manager
Note: Please submit to PMT Secretariat all Evaluation tools used as attachments of the Completion Report’

Alibagu, City of Ilagan, Isabela 3300 deped-isabela.com.ph


(078) 323-0281; (078) 323-2015 Sdo Isabela
isabela@deped.gov.ph

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