DECS Form GPR 3-B (REVISED 2005) PROCESSING SHEET FOR APPLICATION FOR GOVERNMENT RENEWAL PERMIT Name

of School: Address of School: School Head: Telephone No.: Course (s) __________________ __________________ __________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ ______________________________ Title: ______________________________ ______________________________ Date of Filing: ________________________ Status ____________________________ ____________________________ ____________________________ School Year ___________________________ ___________________________ ___________________________

FINDINGS ON THE REVIEW / EVALUATION ________ 1. Application duly accomplished and notarized DECS Form GPR 4 ________ 2. School site ( ) at least 300 sq.m. for preschool ( ) at least 600 sq.m. for elementary ( ) at least 500 sq.m. for secondary ( ) at least 1000 sq.m. for preschool, elementary and secondary _______ Total floor area available (Indicate) ____________ ( ) owned ( ) leased / donation ( ) authority to use the school site ( ) adequate ( ) inadequate _______ Copy (ies) of Additional Transfer Certificate (s) of Title (TCT) TCT No. (s) __________ __________ __________ __________ __________ __________ Location ( ) same as given address, same block and lots are adjacent with each other ( ) in the name of the school ( ) in the name of the congregation ( ) in the name of the school owner ( ) in the name of the lessor privately owned Leased Contract ( ) at least 10 years ( ) ____ years ________ 3. Additional pictures of school building (s), classrooms, office, guidance, laboratories (science & EPP), library, medical and dental health facilities, canteen, playground apparatus (for preschool), etc. ________ 4. Proposed budget / annual expenditures for the intended school year approved by the Chairman of the Board / Directors ________ 5. Copy of the LATEST FINANCIAL STATEMENT of the school certified by an independent CPA ________ 6. Approved class program ________ Preschool ________ Secondary ________ Elementary ______ Time allotment per subject area ( ) correct ( ) not correct ________ 7. Acknowledgment Receipt to charge tuition and other school fees. ________ 8. Remittance of payment / latest O.R. No. of retirement plan (Any of the following) PERAA, CEAP, Professional Pension Plan, SSS

RECOMMENDATION; ( ) ( ) APPROVED FOR: DISAPPROVED FOR:

Issuance of: _____________________ Course: __________________ _____________________ Course: __________________

School Year ___________ COMMENTS / DEFICIENCIES:

Evaluated by: __________________________

Approved: FE L. FAZ Schools Division Superintendent

DECS Form GPR 3-A (REVISED 2005) PROCESSING SHEET FOR PROPOSAL FOR OPENING OF NEW SCHOOL Name of School: Address of School: School Head: Telephone No.: Course (s) __________________ __________________ __________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ ______________________________ Title: ______________________________ ______________________________ Date of Filing: ________________________ Status ____________________________ ____________________________ ____________________________ School Year ___________________________ ___________________________ ___________________________

FINDINGS ON THE REVIEW / EVALUATION ________ 1. Application duly accomplished and notarized DECS Form GPR 4 ________ 2. Board Resolution on the intention to operate a school indicating the course / s and school year (for school operated by non-stock / profit corporation) _______ Certified by the Corporate Secretary ________ 3. Statement on the following: _______ Philosophy and goals of the course _______ Viability of the course particularly in items of: _______ prospective pupils _______ REASONABLE DISTANCE from existing schools offering the same course within the catchment area ________ 4. Certificate of SEC registration _______ Articles of Incorporation and By-Laws * purpose ( ) preschool ( ) elementary ( ) secondary _______ In the name of the school _______ Registered with Securities and Exchange Commission as non-stock / profit or stock ________ 5. Waiver to BP 232 on requirement of incorporation (for family-administered school offering pre-elementary only) ________ 6. School site ( ) at least 300 sq.m. for preschool ( ) at least 600 sq.m. for elementary ( ) at least 500 sq.m. for secondary ( ) at least 1000 sq.m. for preschool, elementary and secondary _______ Total floor area available (Indicate) ____________ ( ) owned ( ) leased / donation ( ) authority to use the school site ( ) adequate ( ) inadequate _______ Copy (ies) of Additional Transfer Certificate (s) of Title (TCT) TCT No. (s) __________ __________ __________ __________ __________ __________ Location ( ) same as given address, same block and lots are adjacent with each other ( ) in the name of the school ( ) in the name of the congregation ( ) in the name of the school owner ( ) in the name of the lessor privately owned Leased Contract ( ) at least 10 years ( ) ____ years

________ 7. Location of school in relation to its environment _______ Far from places cited under Sec. 51, Art. XI, Manual of Regulations for Private Schools (cockpit, bars, cemetery, funeral parlor and others) _______ Free from noise / unpleasant odor and dust ( ) conductive to learning ( ) not conductive to learning ( ) accessible and safe ( ) not accessible and safe ________ 8. Campus development and landscaping plans _______ fully implemented _______ partially implemented _______ not implemented ________ 9. Document (s) of ownership of school building (Reference: Realty Tax Declaration) _______ owned _______ leased (use of building should be _______ total floor area (indicate) ______ included in contract) _______ Academic clasroom (s) indicate total number of rooms ______ ( ) standard size (s) (indicate size) ______ ( ) substandard (indicate size) ______ * 6x8 m. / bigger * less than 6x8 m. ( ) adequately lighted / ventilated ( ) inadequately lighted / ventilated _______ Other quarters ( ) office ( ) library ( ) H.E. & shop ( ) canteen ( ) rest rooms ( ) science Laboratory / room ( ) clinic ( ) guidance, etc. ( ) property room ( ) computer room ________ 10. Certificate of Occupancy of school building _______ Signed by proper city / municipal authorities

________ ________ ________ ________

________ ________

_______ Notarized certification of licensed civil engineer with PTR No. (may be allowed for permit only) 11. Pictures of school building (s), classrooms, office, guidance, laboratories (science & EPP), library, medical and dental health facilities, canteen, playground apparatus (for preschool), etc. 12. Proposed budget / annual expenditures for the intended school year approved by the Chairman of the Board / Directors. 13. Copy of the LATEST FINANCIAL Statement of the school certified by an independent CPA (for a school operating for a year prior to the filing of application) 14. Proposed / curriculum / class program _______ Conforms to DECS Order No. 107, s 1989 (for kindergarten) _______ Implements the Elementary / Secondary School Curriculum prescribed by DepED ( ) NESC ( ) BEC ( ) Modified BEC _______ Class Program _______ Preschool _______ Secondary _______ Elementary _______ Time Allotment per subject area ( ) correct ( ) not correct 15. Proposed tuition and other school fees 16. Copy of retirement plan _______ School initiated retirement plan SEC / BIR Registration No. ______ _______ Any of the following plans: PERAA, CEAP, Profssional Pension Plan, SUD, SSS Remittance of payment / Latest O.R. No. ______

For items 17-19, of columnar format is preferred. ________ 17. Updated list of administrators _______ Educationally qualified _______ not qualified * School Head ( ) Filipino ( ) Master's degree or Bachelor's degree * Principal: Master's degree holder and have at least 5 years of relevant teaching or adinistrative experience _______ Transcript of Records _______ Appointement / duly notarized contract _______ Salaries & other fringe benefits _______ Full time _______ Part time

________ 18. List of academic non-teaching personel (registrar, librarian, school physisian, school dentist school nurse, school office staff, guidance counselor, support staff, etc) _______ Educationally qualified ________ not qualified * Registrar: Bachelor's degree and have at least 3 years of training or experience in the serving and maintenance of student academic records and related school work. * Librarian: At least with 18 units of Library Science _______ Transcript of Records _______ Appointement / duly notarized contract _______ Salaries & other fringe benefits _______ Full time _______ Part time ________ 19. List of teaching staff _______ Educationally qualified ________ not qualified * Pre-Elementary teachers should be holders of Bachelor's Degree in Early Childhood Education or Bachelor's Degree in Elementary Education with at least 18 units of Early Childhood Education. * Elementary school teachers should be holders of a Bachelor's Degree in Elementary Education or its equivalent. * Elementary and Secondary Education school teachers should be holders of a Lisensure Examination for teachers. _______ Transcript of Records based on the list _______ Subject assignment in accordance with qualification _______ Valid notarized contracts / appointments _______ Salary / benefits in accordance with prescribd standards _______ Ratio of full time * full time - paid monthly or hourly, based on the regular teaching loads as provided in policies, rules and standards - a total working day of 8 hours daily - no other remunerative occupation elsewhere requiring regular hours of work - who are not teaching in any othe educational institutions. ________ 20. List of schools facilities, equipment, furniture, supplies and materials for the the course (s) applied for.

_______ complies with minimum standards and requirements ________ 21. List of library holdings, teachers' references, general references, supplementary readers, periodicals, magazines. _______ complies with prescribed standards and requirements by classification / subject area ________ 22. Certification of bank deposit in the name of the school _______ adequate funds to support operation for one year ________ 23. Application and Inspection fee (P2,000.00) for the intended school year. (Note: to be paid at the Regional Office and not a requirement in the division level processing.) _______ Total fees paid _______ Date of Issuance _______ O.R. Number _______ Place of Issuance ________ 24. School Bond (P1,000.00) per course _______ Bond agreement duly accomplished and notarized _______ Total amount of bond posted _______ Kind of Bond ( ) Survey ( ) Cash ( ) Real Estate

RECOMMENDATION; ( ) ( ) APPROVED FOR: DISAPPROVED FOR:

Issuance of: _____________________ Course: __________________ _____________________ Course: __________________ School Year ___________ COMMENTS / DEFICIENCIES:

Evaluated by: __________________________

Approved: FE L. FAZ Schools Division Superintendent

DECS Form GPR 3-C (REVISED 2005) PROCESSING SHEET FOR APPLICATION FOR GOVERNMENT RECOGNITION Name of School: Address of School: School Head: Telephone No.: Course (s) __________________ __________________ __________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ ______________________________ Title: ______________________________ ______________________________ Date of Filing: ________________________ Status ____________________________ ____________________________ ____________________________ School Year ___________________________ ___________________________ ___________________________

FINDINGS ON THE REVIEW / EVALUATION ________ 1. Application duly accomplished and notarized DECS Form GPR 5 ________ 2. School site ( ) at least 300 sq.m. for preschool ( ) at least 600 sq.m. for elementary ( ) at least 500 sq.m. for secondary ( ) at least 1000 sq.m. for preschool, elementary and secondary _______ Total floor area available (Indicate) ____________ ( ) owned ( ) leased / donation ( ) authority to use the school site ( ) adequate ( ) inadequate _______ Copy (ies) of Additional Transfer Certificate (s) of Title (TCT) TCT No. (s) __________ __________ __________ __________ __________ __________ Location ( ) same as given address, same block and lots are adjacent with each other ( ) in the name of the school ( ) in the name of the congregation ( ) in the name of the school owner ( ) in the name of the lessor privately owned Leased Contract ( ) at least 10 years ( ) ____ years 3. Certificate of Occupancy of additional school building /s _______ signed by proper city / municipal authorities 4. Pictures of additional school building (s), classrooms, office, guidance, laboratories (science & EPP), library, medical and dental health facilities, canteen, playground apparatus (for preschool), etc. 5. Proposed budget / annual expenditures for the intended school year approved by the Chairman of the Board of Trustees / Directors 6. Copy of the LATEST FINANCIAL STATEMENT of the school certified by an independent Certified Public Accountant (CPA).

________ ________

________ ________

________ 7. Approved class program _______ Preschool _______ Secondary _______ Elementary _______ Time allotment per subject area ( ) correct ( ) not correct ________ 8. Copy of latest approved tuition fee and other school fees (acknowledgment receipt).

________ 9. Copy of retirement plan _______ Registered with SEC / BIR (for school initiated retirement plan) _______ Other plans (PERAA, CEAP, Professional Pension Plan, SUD, SSS) Remittance of payment / latest O.R. No. ______

For items 10-12, Use of columnar format is preferred. ________ 10. Updated list of administrators _______ Educationally qualified ________ not qualified * School Head ( ) Filipino ( ) Masters' degree or Bachelor's degree * Principal: Masters' degree holder and have at least 5 years of relevant teaching or administrative experience. _______ Transcript of Records _______ Appointment / duly notarized contract _______ Salaries & other fringe benefits _______ Full time ( ) Part time ________ 11. Updated list of academic non-teaching personnel (registrar, librarian, school physician, school dentist, school nurse, school office staff, guidance counselor, support staff, etc.) including : a. Educational qualification, where and when obtained b. Field of specialization by degree c. Subject assignment d. Full time / part time e. Number of teaching / contract hours f. Eligibility g. Rate of salary per month h. Other benefits _______ Educationally qualified ________ not qualified * Pre-Elementary teachers should be holders of Bachelor's Degree in Early Childhood Education or Bachelor's Degree in Elementary Education with at least 18 units of Early Childhood Education. * Elementary school teachers should be holders of a Bachelor's Degree in Elementary Education or its equivalent. * Elementary and Secondary Education school teachers should be holders of a Lisensure Examination for teachers. _______ Transcript of Records based on the list _______ Subject assignment in accordance with qualification _______ Valid notarized contracts / appointments _______ Salary / benefits in accordance with prescribd standards _______ Ratio of full time * full time - paid monthly or hourly, based on the regular teaching loads as provided in policies, rules and standards - a total working day of 8 hours daily - no other remunerative occupation elsewhere requiring regular hours of work - who are not teaching in any othe educational institutions. ________ 13. List of additional laboratory facilities, equipment, furniture, supplies and materials classified by subject area certified by school head. _______ Complies with minimum standards and requirements by subject area. ________ 14. List of additional library holdings, teachers' references, general referencs, supplementary readers, periodicals, magazines. _______ Complies with prescribed standards and requirements by classification / subject area. ________ 15. Application and Inspection fee (P2,000.00) for the intended school year. _______ Total fees paid _______ Date of Issuance _______ O.R. Number _______ Place of Issuance (Note: To be paid at the Regional Office and not a requirement in the division level processing.)

RECOMMENDATION; ( ) ( ) APPROVED FOR: DISAPPROVED FOR:

Issuance of: _____________________ Course: __________________ _____________________ Course: __________________ School Year ___________ COMMENTS / DEFICIENCIES:

Reviewed / Evaluated by: __________________________

Approved: FE L. FAZ Schools Division Superintendent