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Application Form
Project Impact What effect will your project have had on any or all of the following:
(a) DepEd Education Agenda
(b) LGU Development Goals
(c) Target Learners
ACTIVITIES
TIMELINE FOR ACTIVITIES
(What major activities will
GOALS INDICATORS (Indicate when these activities
you conduct to achieve these
should take place)
goals?)
Long-term Goals: 1. How many learners will have What major activities will you Indicate when these activities
1. Employment for been employed by the end of the conduct to achieve these long- should take place
learners project? term goals?
2. Other long term goal/s, a. BASELINE
if any b. PROJECTED
2. Indicators connected to goal #2
a. BASELINE
b. PROJECTED
ACTIVITIES
TIMELINE FOR ACTIVITIES
(What major activities will
GOALS INDICATORS (Indicate when these activities
you conduct to achieve these
should take place)
goals?)