TECHNICAL ASSISTANCE TEMPLATE
Form 1
TECHNICAL ASSISTANCE (TA) NEEDS ASSESSMENT
Bottlenecks, Lags, Issues,
Concerns (BLICs) Concerned SDOs Concerned FDs/
PPAs SUPPORT NEEDED
Operational/Policy Schools Office/s
Issues/KPIs
Instructional Limited supervisory kills All Schools in Banna SGOD/CID Coaching and Mentoring
Supervision and Bangui- Sessions/FGD
Dumalneg Districts
Instructional Few developed ICT-based All Schools in Banna CID Training on the development of
Materials Instructional Materials and Bangui- ICT-based instructional
Development Dumalneg Districts materials
Monitoring and All Schools in Banna CID Provision of technical
Evaluation No existing school-based and Bangui- assistance
monitoring and evaluation tools Dumalneg Districts
Prepared by: Reviewed by:
DENNIS C. RAMIREZ URSINO C. PASCUA
Public Schools District Supervisor Chief Education Supervisor, CID
APPROVED:
JO EULIE MEI T. DOMINGO EdD
Assistant Schools Division Superintendent
55405 923.416666666667
1000
55.405
TECHNICAL ASSISTANCE TEMPLATE
Form 2
TECHNICAL ASSISTANCE (TA) PLAN
Bottlenecks, Lags,
Issues, Concerns Persons/ Timeline
Probable/Root TA Intervention Expected Resources
(BLICs) Objectives Office (Specific
Operational/Policy Cause Activities Output Needed
Involved Date)
Issues/KPIs
Limited Untrained school Conduct To improve CID, Improved All year Human:TA
supervisory kills heads especially Coaching and supervisory skills of Schools school heads round Provider
those who are Mentoring and school heads the supervisory materials:
Office-in-Charge FGD through Coaching and skills Slide decks
Mentoring sessions
and FGD.
Few developed Overlapping of Conduct district To improve the CID, Improved All year Resource
ICT-based school, district training on knowledge of school Schools teachers round Speakers,
Instructional and division development of heads/teachers in the knowledge on slide decks,
Materials activities and ICT-based development of ICT- development of laptop,inten
limited training instructional based instructional ICT-based et
on development materials materials through instructional conncetion
of ICT-based district-based LAC material
instructional training/sessions
materials
No existing Limited Focused-Group To improve the CID, Improved September Sample M &
school-based knowledge on M Discussion with knowledge and skills SGOD, knowledge and -October E tools, slide
monitoring and & E system the school heads of school heads in schools skills in crafting decks
evaluation tools especially on crafting of school- of school-based
crafting of based M & E tools M & E tools
School-Based M
& E tools
Prepared by: Reviewed by:
DENNIS C. RAMIREZ URSINO C. PASCUA
Public Schools District Supervisor Chief Education Supervisor, CID
APPROVED:
JO EULIE MEI T. DOMINGO EdD
Assistant Schools Division Superintendent
TECHNICAL ASSISTANCE TEMPLATE
Form 3
TECHNICAL ASSISTANCE (TA) PROGRESS MONITORING REPORT
TA Need/s
(Bottlenecks, Lags, Target Date of Status of Remarks
TA Interventions/ Activities
Issues and Concerns Completion Implementation (Adjustments)
BLICs)
Limited supervisory kills Conduct Coaching and
Mentoring and FGD
Few developed ICT-based Conduct district training on
Instructional Materials development of ICT-based
instructional materials
No existing school-based Focused-Group Discussion
monitoring and evaluation with the school heads
tools
Prepared by: Reviewed by:
JIMMY F. DORUPAN URSINO C. PASCUA
Public Schools District Supervisor Chief Education Supervisor, CID
APPROVED:
JO EULI MEI T. DOMINGO EdD
Assistant Schools Division Superintendent
TECHNICAL ASSISTANCE TEMPLATE
Form 4
TECHNICAL ASSISTANCE (TA) AGREEMENT
District: PIDDIG
School: LAGANDIT ELEMENTARY SCHOOL
BLICs to be addressed:
Xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
XXXXXXXXXXX xxxxxxxxxxxxxxxxxxxx xx
Possible Actions/Interventions to be done Timeline
nbdsfdbf dhfbhdsfbhdsbfhdbf hjbfhbdfbdsfb nmbdfbdsfbd
ndbfbdsfbdsfjdsjfjdfjdfjdfjdsfjbfj jsdbfdsfddfjdbfjf
Prepared by: Reviewed by:
JIMMY F. DORUPAN URSINO C. PASCUA
Public Schools District Supervisor Chief Education Supervisor, CID
APPROVED:
JO EULI MEI T. DOMINGO
Assistant Schools Division Superintendent
TECHNICAL ASSISTANCE TEMPLATE
Form 5
TECHNICAL ASSISTANCE (TA) ACCOMPLISHMENT REPORT
TA Need/s
(Bottlenecks, Lags, TA Interventions/ Planned/Target Accomplished Persons Involved/
Remarks
Issues and Concerns Activities Output Output TA Provider
BLICs)
0 Conduct Coaching
and Mentoring and
FGD
0 Conduct district
training on
development of ICT-
based instructional
materials
0 Focused-Group
Prepared by: Reviewed by:
JIMMY F. DORUPAN URSINO C. PASCUA
Public Schools District Supervisor Chief Education Supervisor, CID
APPROVED:
JO EULI MEI T. DOMINGO EdD
Assistant Schools Division Superintendent
TECHNICAL ASSISTANCE TEMPLATE
Form 1
TECHNICAL ASSISTANCE (TA) NEEDS ASSESSMENT
Bottlenecks, Lags, Issues,
Concerns (BLICs) Concerned SDOs Concerned FDs/
PPAs SUPPORT NEEDED
Operational/Policy Schools Office/s
Issues/KPIs
Prepared by: Reviewed by:
JIMMY F. DORUPAN URSINO C. PASCUA
Public Schools District Supervisor Chief Education Supervisor, CID
APPROVED:
JO EULI MEI T. DOMINGO EdD
Assistant Schools Division Superintendent
TECHNICAL ASSISTANCE TEMPLATE
Form 2
TECHNICAL ASSISTANCE (TA) PLAN
Bottlenecks, Lags,
Issues, Concerns Persons/ Timeline
Probable/Root TA Intervention Expected Resources
(BLICs) Objectives Office (Specific
Operational/Policy Cause Activities Output Needed
Involved Date)
Issues/KPIs
0
0
0
Prepared by: Reviewed by:
JIMMY F. DORUPAN URSINO C. PASCUA
Public Schools District Supervisor Chief Education Supervisor, CID
APPROVED:
JO EULI MEI T. DOMINGO EdD
Assistant Schools Division Superintendent
TECHNICAL ASSISTANCE TEMPLATE
Form 3
TECHNICAL ASSISTANCE (TA) PROGRESS MONITORING REPORT
TA Need/s
(Bottlenecks, Lags, Target Date of Status of Remarks
TA Interventions/ Activities
Issues and Concerns Completion Implementation (Adjustments)
BLICs)
0 0
0 0
0 0
Prepared by: Reviewed by:
JIMMY F. DORUPAN URSINO C. PASCUA
Public Schools District Supervisor Chief Education Supervisor, CID
APPROVED:
JO EULI MEI T. DOMINGO EdD
Assistant Schools Division Superintendent
TECHNICAL ASSISTANCE TEMPLATE
Form 5
TECHNICAL ASSISTANCE (TA) ACCOMPLISHMENT REPORT
Bottlenecks, Lags,
Issues, Concerns
TA Interventions/ Planned/Target Accomplished Persons Involved/
(BLICs) Remarks
Operational/Policy Activities Output Output TA Provider
Issues/KPIs
0 0
0 0
0 0
Prepared by: Reviewed by:
JIMMY F. DORUPAN URSINO C. PASCUA
Public Schools District Supervisor Chief Education Supervisor, CID
APPROVED:
JO EULI MEI T. DOMINGO EdD
Assistant Schools Division Superintendent
