Republic of the Philippines

Department of Education
REGION V
SCHOOLS DIVISION OF MASBATE PROVINCE

Annex 1

Learning and Development Needs Report

School: _________________________________
District: ________________________________
School Head: ___________________________
L and D Coordinator: ___________________
No. of Proficient Teachers: ______________
No. of Highly Proficient Teachers: _______
No. of Non-Teaching Personnel: _________

Directions: Please indicate all the development needs identified by all the
personnel based on the IPCRF-Development Plans and/or school SAT summary.
Then rate each of them based on seriousness, urgency, and growth. Be guided
with the following:

Seriousness Urgency Growth

(How significant are the (If performance or
(How much time does the agency
Rating outcomes in this area?) competency is not
have to improve performance and
developed, will the situation
competency in this area before any
over time improve? Remain
substantial damage occurs?)
the same? Or worsen?)
3 Very Serious Very Urgent Great extent
2 Serious Urgent Moderate extent
1 Less Serious Less Urgent Low extent

PPST Indicators/Core Behavioral Serious

Urgency Growth Total
Competencies/Special Topics per -ness Rank
(1-3) (1-3) Rating
DepEd Memo No. 50, s. 2020 (1-3)

Note: The top-ranking L & D needs shall be the identified and prioritized learning and
development needs to be included in the L & D Plan. This L & D needs report shall be
attached to the L & D Plan to be approved by the Schools Division Superintendent after
the quality assurance of the SGOD-HRDS.

Schools Division of Masbate

Rodeo Road, City of Masbate
email address: [email protected]
Landline No. : 056 – 333-4372
 Republic of the Philippines
Department of Education
REGION V
SCHOOLS DIVISION OF MASBATE PROVINCE

Annex 2
LEARNING AND DEVELOPMENT PLAN
Learning and Workplace Conten Methodologie Program Source of Target Target Monitoring and
Development Objective t s Manageme Fund Time Participant Evaluation Plan
Needs nt Team s
(LDN)

Prepared: Noted: Approved:

_______________________ ___________________________ __________________________________________

L and D Coordinator School Head Public Schools District Supervisor

Approved:

RAYMUNDO M. CANTONJOS CESO VI

Schools Division Superintendent

Schools Division of Masbate

Rodeo Road, City of Masbate
email address: [email protected]
Landline No. : 056 – 333-4372
 Republic of the Philippines
Department of Education
REGION V
SCHOOLS DIVISION OF MASBATE PROVINCE

Annex 3
Learning and Refer to the Self-Assessment Test (SAT) results, Individual
Development Development Plans (IDPs), Training Needs Analysis (TNA)
Needs (LDN) results, 360-degree Review, empirical observations (e.g. notes
during classroom observation, coaching and mentoring
sessions, and monitoring), Focus Group Discussion (FGD)
results, and any verifiable bases.

Then, prioritize the L&D needs based the Seriousness,

Urgency, and Growth Potential (SUG) using the Annex 1 of DM
No. 215, s. 2021.

Workplace This shall be lifted from the School Improvement Plan (SIP)
Objective (WO) which can be directly/indirectly achieved through addressing
the LDNs identified.

Content Indicate a specific topic to be undertaken. Content may

address more than one LDN.

Methodology This is an L&D activity or intervention to address the L&D

needs. Some examples are, but not limited to:
1. Observation/demonstration
2. Coaching & Mentoring
3. Collaborative Expertise
4. Lecture/Training
5. Reflective Film Showing

Program Assign a team to take charge of the intervention or activity.

Management They facilitate the conduct L&D activity including the
Team preparation of learning resource package or lecture materials.

Source of Fund It could be the MOOE Fund or other sources. Indicate N/A if the
activity does not require financial resources.

Target Time The conduct of L&D activity to address the LDN should be held
during the time slot of the following activities:

 Teachers - Learning Action Cell, In-service Training

 ALS Teachers - Learning Action Cell, In-service Training,
Coordination Meeting
 School Heads - Coordination Meeting, In-service
Training

Refer to DepEd Order No. 35, s. 2016 for guidelines on LAC.

Target The number of participants by job groups who will undergo the
Participants learning and development activities. For large size schools,
conduct of LAC should be by department or learning area.

The identification of participants to L&D activities will be based on

LDN, and does not necessarily require the attendance of all teachers .

Schools Division of Masbate

Rodeo Road, City of Masbate
email address: [email protected]
Landline No. : 056 – 333-4372
 Republic of the Philippines
Department of Education
REGION V
SCHOOLS DIVISION OF MASBATE PROVINCE

Monitoring and Use Donald Kirkpatrick’s Four Levels of Evaluation and specify
Evaluation Plan the type of evaluation tool.

1. Reaction Evaluation – to determine participant’s

satisfaction with the learning environment. (e.g.
Session Evaluation Form; Formative Assessment)
2. Learning Evaluation - to determine the percentage
of the learning content acquired by the participants and
if such sufficiently determines that the learning
objectives were achieved (e.g. Pre-test, Posttest)
3. Application Evaluation – to determine if learnings
and acquired competencies are properly applied in the
workplace and has improved the participant’s
performance on the job. (e.g. Practice of the
teachers/personnel)
4. Impact Evaluation – to determine how applied
learnings created impact on the participants’
organizational performance and if the desired
organization results are being achieved. (e.g. key
performance indicator, SMEA)

Schools Division of Masbate

Rodeo Road, City of Masbate
email address: [email protected]
Landline No. : 056 – 333-4372
 Republic of the Philippines
Department of Education
REGION V
SCHOOLS DIVISION OF MASBATE PROVINCE

Annex 4.a
(Cover Letter sample)

RAYMUNDO M. CANTONJOS CESO VI

Schools Division Superintendent
Schools Division of Masbate Province
Rodeo Road, Masbate City

Madam:

I have the honor to submit a training/activity proposal/completion report

entitled “Title of the Training or Activity” for your perusal and approval. The
participants of the training/activity will be specify the participants (grade level
handled by teachers of name of school or district and address for School Year
_____.

Attached are the proposal and data gathering instrument used.

Prepared by:
Noted by:
____________________
L and D Coordinator ________________________
School Head

Reviewed by:

______________________
SEPS, SGOD-HRDS

Recommending Approval:

____________________________
Assistant Schools Division Superintendent

Approved:

RAYMUNDO M. CANTONJOS CESO VI

Schools Division of Masbate

Rodeo Road, City of Masbate
email address: [email protected]
Landline No. : 056 – 333-4372
 Republic of the Philippines
Department of Education
REGION V
SCHOOLS DIVISION OF MASBATE PROVINCE
Schools Division Superintendent

Annex 4.b

FORMAT OF THE TRAINING/ACTIVITY PROPOSAL

I. Training/Activity Title

II. Background (description/discussion of the conditions that justify the need for
training supported with qualitative and quantitative data)

III. Objectives

IV. Strategies

Learning and Expected Output Remarks Expected Date

Development (Use the QAME of Conduct
Forms/Tools)
Processes
Pre-implementation

Program Implementation/Delivery

Post-implementation

V. Target Participants

VI. Training Matrix/Program of Activity

VII. Fund Source (include partners/donors)

VIII. Budget Proposal

Schools Division of Masbate

Rodeo Road, City of Masbate
email address: [email protected]
Landline No. : 056 – 333-4372
 Republic of the Philippines
Department of Education
REGION V
SCHOOLS DIVISION OF MASBATE PROVINCE

Annex 4.c

BUDGET TEMPLATE

Activity: _______________________ Level: Division

Venue: ________________________ District
Date: __________________________ School

Total
Required Cost Numbe
ITEM OF EXPENDITURE Number (per Total
pax/unit/hr) r of
(e.g. pax/unit/hr)
Days
Travel Expenses
Accommodation and Food
Training/Activity Materials
Equipment Rental
Tarpaulin
Reproduction Cost
Contingency Fund
Others

Prepared:

_________________________
Proponent

________________________
School Head

Recommending Approval:

___________________________________
Assistant Schools Division Superintendent

Approved:

RAYMUNDO M. CANTONJOS CESO VI

Schools Division Superintendent

Schools Division of Masbate

Rodeo Road, City of Masbate
email address: [email protected]
Landline No. : 056 – 333-4372
 Republic of the Philippines
Department of Education
REGION V
SCHOOLS DIVISION OF MASBATE PROVINCE

Annex 5

SESSION LEARNING EPISODES

DAY ___ | TOPIC ___
TITLE OF SESSION
Duration
Session Objectives

Contribution to Workshop
Outcomes

Key Understanding

Link with the Previous

Session
Link with the Next
Session
References

Schools Division of Masbate

Rodeo Road, City of Masbate
email address: [email protected]
Landline No. : 056 – 333-4372
 Republic of the Philippines
Department of Education
REGION V
SCHOOLS DIVISION OF MASBATE PROVINCE

TIME
KEY MESSAGES METHOD
ALLOTMEN SLIDE SESSION OUTPUTS MATERIALS
Say Do
T

Schools Division of Masbate

Rodeo Road, City of Masbate
email address: [email protected]
Landline No. : 056 – 333-4372
 Republic of the Philippines
Department of Education
REGION V
SCHOOLS DIVISION OF MASBATE PROVINCE

Annex 6.a

TRAINING PROGRAM DESIGN EVALUATION

Title of the Training Program: Duration:

Target Participants: Number of Participants:
Proponent: Evaluator & Date:

Directions: Rate the Training Design along the following standards by ticking/checking
the column that corresponds to your rating with 4 as the highest rating. Also, write your
comments and suggestions below to further improve the Session Guide. Thank you

Standard 1 2 3 4
1. The training program is aligned to agency’s strategic direction
and priorities (IPPD,SPPD,MPPD,RPMS)
2. The training program is based on competency-based needs
assessment (e..g. PPST, PPSSH, PPSS, RPMS)
3. The training design builds on quality design concepts and follows
acceptable/standard format and/or template.
4. Identification of participants promotes inclusiveness and equity
5. Rationale, objectives, competencies being addressed are aligned
and relevant to DepEd goals and objectives
6. Topics cover all competencies to be developed
7. Content sequence is logical
8. The resource package/s (session guide, presentation materials,
manuals, etc) is/are complete, comprehensive and consistent
9. Schedule of activities is appropriately sequenced and timed
10. Expected outputs are clear and may be accomplished within
reasonable time
11. Support materials and equipment identified adequately support
the program
12. The training design shows how the participants can apply the
KSAs learned from the program
13. Training methodologies employ adult learning principles
14. The training program is ICT – supported

Comments and Suggestions to improve the Program/Training Design:

___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

Schools Division of Masbate

Rodeo Road, City of Masbate
email address: [email protected]
Landline No. : 056 – 333-4372
 Republic of the Philippines
Department of Education
REGION V
SCHOOLS DIVISION OF MASBATE PROVINCE

Annex 6.b

SESSION GUIDE EVALUATION

Title of Session Guide: Evaluator & Date:

Subject Area: Target User:

Directions: Rate the Session Guide along the following standards by ticking/checking
the column that corresponds to your rating to your rating with 4 as the highest rating.
Also, write your comments suggestions below to further improve the Session Guide.
Thank you.

COMPONENTS AND STANDARDS 1 2 3 4

DESIGN
1. The Session Guide design is based on contemporary/standard
principles*
2. The SG contains the important elements of objectives, duration
of session, resource materials needed, activities, etc.
CONTENT
3. Content is relevant to the objectives and competencies that the
session aims to develop
4. Information is up-to-date and accurate
5. Terminologies and expression are within the learning area
domain
6. Graphs, illustrations, pictures, if any are accurate, relevant to
and supports the content presented
PROCESS
7. Process adopts adult methodology such as 4As, Experiential
Learning Cycle, etc. and is learner-focused
8. Activities are aligned to objectives and doable within the time
bound
9. Expected outputs are doable within the time allotment
LANGUAGE
10. Sentences and paragraphs are grammatically correct
11. Ideas are clearly expressed (simple words, expressions, simple
and easy-to-follow structure)
12. Language avoids bias along the line of gender, religion, culture,
etc.
TECHNICAL REQUIREMENTS
13. General layout/format is visually pleasing
14. Choice of font (type style) and font size are adopted to the
requirements of the user
*andragogy, constructivist, understanding by design, etc.

COMMENTS AND SUGGESTIONS:

__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________

Schools Division of Masbate

Rodeo Road, City of Masbate
email address: [email protected]
Landline No. : 056 – 333-4372
 Republic of the Philippines
Department of Education
REGION V
SCHOOLS DIVISION OF MASBATE PROVINCE

Annex 6.c

PROGRAM PRE-IMPLEMENTATION EVALUATION

Name of Service Provider: School:

Area/s Covered: Evaluator & Date:

Direction: Rate to what extent the following standards have been met by the learning
service provider (LSP) by checking the column corresponding to your response with 4 as
the highest rating.

STANDARDS 1 2 3 4
A. Training Program Management
1. Program Management
 Management structure with TOR is clear
 Orientation for the staff detailing who will do what, when,
and of what quality was done effectively.
 Inventory of training materials to check adequacy and
appropriateness was properly done
 Inventory of support materials and equipment to check
availability, service ability and adequacy was properly done.
 Logistical arrangements and responsiveness to needs of the
program was ensured
2. Trainers
 Have professional experience
 Possess expertise in the training program content area
 Have attended the TOT
 Are physically fit
 Have strong personal/interpersonal qualities
 Have very good communication and analytical skills
 Are ICT literate
3. Documentation Staff
 Have very good written communication skills
 Are ICT literate
 Have good personal/interpersonal skills
 Have positive attribute toward work
B. Program Operations (Attach Proposal and Description of Each with
Pictures if possible)
1. Participation and Class Organization
Participation is based on set criteria
 Participation maximizes representation from target group
 Process of registration is clear
 Standard procedure for substitution present
 Standard number of participants is observed in the
organization of sessions and classes
2. Venue
 Venue has adequate illumination
 Venue has adequate ventilation/cooling system
 Venue is clean and hygienic

Schools Division of Masbate

Rodeo Road, City of Masbate
email address: [email protected]
Landline No. : 056 – 333-4372
 Republic of the Philippines
Department of Education
REGION V
SCHOOLS DIVISION OF MASBATE PROVINCE

 Venue has enough number of comfort rooms for

participants
 Venue can accommodate the participants comfortably
 Venue has enough facilities and space for needed activities
such as workshop.
3. Accommodation
 Accommodation can take in all participants
 Participants are comfortably accommodated
 Accommodation has clean, hygienic and adequate number of
comfort rooms
 Accommodation is close to the venue of the training
 Accommodation is secure and safe
 Accommodation has provisions for emergencies (medical,
earthquake, fire)
4. Food
 Proposed menu offers generally healthy food and with
variety
 Proposed menu considers diet restrictions/requirements
5. Training Materials
 Training materials follow standard guidelines: readability,
quality of paper, etc.
 Training materials are adequate for all the participants and
are ready for the training
6. Support Materials and Equipment Inventory has been
conducted
 Inventory of support materials and equipment has been
conducted
 Provision for emergencies (medical, etc) is provided

COMMENTS AND SUGGESTIONS:

________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

Schools Division of Masbate

Rodeo Road, City of Masbate
email address: [email protected]
Landline No. : 056 – 333-4372
 Republic of the Philippines
Department of Education
REGION V
SCHOOLS DIVISION OF MASBATE PROVINCE

Annex 6.d

SESSION EVALUATION
(To be administered every after a session)

Session Topic: Date:

Session Facilitator: Evaluator:

Direction: Rate the session and the facilitator using the rating scale. Put a
check/tick under the column of the response.

Strongl
SESSION Strongl Disagre y
Agree
In this session... y Agree e Disagre
e
1. The topic was relevant to our area of work
2. The session was well planned
3. The objectives of the session were well-
planned
4. The time allotment for the topic was
adequate
5. The activities were appropriate for adult
learners
6. Time to start and to end was observed
7. The learning materials were adequate and
relevant
8. The support materials were adequate
9. The participants were engaged in activities
10. The participants were able to demonstrate
their learning
FACILITATOR
The facilitator...
1. Exhibited full grasp of the topic
2. Was sensitive to the participants’ mood
3. Asked stimulating questions
4. Processed questions and responses to
deepen learning
5. Maintained positive learning environment
6. Expressed ideas clearly
7. Used appropriate training aids
8. Observed appropriate attire
9. Was able to firm up attainment of
objectives of the session

COMMENTS AND SUGGESTIONS:

Schools Division of Masbate

Rodeo Road, City of Masbate
email address: [email protected]
Landline No. : 056 – 333-4372
 Republic of the Philippines
Department of Education
REGION V
SCHOOLS DIVISION OF MASBATE PROVINCE

Annex 6.e
ON-SITE MONITORING AND EVALUATION

BASIC INFORMATION
REGION
DIVISION
LEARNING SERVICE PROVIDER
ACTIVITY/EVENT MONITORED
ADDRESS
INCLUSIVE DATES
DATE MONIITORED

No. of Trainers’ and No. of Participants

Subject Participants Trainers

Activities Strongl
Strongly Agre Disagre y
Agree e e Disagre
e
A. Conduct of Program Delivery (Daily Monitoring)
1. Operational Concerns
 Activities start and end according to
schedule
 Attendance is systematically monitored
 Modification in activities and schedule are
consulted with the participants and are
given ahead of time.
 Provision of the following consistently
follows agreed standards
- Food
- Training Venue
- Accommodation
 Training Materials are adequate
 Support materials and equipment are
available and serviceable
 Issues and possible issues of action are
identified in the briefing and debriefing
sessions
 Ground rules were clear and compliance
was monitored
2. Sessions and Trainers
 Trainers and sessions are evaluated using
standard tools
 Participants were given rapid competency
assessment before the session/s, if
applicable

Schools Division of Masbate

Rodeo Road, City of Masbate
email address: [email protected]
Landline No. : 056 – 333-4372
 Republic of the Philippines
Department of Education
REGION V
SCHOOLS DIVISION OF MASBATE PROVINCE

 Accomplished tools are collected from

participants immediately
 Responses are processed immediately
 Feedback is given as may be needed
B. Post Program Activities (At the end of the program)
1. Certification of Participants
 Certification is conferred upon completion
of the program and upon satisfaction of
requirements
 Certification is issued at the end of the
program
2. Program Evaluation
 Program evaluation is administered
immediately after the last session
 Results of the evaluation is used and
incorporated in the end of the Program
Report
 The participants were given assessement as
regards their learning (Rapid Competency
Assessment)

CRITICAL INCIDENTS: If you have encountered any remarkable event/situation (either

positive or negative) that needs to be detailed here, please accomplish the STAR form.
You may need extra sheets to accomplish this.

Situation/Task- Describe the specific situation and/or task that needed to be

accomplished

Action – Describe how the person/s or the team responded to the situation or acted on
the task at hand.

Result – Describe the effect of the action or lack of action

COMMENTS AND SUGGESTIONS:

__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

Monitoring Peron: __________________________

Date: __________________________

Schools Division of Masbate

Rodeo Road, City of Masbate
email address: [email protected]
Landline No. : 056 – 333-4372
 Republic of the Philippines
Department of Education
REGION V
SCHOOLS DIVISION OF MASBATE PROVINCE

Annex 6.f Program Evaluation

PROGRAM EVALUATION

Respondent Type: _____ Trainee ______ Trainer _____ Program Manager

Name (Optional) ___________________________________ Sex __________

Program Title: _________________________________________ Date: _______________________

Direction: Please assess the effectiveness of the training program according to the
indicators below. Put a tick/check under the appropriate column.

After the conduct of the training Strongly

Strongl Disagre
program, I believe that... Agree Disagre
y Agree e
e
A. Program management
1. The training program was delivered
as planned
2. The training program was managed
efficiently
3. The training Program was well-
structured
B. Attainment of Objectives
4. The program objectives were clearly
presented
5. The program and session objectives
were attained
C. Delivery of Content
6. Program content was appropriate to
trainees’ roles and responsibilities
7. Content delivered was based on
authoritative and reliable sources
8. The session activities were effective
in generating learning
9. Adult learning methodologies were
used effectively
10. Management of learning was
effectively structured
11. Contribution of all trainees were
encouraged
12. Trainees demonstrated a clear
understanding of the content
delivered
D. Provision of Support Materials
13. The support materials provided were
appropriate to the trainees’ needs
14. Support materials provided were
adequate and were given on time

Schools Division of Masbate

Rodeo Road, City of Masbate
email address: [email protected]
Landline No. : 056 – 333-4372
 Republic of the Philippines
Department of Education
REGION V
SCHOOLS DIVISION OF MASBATE PROVINCE

E. Program Management Team

15. Program Management Team
members were courteous
16. Program Management Team was
efficient
17. Program Management Team was
responsive to the needs of trainees
F. Venue and Accommodation
18. The venue was well lighted
19. The venue was well –ventilated
20. The venue was comfortable with
sufficient space for program activities
21. The venue had sanitary and hygienic
conditions with adequate comfort
rooms
22. Meals were nutritious and sufficient in
quantity and quality
23. Meals were generally well-prepared
and tasty
24. The accommodation was comfortable
with sanitary and hygienic conditions

Please provide your honest response to each of the following questions:

1. What do you consider your most significant learning from the program?

2. Briefly describe what you have learned and how it will help you with your work?

3. What changes would you suggest to improve similar programs in the future?

Source: NEAP – Central Office

Schools Division of Masbate

Rodeo Road, City of Masbate
email address: [email protected]
Landline No. : 056 – 333-4372
 Republic of the Philippines
Department of Education
REGION V
SCHOOLS DIVISION OF MASBATE PROVINCE

Annex 6.g

WORKPLACE APPLICATION OF LEARNING EVALUATION

Title of Training:
Inclusive Dates:
Venue:
Implemented/Delivered/Managed by:
Evaluator:

ACTION PLAN AND JOB-EMBEDDED LEARNING EVALUATION

Please rate the training participant along the following items:

Strongly Disagre Strongly

ITEM Agree
Agree e Disagree
ACTION PLAN MANAGEMENT
1. Action Plan responds to the
need of the school
organization
2. Action Plan shows learning
from the training attended.
3. Action Plan was implemented
efficiently
4. Action Plan has satisfactorily
achieved its objectives.

Schools Division of Masbate

Rodeo Road, City of Masbate
email address: [email protected]
Landline No. : 056 – 333-4372
 Republic of the Philippines
Department of Education
REGION V
SCHOOLS DIVISION OF MASBATE PROVINCE

Annex 7

PROGRAM COMPLETION REPORT

PD Program Owner:

Contact Person: Designation:

Contact No.: Email Address:

Program/Course Title:

Date/s of Conduct:

Venue:

Total No. of Participants: Male: Female:

Executive Summary:

May include the program description and its objectives, and the daily proceedings of
the conduct of the program.

M and E Analysis

Analysis should include:

● Summary of results from the participants’ evaluation of the program (level 1)

● Summary of Results from the participants' learning of the program (pre/post-
test)

Strengths and areas for improvement should be identified in this section

Schools Division of Masbate

Rodeo Road, City of Masbate
email address: [email protected]
Landline No. : 056 – 333-4372
 Republic of the Philippines
Department of Education
REGION V
SCHOOLS DIVISION OF MASBATE PROVINCE

*Use separate page if necessary

General Comments and Issues Encountered

In this section make any general comments about the program and identify any issues
encountered in relation to:

● its delivery
- resource persons/learning facilitators
- participants
- content of program
- delivery strategies
- training materials
● its management
- prior to delivery
- during the training proper
Other issues

Photo Documentation

● Must be PDF File

● 5 pictures per day only
● Each day should contain descriptions

Recommendations

In this section discuss any recommendations you may have to improve future
programs and for policy actions. Suggestions may cover program management,
facilitation, session guides, resource materials, other concerns)

Schools Division of Masbate

Rodeo Road, City of Masbate
email address: [email protected]
Landline No. : 056 – 333-4372