Republic of the Philippines

DEPARTMENT OF EDUCATION
Region IV-A CALABARZON

DIVISION OF RIZAL PHP QMS 19 930014

Program Title:

Location and Venue:

Duration:

Inclusive Date:

No. of Participants:
Male Female Total
Target
Actual

Facilitator/s
Resource Speaker/s

Executive Summary

Program Objectives

Program Schedule/
Matrix/Design

Key Results

Resource Materials

Highlights of the Event

Facilitating Factors
(Factors/areas that helped
the program run smoothly)

Challenges
(Situations/ circumstances
happened during the activity
that affected the training)

Actions Taken
(Solution)

Result

DOR – HRD – F – 006 Rev. 04 June 1, 2021

Not to be reproduced or photocopied without prior authorization of SDO Rizal
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region IV-A CALABARZON

DIVISION OF RIZAL PHP QMS 19 930014

ACTIVITY COMPLETION REPORT (ACR)

Significant Learning

Top 3 Lessons Learned

(from the participants)

General Comments and suggestion

(from the Participants)

Conclusion and Recommendation

Conclusion and Recommendation

Budget Utilization Report

Approved Budget Php

Amount Utilized Php

Remarks

Photo documentation/Screenshots of Online Platform

(Maximum of 2 pages with 6 pictures per page)

DOR – HRD – F – 006 Rev. 04 June 1, 2021

Not to be reproduced or photocopied without prior authorization of SDO Rizal
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region IV-A CALABARZON

DIVISION OF RIZAL PHP QMS 19 930014

Note: To be submitted to SGOD-HRD within in 15 days after the activity

Attachments:

1. Copy of Daily Attendance Sheet

2. Approved Memorandum with training matrix
3. Summarized QAME Report with Summarized rating of facilitators
4. M&E Plan/Schedule to Measure Effectiveness (Workplace Application
Evaluation)
5. Analysis of the Learning Assessment Result
6. List of Completers of the Training (for E-Certificates)

Prepared by: Noted:

__________________________ _________________________
Documenter Proponent

DOR – HRD – F – 006 Rev. 04 June 1, 2021

Not to be reproduced or photocopied without prior authorization of SDO Rizal