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Republic of the Philippines

Department of Education
Region IV-A CALABARZON
DIVISION OF SAN PABLO CITY

Rizal Avenue, San Pablo City, Laguna, Philippines 4000 Email: sanpablo.city@deped.gov.ph Website: depedsanpablo.com Tel No: (049) 503 – 5967

SCHOOL NEEDS ASSESSMENT FORM

School Information
Name of School
School Address
School ID School Year:
Contact Number School Category (put check mark)
Email Address Elem. JHS
Name of School Head IS SHS
Number of Teachers Male: Female: Total:
Non-Teaching Personnel Male: Female: Total:

Enrollment Male Female TOTAL


KINDERGARTEN
GRADE 1
GRADE 2
GRADE 3
GRADE 4
GRADE 5
GRADE 6
GRADE 7
GRADE 8
GRADE 9
GRADE 10
GRADE 11
GRADE 12
TOTAL

Resources Available/ Needed Gap Remarks


Existing
Buildable space
Classroom
Teacher’s Table
Armchairs
Desk
Computer Laboratory
Computers
FM – DESPC – 05 -15 Page 1 of 3
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Republic of the Philippines
Department of Education
Region IV-A CALABARZON
DIVISION OF SAN PABLO CITY

Rizal Avenue, San Pablo City, Laguna, Philippines 4000 Email: sanpablo.city@deped.gov.ph Website: depedsanpablo.com Tel No: (049) 503 – 5967

Printer
LCD Projector
Television
Canteen
Workshop
Library
Comfort Room
Wash facilities
Canteen
Workshop (EPP/TLE)
School Signage
Fire extinguisher
Early warning device
First Aid Kit
Hygiene Kit
Drainage system

PRIORITY NEEDS/RESOURCES GAPS

FM – DESPC – 05 -15 Page 2 of 3


Rev. 0
Republic of the Philippines
Department of Education
Region IV-A CALABARZON
DIVISION OF SAN PABLO CITY

Rizal Avenue, San Pablo City, Laguna, Philippines 4000 Email: sanpablo.city@deped.gov.ph Website: depedsanpablo.com Tel No: (049) 503 – 5967

Prepared by:

_____________________________________
NAME AND SIGNATURE OF SCHOOL HEAD

FM – DESPC – 05 -15 Page 3 of 3


Rev. 0

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