Republic of the Philippines

Department of Education
REGION XIII – CARAGA
SCHOOLS DIVISION OFFICE OF SIARGAO
Office of the Schools Division Superintendent

PROGRAM/PROJECT/TRAINING/ACTIVITY PROPOSAL

________________________________________________________
Title

PART 1 – ACTIVITY DESIGN

PROPONENT/S:

OFFICE/SECTION:

RATIONALE:

OBJECTIVES:

TARGET PARTICIPANTS AND COUNT:

ACTIVITY CONTENT AND MATRIX:

PROPOSED DATE/S:

PROPOSED VENUE: (Specifics and standards)

TOTAL PROPOSED BUDGET:

ALLOCATION/FUND SOURCE:
 Budgetary matrix

* * * * * * * * * * * * * * * * * * * * * Nothing follows * * * * * * * * * * * * * * * * * *
*

Prepared by: Noted:

CHIEF CID(Pobe)/SGOD(Taruc)/OSDS(Laurencio)

Address: Brgy. Osmena, Dapa, Surigao del Norte

Telephone No.: 09190040217
Email Address: Siargao@deped.gov.ph |
 Republic of the Philippines
Department of Education
REGION XIII – CARAGA
SCHOOLS DIVISION OFFICE OF SIARGAO
Office of the Schools Division Superintendent

_________________________ ________________________________
Proponent Immediate Head of the Proponent

Availability of allotment: For fund execution:

LOUELLA G. VILLEGAS MARICRIS O. SULAPAS

__________________________ ________________________________
Budget Officer III Accountant III

Recommending approval: Approved:

MARILOU A. LAURENCIO KAREN L. GALANIDA, PhD, CESO V

Asst. Schools Division Superintendent Schools Division Superintendent

----------------------------------------------------------------------------------------------------------------

II. ACTIVITY MANAGEMENT:

(Approved Proposal to be turned-over to the SGOD-HRD by the SDS Secretary)

Assessment as to GAD mainstreaming: Assessment as to QATAME standards:

GLENDA R. DADAP AQUINO D. GARCIA

_____________________________ __________________________________
Division GAD Coordinator Senior Education Program Specialist/
SM and ME

 Passed as to GAD mainstreaming on  Passed as to QATAME standards on

Project Identification and Design Training Program Design

 Failed as to GAD mainstreaming on  Failed as to QATAME standards on

Project Identification and Design Training Program Design

Percentage of GAD Attribution: _________

Verification as to Inclusion Activity Procurement and Execution:

of the activity to HRD Plan:

FEROSANA D. TESIORNA MARILOU A.

LAURENCIO

Address: Brgy. Osmena, Dapa, Surigao del Norte

Telephone No.: 09190040217
Email Address: Siargao@deped.gov.ph |
 Republic of the Philippines
Department of Education
REGION XIII – CARAGA
SCHOOLS DIVISION OFFICE OF SIARGAO
Office of the Schools Division Superintendent

FEROSANA D. TESIORNA __________________ __________________

Senior Education Program Specialist SGOD-HRD BAC

 Included in HRD Plan with budget allocation  Posted to PhilGEPS/Procurement Portal

 Excluded in HRD Plan  Other procurement mechanism/s employed

RECOMMENDING APPROVAL AS
TO ACTIVITY MANAGEMENT: APPROVED AS TO ACTIVITY
EXECUTION:

HAREM L. TARUC, PhD KAREN L. GALANIDA, PhD. CESO

V
SGOD Chief Schools Division Superintendent

ATTACHMENTS:
ANNEX A – ATTENDANCE SHEET (proponent)
ANNEX B – ACTIVITY PROGRAM (proponent)
ANNEX C – PHOTOS OF PROCURED FACILITIES AND ACCOMMODATION (HRD-SGOD)
ANNEX D – MATRIX OF PROCURED ACTIVITY/TRAINING MENU (SGOD-HRD)
ANNEX E – ACCOUNTING OF OPERATIONAL EXPENDITURES (SGOD-HRD)
ANNEX F – ATTENDANCE SHEET (SGOD-HRD)
ANNEX G – TERMINAL REPORT: COST-BENEFIT ANALYSIS AND WAYS FORWARD
(PROPONENT)

Address: Brgy. Osmena, Dapa, Surigao del Norte

Telephone No.: 09190040217
Email Address: Siargao@deped.gov.ph |