DEPARTMENT OF EDUCATION REGION III DepEd3-QAD-MET-044
Matalino St. D.M. Government Center, Maimpis, Version No. Rev. No
City of San Fernando (P) 1 01
K to 12 Partnership Monitoring Tool
Process Assessment Monitoring Tool
DepEd Order No. 4, s. 2015
This Monitoring and Evaluation Tool shall be accomplished by the SDO/RO SHS Focal
Person/s.
Objectives: To assess the implementation process on school’s SHS partnership building scheme
on the aspects of:
(a) determine whether the program is being implemented with fidelity;
(b) identify what planned resources and inputs were and whether they have came into being
(c) where relevant, assess whether desired outcomes are not be4ing achieved because of lack
resources or because of discrepancies between services that were planned and those that
are actually being implemented.
SCHOOL: SAINT PIUS X INSTITUTE SCHOOL ADDRESS: Aguila St., Cuyapo, Nueva Ecija
SCHOOL ID: 400992 CATEGORY: _____________________
SCHOOL HEAD: MRS. TEODORA A. RAMOS CONTACT NO.: 09155124218
Direction: Tick the appropriate box that corresponds to the observation and available evidence.
Building Partnership’ Aspects Indicator
A. Partnership Building Preliminaries Evident Not MOVs
Evident
1. The school conducted research and needs analysis / --Research
and found gaps in: and Need
1.1 buildable space Analysis/Gap
1.2 classrooms Analysis
1.2.1 blackboards --Blueprint of
the SHS
1.2.2 classroom chairs Building
1.2.3 shelves -Pictures
1.3 ICT Laboratory /
1.3.1 student-computer ratio is ideal
1.4 other laboratories comply vis-a-vis intended for
/
use by TVL track/strands
/
1.5 workshop facilities vis-à-vis intended for use by
/ Inventory of
TVL track/strand/s and other strands needing it
Properties
1.6 equipment
-pictures
1.6.1 Academic Track
1.6.1.1 STEM / Inventory of
1.6.1.2 ABM properties
1.6.1.3 HUMSS -pictures
1.6.1.4 GAS / Inventory of
Equipment
1.6.2 Tech-Voc Track
(specify strand/s with gap/s)
1.7 work immersion venue/s /
1.7.1 Academic Track / -Profile of
1.7.2 Tech-Voc Track the
1.7.3 Sports Individual
1.7.4 Arts & Design Industries
1.8 learning materials -Community
1.8.1 readers Mapping
1.8.2 textbooks
1.8.3 reference materials / List of
1.8.4 videos textbooks
1.8.5 others, (pls. specify:_____________) for senior
highschool
1.9 teachers are: / 201 files
1.9.1 PBET/LET passes
1.9.2 National Certification / 201 files
1.9.3 T.M.C / 201 files
1.9.4 M.A/MS / 201 files
1.9.5 Doctoral Degree / 201 files
1.9.6 Applicable and relevant training 201 files
1.9.7 To supply of teachers are sufficient to meet / 201 files
the needs of the school’s curricular offerings
in all tracks and strands as applicable
B. External Data
2. The school identified possible partners by /
considering the following: (pl. refer to Annexes B, -Memorandum
of agreement
C, IEAT-Form IB)
2.1. matching of school’s SHS offering jibed with
the school identified need under the following
considerations:
2.1.1 Work Immersion / -Memorandum
2.1.2 Teacher Training of agreement
2.1.3 Infrastructure Support
a. use of facilities
b. use of equipment
2.1.4 Learners’ Support
2.1.5 Donation/Usufruct / Certificate of
Perpetual Use
2.2. proximity of location to school (pls, specify / Community
distance:_______) Mapping
2.3. type of target groups of possible partners
/ Memorandum
2.3.1 Local Government Units (LGUs) of agreement
2.3.2 LGU Leagues Memorandum
2.3.3 Non-Government Agencies (NGAs) of agreement
2.3.4 Companies or business establishments / Memorandum
2.3.5 Industry associations from national down of agreement
/ Memorandum
to the barangay level
of agreement
2.3.6 Non-Government Organizations (NGOs) Memorandum
/
2.3.7 Cooperatives/micro financing institutions of agreement
2.3.8 Other schools/training institutions that / Memorandum
will not offer basic education programs of agreement
2.4. prohibition in getting into partnerships with / Memorandum
tobacco companies and the like of agreement
/ Memorandum
of agreement
/ Memorandum
of agreement
C. Partnership Development Scheme /
3. Engagement
3.1. Did the school’s PFP made an appointment with
the identified partner/s?
3.2. How many meetings took place? /
Agenda:
3.2.1 introduction and rationale of K to 12
programs
3.2.2 points benefits of the partnership / -Profile of
4. Work Immersion Safety Scheme the
4.1. Adhere to Child Protection Policy individual
4.2. Adhere to Anti-Bullying Act industries
4.3. Adhere to Act Declaring Sexual Harassment / -Profile of
Declaring Unlawful in the Employment the
Education and Training Environment, and for individual
Other Purpose industries
4.4. Adherer to relevant labor laws and issuances / -Profile of
especially in the field of internships, the
apprenticeship, on the job individual
industries
5. Memorandum of Agreement (MOA)/ Memorandum / Memorandum
of Understanding (MOU) of agreement
5.1. Make the initial draft of the MOA?MOU using
MOA template/s per DO No. 40, s. 2015
5.2. MOA/MOU followed or adopted Annex F, / Memorandum
Proposed Flow Diagram of Drafting and of agreement
Signing of Contracts and Agreements including
taking into account local SDO’s policy
5.3. No. of MOA/MOU signed
5.3.1 Type of Target Group (LGU, NGOs, / Memorandum
of agreement
NGAs, etc.)
5.3.2 Type of Partnership Assistance (Work / Memorandum
of agreement
Immersion, Teacher-Training Infrastructure,
Equipment, and other Materials) / Memorandum
5.3.3 Duration of the MOA/MOU signed of agreement
6. Sustaining the Partnership /
6.1. Conduct on-site visitation with partner/s to
determine issues on hand, positive or negative,
intended or unintended and upon determination
to address immediate gaps or problems for
appropriate solution/s
6.2. Invite partner/s for a school visitation to
strengthen partnership via mutual understanding /
and camaraderie
6.3. Consult partners regularly
6.4. Maintain good working relationships /
6.5. Facilitate tax incentive application whenever /
possible /
6.6. Conduct annual recognition of partners
/
_________________ MRS. TEODORA A. RAMOS
MONITOR RESPONDENT
(M&E TEAM)
_________________ SCHOOL PRINCIPAL
DESIGNATION DESIGNATION
_________________ _________________
DATE DATE
