Republic of the Philippines

Department of Education
Region V - Bicol
SCHOOLS DIVISION OFFICE OF ALBAY
LIBON WEST DISTRICT
LIBON, ALBAY

1st Quarter Learning and Development (L & D) Initiatives

Checklist of Attachment to Proposed L & D Proposal
IN SERVICE TRAINING
January 24-26, 29-30, 2024

School: VILLA PETRONA ELEMENTARY SCHOOL Proponent: LEA A. REGAYA

Date of Evaluation: JANUARY 15, 2024

No. Documents X/√ Remarks Initial

1. Letter of request for the activity

2. School Certification/ Checklist

form with signatures of the L &
D Team and Evaluators

3. Clear Statement of the Title of

the proposed activity

4. Present the baseline data,

purpose/reasons, intended
results and identification and
prioritization of common learning
needs, and performance gap.
5. Complete set of the proposal
and enclosures with
comprehensive learning and
development matrix of activities

6. Detailed Program Matrix of

Activities indicated.

7. List ofEstimated Budgetary

Requirement with the source of
fund

8. Comprehensive Learning &

Development Matrix of Activities

9. Clear statement of assessment

plan/mechanism

10. Implementation Plan

Observance of the correct L & D

11. proposal template/format,font

Libon, Albay
C.P no. 09994508126
111793@deped.gov.ph
 Republic of the Philippines
Department of Education
Region V - Bicol
SCHOOLS DIVISION OFFICE OF ALBAY
LIBON WEST DISTRICT
LIBON, ALBAY
size,proper tabbing and
sequence of documents
12. Budget and costing with
indicated source of fund ,
allotment of availability of funds
certified by school designated
bookkeeper and appoved by
school head

13. Summary of Needs Assessment

(TNA)

14. SY 2024 L & D Plan

15. Complete & Accurate Learning

Resources:
 LAC Shareable
 Content Materials with
the identified topics
 Modules
 Slide Deck/Ppt
 Structured Learning
Episodes (SLEs)

16. Assessment
Monitoring
Evaluation Tool
17. Curriculum Vitae of Listed
Resource Speakers

Significant Findings/ Suggestions (if needed):

Evaluated by:

DOMINGO S. SATIMBRE
L & D Chariman

BLESSILDA A. DE LA RAMA GRACIA S. RANERA PERLA C. SARIO

L & D Member L & D Member L & D Member

Libon, Albay
C.P no. 09994508126
111793@deped.gov.ph