APPLICATION FORM

Complete Name of School: Concepcion National High School SH

Type of School: □Public School □ Private School
Applicant Type:

First Time Applicant ； □Consecutive Time Applicant ； □ Consecutive Time Applicant ； □Not
Consecutive，_______ Time Application
Student Population： 301 No. of Classes： 16 Region/City: Region VIII/Southern Leyte

Title of Proposal (15 words maximum)：PROJECT – SHATS-TAG

Executive Team (Please add rows if needed):

No. School
Name Position Ext No. Mobile No. E-mail
Tel No.
1 Dulce C. Napala Head
dulce.napala@deped.gov.ph
Teacher III
2 Elvera J. Laplana Master
elvera.laplana@deped.gov.ph
Teacher I
3 Sonia B. Talisaysay sonia.talisaysay@deped.gov.p
Teacher III
h
4 Maricel M. Tolibas
Teacher III maricel.tolibas@deped.gov.ph
5 Ryan A. Isaga Teacher I ryan.isaga@deped.gov.ph

Contact Person (Email will be the main source of contact so please fill in correctly）
Name School Phone E-mail Mobile No.
No.

Ryan A. Isaga none ryan.isaga@deped.gov.ph 09123988922

School Email： none

School Website/URL： none

Postal Address： Concepcion, Malitbog, Southern Leyte, Southern Leyte

PRINCIPAL’S ENDORSEMENT:
Name of School Head: DULCE C. NAPALA

Signature of Head:

Date signed: June 23, 2023

Submit this form together with the following:

(1) Supporting documents showing as a DEPED recognized institution
(2) Project proposal
(3) Recommendation letter from the School Division Superintendent

Additional requirements for Private Schools:

(1) Valid SEC registration
(2) School profile (VM statement & core values)
(3) Copy of Official Receipt

Kindly make sure all requirements are complete.

DEADLINES & OTHER IMPORTANT DATES

FOR ALL REGIONS IN THE PHILIPPINES
Submission of all requirements:
March 31 – April 5, 2022 –Submission of
Terminal Report for Cycle 6

April 30, 2022 – Deadline of Submission of New

Proposal for Cycle 7

May 30, 2022 - Announcement of accepted

Proposals

July 31,2022 (tentative) - Awarding Ceremony

and Forum

Project implementation:
September 2023-March 2024
Submit via e-mail: foguangshanph@gmail.com or fgstag@gmail.com
Subject: Three Acts of Goodness School Applicant: <Name of School>
Submit via drop-off or postal: FGS Mabuhay Temple, 656 Pablo Ocampo Street., Malate,
Manila **Enclose all documents in a brown envelope and address to FGS International Group.

For submission and inquiries, please send an e-mail to

foguangshanph@gmail.com , fgstag@gmail.com
www.mabuhaytemple.com/sanhaogrant
 □ □
□ □

TITLE OF PROPOSAL: Project SHATS-TAG (Students’ Holistic Advancement Through

Sports - & THREE ACTS OF GOODNESS)

NAME OF SCHOOL : Concepcion National High School

NAME OF SCHOOL HEAD : Dulce C. Napala
CONTACT PERSON : Dulce C. Napala
CONTACT DETAILS :_____09455219285___________________________________

Concepcion National High School is one of the three public Secondary Schools in the District
of Malitbog, and one of the schools belonging to small schools category in the Division of Southern
Leyte. But big or small, it is a common fact across all schools that sports does not just develop the
physical attributes of the students, it also hones and builds discipline, positive outlook, and the sense
of responsibility, among others. Likewise, it helps the students veer away from the perils of drug
addiction and other vices. However, with the Covid-19 pandemic, the students experienced the
temporary departure of sports and other physical activities, hence putting sports development at
momentary halt.

But with the government finally allowing back sports activities and the likes, the school, in its
effort to re-ignite the students’ desire to engage into sports imbued with good moral values, has also
recognized the importance of developing and maintaining sound mental health among learners
through sports.

Unfortunately, with Odette devastating the entire province sometime a year ago, the school
has ran out of resources to back-up this project. There is a need of financial support from external
stakeholders to provide sports facilities and equipment.

Due to this, we come up to an idea of putting-up sports facilities and equipment so the school
can fully run and execute its PROJECT SHATS-TAG ( Students’ Holistic Advancement Through
Sports )

II. Objectives of the project:

1. Maintain sound Mental Health among learners through Physical Activities.
2. Holistic advancement and development of students through sports.
 3. Apply the three acts of goodness: Do good deeds, Speak Good Words, and Think Good Thoughts
in everyday living

III. Significance and relevance project

The key changes in my school I want to see as a result of the Three Acts of Goodness
Project implementation:
 Provision of sports facilities and equipment.
 Gradual and continuous holistic advancement and development of students through sports.
 Show transformation of learners in their actions, thoughts and attitudes like making actions that
create harmony between self and others, cultivating a culture of discipline, responsibility and
fellowship that strengthens relationships that emanate wisdom, compassion and loving-kindness.

IV. Beneficiary of project: Who are the participants of the project? How many
participants will be involved?

The beneficiary of the project will be the 301 learners of Concepcion National High School. The
implementation and outcome of this project will not only benefit the school but also the community where
the school is located.

V. Duration of the project with detailed schedule plan indicating % of work

output in a given time frame (project must be completed by June 2024)

DATE ACTIVITIES PERSONS INVOLVED

School Head, TAG Coordinator &

Crafting of the Project Proposal
April 24, 2023 Committee

Presentation of proposal to the

May 22,2023 School TAG Coordinator
committee
-Implementation of the Project TAG
August 2023 – through activities like Intrams and School Head, TAG Coordinator &
February 2024 MAPEH Day Committee, Teachers and Learners

March 2024 Evaluation of Results and School Head, TAG Coordinator &
Culmination Committee, Teachers and Learners
 Accomplishment Report

Activities Resources Budget

Pre-implementation Sports materials, facilities and equipment
 Crafting of the Project
Proposal

Implementation Sports materials, facilities and equipment 10,000

 Implementation of Project
SHATS-TAG
 Provision and
procurement of sports
materials, facilities and
equipment

Post-implementation
 Project Assessment Activity Completion report(MOVs)
 Post-assessment Bond papers, printer, ink
 Crafting of terminal report
and liquidation

Approvals:

Printed Name Signature Date

Prepared by: DULCE C. NAPALA

Approved by: JOSILYN S. SOLANA, CESO V