Republic of the Philippines
Department of Education
REGION X – NORTHERN MINDANAO
SCHOOLS DIVISION OF EL SALVADOR CITY
ACTIVITY DESIGN
Control No. _______________
Part I. Activity Details
01 Name/ Title of the Project:
02 Proponent Office:
03 Nature of Activity:
04 Brief Description of the Project/General Rationale:
Legal frameworks, guidelines, and memorandum as a baseline of the activity:
Activity Rationale (Pls. choose among the several reasons (at least 4-5 of the ff.;) for conducting the activity e.g.
Adaptation to Evolving Needs, Enhanced Professional Competence , Addressing Mental Health Challenges, Incorporating
Technology, Cultural Competence, Legal and Ethical Compliance, Promoting Holistic Development, Building a Supportive School
Environment)
05 Objective(s) (Purpose/Aim) The goal of the activity is to;
a.)
b.)
c.)
(Pls integrate the GAD objective d.) integrate the principles of gender
as stipulated in DO 32 S. 2027) equality, gender equity, gender
sensitivity, non-discrimination, and
human rights, in the provision and
governance of basic education.
Expected Output: At the end of this activity, it is expected
that the participants will be able to;
a.
b.
c.
06 Nature of Engagement: [ ] Organizer [ ] Partner [ ] Participant
Steps to be accomplished:
Reviewed by Date Signature
Unit/Section Head
HRD Section
M&E Section
Budget Officer
Accountant
Page 1 of 4 Copies Furnished: Records
Republic of the Philippines
Department of Education
REGION X – NORTHERN MINDANAO
SCHOOLS DIVISION OF EL SALVADOR CITY
07 Direct Beneficiaries: (e.g. women, Direct Beneficiaries:
men, children, IPs, etc.)
Indirect Beneficiaries: (e.g.
Indirect Beneficiaries:
women, men, children, IPs, etc.)
07 List of Partners/ Sponsors:(If
partner, please state the main organizer of
the project; leave blank if not applicable.)
08 Proposed Date(s) of
Implementation:
09 Duration of Activity:
10 Time (Start and End):
11 Proposed Venue/Platform:
12 Proposed Budget (Total Amount):
13 Breakdown/ Source(s) of Funds:
(Please state the amount which will be taken from the following accounts.)
[ ] SEF ___________________ [ ] Division MOOE _____________________
[ ] PTA ___________________ [ ] School MOOE ______________________
[ ] Counterpart _____________ [ ] Petty Cash _____________
[ ] Others (Please specify.) _____________________
14 Expected Number of Audience/ ___ Male ____ Female
Participants:
15 Participation of Guests/ Guest Speakers/ [ ] Yes [/] No
Outsiders Required? If yes, please enumerate guests or
attach a separate list if space is not
enough.
14 Resource Speakers (Please specify if
DepEd or Non-DepEd Employee)
15 Heavy Electronic Equipment to be Used
(if any)
Steps to be accomplished:
Reviewed by Date Signature
Unit/Section Head
HRD Section
M&E Section
Budget Officer
Accountant
Page 2 of 4 Copies Furnished: Records
Republic of the Philippines
Department of Education
REGION X – NORTHERN MINDANAO
SCHOOLS DIVISION OF EL SALVADOR CITY
16 Office Supplies to be Used (if any)
Evaluation Mechanism: ( ) Yes ( ) No _______ QAME
_______ Other Instrument
PART II. PLAN OF ACTION / ACTIVITY MATRIX
Date Time Activity Participant Facilitator/In-
Charge
PART III. List of Participants
No Name Plantilla Official Station
.
Part IV. Budgetary Requirements
Quantity Unit Particulars Price/ Unit Amount
Total:
Grand Total:
Prepared by: Noted:
Steps to be accomplished:
Reviewed by Date Signature
Unit/Section Head
HRD Section
M&E Section
Budget Officer
Accountant
Page 3 of 4 Copies Furnished: Records
Republic of the Philippines
Department of Education
REGION X – NORTHERN MINDANAO
SCHOOLS DIVISION OF EL SALVADOR CITY
_______________________________ ________________________________
Principal/School Head
GAD Attribution:
MARILOU Y. DESCALLAR, RGC
EPS II HRD/GAD, Division Focal Person
Certified that there are funds available Certified that there are funds
available
for this activity: for this activity:
STEPHANIE P. SALIGUMBA, CPA MARICEL B. JANGAO, CPA
Budget Officer III Accountant III
Approved:
RANDOLPH B. TORTOLA
Schools Division Superintendent
Steps to be accomplished:
Reviewed by Date Signature
Unit/Section Head
HRD Section
M&E Section
Budget Officer
Accountant
Page 4 of 4 Copies Furnished: Records
