DEPARTMENT OF EDUCATION REGION DepEDROIII-QAD-GPR3-001

III
Matalino St. D.M. Government Center, Maimpis, Version Rev. No
City of San Fernando (P) No. 1 02

Attachment 2
(Inclosure No. 1 to DECS Order No. 12, s. 1991)
DECS Form No. GPR - 3

PROCESSING SHEET FOR APPLICATIONS FOR GOVERNMENT AUTHORITY TO OPERATE/ GOVERNMENT

RECOGNITION
Name of School : _________________________________________________________________
Address of School : _________________________________________________________________
Course : _________________________________________________________________
Curriculum Year(s) : _________________________________________________________________

REQUIREMENTS

Government Authority Granted: ______________________________________

______________________________________
1. Board Resolution.
___________ Certified by the Corporate Secretary
2. Statements of the Following:
___________ Philosophy and Goals of the course
__________ demand for the graduates
__________ prospective students
__________ existing schools offering one same course
within the province/city.
For new schools or existing schools that have not yet submitted this document or have changes in the following aspects:
3. Articles of Incorporation and By-Laws
_________ In the name of the school.
_________ Registered with the Securities and Exchange Commission
_________ Stock/Non-Stock. Registration No. _______________________
4. Copy(ies) of Transfer Certificate(s) of Title of the school site (if change/addition has been made).
__________ Number __________________
__________ In the name of the school. (Indicate ownership)
__________ Total area adequate (state total area __________).
__________ Contract of Lease/Affidavit of Ownership
5. Location of school in relation to its environment (if change/addition has been made).
__________ Far from those places cited.
__________ Free from noise/unpleasant odor and dust.
6. Campus development and landscaping plans
(if change/addition has been made)
_________ Sketch/Plan
_________ Fully Implemented
_________ Partially Implemented
_________ Not Implemented
7. Document(s) of Ownership of school building(s)
(if change/addition has been made)
_________ In the name of the school.
_________ Total floor area adequate (state total area ________).
Tax Declaration No. ____________
8. Certificate of Occupancy of school building(s)
(if change/addition has been made).
______ Signed by proper city/municipal authorities.
9. Pictures of school building(s), classrooms, laboratories, libraries, medical and dental facilities, canteens, etc. (if
change/addition has been made).
_________ Adequate
_________ Clean
10. Proposed budget for the succeeding school year approved by the Board of Trustees/Directors.
________ Approved by the Board of Trustees/Directors.
11. List of school administrators (president, vice-president, deans, department heads).
_________ Educationally qualified.
_________ Salaries in accordance with prescribed standards.
_________ Full-time
_________ etc.

12. List of academic-non teaching personnel (registrar, librarian, guidance counselor, researcher).
_________ Educationally qualified
_________ Subject-assignments in accordance with qualification.
_________ Salary/other benefits in accordance with prescribed Standards.
_________ Valid contracts/appointments.
_________ Ratio of full-time, part-time in accordance with DECS
Policies.
_________ Full-time
_________ etc.
13. List of athletic facilities, equipment, supplies and materials (to be certified by the school head).
 2

14. School bond.

a.) notarized: a.) Preschool_____b.) Elem._______ c.) Secondary______
a.) Official Receipt for: Preschool________ b.) Elem._________ c.) Sec._________
For new course(s) of existing schools
15. Copy of retirement Plan registered with the Securities and Exchange Commission.
16. Copy of Latest Financial Statement of the school certified by an independent CPA.
_________ Certified by an independent CPA
_________ Complete.
17. Proposed Curriculum.
_________ In accordance with standards and requirements.
 Kindergarten (DO #32, s. 2012)
 Elementary (DO #31, s. 2012)
 Junior High School (DO #31, s. 2012)
__________ Approved by DepEd
__________ In accordance with guidelines.
18. Proposed tuition and other school fees should be filed in separate folder signed by the EPS In-charge of Private
School.
_________ Approved by DECS.
_________ In accordance with guidelines.
19. List of New Teaching/Academic Staff for the Course(s) program(s) applied for.
_________ Number
_________ Educationally Qualified
_________ Subject assignment in accordance with qualifications.
_________ Salary/other benefits in accordance with prescribed
standards.
_________ Valid for Contracts/Appointments.
_________ Ration of full time; part-time in accordance with DECS
policies.
_________ Etc.
20. List of laboratory facilities, equipment, furniture, supplies and materials classified by subject area, (to be certified by
the school head).
________ Complies with the prescribed standards and requirements
subject area.
21. List of library holdings (to be certified by the school head).
__________ Complies with the prescribed standards and requirements
by classification.
22. Inspection and Application Fees (P2,000.00) Legal Research Fund (P20.00).
_________ O.R. No. ___________
_________ Place of Issuance ___________________
_________ Date of Issuance ___________________

F I N D I N G S / RECOMMENDATIONS:
_________________________________________________________________________________________________________________
___________________________________________________________________________________

Prepared by: Certified True and Correct:

________________________ ______________________________
School Principal SDO In-Charge of Private School
________________________ ________________________
(Date) (Date)
Contact Number: ________________________

Recommending Approval:

_________________________________
Schools Division Superintendent
Validated by:
______________________________
Education Program Supervisor
Quality Assurance Division RO3