(DEPED-LCN-

Department of Education Doc Ref No.:

SGO-ACD)
Effective
SCHOOLS DIVISION OF LUCENA CITY Date:
Sept. 20, 2021

School Governance and Operations Division Revision No.: 0

Human Resource Development Page No.: 1 of 8

DTS No.: __________

ACTIVITY DESIGN

TITLE OF ACTIVITY: VAWC Advocacy Campaign S.Y. 2022: Strengthening

Self-worth, Protecting Mental Health
SCHOOL / OFFICE: LCNHS-Mayao Crossing Extension
PROPOSED VENUE: Function Room
PROPOSED DATE/S: November 30, 2022; 9:00 AM - 3:00 PM

PARTICIPANTS MALE FEMALE TOTAL

Teaching Personnel:
(Teachers I – VII and Master Teachers I – V)
 Kindergarten
 Grades 1 – 3
 Grades 4 – 6
 Grades 7 – 10 2 10 12
 Grades 11 – 12
 Subject Teachers 2 2 4
 SPED Teachers
 ALS Teachers 0 4 4
 IPED Teachers
Teaching Related Personnel: 0 1 1
(EPS, PSDS, School Head, SEPS, EPS II)
Non-Teaching Personnel – Level 1: 0 3 3
(Admin. Aide, Admin. Asst., Security Guards, etc.)
Non-Teaching Personnel – Level 2: 5 0 5
(Librarian, AOIV, ITO I, Legal Officer, PDO I, PDO
II, Nurse II, Dentist, Planning Officer, Engineer,
Medical Officer)
Top Management: 0 0 0
(SDS, ASDS, Chief Education Supervisors, AOV,
Accountant & Budget Officer)
Others: 0 1 1
(Speakers, guests, students, etc.)
TOTAL 9 21 30

FUNDING SOURCE / MOOE ☐ Canteen Fund ☐ SARO No. __________

☐ Other Funds (Please specify): Stakeholder
PROPOSED BUDGET Food / Food and Accommodation 10,500
* Materials
* Others
TOTAL 10,500
 (DEPED-LCN-
Department of Education Doc Ref No.:
SGO-ACD)
Effective
SCHOOLS DIVISION OF LUCENA CITY Date:
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FOOD / FOOD AND ACCOMMODATION

Number Unit Particulars Unit Price Total Price
30 pax Snack, AM Lunch and PM 350 10,500
Snack

SUB-TOTAL 10,500

PROPONENT/S DESIGNATION SIGNATURE

Jesamine C. Villa Teacher – 1

RATIONALE:
What are the mandates of the legal (RA, Order, or Memo) basis of the
activity?

Implementing Rules and Regulations RA 9262 - “The Rules and Regulations

Implementing the Anti-Violence Against Women and Their Children Act of 2004.”

RM No. 201, s. 2020 – Virtual Learning Session on Mental Health and

Psychological First Aid (PFA) Amidst the Pandemic

DepEd Task Force COVID-19 MEMO NO. 82 – Mental health and Psychosocial
Support Services for Learners, Parents, and DepEd Personnel, and Printing of
MHPSS Material

Why does this activity need to be conducted? What are the situations,
problems, issues you wanted to resolve?

Issue: Vulnerability of Filipino women and children regarding mental health in

access to the internet.

This activity will serve as an awareness to ensure that women and their children
have effective access to justice and to services and mental health programs.

OBJECTIVES / EXPECTED OUTPUT:

Who will be the What What support/s What are the
beneficiary/ies observable is/are needed for the measures (standard)
of the activity? performance is achievement of the for acceptable
expected? objective/s? performance?
 (DEPED-LCN-
Department of Education Doc Ref No.:
SGO-ACD)
Effective
SCHOOLS DIVISION OF LUCENA CITY Date:
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School Governance and Operations Division Revision No.: 0

Human Resource Development Page No.: 3 of 8

The faculty, and Supported a With support from 100% of the

GPTA parents, campaign the school head, objectives of the
and SSG against VAWC LCNHS-MCE project were achieved
students are personnel, GPTA
the Organize a parents, and SSG
beneficiaries of seminar about Students
this activity. women's rights,
anti-child abuse,
and mental
health protection
that applies to
all.

Technical Working Group

Program and Invitation Committee Sandra Mae R. Subaan
Registration Committee Renalyn M. Carabido
Certificates Committee Christine R. Llagas
Physical Arrangement Committee Donna Marie H. Zeta
Food Committee Jessa V. Jimenea
Technical Committee Edlyn G. Pasia
Evaluation Committee Jade Aldrin A. Cantollas
Documentation Committee Louelle L. Gonzales
Master of Ceremony Mariella Joy M. Belludo

What are the risks considered?
Speaker availability
Spread of Covid-19
How will you address them?
Inform and send a letter to the speaker at
least 3 weeks before the activity
Follow safety protocols of social distancing,
wear face mask and proper handwashing

REFERENCES:
 Implementing Rules and Regulations RA 9262

REVIEWED BY:

DR. LORELIE A. JASUL

School Head
 (DEPED-LCN-
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SCHOOLS DIVISION OF LUCENA CITY Date:
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MATRIX OF ACTIVITY

TITLE OF ACTIVITY: VAWC Advocacy Campaign S.Y. 2022: Strengthening

Self-worth, Protecting Mental Health

DATE OF ACTIVITY: November 30, 2022; 9:00 AM – 3:00 PM

TIME TOPIC / ACTIVITY PERSON RESPONSIBLE

9:00-9:15 Registration Ms. Renalyn M. Carabido
9:15-9:30 National Anthem/ Prayer Video Presentation
Opening Remarks Dr. Lorelie A. Jasul
Introduction to the Speaker 1 Mr. Allan R. Tomines
9:30-12:00 Preventing Violence: Ms. Loren Alyssa Campeñ a
Understanding Self-Worth
Lunch
1:00-1:15 Management of Learning Ms. Michelle L. Caagbay
1:15-2:30 Impact of Social Media on Well- Ms. Loren Alyssa Campeñ a
Being: A Mental Health
Campaign
2:30-3:00 Closing Remarks Ms. Jesamine C. Villa

Ms. Mariella Joy M. Belludo

Master of Ceremony
 (DEPED-LCN-
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SGO-ACD)
Effective
SCHOOLS DIVISION OF LUCENA CITY Date:
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Human Resource Development Page No.: 5 of 8

LIST OF PARTICIPANTS

TITLE OF ACTIVITY: VAWC Advocacy Campaign S.Y. 2022: Strengthening

Self-worth, Protecting Mental Health

DATE OF ACTIVITY: November 30, 2022; 9:00 AM – 3:00 PM

GRADE LEVEL
NO. NAME SEX DESIGNATION
ASSIGNMENT
1 Jasul, Lorelie A. F School Head
2 Anda, Madel R. F Teacher I Grade 10
3 Belludo, Mariela Joy M. F Teacher I Grade 8
4 Caagbay, Michelle L. F Teacher I Grade 10
5 Cantollas, Jade Aldrin A. M Teacher II Grade 9
6 Carabido, Renalyn M. F Teacher I Grade 7
7 Gonzales, Louelle L. M Teacher I Grade 10
8 Hernandez, Mary Ann V. F Teacher III Grade 8
9 Jimenea, Jessa V. F Teacher I Grade 7
10 Llagas, Christine R. F Teacher I Grade 8
11 Pasia, Edlyn G. F Teacher I Grade 7
12 Ramos, Jennifer G. F Teacher I Grade 9
13 Silangil, Erwin D. M Teacher I Grade 9
14 Subaan, Sandra Mae R. F Teacher I Grade 7
15 Tomines, Allan R. M Teacher III Grade 10
16 Villa, Jesamine C. F Teacher I Grade 7
17 Zeta, Donna Marie H. F Teacher I Grade 9
18 Garcia, Roberto M Guard None
19 Gomez, Richard M Utility None
20 Jabon, Hospicio M Guard None
21 Ranas, Alberto M Guard None
22 Capistrano, Cloie Kamille M LSA None
23 De Dios, Ivy S. F LSA None
24 Domingo, Pearl Sandy H. F LSA None
25 Abejo, Sharon F GPTA None
26 Abana, Mary Ann F GPTA None
27 Belugan, Pedro F GPTA None
28 Batas, Ellysa F SSG None
29 De Luna, Trisha Mae P. F SSG None
30 Oliva, Princess F. F SSG None
Note: Please use this template for School-Based level training only.
 (DEPED-LCN-
Department of Education Doc Ref No.:
SGO-ACD)
Effective
SCHOOLS DIVISION OF LUCENA CITY Date:
Sept. 20, 2021

School Governance and Operations Division Revision No.: 0

Human Resource Development Page No.: 6 of 8

LIST OF PARTICIPANTS

TITLE OF ACTIVITY: VAWC Advocacy Campaign S.Y. 2022: Strengthening

Self-worth, Protecting Mental Health

DATE OF ACTIVITY: November 30, 2022; 9:00 AM – 3:00 PM

NO. NAME SEX DESIGNATION SIGNATURE

1 Jasul, Lorelie A. F School Head
2 Anda, Madel R. F Teacher I
3 Belludo, Mariela Joy M. F Teacher I
4 Caagbay, Michelle L. F Teacher I
5 Cantollas, Jade Aldrin A. M Teacher II
6 Carabido, Renalyn M. F Teacher II
7 Gonzales, Louelle L. M Teacher I
8 Hernandez, Mary Ann V. F Teacher III
9 Jimenea, Jessa V. F Teacher III
10 Llagas, Christine R. F Teacher I
11 Pasia, Edlyn G. F Teacher I
12 Ramos, Jennifer G. F Teacher I
13 Silangil, Erwin D. M Teacher I
14 Subaan, Sandra Mae R. F Teacher I
15 Tomines, Allan R. M Teacher III
16 Villa, Jesamine C. F Teacher I
17 Zeta, Donna Marie H. F Teacher I
18 Garcia, Roberto M Guard
19 Gomez, Richard M Utility
20 Jabon, Hospicio M Guard
21 Ranas, Alberto M Guard
22 Capistrano, Cloie Kamille M LSA
23 De Dios, Ivy S. F LSA
24 Domingo, Pearl Sandy H. F LSA
25 Abejo, Sharon F GPTA
26 Abana, Mary Ann F GPTA
27 Belugan, Pedro F GPTA
28 Batas, Ellysa F SSG
29 De Luna, Trisha Mae P. F SSG
30 Oliva, Princess F. F SSG
 (DEPED-LCN-
Department of Education Doc Ref No.:
SGO-ACD)
Effective
SCHOOLS DIVISION OF LUCENA CITY Date:
Sept. 20, 2021

School Governance and Operations Division Revision No.: 0

Human Resource Development Page No.: 7 of 8

LIST OF PARTICIPANTS

TITLE OF ACTIVITY: VAWC Advocacy Campaign S.Y. 2022: Strengthening

Self-worth, Protecting Mental Health

DATE OF ACTIVITY: November 30, 2022; 9:00 AM – 3:00 PM

MEAL
NO. NAME SIGNATURE
ALLOWANCE
1 Jasul, Lorelie A. P 350.00
2 Anda, Madel R. P 350.00
3 Belludo, Mariela Joy M. P 350.00
4 Caagbay, Michelle L. P 350.00
5 Cantollas, Jade Aldrin A. P 350.00
6 Carabido, Renalyn M. P 350.00
7 Gonzales, Louelle L. P 350.00
8 Hernandez, Mary Ann V. P 350.00
9 Jimenea, Jessa V. P 350.00
10 Llagas, Christine R. P 350.00
11 Pasia, Edlyn G. P 350.00
12 Ramos, Jennifer G. P 350.00
13 Silangil, Erwin D. P 350.00
14 Subaan, Sandra Mae R. P 350.00
15 Tomines, Allan R. P 350.00
16 Villa, Jesamine C. P 350.00
17 Zeta, Donna Marie H. P 350.00
18 Garcia, Roberto P 350.00
19 Gomez, Richard P 350.00
20 Jabon, Hospicio P 350.00
21 Ranas, Alberto P 350.00
22 Capistrano, Cloie Kamille P 350.00
23 De Dios, Ivy S. P 350.00
24 Domingo, Pearl Sandy H. P 350.00
25 Abejo, Sharon P 350.00
26 Abana, Mary Ann P 350.00
27 Belugan, Pedro P 350.00
28 Batas, Ellysa P 350.00
29 De Luna, Trisha Mae P. P 350.00
30 Oliva, Princess F. P 350.00
 (DEPED-LCN-
Department of Education Doc Ref No.:
SGO-ACD)
Effective
SCHOOLS DIVISION OF LUCENA CITY Date:
Sept. 20, 2021

School Governance and Operations Division Revision No.: 0

Human Resource Development Page No.: 8 of 8

MATRIX OF ACTIVITY

TITLE OF ACTIVITY: ESP/VAWC Advocacy Campaign S.Y. 2022:

Strengthening Self-worth, Protecting Mental Health
DATE OF ACTIVITY: November 29, 2022; 11:00 AM – 12:00 PM;
12:30 PM – 1:30 PM

TIME TOPIC / ACTIVITY PERSON RESPONSIBLE

11:00-11:15 Registration Ms. Renalyn M. Carabido
National Anthem/ Prayer Video Presentation
Opening Remarks Dr. Lorelei A. Jasul
Introduction to the Speaker Mr. Allan R. Tomines
11:15-11:45 Strengthening Self-worth, Ms. Loren Alyssa Campeñ a
Protecting Mental Health
11:45-12:00 Certification Ms. Mariella Joy M. Belludo
Closing Remarks Ms. Jesamine C. Villa

Ms. Mariella Joy M. Belludo

Master of Ceremony