SHS PROGRAM QUALITATIVE EVALUATION PROCESSING SHEET

for ADDITIONAL PROGRAM OFFERING

Schools Division: Classification: TRACKING NUMBER:

[ ] PUBLIC [ ] INSTITUTION
[ ] PRIVATE [ ] HEI
Name of the School: DepEd School ID:
[ ][ ][ ][ ][ ][ ]
Address of the School: Intended SY of Operation:

Name of the School Head: Contact Number: E-mail Address:

CURRENT PROGRAM OFFERING

[ ] Academic Track [ ] Arts & Design Track [ ] Sports Track [ ] TVL Track (indicate the combi)
[ ] STEM [ ] AFA
[ ] ABM [ ] IA
[ ] HUMSS [ ] ICT
[ ] GA [ ] HE

, x or
SUPPORTING DOCUMENTS/ DETAILS REMARKS
NA
1. Letter of Application/ Intent to Implement SHS Program
2. Program Offering
[ ] Academic Track: [ ] STEM [ ] ABM [ ] HUMSS [ ] GA
[ ] Sports Track
[ ] Arts and Design Track
[ ] Technical-Vocational-Livelihood Track
SPECIALIZED SUBJECTS COMBINATION
STRAND
(maximum of 4 combinations, total of 640 hours)
Agri-Fishery Arts (AFA)
Industrial Arts (IA)
Information &
Communications
Technology (ICT)
Home Economics (HE)

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3. Enrolment Slots (per Track/ Strand)
ENROLMENT SLOTS
TRACK/ STRAND (multiples of 40 slots per Track/Strand)
Grade 11 Grade 12 Total
i.e., Academic-STEM 45 45 90

TOTAL
4. Comprehensive Class Programs per Program Offering indicating the following:
grade level (Grades 11 or 12)
Frequency of class (class days of
and section (if there are more
the week)
than one class)
name of teacher who handles the
time (i.e. 8;00-9;00)
subject
classification of subjects
number of minutes for each subject
(core, applied, specialized)
assigned
subject titles lecture/shop/work/laboratory room
5. (name of building specified)

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5. Teaching and Non-Teaching Personnel
A. Academic Personnel
Name of Teaching Personnel per Curricular Offering
Qualifications of Teaching Personnel
Teacher Preparation for Subject Matter: TOR and Certificates
• ALL TRACKS: Bachelor’s Degree Holder with at least 15 units of
specialization in the subject/s to handle
• TVL TRACK: must have at least TESDA National Certificate (NC)
equivalent to the level of the specialization to be taught, and/or
Trainers Methodology Certificate (TMC) I or II
Special Training Required/ Desired Training: Certificate/ License/
Demonstration
• ALL TRACKS: Attended training relevant to the subjects handled
• STEM STRAND: Knowledgeable in using software that may aid in
teaching specialization
• SPORTS TRACK: Certification from any respectable and highly
regarded local and international PE, Health, Fitness, Sports,
Recreation and Dance associations or organizations (National
Sports Association, American College of Sports and Medicine,
National Strength and Conditioning Association, National
Association for Sports Medicine and/or American Council in
Exercise)
• LET/Professional License or Professional Education Training (CPE):
• Teaching/ Industry/ Work Place Experience: Certification/ Service
Record/ Recommendation (preferably with 2 years of workplace
experience)
Teaching Load
• Core, Applied, and/or Specialized Subjects to teach per semester
• Number of Working Hours per Week per Semester
• Certifications from recognized national/international agencies
(TESDA, ABA, and others)
• Others

6. Facilities, Materials, Tools, and Equipment Requirements

Facilities
Instructional Rooms: [ ] Adequate [ ] Inadequate
Science Laboratory: [ ] Bio/Chem [ ] Phy/EarthSci [ ] Combi
Workshop Laboratory/ies: How many? ____________
Computer Laboratory/ies: # of Lab/s? _____ # of Computers? _____
Materials, Tools, and Equipment
Inventory of MTE per Track/ Strand
Other Facilities
Learning Resource Center
Athletic Facilities
Internet Facilities
Ancillary Services Facilities

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 7. Partnership
Resource Mobilization
MOA/ MOU/ Contract/ Deed of Donation/ Voucher/ Etc.
Engagement of stakeholders in the localization of the curriculum
Provision of equipment and laboratories, workshop, and other facilities
Organization of career guidance and youth formation activities
Research
Others (Pls. specify):
Work Immersion
Memorandum of Agreement (MOA)
Name of Work Immersion Venue
Specific roles of the school and partner
Location (Address) and Distance from school (km)
No. of learners that can be accommodated per semester
Name of Manager/ Owner/ Proprietor/ WI Supervisor/ Contact Person
Contact Number
Others (Pls. specify):
Additional Requirements:
For PUBLIC only
Proposed Annual Budget (Php 1,833.00 per learner)
For PRIVATE only
Board Resolution certified by the Corporate Secretary and approved by the
Board of Directors/Trustees which indicates the purpose, the SY of
intended operation, and intended Program Offering
Proposed Tuition Fees by Program Offering

Reviewed by:
_________________________________________________________ __________________
Member, Division SHS Task Force (CID) Date

_________________________________________________________ __________________
Member, Division SHS Task Force (SGOD) Date
Noted by:

_________________________________________________________ __________________
Chief, SGOD Date
Ocular Inspection:

_________________________________________________________ __________________
RO TA EPS/ Representative Date
Recommendation:
[ ] APPROVED
[ ] DISAPPROVED _________________________________________________________ __________________
Chief, RO QAD Date

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