ACTIVITY COMPLETION REPORT

I. ACTIVITY INFORMATION
TITLE: TURNOVER OF DONATED SCHOOL SUPPLIES FROM SK OFFICIALS OF BRGY. GOMENTOC TO
CANLUKDUHAN ELEMENTARY SCHOOL
DATE: September 29, 2021
VENUE: CANLUKDUHAN ELEMENTARY SCHOOL
TOTAL BUDGET: PHP200.00
SOURCE OF FUNDS: School MOOE
PARTICIPANTS’ Brgy. Gomentoc Sangguniang Kabataan Officials and Canlukduhan E.S. Teaching Staff
DESCRIPTION
TOTAL NO. OF Eight (8)
PARTICIPANTS
TRAINING/ACTIVITY Athena Meriam G. Lagrimas
FOCAL PERSON:
POSITION: Teacher I
STATION: Canlukduhan Elementary School

II. PARTICIPANTS: (* PLEASE INDICATE THE ACTUAL NUMBER OF PARTICIPANTS DURING THE
TRAINING/ACTIVITY)
A. GENERAL ELEMENTARY JUNIOR HIGH SENIOR HIGH NON-TEACHING TOTAL
SCHOOL SCHOOL
MALE 0 0 0 0 0 0 2 0 2
FEMALE 0 0 0 0 0 0 2 0 2

B. TEACHING TEACHER TEACHER TEACHE MASTER MASTER MASTER TOTAL

1 2 R3 TEACHER 1 TEACHER 2 TEACHER 2
MALE 0 1 0 0 0 0 1
FEMALE 3 0 0 0 0 0 3

C. TEACHING HEAD HEAD HEAD PRINCIPA PRINCIPAL PRINCIPAL PRINCIPAL TOTAL

RELATED TEACHER TEACHER TEACHER L1 2 3 4
1 2 3
MALE - - - - - - - -
FEMALE - - - - - - - -

D. NON- ADA ADAS AO REGISTRAR GUIDANCE PDO EPS SEPS DEPS

TEACHIN COUNSELOR
G
(YOU MAY MODIFY BASED ON YOUR PARTICIPANTS)
MALE - - - - - - - - -
FEMALE - - - - - - - - -
 III. RECOMMENDATIONS TO IMPROVE THE ACTIVITY/TRAINING:

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IV. REQUIRED ATTACHMENTS

A. APPROVED TRAINING/ACTIVITY DESIGN
B. MEMORANDUM
C. PROGRAM & MATRIX
D. ATTENDANCE
E. LIST OF TRAINING/ACTIVITY MANAGEMENT TEAM
F. PDS OR PROFILE OF TRAINERS/FACILITATORS
G. CHECKLIST OF FACILITATION SKILLS PER SESSION
H. PICTURES IN ACTION WITH APPROPRIATE DESCRIPTION
I. COMPILED T & D- M & E FORM 1: INDIVIDUAL PROFILE TEMPLATE
J. SUMMARY OF M & E FORM 3: END OF PROGRAM ASSESSMENT
K. OUTPUTS WITH APPROPRIATE DESCRIPTION

SUBMITTED BY: CLASS ADVISER ENDORSED BY: SCHOOL HEAD

ATHENA MERIAM G. LAGRIMAS ROMULO C. LARA, JR.

SIGNATURE OVER PRINTED NAME SIGNATURE OVER PRINTED NAME

DATE: September 29, 2021 DATE: September 21, 2021