Republic of the Philippines

Department of Education
Region VI – Western Visayas
SCHOOLS DIVISION OF SAN CARLOS CITY

_________________________
(Title of the Training/ L & D Intervention)

_______________________
Training Proponent

____________________
Date

Azcona St. Brgy II, San Carlos City, Negros Occidental, 6127
(034) 312-5953/729-5290
sancarlos.city6@deped.gov.ph

OSDS SGOD CID

 Republic of the Philippines
Department of Education
Region VI – Western Visayas
SCHOOLS DIVISION OF SAN CARLOS CITY

I. General Program Information

Program Title
Program Description
Pre-requisite
Program(s)
Duration (No. of Days
and target dates)
Venue
Proponent
Management Level of
Program
Delivery Mode
No. of Target
Personnel/Participant
s
Program Management
Team (attach Terms of
Reference (TOR))
Budgetary
Requirements
Source of Fund
Rationale (2-3 paragraphs only)
Terminal Objective(s) At the end of the program/training/session, the participants are expected to
Enabling Objective(s) At the end of every session, the participants are expected to
End of Program
Output(s)
Expected Final
Outcome(s)/Success
Indicator(s)
Monitoring and
Evaluation

II. Program Content Focus

Content Matrix
Specific Objectives Content Suggested Activity Duration Expected Output

Activity Matrix
Time Activity Learning Facilitator/In Charge/Person Responsible
Day 1

Day 2

Day 3

(Take note: No more signatories below the matrix, signatories are found in the Approval Sheet.)

Azcona St. Brgy II, San Carlos City, Negros Occidental, 6127
(034) 312-5953/729-5290
sancarlos.city6@deped.gov.ph

OSDS SGOD CID

 Republic of the Philippines
Department of Education
Region VI – Western Visayas
SCHOOLS DIVISION OF SAN CARLOS CITY

Approval Sheet

This L & D program design and proposal was prepared by:

_______________
Proponent/Program Holder

Certifying Alignment of the Proposed Activity with Budget Allocation

(OKAY AS TO ALLOTMENT)

______________
Administrative Officer V – Budget
Date: __________

Conformed:

___________________
Chief/Head of Office

Recommending Approval:

__________________
Asst. Schools Division Superintendent

Approved:

__________________
Schools Division Superintendent

Note: The Sample Signatories shown above are applicable to Division Office Only, for other signatories
kindly refer to School-Based/Cluster/District-Led Trainings

Azcona St. Brgy II, San Carlos City, Negros Occidental, 6127
(034) 312-5953/729-5290
sancarlos.city6@deped.gov.ph

OSDS SGOD CID