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    111 - Ro1 LQF Qad 015 1

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    ellton john pilar
    The document is an application form for schools to apply to offer additional or changed senior high school programs. It lists 11 required documents that must be submitted with the application, including justification letters, enrollment projections, teacher lists, community industry analyses, and partnership agreements.

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    111 - Ro1 LQF Qad 015 1

    Uploaded by

    ellton john pilar
    9 views1 page
    The document is an application form for schools to apply to offer additional or changed senior high school programs. It lists 11 required documents that must be submitted with the application, including justification letters, enrollment projections, teacher lists, community industry analyses, and partnership agreements.

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    111_RO1-LQF-QAD-015-1 (1)

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    The document is an application form for schools to apply to offer additional or changed senior high school programs. It lists 11 required documents that must be submitted with the application, including justification letters, enrollment projections, teacher lists, community industry analyses, and partnership agreements.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    9 views1 page

    111 - Ro1 LQF Qad 015 1

    Uploaded by

    ellton john pilar
    The document is an application form for schools to apply to offer additional or changed senior high school programs. It lists 11 required documents that must be submitted with the application, including justification letters, enrollment projections, teacher lists, community industry analyses, and partnership agreements.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    Republic of the Philippines

    Department of Education
    Regional Office I
    Quality Assurance Division

    APPLICATION FORM FOR ADDITIONAL/CHANGE OF PROGRAM OFFERINGS IN


    SENIOR HIGH SCHOOL (PUBLIC SCHOOLS)

    Division: S DO I PANGASINAN________________________________________
    School Name: __Eguia National High Schoo__________________________________
    School Address: _Purok Ligaya, Eguia , Dasol, Pangasinan______________________
    School Principal: _NOEL R. CABALLES______________________________________
    Additional/Change Offerings: HUMMS________________________________________
    REQUIREMENTS (Required Documents)
    DepEd Order No. 51, S. 2015

    _____1. Letter request from interested parties addressed to the SDS (e.g.) from PTA or Barangay Council,
    etc.) or recommendation from the SDS to open SHS.

    _____2. Justification on the Additional Offerings/change of program offerings.

    _____3. Track(s)/ Strand(s) to be offered as well as their respective numbers of prospective enrollees.

    _____4. List of prospective employees per tract and strand, indicating their names, LRN’s where applicable,
    ages, addresses, school names and DepEd School ID Numbers where they are currently or previously
    enrolled.

    _____5. Justification signed by the SDS, in case the required minimum enrolment and/or number of tracks
    are not satisfied.

    _____6. List and types of establishments and industries in the community, as attested to by the DTI, DOLE or
    the City/Municipal Planning Officer.

    _____7. Certification from the SDS that the track(s) and strand(s) to be offered are aligned with the Local
    Development Plan, as evident in the list provided by the City/Municipal Mayor, and decided upon by the RD or
    SDS and Division Planning Officer.

    _____8. Results of internal assessments or surveys done with the prospective enrollees.

    _____9. List of tracks and strands to be offered, duly signed by the RD or SDS, Planning Officer and School
    Head.

    _____10. In case classrooms are already constructed, Inspection Report from Division In-Charge of Facilities
    Section.

    _____11. MOA executed between the SDS and the partner entity.

    _____12. Immersion deployment plan.

    Document Code: RO1-LQF-QAD-015


    Revision: 01
    Effectivity Date: 10-07-2019

    DepEd Region 1: Built on character; empowered by competence.

    Address: Flores St., Catbangen, City of San Fernando, La Union


    Telephone Number: (072) 607-8137 / 682-2324; Email Address: [email protected]

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