Republic of the Philippines Effectivity Date: November 18,2022

Department of Education Version No. 1

DepEd Complex, Meralco Avenue Revision No.: 00
Pasig City 1600 Page No.: 1 of 9

Professional Development Program/Course Recognition Application Form Reference No.: CO-NEAP-F018

INSTRUCTIONS: Input the necessary details. Indicate N/A if not applicable. DO NOT ABBREVIATE.

LEARNING SERVICE PROVIDER PROFILE

Learning Service Provider CANDANUM ELEMENTARY SCHOOL
Complete Office Address SAN ANTONIO, CABAGAN, ISABELA
Contact Person JOJO D. QUILANG JR Mobile No. 09208405595
Telephone No. N/A Email Address jojojr.quilang@deped.gov.ph
NEAP Authorization Number N/A

Address: 2/F Mabini Building, DepEd Complex, Meralco Avenue, Pasig City 1600
Telephone No.: (02) 8638-8638 / (02) 8633-7207 / (02) 8635-4796
Email Address: neap.od@deped.gov.ph / askneap@deped.gov.ph
 Republic of the Philippines Effectivity Date: September 20, 2021
Department of Education Version No. 1
DepEd Complex, Meralco Avenue Revision No.: 00
Pasig City 1600 Page No.: 2 of 9

Professional Development Program/Course Recognition Application Form Reference No.: CO-NEAP-F017

PROGRAM PROFILE
You will need to complete the following components to describe the program you would like to be recognized.
1
Title School LAC Session on Crafting Research, Innovations and IGPs
Up to date, the faculty Candanum Elementary School haven’t conducted any research, innovation, and/or IGPs
activities to aid the teaching and learning process. This is problematic since the Department of Education is
promoting a culture of research across the basic education system and an environment of evidence-informed
policy-making.
Crafting of Researches, Innovations and IGPs also implies that every teacher should properly be guided and
2 equipped with the fast changes and evolving constraints or needs in the teaching learning processes through
Rationale
reviewing some areas or concerned that will help them improve practice and learner achievement.
As we embrace modifications in the educational milieu, the Candanum Elementary School staff desires to
maintain its commitment for quality service by means of this School LAC Session where teachers shall be
equipped with the necessary knowledge, skills and strategies to intensify and enhance competencies necessary
to conduct of researches, innovations and IGPs.
3
Program Description Due to the continuous and changing demands on teachers’ roles in providing learners
interventions, this school LAC session is designed to cater their development needs on crafting of researches,
innovations and IGPs.

Terminal Objective. To enable teachers to evaluate their collective performance and capacitate them through
trainings and workshops for their continuing professional development and upliftment of learner- centered
learning

STEM STATEMENT/S:

By the end of the session, participants will be able to: 

a. demonstrate understanding of research, innovation and IGP processes;

Address: 2/F Mabini Building, DepEd Complex, Meralco Avenue, Pasig City 1600
Telephone No.: (02) 8638-8638 / (02) 8633-7207 / (02) 8635-4796
Email Address: neap.od@deped.gov.ph / askneap@deped.gov.ph
 Republic of the Philippines Effectivity Date: September 20, 2021
Department of Education Version No. 1
DepEd Complex, Meralco Avenue Revision No.: 00
Pasig City 1600 Page No.: 3 of 9

Professional Development Program/Course Recognition Application Form Reference No.: CO-NEAP-F017

b. identify school-based problems in the teaching-learning process;

c. craft research, innovation and IGP proposals.

Domain 4: Curriculum and Planning Strand

4.1: Planning and management of teaching and learning process
4.2: Learning outcomes aligned with learning competencies Strand
4.3: Relevance and responsiveness of learning programs
4
Professional Development 4.4: Professional collaboration to enrich teaching practice
Priorities
Domain 7: Personal Growth and Professional Development Strand
7.3: Professional links with colleagues Strand
7.4: Professional reflection and learning to improve practice Strand
7.5: Professional development goals
5 6
Target Participant PRC N/A
No. NAME POSITION CAREER FD/ GRADE LEARNING Progr
STAGE SCHOOL LEVEL AREA am
1 JOJO D. TII/ In-Charge Proficient Candanum ES 6 Science Accre
QUILANG JR. ditati
2 AGUSTINA B. UY T3 Proficient Candanum ES GRADE 2 All on
Subjects No.
3 ALFILYN G. T3 Proficient Candanum ES GRADE All
GANNABAN 3 Subjects
4 LALIE G. T1 Proficient Candanum ES GRADE 1 All
BAYANG Subjects
5 PRIMITIVO Z. T1 Proficient Candanum ES GRADE 5 All
SORIANO JR. Subjects

Address: 2/F Mabini Building, DepEd Complex, Meralco Avenue, Pasig City 1600
Telephone No.: (02) 8638-8638 / (02) 8633-7207 / (02) 8635-4796
Email Address: neap.od@deped.gov.ph / askneap@deped.gov.ph
 Republic of the Philippines Effectivity Date: September 20, 2021
Department of Education Version No. 1
DepEd Complex, Meralco Avenue Revision No.: 00
Pasig City 1600 Page No.: 4 of 9

Professional Development Program/Course Recognition Application Form Reference No.: CO-NEAP-F017

6 JEREMIE Q. T1 Proficient Candanum ES GRADE 4

All
CANCERAN Subjects
7 MELITA P. T1 Proficient Candanum ES Kinder All
ZIPAGAN garten Subjects
8 JULLIE ANN C. T1 Proficient Candanum ES GRADE 4 All
MAMUAD Subjects
7
Delivery Platform Identify delivery platform here. 8
Indicative Date of Implementation From Start Date to End Date

COURSE LIST
Learning Service Providers can attach one or more courses in a program for recognition. You are required to list courses you are applying for
recognition in the table below and then provide a detailed description of each course on the COURSE DESIGN page.
9 10 11 12 13
Course Title Professional Standards Covered Schedule Modality
1 Crafting of Research, Domain 4: Curriculum and Planning Strand March 3, 2023 Learning Action Cell
Innovations and IGPs 4.1: Planning and management of teaching and
learning process
4.2: Learning outcomes aligned with learning
competencies Strand
4.3: Relevance and responsiveness of learning
programs
4.4: Professional collaboration to enrich teaching
practice

Domain 7: Personal Growth and Professional

Development Strand
7.3: Professional links with colleagues Strand

Address: 2/F Mabini Building, DepEd Complex, Meralco Avenue, Pasig City 1600
Telephone No.: (02) 8638-8638 / (02) 8633-7207 / (02) 8635-4796
Email Address: neap.od@deped.gov.ph / askneap@deped.gov.ph
 Republic of the Philippines Effectivity Date: September 20, 2021
Department of Education Version No. 1
DepEd Complex, Meralco Avenue Revision No.: 00
Pasig City 1600 Page No.: 5 of 9

Professional Development Program/Course Recognition Application Form Reference No.: CO-NEAP-F017

7.4: Professional reflection and learning to improve

practice Strand
7.5: Professional development goals

Add more row to add courses.

COURSE DESIGN
Provide a detailed description of each of the course by breaking it into discrete sessions. You may create a copy of this page if you have two or
more courses.
14
Course Title
15
Course Description
22
18 20 Resource
16 17 Session 19 Assessment 21
Duration Topic Methodology Outputs Person/ Learning
Objectives Strategies
Facilitator
1 120 min Crafting By the end of the Explain how Research ALEXIS V.
Research, session, the learning proposal ALLAPITAN
Innovations and participants will outcomes will
IGPs be able to:  be assessed; if
a.demonstrate possible
understanding attach an
of research, assessment
innovation and tool. (50-75
IGP processes; words)
b. identify

Address: 2/F Mabini Building, DepEd Complex, Meralco Avenue, Pasig City 1600
Telephone No.: (02) 8638-8638 / (02) 8633-7207 / (02) 8635-4796
Email Address: neap.od@deped.gov.ph / askneap@deped.gov.ph
 Republic of the Philippines Effectivity Date: September 20, 2021
Department of Education Version No. 1
DepEd Complex, Meralco Avenue Revision No.: 00
Pasig City 1600 Page No.: 6 of 9

Professional Development Program/Course Recognition Application Form Reference No.: CO-NEAP-F017

school-based
problems in the
teaching-
learning
process;
c. craft research,
innovation and
IGP proposals.

Add more row to add sessions.

Address: 2/F Mabini Building, DepEd Complex, Meralco Avenue, Pasig City 1600
Telephone No.: (02) 8638-8638 / (02) 8633-7207 / (02) 8635-4796
Email Address: neap.od@deped.gov.ph / askneap@deped.gov.ph
 Republic of the Philippines Effectivity Date: September 20, 2021
Department of Education Version No. 1
DepEd Complex, Meralco Avenue Revision No.: 00
Pasig City 1600 Page No.: 7 of 9

Professional Development Program/Course Recognition Application Form Reference No.: CO-NEAP-F017

PROGRAM/COURSE IMPLEMENTATION PLAN

Canteen Funds
REQUIRED REQUIRED
23
Funding 24
Budget ITEM OF EXPENDITURE UNIT COST AMOUNT
NO. OF PAX NO. OF DAYS
Source Requirements Snacks 30 9 1 270.00
Grand Total 270.00

Monitoring and Evaluation Plan

This is a sample M and E Plan following the Kirkpatrick Evaluation Model, if you have an existing M and E Plan you may use that instead.

Methods and Schedule of M User of M and E

Level of M and E Indicators Data Sources Person/s Responsible Support Needed
Tools and E Data
25
Results Results *Interview, Process After the LAC Proponent and Learning Observation Proponent
Evaluation Observers Session Facilitators Evaluation tool Teachers
Tool
26
Behavior Behavior Listening SQua Team Before and Proponent and Observation
and after session Learning Proponent
feedbacking Facilitators Teachers
27
Learning Learning Pre-test/ Process Outputs
Posttest Observers Before and Proponent and Proponent
after session Learning Teachers
Facilitators

28
Reaction Reaction Discussion SQuA Team After session Proponent and Observation Proponent

Address: 2/F Mabini Building, DepEd Complex, Meralco Avenue, Pasig City 1600
Telephone No.: (02) 8638-8638 / (02) 8633-7207 / (02) 8635-4796
Email Address: neap.od@deped.gov.ph / askneap@deped.gov.ph
 Republic of the Philippines Effectivity Date: September 20, 2021
Department of Education Version No. 1
DepEd Complex, Meralco Avenue Revision No.: 00
Pasig City 1600 Page No.: 8 of 9

Professional Development Program/Course Recognition Application Form Reference No.: CO-NEAP-F017

and Learning Teachers

Workshop Facilitators

Address: 2/F Mabini Building, DepEd Complex, Meralco Avenue, Pasig City 1600
Telephone No.: (02) 8638-8638 / (02) 8633-7207 / (02) 8635-4796
Email Address: neap.od@deped.gov.ph / askneap@deped.gov.ph
 Republic of the Philippines Effectivity Date: September 20, 2021
Department of Education Version No. 1
DepEd Complex, Meralco Avenue Revision No.: 00
Pasig City 1600 Page No.: 9 of 9

Professional Development Program/Course Recognition Application Form Reference No.: CO-NEAP-F017

Declaration:

I hereby declare the information provided in this application is true and correct and there have been no misleading statements,
omission of any relevant facts nor any misinterpretation made.

Sign off by the Program/Course Manager or its equivalent

Program Manager JOJO D. QUILANG JR
Signature
Date March 03, 2023
This Form is not valid if not signed.

Required Attached Documents:

Detailed Course Design
Sample Learning Resources (Modules, Worksheets, etc.)
Sample Session Guides
Sample Assessment Tools
CVs of Primary, Secondary, or Alternate Resource Persons
Budget Estimate Form
Monitoring and Evaluation Plan

Address: 2/F Mabini Building, DepEd Complex, Meralco Avenue, Pasig City 1600
Telephone No.: (02) 8638-8638 / (02) 8633-7207 / (02) 8635-4796
Email Address: neap.od@deped.gov.ph / askneap@deped.gov.ph