Effectivity Date

2021 July
SCHOOLS DIVISION OFFICE OF CAMARINES SUR

PROCESSING SHEET FOR THE ISSUANCE OF FULL COMPLIANCE CERTIFICATE (FCC)

TO OFFER ALTERNATIVE LEARNING DELIVERY MODALITIES IN PRIVATE SCHOOLS AND
NON-DEPED PUBLIC SCHOOLS FOR SY 2021-2022
Private Kindergarten/Elementary/Junior High School/Senior High School
Pursuant to DepEd Order No. 13, s. 2020, DepEd Order No. 17, s. 2020
& Regional Memo Nos. 54, and 40 s. 2020

Registered Name of School: ___________________________________ SEC DTI

Complete Address of School: __________________________Email Add: _______________
Name of School Administrator __________________________Contact Nos._____________
Course Application:
_____ Kindergarten _____ Elementary (Specify Grade Levels _______________)
_____ Junior High School _____ Senior High School (Specify Grade Levels __________)
(Specify Grade Levels _____________)
Date of Opening of Classes: __________________ESC School Non-ESC School
School Year: __________________________ Date Submitted to ROV: ___________________

DOCUMENTARY REQUIREMENTS

Not
No. Name of Required Documents Available Available Remarks
(√) (x)
1 Indorsement letter from the SDO indicating among others, the School’s
Securities and Exchange Commission (SEC)/Department of Trade and
Industry (DTI) registered name, address and date when to open.
2 Letter of Intent (LOI) to implement a particular learning modality
addressed to the Regional Director through the Schools Division
Superintendent
3 School’s Plan/Health Program compliant with the minimum health
standards, consistent with the guidelines of the DOH, IATF and OP
4 School Calendar for SY 2021-2022
5 Sample Class Schedule showing the alternative delivery modes of
learning indicated in the LCP
6 School Recovery and Readiness Plan (SRRP) for Education Service
Contracting (ESC) recipient-schools with reference to the contents of the
PEAC SRRP.
a. Curriculum, Assessment and Instruction
 Continuity of Learning Outcomes in the Different Subject Areas
and Grade Levels
 Alternative Learning Modes (ALMs)/Flexible Learning Options
(FLOs) or Alternative Learning Delivery Modality/ies
b. Faculty
 Teacher Readiness for Alternative Learning Modes (ALMs)/
Flexible Learning Options (FLOs) or Alternative Learning
Delivery Modality/ies
c. Administration and Governance, School Budget and Finance
 School Enrolment and Finance Management
d. Administration and Governance Institutional Planning and
Development

Address: Freedom Stadium, San Jose, Pili, Camarines Sur

Email: deped.cam@deped.gov.ph
Website: www.depedcamsur.com
Telephone No. (telefax) 8713340
 Effectivity Date
2021 July
SCHOOLS DIVISION OFFICE OF CAMARINES SUR

 School Emergency Response and Planning

e. Academic Support and Student Development Services
 Mental Health of School Community
f. Physical Plant and Instructional Support Facilities
 Elimination of Health Risks, Hazards and Threats from
COVID19 and Other Infectious Diseases in the Campus,
Classrooms, Offices, Facilities and Environment
7 School Learning Continuity Plan (SLCP) for other private schools (Non-
ESC recipients) showing the alternative delivery modalities that the
applicant private schools intend to offer until such time that face-to-face
learning is allowed
a. Implementation plan on their multiple learning delivery modalities,
with blended learning and distance learning as major options;
b. Teacher and school heads professional development/training
plan to adequately prepare teachers and other personnel for the
implementation of alternative learning delivery modalities;
c. Orientation-training plan for parents for the implementation of
alternative learning delivery modalities;
d. Communication mechanism to address, among others, queries
from teachers, parents, and learners on the implementation of the
modalities and/or its learning continuity plan; and
e. Monitoring and Evaluation and Plan Adjustment.
8 Non-Negotiable Minimum Requirements for the selected Learning
Delivery Modality/ies:
a. For Online Distance Learning (ODL):
1. School’s Omnibus Certificate of Compliance to the minimum
requirements set by DepEd for Online Distance Learning as
contained in the Readiness Checklist per DO No. 13, s. 2020
(p.3-4)
2. Certification from the private school that it has IT infrastructure
with technology support for the following:
a. Internet service provider and its bandwidth
b. Web hosting service provider
c. Technical support for learners and other users (parents,
guardians); and
d. Its own Learning Management System or outsourced online
system to support the learning modality
3. Disclosure of Essential e-learning applications (whether the
school will use available applications like MS Office 365,
Moodle, Google Suite for Education, and others, which are
either outsourced or locally developed).
4. Statement of Undertaking signed by the school
head/administrator that courseware for each learning area in
different grade levels are available and ready for the school
year. Courseware refers to a self-learning package in digital
format provided to learners for independent study, and the set of
educational materials in digital format for use of teachers in
instructions delivery.
5. Statement that ensures accessibility of e-learning platform for
Users (admin, teacher, learners, parents).
6. Detailed discussion on Curricula Implementation, including a
statement that it complies with the minimum requirement of
DepEd in terms of learning competencies, time allotment, and

Address: Freedom Stadium, San Jose, Pili, Camarines Sur

Email: deped.cam@deped.gov.ph
Website: www.depedcamsur.com
Telephone No. (telefax) 8713340
 Effectivity Date
2021 July
SCHOOLS DIVISION OFFICE OF CAMARINES SUR

promotion and retention.

7. Certification that the school has a Teacher Professional
Development/Training Plan to adequately prepare teachers, and
other relevant personnel for the implementation of Online
Distance Learning.
8. Certification of the existence of an Orientation-Training Plan for
parents for the implementation of Online Distance Learning.
9. Statement of Undertaking that tuition and other fees are properly
consulted with the parents.
10. Scanned copy of the Permit to Operate or Government
Recognition.
11. Statement of Undertaking that tuition and other school fees
(TOSF) are properly consulted with the parents.
b. For Modular Distance Learning (MDL):
1. School’s Omnibus Certificate of Compliance to the minimum
requirements set by DepEd for Modular Distance Learning as
contained in the Readiness Checklist per DO No. 13, s. 2020
(p.5)
2. Statement of Undertaking signed by the school
head/administrator that learning materials in print/e-copy or
courseware (for those with computers only) for each learning
area in different grade levels are available and ready for the
school year.
3. Detailed discussion on Curricula Implementation, including a
statement that it complies with the minimum requirement of
DepEd in terms of learning competencies, time allotment, and
promotion and retention.
4. Certification that the school has a Teacher Professional
Development/Training Plan to adequately prepare teachers
and other relevant personnel for the implementation of Modular
Distance Learning.
5. Certification of the existence of an Orientation-Training Plan for
parents for the implementation of Modular Distance Learning.
6. Scanned copy of the Permit to Operate or Government
Recognition.
7. Statement of Undertaking that tuition and other school fees
(TOSF) are properly consulted with the parents.
c. For TV/Radio-Based Instruction (TV-RVI:
1. School’s Omnibus Certificate of Compliance to the minimum
requirements set by DepEd for TV/Radio-Based Instruction as
contained in the Readiness Checklist per DO 13, 2020 (p.6)
2. Copy of the MOA/MOU between the private school and the
television network and/or radio station.
3. Statement of Undertaking signed by the school
head/administrator that video-taped/radio-based learning
materials for each learning area in different grade levels are
available and ready for the school year, as print/e-copy or
courseware, whichever is applicable to complement TV/Radio-
Based Instruction.
4. Detailed discussion on Curricula Implementation, including a
statement that it complies with the minimum requirement of
DepEd in terms of learning competencies, time allotment, and
promotion and retention.
5. Certification that the school has a Teacher Professional

Address: Freedom Stadium, San Jose, Pili, Camarines Sur

Email: deped.cam@deped.gov.ph
Website: www.depedcamsur.com
Telephone No. (telefax) 8713340
 Effectivity Date
2021 July
SCHOOLS DIVISION OFFICE OF CAMARINES SUR

Development/Training Plan to adequately prepare teachers

and other relevant personnel for the implementation of
TV/Radio-Based Instruction.
6. Certification of the existence of an Orientation-Training Plan for
parents for the implementation of TV/Radio-Based Instruction.
7. Scanned copy of the Permit to Operate or Government
Recognition.
8. Statement of Undertaking that tuition and other school fees
(TOSF) are properly consulted with the parents.

Findings/Recommendations:
_______________________________________________________________________________________________
_____________________________________________________________

Notes:
1. Please indicate N/A, if not applicable
2. Kindly submit all the lacking documents on or before_______________
3. To facilitate evaluation, please do not include other documents not listed above.

Validated by: Date of Validation:

DELFIN A. BONDAD
(Name and Signature of Evaluator)

Noted:

PEDRO J. PELONIO
OIC-CHIEF-SGOD

Address: Freedom Stadium, San Jose, Pili, Camarines Sur

Email: deped.cam@deped.gov.ph
Website: www.depedcamsur.com
Telephone No. (telefax) 8713340