Republic of the Philippines

Department of Education
Region V – Bicol
SCHOOLS DIVISION OFFICE OF CATANDUANES

A. Evaluation Checklist

Criteria Indicators Evaluation Comments /

(as to completeness and Passed Failed Suggestions
acceptability)
GENERAL Project Title
INFORMATION Office/School
(List the persons Lead Proponent
who are involved Project Contacts
with the project and
can be contacted. Be Total Project Cost and
sure to include their Sources
names, titles, roles Project Duration
in the project, as
well as phone
numbers and email
addresses.)
SUMMARY
(The goal of this section is to present the reasons for doing
this project as well as state the project’s objectives. In this
section, in particular, it is essential to write concisely and
clearly. Be able to answer the following questions: Why are
you doing this project? What will you be doing? How will you
be doing it? Who will be doing it? Where will it be done? How
long will it take? and How much will it cost?)
BACKGROUND Brief Summary
(Explain what (Write the background of the project
needs/problems you being proposed. The DEDP, School
are trying to solve, Improvement Plan, and School Report
and why these Card are important sources of
needs/problems are information. The project must be
worth solving. You highly relevant and directly related
should also provide to the priority school/ district/
a brief setting and division problems and needs
history behind the identified in the DEDP and SIP.)
project. Include Issues being Addressed
references to (What are the main causes of the
supporting issue? This section briefly
documentation, such summarizes the situation within
as project design or which the problem/ opportunity
layout. This exists. Give the reasons why this
information can be project is important to the
placed in the Index.) improvement of the school. Cite
specific causes or issues based on
your characterization in the SMEA,
DMEA, and/or results of the problem
analysis in the Continuous
Improvement (CI) Process. Cite
 Republic of the Philippines
Department of Education
Region V – Bicol
SCHOOLS DIVISION OFFICE OF CATANDUANES

related issues or school concerns

affected by the main issue if ever
there is a chain effect.)
OBJECTIVES General Objectives
AND OUTPUTS (What will this project contribute to
(State explicitly what achieving higher aims of the
goals and outputs institution i.e. division, district,
the project is aiming school, community learning centers?)
to achieve.) Specific Objectives
(What does this project seek to
achieve? Objectives must be specific,
measurable, attainable, results-
oriented, and time-bounded. These
should be achieved within the time-
frame set.)
Outputs
(State the project outputs or the
specific and tangible products from
inputs and activities i.e. learning
materials, lesson plans, documented
approaches, strategies, etc.)
METHODOLOGY Project Description
(This section details (This pertains to the proposed
the plan for how the solution/s to address the issue.
project objectives will Describe what the project is all
be achieved. It about.)
usually starts with a Project Description
description of the (This pertains to the proposed
overall approach.) solution/s to address the issue.
Describe what the project is all
about.)
Project Breakdown and Task
Time
(What are the components of the
project?)
Risk Management
(Describe the major project risks and
delineate the plans to alleviate or
control them. Make sure to address
each risk’s likelihood of occurrence
as well as the impact on the project
and its locale.)
*FOR INNOVATION ONLY
MONITORING AND EVALUATION
(Describe how progress will be evaluated throughout and at
the end of the project. This includes the provision of Quality
Assurance, Technical Assistance, Monitoring, and Evaluation
(QATAME) in every phase of the project.
COST Project Cost
 Republic of the Philippines
Department of Education
Region V – Bicol
SCHOOLS DIVISION OFFICE OF CATANDUANES

(Estimate the overall (Provide a detailed/ itemized

cost of the project.) budget.)
Fund Source
(Provide a possible fund source. It
should not come from the MOOE
Fund. If the fund source will come
from donation, make sure to get
proof of donation, MOA, or any
evidence of the project’s sourcing to
be included in the completion report.)
*FOR IGP ONLY
OPERATIONAL Market
DESCRIPTION (In this section, include the
product/service description, the
target market, price/pricing
(prevailing market price), terms of
sale (wholesale, retail, direct
consumers), and projected sale
volume)
Technical
(In this section, state the project
location, production capacity and
expected output, and technical
production processes)
Organization and
Management
(Cite the Project Organization and
Management Structure)
Financial
(Include the capital requirement,
source of fund (should not be taken
from the MOOE), investment cost,
and projected income statement.)
RESULTS Actual Project Cost
Income Statement
(Sales/Revenues minus the cost of
services/goods sold, selling, general
and administrative expenses, and
other expenses.)
Actual Utilization of the
Income
(Provide, in detail, how the income
was/will be utilized.)
Impact
(Provide a narrative of the positive
impact of the project to the target
beneficiaries/projects/proceeds
based on the objectives and
outcomes of the IGP.)
 Republic of the Philippines
Department of Education
Region V – Bicol
SCHOOLS DIVISION OFFICE OF CATANDUANES

*FOR BOTH IGP/IP

SUSTAINABILITY
(Describe strategies for sustainability.)
APPENDICES
(Attach the following: photo documentation of the project,
memorandum, letters, and other pertinent documents relative
to the conduct of innovation, MOA with donors, etc.)
Total Score
Passing Score (75% of indicators met)

Evaluated by : ____________________________
Remarks : _____________ (Passed/Failed)