Enclosure No. 4 School-Based INSET Plan

(Enclosure No.
4 to DM-OUHROD-2024-1576)
Republic of the Philippines

Department of Education
National Educators Academy of the Philippines
SCHOOL-BASED IN-SERVICE TRAINING (INSET) PLAN
INSTRUCTIONS: Provide the details in the designated spaces as required. Indicate N/A if not applicable. DO NOT ABBREVIATE.
PROPONENT PROFILE
School School ID Type your school ID.

Type the name of your school.
School Address Type the complete school address.
School Telephone No. Type the office telephone no. School Email Address Type the office email address.
Type the complete name. Email Address Type email address. Mobile No. Type the mobile no.
Focal person
PROPOSED PROFESSIONAL DEVELOPMENT (PD) PROGRAM DESIGN TEMPLATE 1

INSET PROFILE
Give an overview of your proposed PD program by providing the following details.
Type here the proposed PD program title.

Title
Discuss reasons for proposing the PD program supported by data on teachers’ professional development needs, relevant
research, and legal basis (if any).
Rationale
Program Description Describe briefly the proposed PD program/course highlighting its focus content and state in behavioral terms the program
objectives.
Results objective: As a result of the participants’ improved competence and performance:

Application objective: Back in the classroom, the participants will be able to:
Terminal objective: By the end of the 3-day training, the participants will be able to:
Enabling objectives: Specifically, the participants will be able to: (state the key knowledge, skills, and attitude participants are
expected to gain from the training)
Professional
E.g., PPST
Standard
Focus Professional
Standard with Domain/s Strand/s Indicator/s
specific Domain/s,
Strand/s, and 1. Content 1.2 Research-based knowledge and principles of 1.2.1 Demonstrate an understanding of research-
Indicator/s Knowledge and teaching and learning based knowledge and principles of teaching and
Pedagogy learning.
Participants Profile:
Specify the target participants based on their career stage, job group, position, subject area, grade level, etc.
Target Participants
Total number of participants, sex and age disaggregation
Indicative Dates of
Delivery Platform Indicate the delivery platform here.
Implementation
INSET CONTENT DETAILS
Assessment Resource
Session
Duration Topic Methodology Strategies & Outputs Speaker/Subject-
Objectives
Tools Matter Expert
1 State in behavioral List content areas Indicate the Indicate the use Identify concrete Indicate the

terms what essential to attaining activities through of varied outputs (e.g., appropriate resource
participants will the learning which resource formative and recommendations, speakers/subject-
be able to do right objectives (producing speaker will summative lesson exemplars, matter experts who
after a learning the outputs). deliver content assessments proposals, TA plan, will deliver the
session. and engage the and the reflection journal, session.
participants. applicable tools. instructional material,
etc.) that will be
produced by the
Indicate the participants during and
relevant learning by the end of each
resources that will session.
be used to
support the
delivery of
content and the
attainment of the
session
objectives.
2
Type here. Type here. Type here. Type here. Type here. Type here. Type here.
3 Type here.
Type here. Type here. Type here. Type here. Type here. Type here.

BUDGET ESTIMATE PLAN
Provide details
on how the
funds will be
allocated. If
registration,
how much will
How will the
Budget
Funding Source program be be collected in
Requirements
funded?
each course?
Use attached
budget
estimate
template as
reference.
MONITORING AND EVALUATION PLAN

This is the form for the M&E Plan following the Kirkpatrick Evaluation Model.
Level of M&E Objectives Methods and Data Sources Schedule of Person/s Support User of M&E
Tools M&E Responsible Needed Data
Results What will be What Who and/or what When will M&E Who will be What resources Who will use the
measured? methods/tools documents will activities be accountable for are needed to

will be used to provide data or undertaken? ensuring that implement M&E data gathered?
collect data? evidence on the M&E activities activities?
indicators? are done?
Behavior
Learning
Reaction
Declaration:
I hereby declare the information provided in this application is true and
correct and there have been no misleading statements, omission of any
relevant facts nor any misinterpretation made.
I agree with DepEd-National Educators Academy of the Philippines to be
the co-owner of all the data gathered and the copyright of any publication
of the use of these data.
To be signed by the PD Program Proponent/s:
Program Proponent Type here

Signature Sign here
Date Type here
This Form is not valid if not signed.

Enclosure No. 4 School-Based INSET Plan

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(Enclosure No.

Republic of the Philippines

National Educators Academy of the Philippines

SCHOOL-BASED IN-SERVICE TRAINING (INSET) PLAN

School School ID Type your school ID.

School Address Type the complete school address.

PROPOSED PROFESSIONAL DEVELOPMENT (PD) PROGRAM DESIGN TEMPLATE 1

Type here the proposed PD program title.

Results objective: As a result of the participants’ improved competence and performance:

PROPOSED PROFESSIONAL DEVELOPMENT (PD) PROGRAM DESIGN TEMPLATE 2

INSET CONTENT DETAILS

PROPOSED PROFESSIONAL DEVELOPMENT (PD) PROGRAM DESIGN TEMPLATE 3

PROPOSED PROFESSIONAL DEVELOPMENT (PD) PROGRAM DESIGN TEMPLATE 4

MONITORING AND EVALUATION PLAN

PROPOSED PROFESSIONAL DEVELOPMENT (PD) PROGRAM DESIGN TEMPLATE 5

To be signed by the PD Program Proponent/s:

Program Proponent Type here

PROPOSED PROFESSIONAL DEVELOPMENT (PD) PROGRAM DESIGN TEMPLATE 6

Date Type here

This Form is not valid if not signed.

PROPOSED PROFESSIONAL DEVELOPMENT (PD) PROGRAM DESIGN TEMPLATE 7

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