Republic of the Philippines

Department of Education
REGION VII-CENTRAL VISAYAS
DIVISION OF CEBU PROVINCE
CAPUTATAN SUR ELEMENTARY SCHOOL
Caputatan Sur, Medellin, Cebu

Letter of Intent
of the School
Head of the
Requesting
School
 Republic of the Philippines
Department of Education
REGION VII-CENTRAL VISAYAS
DIVISION OF CEBU PROVINCE
CAPUTATAN SUR ELEMENTARY SCHOOL
Caputatan Sur, Medellin, Cebu

PTA Resolution
Supporting the
School for the
Request of
Limited face to
Face Classes
 Republic of the Philippines
Department of Education
REGION VII-CENTRAL VISAYAS
DIVISION OF CEBU PROVINCE
CAPUTATAN SUR ELEMENTARY SCHOOL
Caputatan Sur, Medellin, Cebu

Barangay
Certification
Supporting the
School for the
Request of
Limited face to
Face Classes
 Republic of the Philippines
Department of Education
REGION VII-CENTRAL VISAYAS
DIVISION OF CEBU PROVINCE
CAPUTATAN SUR ELEMENTARY SCHOOL
Caputatan Sur, Medellin, Cebu

Duly Accomplished
Self-Assessment on
School Safety
Assessment Tool
(SSAT) showing
compliance to all
elements of the
tool.
 Republic of the Philippines
Department of Education
REGION VII-CENTRAL VISAYAS
DIVISION OF CEBU PROVINCE
CAPUTATAN SUR ELEMENTARY SCHOOL
Caputatan Sur, Medellin, Cebu

Certification from
the Municipal
Mayor
 Republic of the Philippines
Department of Education
REGION VII-CENTRAL VISAYAS
DIVISION OF CEBU PROVINCE
CAPUTATAN SUR ELEMENTARY SCHOOL
Caputatan Sur, Medellin, Cebu

Certification from
the Municipal
Health Officer
 Republic of the Philippines
Department of Education
REGION VII-CENTRAL VISAYAS
DIVISION OF CEBU PROVINCE
CAPUTATAN SUR ELEMENTARY SCHOOL
Caputatan Sur, Medellin, Cebu

Proof of the conduct of

coordination meetings at the
local level with concerned
government agencies, partners,
and community members,
including parents, learners,
teaching and non-teaching
personnel to discuss their
participation, existing protocols,
mechanisms and procedures of
Face to Face Classes
 Republic of the Philippines
Department of Education
REGION VII-CENTRAL VISAYAS
DIVISION OF CEBU PROVINCE
CAPUTATAN SUR ELEMENTARY SCHOOL
Caputatan Sur, Medellin, Cebu

Photocopies of
Vaccination Cards of
Teachers with their
corresponding
Vaccination Certificates
per grade level
 Republic of the Philippines
Department of Education
REGION VII-CENTRAL VISAYAS
DIVISION OF CEBU PROVINCE
CAPUTATAN SUR ELEMENTARY SCHOOL
Caputatan Sur, Medellin, Cebu

List of Learners with

Parents’ Consent who
will be attending the
face-to-face classes per
grade level
 Republic of the Philippines
Department of Education
REGION VII-CENTRAL VISAYAS
DIVISION OF CEBU PROVINCE
CAPUTATAN SUR ELEMENTARY SCHOOL
Caputatan Sur, Medellin, Cebu

Class Program Indicating

the subjects and teachers
with their Alternative Work
Arrangements (AWA) /
Form 7 (School Personnel
Assignment List and Basic
Profile) on face-to-face
Classes
 Republic of the Philippines
Department of Education
REGION VII-CENTRAL VISAYAS
DIVISION OF CEBU PROVINCE
CAPUTATAN SUR ELEMENTARY SCHOOL
Caputatan Sur, Medellin, Cebu

Availability of Evidence
on the Conduct of
Mental Health
Concerns/Psychological
first aid orientation and
seminars
 Republic of the Philippines
Department of Education
REGION VII-CENTRAL VISAYAS
DIVISION OF CEBU PROVINCE
CAPUTATAN SUR ELEMENTARY SCHOOL
Caputatan Sur, Medellin, Cebu

Pictures of the Physical

structures set up (i.e
health and safety
protocols, Washing
Facilities, and supplies
triage