Republic of the Philippines

Department of Education
REGION III
SCHOOLS DIVISION OFFICE OF
TARLAC PROVINCE

Innovation/CS/IGP Form 2a. Endorsement Letter

(To be accomplished by the School Head)
<Date>

PUBLIC SCHOOLS DISTRICT SUPERVISOR

District
Address

Sir:

This is to respectfully forward the following initiatives as prospective (school/ district/ division
level) project, to wit:

No School/ Title of Nature of Initiative (Structure,

Proponent/s
. Office Initiative Content, Process)
1.
2.

It is also certified that the aforementioned items have undergone the process of District-level/
Office-level appraisal, in accordance with the guidelines issued by the Division.

Enclosed are the supporting documents for your perusal.

Very truly yours,

NAME
School Head

Innovation/CS/IGP Form 2b. Endorsement Letter

Address:
District/
Telephone No.:
School
Email Address:
*UseLogo
official DepEd Tarlac Province credentials if the proponent is from the Division Office
 Republic of the Philippines
Department of Education
REGION III
SCHOOLS DIVISION OFFICE OF
TARLAC PROVINCE
(To be accomplished by the PSDS)
<Date>

RONNIE S. MALLARI PhD, CESO V

Schools Division Superintendent
DepEd Tarlac Province
Macabulos Drive, San Roque
Tarlac City

Sir:

This is to respectfully forward the following initiatives as prospective (school/ district/ division
level) project, to wit:

School/ Title of Nature of Initiative (Structure,

No. Proponent/s
Office Initiative Content, Process)
1.
2.

It is also certified that the aforementioned items have undergone the process of District-level/
Office-level appraisal, in accordance with the guidelines issued by the Division.

Enclosed are the supporting documents for your perusal.

Very truly yours,

NAME
Public Schools District Supervisor/
Functional Division Chief

Innovation/CS/IGP Form 1. Concept Note

Division/ School/ Office Problem and Initiative Concept Brief

Proponent and Position:

Address:
District/
Telephone No.:
School
Email Address:
*UseLogo
official DepEd Tarlac Province credentials if the proponent is from the Division Office
 Republic of the Philippines
Department of Education
REGION III
SCHOOLS DIVISION OFFICE OF
TARLAC PROVINCE
DepEd Email Address and Contact Number:
School Station/ Office:
Immediate Supervisor and Position:

Problem Context (Narrative Account)

Include Supporting Data/ Bases of the

problem, gaps and/or challenges
identified

(Attach additional sheet, as needed)

Affected Stakeholders (Please quantify)

Proposed Initiative/ Solution/ Strategy

Objectives (Specific, Measurable,

Attainable, Realistic and Time-bound)

Expected Outcomes and Deliverables

(Please quantify)

Target Clients/ Beneficiaries

(Please quantify)

Estimated/ Projected Cost

Funding Source
Stakeholders Involved

Proposed Duration* (Specify Dates) From:

*Attach Work Breakdown and Task To:

Estimate/ Gantt Chart
Success Metrics (Means of Verification)

€
Scope
School

€ District

€ Division
Video Clip (3 to 5 minutes) of the
Problem and Proposed Initiative
(CD/flash drive)

Address:
District/
Telephone No.:
School
Email Address:
*UseLogo
official DepEd Tarlac Province credentials if the proponent is from the Division Office