As of:

Name of School:

Name of Partnership Focal Person:

Line of Authorized
Potential Partner List Sector Business Address Signatory

Better Care Diagnostic Lab Private Company Allied Balanaga Nel Caracas
Medical City,
Services - Bataan
Diagnosti
cs

Chelo's Laundry Private Company Househol Balanaga Leonard

d City, Pizarro
Services Bataan

Lone Star Palisades Commercial Private Company Real Balanaga Leonard

Complex Estate City, Pizarro
Bataan
Spetz Hobby Shop Private Company Trading Balanaga Leonard
City, Pizarro
Bataan

Search Zone Computer Private Company Compute Balanaga Leonard

r Services City, Pizarro
Bataan

Family and Friends Resort Private Company Hotel and Balanaga Leonard
Restaura City, Pizarro
nt Bataan

Tatay's Painting Shop Private Company Househol Balanaga Mr. Caracas

d City,
Services Bataan

Balanga City Government Government - Local Government Others Balanaga Jose Enrique
Unit City, Garcia III
Bataan

Mansteel Metal Fabrication Private Company Manufact Sta. Rosa, Bel Liu
Company uring Laguna

Sector Line of
Business

Sector Line of
Business
 Sector Line of
Business

Resources Specialization RequirementAvailable Variance

Work Immersion

Classroom

Consummables

Equipment

Machines
Scholarship/Top-up

Teacher

Teacher Training

Tools

Use of Facilities

others
Monitoring Template Manual

As of: < input date of report> Periodic reporting. Proposal is for weekly updating.

Name of School: < input name of School>

Name of Partnership Focal Person: <input name of assigned person>

Line of Authorized
Potential Partner List Sector Business Address Signatory

indicate specific name of use drop down and indicate sector use drop indicate indicate name
potential partner e.g. company, e.g LGU, private company, NGO, down to exact of potential
LGU, NGO Coop, etc. indicate address partner
line of e.g floor, decision
business. building maker and
If not name, no. authorized
present, ,street, signatory for
Coop - if the potential partner is a kindly go barangay, the
cooperative to municipal memorandum
validation ity/city, of agreement,
list and province memorandum
add. of
understandin
g, donation or
usufruct
Faith Based Organization - if the
potential partner is an organization
based on faith e.g. Caritas, Union of
Christian and Muslim Democrats,
UCCP, etc.

HEI - if the potential partner is a

higher education institution under
CHED

Industry Association - if the potetial

partner is an association or
federation based on industry e.g.
Philippine Chamber of Commerce,
Inc. Semiconductor and Electronincs
Industries of the Philippines, Inc.,
etc.
LGU - if the potential partner is a
local government unit e.g. barangay,
municipality, city, province

LUC - if the potential partner is a

local university or college

NGA - if the potential partner is a

national government agency e.g
DOLE, DPWH, TESDA etc.

NGO - if the potential partner is a

non-government organization, a
non-stoco non profit organization
other than a cooperative, faith
based orgainizations and those
mentioned in this template
Private Company - if the potential
partner is a private company,
corporation, single proprietor,
partnership engaged in businees for
profit
Private Entity - if the potential
partner is an individual without any
organization or business company

Professional Association - if the

potential partner is an organization
of professionals e.g. mechanicl
engineers association of the
philippines, PMAP, etc.

SUC - if the potential partner is a

state university of college e.g. U.P.,
PNU

TVI - if the potential partner is a

technical vocational institution
1.5 identify terminated agreements, its issues
c. RDO - RD or person assigned

1. Monitor MOA implementation

1.1 Monitor ongoing agreements based on ag

1.2 identify issues and develop solutions

1.3 identify expiring agreements and start ste

1.4 identify expired agreements and develop s

1.5 identify terminated agreements, its issues

 Profile

Position / Contact Position / Telephone email no. of

Department
Designation Person Designation number address emplyees

Owner / Nel Owner / Executive

Proprietor Caracas Proprietor

Position / Leonard Owner / Administrative

Designation Pizarro Proprietor

Position / Leonard Owner / Executive

Designation Pizarro Proprietor
 Position / Leonard Owner / Executive
Designation Pizarro Proprietor

Position / Leonard Owner / Department

Designation Pizarro Proprietor

Position / Leonard Owner / Department

Designation Pizarro Proprietor

Position / Mr. Owner / Department

Designation Caracas Proprietor

Position / Jose Mayor Department

Designation Enrique
Garcia III

Position / Bel Liu President Department

Designation

Position / Department
Designation

Position / Department
Designation
Position / Department
Designation

12
 Profile

Position / Contact Position / Telephone email no. of

Department
Designation Person Designation number address emplyees

Indicate position indicate use drop down use drop down to indicate indicate indicate
or designation of name of to indicate indicate telephone email number of
the authorized contact position / appropriate number and address existing
signatory person to designation of department of cellphone of contact number of
whom contact person contact person, if number of person employees of
you are position / company or and the potential
negotiati designation is not contact person company partner.
ng included in the list, website Excat
partnersh kindly add in the or number is
ip with, validation list company recommende
preferabl email d but ball
y decision address park figure
maker. can be used.
rminated agreements, its issues and develop steps to re-engage partners
ngoing agreements based on agreements

sues and develop solutions

xpiring agreements and start steps in renewing

xpired agreements and develop steps to re-engage for possible partnerships

rminated agreements, its issues and develop steps to re-engage partners

 Humanitarian
Projects / Status Partnership
Corporate Social
Responsibility

Identification MOA

Shortlisted Donation

Negotiation Usufruct
MOA Preparation MOA + Donation

MOA Signing MOA + Usufruct

MOA signed MOA

For Implementation MOA

Ongoing MOA

Expiring MOA

Status MOA

Status Partnership
Status Partnership
 Humanitarian Status Partnership
Projects

indicate if there are use drop down to indicate status of Use the drop down to indicate the
humanitarian engagement. Take note of the partnership between the DepEd school and
programs or definition below: the potential partner
projects being
implemented by
the potential
partner
1. Identification Status - potential
partners name has been identified
and initial research has been done.
This will be the list of potential 1. MOA - if the partnership will just have a
partners without prior engagement memorandum of agreement e.g. work
or meeting. imeersion, teacher training, teacher
2. Shortlisted - are potential 2. Donation - if the partnership is going to
partners who have been contacted be a donation from the potential partner as
and agrees to an appointment for donor to the DepEd school as donee
presentation. If the potential
partner has engaged in
humanitarian projects, prioritize for
face to face engagement
3. Usufruct - if the partnership is for
Usufruct
3. Presentation - there has been a
meeting and presentation of the K
to 12 program has been made with
the potential partner
4. MOA + Donation - if the partner requires
a MOA and a deed of donation to pursue
4. Negotiation - Partnership Focal this partnership
person is negotiating with potential
partner and no decision has been
made by the latter if they will push
through with the partnership
5. MOA + Usufruct - if the potential partner
6. MOA Preparation - the potential requires a MOA and a deed of usufruct to
partner has agreed with the pursue this partnership
partnership and defining the terms
of the MOA with the DepEd School
through the Partnership Focal
Person

7. MOA Signing - MOA is for signing

8.MOA/ Deed signed - MOA / Deed

has been signed

9. For Implementation - MOA has

been signed and activities for the
implementation are scheduled and
underway

10. Ongoing - the partnership is

ongoing.
11. Expiring - if the duration for the
partnership will expire within 90
days (proposed)

12. Expired - If the partnership

duration based on the MOA has
expired

13. Terminated - if the MOA

partnership has been terminated for
cause before its expiration
 Developing Partnership

Partner
Areas of No. of Students for Expectation Relevant Date of engagement
Partnership Deployment (what's in it for Specialization
the partner?)

Work Immersion front desk Front Office Services 15-May-15

officer-female (NC II)
only, advertising,
12 red carpet,
website
presence, media
mileage
Work Immersion None

Work Immersion None

Work Immersion None

Work Immersion None

Work Immersion Food and Beverage

Services (NC II)

Work Immersion Household Services

(NC II)

Work Immersion Front Office Services

(NC II)

Work Immersion Shielded Metal Arc

Welding (NC I)

Purpose of Relevant
Partnership Specialization

Purpose of Relevant
Partnership Specialization
Purpose of Relevant
Partnership Specialization
 Developing Partnership

Partner
Quantity / Expectation Relevant
Area of Partnership Date of engagement
Deployment (what's in it for Specialization
the partner?)

Use drop down to indicate in absolute indicate the use drop down to indicate date when
identify the purpose number the expectaiton of indicate the relevant the potential partner
of the parnership students to be the potential specialization based was entered into this
deployed if partner which is on requirement of template
partnership is for his perceived the potential partner
work immersion or benefit from the considering his
exact number of partnership business and the
classroom seats if processes therein.
donation or
usufruct
 Target Date of last Duration Nearest Distance
Signing Remarks
appointment (date) Schools (in Km)
Date

15-Jun-15 june Balanga Mr. Caracas looks at 5 student

2016- High immersants per batch, 24 total
march School for the whole duration
2017
 Nearest
Schools
Target Date of last Duration ( in order Distance
Signing Remarks
appointment (date) of (in Km)
Date proximity
)
indicate indicate date indicate indicate Indicate indicate relevant remarks which
the date of the most duration nearest distance make affect the partnership
that the recent visit of school by of work process
partnersh prior to the partnersh order of immersio
ip focal accompishme ip if proximity n venue
person nt of this applicabl to the from
intends to report e e.g. location location
have the MOA for of the of school
potential work potential in
partner Immersio partner kilometer
sign on n- s
the 12June20
MOA 15-
/Deed of 12June20
donation 16
or
Usufruct
 MOA Implementation

Adherence to Terms Timeline of

Proponent Deployment Activities
and Conditions Activities

yes

no

yes
 no

Adherence to Terms
and Conditions

Adherence to Terms
and Conditions

Adherence to Terms
and Conditions

Adherence to Terms
and Conditions

Adherence to Terms
and Conditions

Adherence to Terms
and Conditions

Adherence to Terms
and Conditions
Adherence to Terms
and Conditions
 MOA Implementation

Adherence to Terms Deployment / Timeline of

Proponent Activities
and Conditions Delivery Activities

indicate the signatory on the use drop down if the indicate exact Indicate indicate actual
DepEd side e.g. school, industry partner numbers of the timeline of
district, division, region or adheres to the terms students activities actvities
central office. Proponent will and conditions of deployed during that indicated in the
be responsible for the agreement the work needs to partnership
monitoring the partnership immersion or be done based on the
number of as greed MOA
teachers for the on the
teacher training partnersh
or delivery in ip
actual numbers
of the subject of
donation or
usufruct
mentation Status

Identifica
tion
Documentary Issues Recommendation
requirement

Shortliste
d
complete

Presentati
on
incomplete

Negotiati
on
complete
 MOA
Preparati
on
incomplete

Deed of
Donation
Documentary Preparati
requirement on

MOA
Signing
Documentary
requirement

MOA
signed
Documentary
requirement

For
Impleme
Documentary ntation
requirement

Ongoing

Documentary
requirement

Expiring

Documentary
requirement

expired

Documentary
requirement
 terminate
d
Documentary
requirement
mentation

Documentary Issues Recommendation

requirement

use drop down to indicate any issues indicate

indicate of arising from the recommmendation for
documentary partnership or day improvement of the
requirements are to day activities partnership, termination
complete or or lengthening the
incomplete duration of the
partnership. If incomplete
documentary
requirements, indicate the
lacking document
 Department
Position / Area of
Partnersh Line of Designati Partnersh
ip Business on ip

MOA Allied Owner / Executive Work

Medical Proprieto Immersio
Services - r n
Dental

Donation Allied President Administrative

Medical
Services -
Diagnosti
cs

Usufruct Allied Vice Human Resources

Medical President
Services -
Optical

MOA + Animal Director Sales and Marketing

Donation Husbandr
y
MOA + Bakery Senior Operations
Usufruct Manager

Computer Manager Materials and Planning

Services

Electronic Superviso Procurement

Services r

Escort Governor Logistics

Services

Farming Mayor Finance and Accounting

Fishing Executive Production

Director

Food City Research and Development

Processin Administr
g ator

Health Municipal Executive Office

and Administr
Wellness ator
Househol Barangay Secretariat
d Services Chairman

Human Comman Planning and Development Office

Resource ding
s Officer -
who is
the
authorize
d
Machinin Others
signatory Management Information System
g for
military
camps

Manufact Treasurers Office

uring

Parlor Engineers Office

Poultry Office of the Local Registrar

Real Office of the Sangguniang Bayan

Estate

Tourism Budget Office

 Health Office

Trading
Police Department

Hotel and
Restauran
t
Fire Station

Others
DSWD

Local School Board

Municipal Accounting Office

Municipal Personnel Development Office

Trial Court
General Services

Office of the Administrator

Public Employment Service Office

Environment and Natural Resources Office

Disaster Risk Reduction and Management Office

Office of the Vice Mayor / Government

others
 Adherenc
e to Documen
Terms tary
Sector
Relevant and requirem
Specializa Condition ent
tion s
Beauty/ yes complete
Nail Care
(NC II)

Government
Wellness no incomplet
Massage e
(NC II)

Government
Hairdressi
ng (NC II)

Private C
Caregiving
(NC II)

Non-Gover
 Dressmaki
ng (NC II)

Cooperativ
Tailoring
(NC II)

Faith Base
Front
Office
Services
(NC II)

Private Ind
Travel
Services
(NC II)

Higher Educ
Tour
Guiding
Services
(NC II)

Local Unive
Tourism
Promotion
Services
(NC II)

State Unive
Cookery
(NC II)

Socio-Civic
Bread and
Pastry
Production
(NC II)

Professiona
 Food and
Beverage
Services
(NC II)

Industry As
others Household
Services
(NC II)

Housekee
ping (NC
II)

Attractions
and
Theme
Parks
Tourism
(NC II)
Handicraft-
Needlecraf
t

Handicraft-
Fashion
Accessorie
s and
Paper
Craft
Handicraft-
Basketry
Macrame

Handicraft-
Woodcraft
Leathercra
ft
**Barberin
g (NC II)

**Bartendi
ng (NC II)

**Commer
cial
Cooking
(NC III)

**Events
Manageme
nt Services
(NC III)

**Fashion
Design
(NC III)

**Hairdres
sing (NC
II)

Crop Production (NC I)

*Landscape Installation and Maintenance (NC II)

 *Organic Agriculture Production (NC II)

*Pest Management (NC II)

*Rice Machinery Operation (NC II)

urces Office

anagement Office Animal Production (NC II)

*Artificial Insemination- Large Ruminants (NC II)

*Artificial
Inseminati
on- Swine
(NC II)

*Slaughtering Operation (NC II)

Horticulture (NC II)

Aquaculture (NC II)

Fish Nursery Operation (NC II)

*Fish or Shrimp Grow Out Operation (Non- NC)

*Fishport/Wharf Operation (NC I)

Fish Processing (NC II)

**Agricultural Crop Production (NC III)

**Animal Health Care Management (NC III)

**Fish Products Packaging (NC II)

**Fishing Gear Repair and Maintenance (NC III)

**Horticulture (NC III)

**Rubber Processing (NC II)

**Rubber Production (NC I)

Automotive Servicing (NC I)

Carpentry (NC II)

Consumer Electronics Servicing (NC II)

Electrical Installation and Maintenance (NC II)

Plumbing (NC I)

Plumbing (NC II)

Refrigeration and Air-Conditioning (NC II)

Shielded Metal Arc Welding (NC I)

Shielded Metal Arc Welding (NC II)

Masonry (NC II)

Tile Setting (NC II)

**Automotive Servicing (NC II)

**Carpentry (NC III)

**Construction Painting (NC II)

**Driving (NC II)

**Electric Power Distribution Line Construction (NC II)

**Gas Metal Arc Welding- GMAW (NC II)

**Gas Tungsten Arc Welding- GTAW (NC II)

**Instrumentation and Control Servicing (NC II)

**Machining (NC II)

**Mechatronics Servicing (NC II)

**Motorcycle/ Small Engine Servicing (NC II)

**RAC- PACU/ CRE Servicing (NC II)

Computer Hardware Servicing (NC II)

Illustration (NC II)

Technical Drafting (NC II)

Contact Center Services (NC II)

Animation (NC II)

Medical Transcription (NC II)

Computer Programming (NC IV)

**Broadband Installation- Fixed Wireless Systems (NC II)

**Telecom OSP and Subscriber Line Installation- Copper Cable/ POTS and DSL (NC II)

**Telecom OSP Installation- Fiber Optic Cable (NC II)

**//MARITIME//

ABM
STEM

HUMSS

Arts and Design

Sports

None
MET Form 2C (1 of 3) Monitoring Template (PROFILE)- for Work Immersion ANNEX E

As of:_____________________________
Partnership Focal Person:_____________________________________
School:______________________________________________________
School ID:__________________________
School Division:_______________________________________________
Region:__________________

Profile
Industry /
Potential Line of Authorized Designation Contact Contact Email No. Of Humanitarian
Sector Address Professional Designation Department
Partner Business Signatory Person Number Address Employees Projects/CSR
Association
 MET Form 2C (2 of 3) Monitoring Template (DEVELOPING PARTNERSHIP)- for Work Immersion

As of:________________________
Partnership Focal Person:____________________________________
School:___________________________________________________
School ID:________________________
School Division:____________________________________________
Region:_______________

Developing Partnership

No. of Target
Potential Areas of Partner Relevant Date of Date of last Duration Nearest Distance
Status Partnership Students for Signing Remarks
Partner Partnership Expectation Specialization engagement appointment (date) Schools (in Km)
Deployment Date
MET Form 2C (3 of 3) Monitoring Template (MOA IMPLEMENTATION)- for Work Immersion

As of:________________________
Partnership Focal Person:_______________________________
School:______________________________________________
School ID:_____________________
School Division:_______________________________________
Region:___________

MOA Implementation
Adherence to Terms Timeline of Documentary
Partner Proponent Deployment Activities Issues Recommendation
and Conditions Activities Requirement