CONSOLIDATION TEMPLATE FOR EACH MUNICIPALITY

(For the School Heads)

PART I. GENERAL INFORMATION

Name of Municipality : __________________________________

Name of Documenter: ______________________ Position: ___________ Signature:

_________

Name of School ID Address Contac Name of Present Sex Age Years

Schools No. t No. School Position in
Heads Servic
e
Public Sec
Schools

LCUs
SUCs
Private
High Sch

Private
TVIs
HEIs

Type of Schools/Institutions
Name Re Reg Reg Reg + Reg Reg Reg Reg Scien Scien Science STE TVE Sch
g. + + TVET + + + + ce ce High + C T for
of High High Foreign
HS ESEP Sport + ESE APE Spor Arts the
Schools + s+ Sport P X ts Schoo + Langua
Arts
l Journ ge
TVET Arts + Arts
alism
Public
Sec.
Sch

LCUs

SUCs

Private
High
Sch

Private
TVIs

HEIs
 Educational Background:
Bachelors Degree Masters Degree Doctoral Degree
Name of Degree Majo Mino Degre Majo Mino Degre Major Minor
School / Units r r e/ r r e/
Heads Units Units
Public Sec.
Sch

LCUs

SUCs

Private HS

Private
TVIs

HEIs

Enrolment:
Kindergarte Elementar Grade 7 Grade 8 Year 3 Year 4
Name of n (If y (If
Schools applicable) applicable)
Male Fema Mal Fema Mal Fema Mal Fema Mal Fema Male Fema
le e le e le e le e le le
Public Sec.
Sch

LCUs

SUCs

Private High
Sch

Private TVIs

HEIs

Number of Teachers
Kindergarten (If Elementary (If Secondary
Name of Schools applicable) Applicable)
Male Female Male Female Male Female
Public Sec. Sch

LCUs

SUCs

Private High
Sch

Private TVIs

HEIs

PART II: BASIC INFORMATION FOR SENIOR HIGH SCHOOL

Will your school If yes, which track in Senior High What could be
offer the Senior School (SHS) will you focus on? your reason/s
Name of School High School (Please indicate the number of for choosing the
(SHS)? learners you can accommodate track/s?
per track)
Yes No Academic Tech-Voc Sports
Livelihood
Public Sec. Sch

LCUs

SUCs

Private High
Sch

Private TVIs

HEIs

Under the track you have chosen, select at least three (3) specific priority
courses you plan to offer in SHS. Mark it 1, 2, 3. See separate sheet.

Should you offer your chosen track for the SHS, to what extent are your preparation
on the following:
 (1 Inadequate, 2 Adequate, 3 - Highly Adequate)

Trained/Competent/Certif Inventory Availability Availabili Availability of

Name of Schools ed: of and ty of Laboratory/Shop
Teachers/ Trainers Assesso Learners accessibilit standard Mate tools Equi
Facilitator rs -rials p-
Interest y of laborator
s men
Instructiona y/shop t
l Materials rooms
Public Sec
Schools

LCUs

SUCs

Private High
Sch

Private TVIs

HEIs

Rate the extent of availability of the following resources needed to offer your
chosen track/s for SHS.
(1 Inadequate 2 Adequate 3 Highly
Adequate

Availability Availabili Absorptive Availabilit Availabilit Degree of

of ty of capability y of y of engagement
Name of Schools
competent/ buildable for potential transport- of other
skilled space
increment new tation and government
teachers
of school access agencies
enrolment sites roads
Public Sec. Sch.

LCUs

SUCs

Private High
Sch
Private TVIs

HEIs

Number of consultative
Degree of workshops/Focus Group
Availability of Availability cross- Discussion (FGD) to validate,
Name of Schools Industry of TESDA referencing of match and alignment of
partners/ Training open source parents preference and
private sectors Center data and students career choices with
local demands of the world of
researches work, business and industry:
for Jobs-Fit
Local Nation Global
al
Public Sec.
Schs

LCUs

SUCs

Private High
Sch

Private TVIs

HEIs

Please list the names of shops/industries/businesses/economic institutions that

DepED can link with in the implementation of the SHS. (Use a separate sheet of
paper, if necessary.)

Shops Industries Businesses Economic

Situations

For TVIs, LCUs, SUCs, HEIs Only:

 By 2016, in which of the tuition fee bracket per semester would you consider
sufficient to effectively and efficiently operate the program/courses offered?

Will your What can

Tuition Fee Bracket per semester school you say
Name of refer/accept about the
Schools students for GASTPE/
GASTPE/Vouch
Voucher
er System?
System?
(Please
specify)
below 10,000.00 15,001.00 20,001.00
10,000. to to to Yes No
00 15,000.00 20,000.00 25,000.00
LCUs

SUCs

Private High
Sch

Private TVIs

HEIs

Would you be
willing to partner Do you have special requirements for admission of students to
Name of Schools with a local High your Senior High School like:
School in offering
Senior High
School?
Written Intake Diagnostic Others (please
Yes No Examination Interview Examinatio specify):
n
Yes No Yes No Yes No
LCUs

SUCs

Private High
Sch

Private TVIs

HEIs

During the two-year transition period, what are your plans for the following existing
resources: (Use separate sheet if needed)
Teachers/ Instructional Laboratories/Sh Tools and Facility for
Name of Schools Facilitators/ Rooms ops Equipment Ancillary
Assessors Services
LCUs
SUCs

Private High
Sch

Private TVIs

HEIs

PART III. Under the track you have chosen, select at least three (3) specifc
priority courses you plan to offer in SHS. Write number (1), if it is your frst priority;
number (2), if it is your second priority; number (3), if it your third priority.

TRACK: TECHNICAL-VOCATIONAL-LIVELIHOOD
HOME ECONOMICS
Name of Garmen Food Beauty Hotel,Restaura Handicraf Caregivin
Schools t Tech Tech Care nt, and t g
Tourism
Services
Public HS

LCUs

SUCs

Private HS

Private
TVIs

HEIs

ARTS AND TRADES

Name of Mechanic Civil Drafting Electrical Electronic RAC
Schools al Technolog Technolog Technology s Servicin
Technolo y y Technolog g
gy y
Public HS
LCUs

SUCs

Private HS

Private
TVIs

HEIs

AGRICULTURAL/FISHERY TECHNOLOGY
Name of AGRICULTURAL FISHERY TECHNOLOGY
Schools TECHNOLOGY
Plant Anim Horticultu Fish Fish Fish
al re Culture Capture processing
Public HS

LCUs

SUCs

Private HS

Private TVIs

HEIs

INFORMATION AND COMMUNICATION TECHNOLOGY

Name of Desktop Networ Web Visual PC Video Others,
Schools Publishi k Progra Graphics Hardwar Animatio please
ng Admini m-ming Designing e n specify:
s- Servicing
tration
Public HS

LCUs
SUCs

Private
HS

Private
TVIs

HEIs

TRACK: ACADEMIC
STEM BAM HESS
Sci Eng Math Busi- Accoun Manage Huma- Educa Social
Name of & g ness -tancy -ment nities -tion Scienc
Schools Tech es
Public Sec.
Sch

LCUs

SUCs

Private HS

Private TVIs

HEIs

TRACK: SPORTS AND ARTS

Name of Theater Music Dance Visual Arts Sports Others,

Schools Arts specify
Public Sec
Sch

LCUs

SUCs
Private HS

Private
TVIs

HEIs