Republic of the Philippines

Department of Education

TECHNICAL ASSISTANCE TEMPLATES

Form 1
TECHNICAL ASSISTANCE NEEDS ASSESSMENT (TANA)

Bottlenecks, Lags,
Issues, Concerns
Concerned SDOs Concerned FDs/
PPAs (BLICs) SUPPORT NEEDED
/ Schools Office/s
Operational / Policy
Issues/ KPIs
DepEd Order No. SDO RO
13, s. 2016

DO # 10 s.2016, -3 schools failed to meet the -BLISS SDO Dagupan City 1.Program support
WASH in required crucial indicators -Mamalingling ES funds/resources for
Schools for WinS. (No facilities for -Lomboy ES the construction of
(WinS) gender segregated toilets) needed facilities.
2.Partner
stakeholders/Sponso
rs.

Prepared by: Reviewed by:

RO/SDO TA Coordinator FTAD Chief / CID and SGOD Chief

Approved: RD/ SDS

 Form 2
TECHNICAL ASSISTANCE (TA) PLAN

Bottlenecks TA Persons/
, Lags, Probable/Root Intervention Objectives Expected Timeline Resources Coordinator
Issues, and Office
Causes s/ Activities Involved
Output (Specific Needed
Concerns Date)
(BLICs)
Some school Dra. Theresa P.
heads are not Light sanctions Strengthen the
1. To attain the goal of the Parayno
complaint advocacy to
strictly DepEd Order.
with the In demand
DepEd Order implement the 2. To reduce the number of
No. 13, s. DepEd Order lifestyle related diseases
2017 resulting from overweight
and obesity as a result of
consumption of high
sugary drinks.
3.

-3 schs. With 0 TSA -3 schools failed to -Re-orientation on - Capacitate sch. to implement - SH’s, teachers. - Successful - LAC session & - Teodoro L.
(Three Star Approach) meet the needed DepEd WinS the program. implementation of faculty meetings. Manaois
for WinS. crucial indicators. operational guidelines. -SGPTA, brgy the program.
(Gender segregated -SGPTA meeting in - Support & provide resource officials & key - Provision & -Sch PTA meeting, -Sponsors,
toilets for learners) support for the WinS needed sponsors. utilization of Brigada Eskwela. stakeholders &
program in sch. constructed facilities. (year round) financial resources
-Division and
school WINS
Coordinator

Prepared by: Reviewed:

RO/SDO TA Coordinator Chief Education Supervisor

Approved:

RD, ARD
SDS, ASDS
 Form 3

TECHNICAL ASSISTANCE (TA) AGREEMENT

SDO:
School:
BLICs to be Addressed:

Prepared by:
 Possible Actions / Interventions to be done Timeline

RFTAT / DFTAT Member/s

Conforme:

SDO Personnel /School Head

 Form 4
TECHNICAL ASSISTANCE (TA) PROGRESS MONITORING REPORT

TA Need/s TA Interventions/ TA Target Date of Status of Remarks

(Bottlenecks, Lags, Issues and Activities Completion Implementation (Adjustment)
Concerns – BLICs)

Prepared by: Reviewed by:

RFTAT/ DFTAT Member/s

Chief Education Supervisor
Conforme:

SDO / School Head

 Form 5

TECHNICAL ASSISTANCE (TA) ACCOMPLISHMENT REPORT

Bottlenecks, Lags, Planned/ Persons

Issues, Concerns TA Interventions/ Accomplished
Activities Target Involved / TA
(BLICs) Outputs Outputs Provider Remarks

Best Practices:

Challenges Encountered in TA Provision:

Lessons Learned:

Prepared by: Reviewed:

RO/SDO TA Coordinator FTAD/ CID and SGOD Chief

Approved by:

RD/ SDS