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Republic of the Philippines
Department of Education
REGION X – NORTHERN MINDANAO
SCHOOLS DIVISION OF EL SALVADOR CITY
EL SALVADOR CITY NATIONAL HIGH SCHOOL
ACTIVITY DESIGN
Control No. _________________
Part I. Activity Details
01 Name/ Title of the Project:
02 Proponent Office:
03 Nature of Activity:
04 Brief Description of the Project:
05 Objective(s): The goal of the activity is to;
a.)
b.)
c.)
d.) integrate the principles of gender
equality, gender equity, gender sensitivity,
non-discrimination, and human rights, in
the provision and governance of basic
education.
Expected Output:
Long-term Impact on
Women’s Socio-Economic
Status/Empowerment (If
applicable)
At the end of this activity, it is expected
that the participants will be able to;
a.
b.
a.
b.
06 Nature of Engagement: [√] Organizer [ ] Partner [ ] Participant
Steps to be accomplished:
Reviewed by Date Signature
Unit/Section Head
HRD Section
M&E Section
Budget Officer
Accountant
Page 1 of 5 Copies Furnished: Records
Republic of the Philippines
Department of Education
REGION X – NORTHERN MINDANAO
SCHOOLS DIVISION OF EL SALVADOR CITY
EL SALVADOR CITY NATIONAL HIGH SCHOOL
07 Direct Beneficiaries: (e.g.
women, men, children, IPs,
etc.)
Indirect Beneficiaries: (e.g.
women, men, children, Ips,
etc.)
Direct Beneficiaries:
Indirect Beneficiaries:
08 List of Partners/Sponsors:
(If partner, please state the
main organizer of the project;
leave blank if not applicable.)
09 Proposed Date(s) of
Implementation:
10 Duration of Activity:
11 Time (Start and End):
12 Proposed Venue/Platform:
13 Proposed Budget (Total Amount): ₱
14 Breakdown/ Source(s) of Funds:
(Please state the amount which will be taken from the following accounts.)
[ ] SEF ___________________ [ ] Division MOOE _____________________
[ ] PTA ___________________ [ ] School MOOE ______________________
[ ] Counterpart _____________ [ ] Petty Cash _____________
[ ] Others (Please specify.) ________________________
15 Expected Number of Audience/
Participants:
Male ___Female
16 Participation of Guests/ Guest
Speakers/ Outsiders Required?
[ ] Yes [ ] No
If yes, please enumerate invited
guests or attach a separate list
if space is not enough.
1.
2.
3.
4.
5.
Steps to be accomplished:
Reviewed by Date Signature
Unit/Section Head
HRD Section
M&E Section
Budget Officer
Accountant
Page 2 of 5 Copies Furnished: Records
Republic of the Philippines
Department of Education
REGION X – NORTHERN MINDANAO
SCHOOLS DIVISION OF EL SALVADOR CITY
EL SALVADOR CITY NATIONAL HIGH SCHOOL
17 Resource Speakers
(Please specify if DepEd or Non-DepEd
Employee)
GAD Experts?
( ) DepEd ( ) Non-DepEd
( ) Yes ( ) No
18 Heavy Electronic Equipment to be
Used
(if any)
19 Office Supplies to be Used
(if any)
20 Assessment/Evaluation Mechanism:
( ) Yes ( ) No
_______Sex-Disaggregated Data
_______ QAME
_______ Other Instrument
PART II. PLAN OF ACTION / ACTIVITY MATRIX
Date Time Activity Participant Facilitator /
In-Charge
PART III. List of Participants
No. Name Plantilla Official Station
Steps to be accomplished:
Reviewed by Date Signature
Unit/Section Head
HRD Section
M&E Section
Budget Officer
Accountant
Page 3 of 5 Copies Furnished: Records
Republic of the Philippines
Department of Education
REGION X – NORTHERN MINDANAO
SCHOOLS DIVISION OF EL SALVADOR CITY
EL SALVADOR CITY NATIONAL HIGH SCHOOL
Part IV. Budgetary Requirements
Quantity Unit Particulars Price/
Unit
Amount
Total ₱
Prepared by: Reviewed by:
_____________________ ______________________
Teacher/School Head Chief, (SGOD or CID)
GAD Attribution:
MARILOU Y. DESCALLAR, RGC
EPS II HRTD/GAD, Division Focal Person
Certified that there are funds available
for this activity
STEPHANIE P. SALIGUMBA
Budget Officer III
Recommending Approval:
CONNIEBEL C. NISTAL, Phd
Assistant Schools Division Superintendent
Steps to be accomplished:
Reviewed by Date Signature
Unit/Section Head
HRD Section
M&E Section
Budget Officer
Accountant
Page 4 of 5 Copies Furnished: Records
Republic of the Philippines
Department of Education
REGION X – NORTHERN MINDANAO
SCHOOLS DIVISION OF EL SALVADOR CITY
EL SALVADOR CITY NATIONAL HIGH SCHOOL
Steps to be accomplished:
Reviewed by Date Signature
Unit/Section Head
HRD Section
M&E Section
Budget Officer
Accountant
Page 5 of 5 Copies Furnished: Records

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Activity-Design Template used in Public Schools.docx

  • 1. Republic of the Philippines Department of Education REGION X – NORTHERN MINDANAO SCHOOLS DIVISION OF EL SALVADOR CITY EL SALVADOR CITY NATIONAL HIGH SCHOOL ACTIVITY DESIGN Control No. _________________ Part I. Activity Details 01 Name/ Title of the Project: 02 Proponent Office: 03 Nature of Activity: 04 Brief Description of the Project: 05 Objective(s): The goal of the activity is to; a.) b.) c.) d.) integrate the principles of gender equality, gender equity, gender sensitivity, non-discrimination, and human rights, in the provision and governance of basic education. Expected Output: Long-term Impact on Women’s Socio-Economic Status/Empowerment (If applicable) At the end of this activity, it is expected that the participants will be able to; a. b. a. b. 06 Nature of Engagement: [√] Organizer [ ] Partner [ ] Participant Steps to be accomplished: Reviewed by Date Signature Unit/Section Head HRD Section M&E Section Budget Officer Accountant Page 1 of 5 Copies Furnished: Records
  • 2. Republic of the Philippines Department of Education REGION X – NORTHERN MINDANAO SCHOOLS DIVISION OF EL SALVADOR CITY EL SALVADOR CITY NATIONAL HIGH SCHOOL 07 Direct Beneficiaries: (e.g. women, men, children, IPs, etc.) Indirect Beneficiaries: (e.g. women, men, children, Ips, etc.) Direct Beneficiaries: Indirect Beneficiaries: 08 List of Partners/Sponsors: (If partner, please state the main organizer of the project; leave blank if not applicable.) 09 Proposed Date(s) of Implementation: 10 Duration of Activity: 11 Time (Start and End): 12 Proposed Venue/Platform: 13 Proposed Budget (Total Amount): ₱ 14 Breakdown/ Source(s) of Funds: (Please state the amount which will be taken from the following accounts.) [ ] SEF ___________________ [ ] Division MOOE _____________________ [ ] PTA ___________________ [ ] School MOOE ______________________ [ ] Counterpart _____________ [ ] Petty Cash _____________ [ ] Others (Please specify.) ________________________ 15 Expected Number of Audience/ Participants: Male ___Female 16 Participation of Guests/ Guest Speakers/ Outsiders Required? [ ] Yes [ ] No If yes, please enumerate invited guests or attach a separate list if space is not enough. 1. 2. 3. 4. 5. Steps to be accomplished: Reviewed by Date Signature Unit/Section Head HRD Section M&E Section Budget Officer Accountant Page 2 of 5 Copies Furnished: Records
  • 3. Republic of the Philippines Department of Education REGION X – NORTHERN MINDANAO SCHOOLS DIVISION OF EL SALVADOR CITY EL SALVADOR CITY NATIONAL HIGH SCHOOL 17 Resource Speakers (Please specify if DepEd or Non-DepEd Employee) GAD Experts? ( ) DepEd ( ) Non-DepEd ( ) Yes ( ) No 18 Heavy Electronic Equipment to be Used (if any) 19 Office Supplies to be Used (if any) 20 Assessment/Evaluation Mechanism: ( ) Yes ( ) No _______Sex-Disaggregated Data _______ QAME _______ Other Instrument PART II. PLAN OF ACTION / ACTIVITY MATRIX Date Time Activity Participant Facilitator / In-Charge PART III. List of Participants No. Name Plantilla Official Station Steps to be accomplished: Reviewed by Date Signature Unit/Section Head HRD Section M&E Section Budget Officer Accountant Page 3 of 5 Copies Furnished: Records
  • 4. Republic of the Philippines Department of Education REGION X – NORTHERN MINDANAO SCHOOLS DIVISION OF EL SALVADOR CITY EL SALVADOR CITY NATIONAL HIGH SCHOOL Part IV. Budgetary Requirements Quantity Unit Particulars Price/ Unit Amount Total ₱ Prepared by: Reviewed by: _____________________ ______________________ Teacher/School Head Chief, (SGOD or CID) GAD Attribution: MARILOU Y. DESCALLAR, RGC EPS II HRTD/GAD, Division Focal Person Certified that there are funds available for this activity STEPHANIE P. SALIGUMBA Budget Officer III Recommending Approval: CONNIEBEL C. NISTAL, Phd Assistant Schools Division Superintendent Steps to be accomplished: Reviewed by Date Signature Unit/Section Head HRD Section M&E Section Budget Officer Accountant Page 4 of 5 Copies Furnished: Records
  • 5. Republic of the Philippines Department of Education REGION X – NORTHERN MINDANAO SCHOOLS DIVISION OF EL SALVADOR CITY EL SALVADOR CITY NATIONAL HIGH SCHOOL Steps to be accomplished: Reviewed by Date Signature Unit/Section Head HRD Section M&E Section Budget Officer Accountant Page 5 of 5 Copies Furnished: Records