Republic of the Philippines

Department of Education
Region VIII
DIVISION OF SAMAR
Catbalogan, City
____________________________________________________________________________________________

CONTINUING PROFESSIONAL DEVELOPMENT

ACCREDITATION CHECKLIST

Division: Samar Division Date of Activity: July 3-5, 2019

Title of Activity: Seminar-Workshop on Action Research Writing

Direction: Please write the word YES if the required indicator is available in the Instructional Design, or write the word
NO if not available on column provided. Indicate the remarks when needed.

Indicator Yes/No Remarks

Accomplished Application Form for
Accreditation of CPD Program
Notarized Application Form
Areas of CPD Topic referring to PPST standards
Topic related to ethics (attitude,
values)
Expected Learning Outcome SMART Terminal Objectives
SMART Specific Objectives
Activities (methodologies to be employed in Lecture
the session) Workshop
Groupwork/Sharing
Cooperative Structure
Webinar
4As
Others
Assessment Strategies Pre-Session Assessment Tools
Attached
Post-Assessment Tools attached
Output/Requirement Required Outputs of Participants
Breakdown of Expenses
Short Brown Envelope for the Certificate of
Accreditation
One set of metered documentary stamps
worth Php 25
Signatures Proponent
Noted
Recommending Approval
Approved
Resource Person Name
Session 1 Copy of Professional Identification
Card
Level of Education
Resource Person Name
Session 2 Copy of Professional Identification
Card
Level of Education
Resource Person Name
Session 3 Copy of Professional Identification
Card
Level of Education
Resource Person Name
Session 4 Copy of Professional Identification
Card
 Level of Education
Resource Person Name
Session 5 Copy of Professional Identification
Card
Level of Education
Resource Person Name
Session 5 Copy of Professional Identification
Card
Level of Education
Resume
Certificate of
appreciation/recognition of
trainings/sessions facilitated
Number of Copies 3 sets of hard copies
1 soft copy saved in CD
Findings/Comments/Recommendations:

Checked/Assessed by: Noted:

CLARITA M. MENDA
Chief-SGOD