Republic of the Philippines

Department of Education

REGION____________
SCHOOLS DIVISION OF __________________

ALTERNATIVE LEARNING SYSTEM COMMUNITY LEARNING CENTER INVENTORY FORM

Instructions: Inventory Number:
1. Use the ALS CLC Inventory Form specifically assigned to your Region/Division.
2. Use one (1) ALS CLC Inventory Form per one (1) ALS CLC.
3. An Inventory Number will be automatically assigned once the ALS CLC Inventory Form is submitted electronically via Google Form.
4. The assigned Inventory Number must be inserted in the box provided in this printed version of the Inventory Form.
5. Fill-out all the required fields in this form, sign, and encode all answers in the Google Form using the dedicated Gmail account.
A. ALS COMMUNITY LEARNING CENTER PROFILE
Name: CLC ID (if any):

Address:

Learning Center is: Community-based Learning Center (CBLC) School-based Learning Center (SBLC)

Sub-Type:
If CBLC: Standalone CBLC - Facility is dedicated for use of ALS programs ONLY Shared CBLC - Facility is shared with other users e.g., as day care, health center, barangay hall

If SBLC: Shared SBLC - Classroom/facility is shared with students of formal school or other users e.g.,
Standalone SBLC -Classroom/facility is dedicated for use of ALS programs ONLY
teachers, library, PTA

Ownership:
Land Ownership
DepEd-owned Privately-owned_________________________________ LGU-owned___________________________________
DepEd-signed MOU/MOA Borrowed (with MOU/MOA)________________________________ Borrowed (without MOU/MOA)_____________________________________
Donated (with title) ______________________________ Donated (without title)_______________________________________ Other: ___________________________________

If there is a DepEd signed MOU/MOA: MOU/MOA is up to date and valid MOU/MOA is expired and needs updating
Building/Structure Ownership
DepEd-owned Privately-owned___________________________________ LGU-owned___________________________________

DepEd-signed MOU/MOA Donated (with title) /MOU/MOA___________________________________ Donated (without title) /MOU/MOA___________________________________

If there is a DepEd signed MOU/MOA: MOU/MOA is up to date and valid MOU/MOA is expired and needs updating

Type of Learning Center:

Type 1 A simple, temporary meeting place with tables and chairs or any open multi-purpose area or any private property
temporarily lent for learning purposes.
Type 1-A: Dedicated Learning Center for ALS use ONLY Type 1-B: Not Dedicated for ALS (i.e., used for other purposes, e.g., day care, barangay hall)

Type 2 A semi-permanent structure made mostly out of light materials (e.g., nipa, softwood) and equipped with basic furniture and
learning equipment.
Type 2-A: Dedicated Learning Center for ALS Uue ONLY Type 2-B: Not Dedicated for ALS (i.e., used for other purposes, e.g., day care, barangay hall)

Type 3
A typical barangay learning center or school classroom, permanent and secured, mostly made of cement and other heavy
building materials, and equipped with basic furniture and learning equipment.
Type 1-A: Dedicated Learning Center for ALS use ONLY Type 1-B: Not Dedicated for ALS (i.e., used for other purposes, e.g., day care, barangay hall)

Type 4
A single or multi-storey building fully equipped with basic furniture and advanced Information and Communication
Technologies (ICT) for learning (e.g., computers) which is dedicated to ALS learning sessions and related activities.

A permanent building equipped with ALS and other learning materials, Information and Communication Technologies (ICT),
Type 5 laboratory, WASH facilities (toilet, water and hand washing facilities), utilized by learners and other members of the
community, and functions as resource centers where materials are either transported from house to house or borrowed by
individual interested community members. It is also accessible to learners with limited mobility. It is a centralized learning,
resource, and training center and serves multiple sub-CLCs in the area.
B. Physical Profile
Standard Classroom Size: Approximately 7m x 9m

Larger than the Standard Classroom Size: Larger than 7m x 9 m

SBLC/CBLC Size Typical Barangay Multipurpose meeting room: Approximately 4m x 5m

Bigger than a typical barangay multipurpose meeting room but smaller than a standard-sized classroom

Small learning space: Smaller than 4m x 5m

Within a residential area Within a commercial area Remote/Secluded/Isolated

Location (check all that apply):
Serves learners within the local community Serves learners from other neighboring communities

Topographical Location (check all In a mountainous /hilly area Near a body of water (lake, river, sea) Coastal Plain
that apply): Plain/Flat Plateau Valley Urbanized Area Other_______________________

Safety and Security (check all that apply):

Safety and Flood Landslide Typhoon Earthquake Volcanic Eruption Transport Hazard (near a highway/road, railway)
Security issues
due to Natural Subsidence (sinking of the ground) Tsunami/ Storm surge Wildfires Disease Epidemic Infestation (insect/rodent/pest)

Hazards:
Other_______________________ Not Applicable

Safety and Armed-conflict Industrial Hazard (e.g., noise, smoke emission, gas pipe, ash,process waste, chemical waste)
Pollution (land, air, water) ________________
Security issues
Accessibility Hazard Bio/Toxic Waste Hazard (e.g., poison, radiation, explosives, medical waste)
due to Human
Actions: Other_______________________ Not Applicable

with CCTV with security guard with door lock with lockable gate
CBLC/ SBLC
with fire extinguisher with fire exit with first-aid facility
Security:
Not Applicable Other_______________________

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Accessibility (check all that apply):
with wheelchair accessible ramp wheelchair ramp is serviceable all parts/ spaces of the facility are wheelchair accessible

with wide doorways and vestibules with lockable doors with lockable windows

Physical with wide open space for outdoor activities with elevator/lift (for multi-storey buidling) with railings and/or handrails

Structure with clear signage, including direction signs accessible areas are marked with International Symbol of Access (ISA)

with proper ventilation shares a gate and fence with the school/community with level and wide pathways

with lockable gate with separate gate and fence no gate and fence

With running and potable water With running but non-potable water With limited supply of potable water

Water With limited supply of non-potable water Water supply is from a well/hand pump Without water supply

Water is available only on certain days Water is available only for certain hours

Accessible by various affordable modes of transportation Accessible by various but expensive modes of transportation

Transportation With limited access to affordable modes of transportation With limited access to expensive modes of transportation

Not accessible using public transportation Not accessible by any modes of transportation

With full access to electricity With limited access to electricity Electricity supply from alternative/renewable source
Electricity
Electricity is only available for certain hours Off-grid - without access to electricity - candles/gas lamps are used

Internet Service (check all that apply):

With reliable internet connection With more than one (1) internet connectivity With intermittent internet connection Without internet connection

Type of Internet connectivity: Internet Speed (in Megabit per second [Mbps]):
DSL (Digital Subscriber Line) Satellite less than 5 Mbps 5-25 Mbps

Connectivity Postpaid Cellphone data Prepaid Cellphone Data 26-50 Mbps 51-100 Mbps

Fiber Optic/Wireless Not Applicable more than 100 Mbps Not Applicable

Telecommunication Service:
With limited service from telecommunication
With steady service from telecommunication companies Without service from telecommunication companies
companies

Sanitation and Hygiene (check all that apply):

With dedicated handwashing facility Shared handwashing facility No handwashing facility
Handwashing
With multiple handwashing facility With regular supply of soap Without supply of soap

With one (1) dedicated toilet With dedicated and gender segregated toilet Shared with other learners in the school or in the community

Washing facility in female toilet for Menstrual With waste disposal for Menstrual Hygiene With regular supply of toilet paper and soap
Hygiene Management (MHM) Management (MHM)
Toilet (check all With regular supply of soap only

that apply) Without supply of toilet paper and soap With door but no lock With good plumbing and proper drainage
Without plumbing and drainage With lighting and ventilation Without toilet
Accessible to persons with limited mobility Other Conditions:________________________________________________
Waste Waste segregation is practiced There is information on proper waste disposal Regular schedule of waste disposal

Management Waste segregation is not practiced There is no information on waste disposal No regular schedule of waste disposal

C. Learning and Instructional Profile

1 ALS Teacher/ Community ALS Implementor/Learning Facilitator
Number of ALS Teachers/Community ALS Implementors/Learning
2-5 ALS Teachers/ Community ALS Implementors/Learning Facilitators
Facilitators using the CBLC/SBLC
6 or more ALS Teachers/ Community ALS Implementors/Learning Facilitators

Security Guard Janitor/ Utility CLC Manager

Other personnel of the CBLC/SBLC (check all that apply): Other _______________________ Not Applicable

Number of learners: 75+ 50-74 25-49 less than 25

ALS Major Programs Offered (check BLP A&E Elementary Level A&E JHS A&E SHS Indigenous Peoples Education
all that apply):
Academic-Focused Bridging Program Functional Education and Literacy Programs (FELP) Not Applicable

Enrichment Programs (check all FELP Offered:

that apply): Life Skills Modules Technical and Vocational Skills Other Livelihood Skills Trainings Disaster Risk Reduction Management
Human Rights and Voter's Education Other: _________________________

Separate class sessions for each learning level (e.g., BLP, EL, Secondary) Combined BLP and Lower Elementary sessions (Facilitator-aided only)
Learning Group
Arrangement/Schedule: Combined Lower and Advanced Elementary Sessions only Combined Elementary and Secondary sessions

Combined BLP, Elementary and Secondary sessions

Space for childcare for parents attending ALS classes: Maximum number of children that can be
There is a dedicated room for childcare A small space or corner for childcare Not Applicable accommodated for childcare : __________

How often:
CBLC/SBLC is used as a venue for
Yes No At least once a week At least once a quarter
capability building activities: Other: _______________
At least once a month At least once a year

more than 6 hours per day (daily) less than 6 hours per day (daily) on select days of the week only
CBLC/SBLC Operation Hours
(check all that apply): whenever the facility/classroom is available
during weekends only

meetings of ALS Teachers/Community ALS Implementors/Learning Facilitators community/school meetings training venue

Other uses of the CBLC/SBLC health services sports/recreational activities barangay meetings/activities
storage/stockroom
(Check all that apply):
child care center evacuation center Other_____________________________ Not Applicable

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Inclusivity and equality is being gender equality is practiced inclusive teaching and class interactions are practiced
practiced (check all that apply): awareness of the varying background and experience of learners are practiced
diversity is incorporated in the curriculum
religion, faith, beliefs, and culture are respected learners with disabilities are treated fairly and equally

individual learning styles and disabilities are accomodated furniture and facilities accommodate left-handed learners

learning materials are contextualized to ensure they are sensitive and appropriate for learners from different cultural backgrounds

learning assessment practices are inclusive and designed with diversity of learners in mind

Other______________________________________________

with lockable filing cabinet table for teachers table/s for learners chairs for teachers chairs for learners

Furniture and fixtures: (check all bulletin/activity board bookshelves lockers storage boxes cupboards
that are available in the
curtains/blinds electric sockets with electric fan adequate lighting
CBLC/SBLC)
printer scanner photocopier

Basic Teaching/Learning Equipment, Materials, and Device:

blackboard/whiteboard Yes No

access to laptops/computers Yes No

Yes No
chalk/markers

Yes No
access to Science equipment

Yes No
art supplies

supply of notebooks, pencil, and pen Yes No

mathematics manipulatives (e.g., ruler, protractor, Yes No

shapes, blocks)
BL modules Available Not Available

EL modules Available Not Available

JHS modules Available Not Available

SHS modules Available Not Available

50 core modules Available Not Available

Life Skills Modules Available Not Available

Self-Directed Modules Available Not Available

Academic Bridging Modules Available Not Available

other modules (IMPACT, MISOSA, ALIVE) Available Not Available

Others: _____________________________________________________________

Supplemental and Support to Teaching/Learning Equipment, Materials, and Device:

A. Assistive Device
Learning and Teaching equipment,
braille Yes No
materials, and device: (check all
that are available at the No
hearing aid Yes
CBLC/SBLC)
assistive listening/reading software Yes No

B. Reference books Yes No

atlas Yes No

dictionary Yes No

encyclopedia Yes No

thesaurus Yes No

C. Printed non- books

magazines Yes No

posters Yes No

journals Yes No

newspapers Yes No

flipcharts Yes No

flashcards Yes No

D. Audio Visual Materials - Electronic

videos Yes No

film Yes No

movies Yes No

slides Yes No

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 tapes Yes No

CDs Yes No

DVDs Yes No

Radio programs Yes No

TV programs Yes No

multimedia resources for PC/laptop Yes No

E. Audio Visual Materials - Folk

puppets Yes No

shadow play Yes No

drama Yes No

picture story telling Yes No

songs Yes No

F. Games
Learning and Teaching equipment,
computer games Yes No
materials, and device: (check all
that are available at the mobile device games Yes No
CBLC/SBLC)
card games Yes No

board games Yes No

role play/simulations Yes No

G. Other Supplemental and Support to

Teaching/Learning Equipment, Materials, and Device
microphone/speaker Yes No

globe/map Yes No

printed books -fiction Yes No

printed books - non-fiction Yes No

access to technical/vocational equipment, supplies and Yes No

materials

Yes No
Science kits

Yes No
Sporting equipment

Others: _____________________________________________________________

D. Linkages, Networking, and Sustainability:

Support from the residents of the Financial support for the repair/upgrade In-kind support (e.g., books, papers, pens, tables, chairs)
barangay or sitio (check all that Personnel/labor support (e.g., CLC manager, security guard, janitor/cleaner) ________________________________________________ _______
apply):
Other: ____________________________________________ Not Applicable

Central Office:
Program Support Fund (e.g., repair and maintenance, printing and reproduction of learning and teaching materials)

In-kind support (e.g., printed modules, books, papers, notebooks) Others: ____________________________________________

Not Applicable

Regional Office:
RO MOOE (e.g., repair and maintenance, printing and reproduction of learning and teaching materials)

In-kind support (e.g., books, papers, pens, tables, chairs, equipment) Other: ____________________________________________

Not Applicable

Support from DepEd Central, Division Office:

SDO MOOE (e.g., repair and maintenance, printing and reproduction of learning and teaching materials)
Region, Division Office or School
(check all that apply): Personnel/labor support (e.g., ALS Teachers, DepEd-engaged CAIs, security guard, janitor/cleaner)

In-kind support (e.g., books, papers, pens, tables, chairs, equipment) Others: ____________________________________________
Not Applicable

School:
School MOOE (e.g., repair and maintenance, printing and reproduction of learning and teaching materials)

Personnel/ labor support (e.g., formal school teachers, CLC manager, security guard, janitor/cleaner)

In-kind support (e.g., books, papers, pens, tables, chairs, equipment)

Use of school facilities/spaces (e.g. science laboratory, techvoc laboratory, school grounds for outdoor activites)

Others: ____________________________________________ Not Applicable

Personnel/ labor support (e.g., LGU-engaged CAIs, CLC manager, security guard, janitor)

Financial support for the repair/upgrade In-kind support (e.g., books, papers, pens, tables, chairs, equipment)

Support from Municipal or printing and reproduction of modules financial support for operation of CBLC/ SBLC (e.g., utility costs)
Provincial Government Unit (check
provision of transportation of learners support for graduation/ completion ceremony
all that apply):
support during A&E test support for National Certification (TESDA)

Others: ____________________________________________ Not Applicable

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 Name/s:___________________________________
(Write N/A if not applicable)
Financial Support In-kind support
Support from Non-Government
Organization (NGO), Civil Society Personnel/ labor support (e.g., Learning Facilitator) support for graduation/ completion ceremony

Organization (CSO), Faith-based support during A&E test financial support for operation of CBLC/SBLC (e.g., utility costs)
groups (check all that apply):
provision of transportation of learners post - ALS program support (e.g., support for National Certification)

Other: ____________________________________________ Not Applicable

TESDA CHED DOLE DTI DA DSWD DILG DOJ DOLE PESO

Other Government Agency:_________________________________________ Not Applicable

Support from regional, provincial, Financial support In-kind support

or national government agencies Personnel/ labor support (Learning Facilitator) support for graduation/ completion ceremony
(check all that apply):
support during A&E test financial support for operation of CBLC/ SBLC (e.g., utility costs)

provision of transportation of learners post - ALS program support (e.g., support for National Certification)

Other: ____________________________________________ Not Applicable

Name/s:___________________________________
(Write N/A if not applicable)
Financial support In-kind support

Support from Private sector Personnel/ labor support (e.g., Learning Facilitator) support for graduation/ completion ceremony

companies (check all that apply): support during A&E test financial support for operation of CBLC/ SBLC (e.g., utility costs)

provision of transportation of learners post - ALS program support (e.g., support for National Certification)

Other: ____________________________________________ Not Applicable

Literacy Mapping (house-to-house) ALS Community orientation meetings Oplan Balik Eskwela (OBE)

Banners/posters Radio announcements Social Media platforms

Brochures/flyers Peer-to-peer advocacy campaigns Coordination with the Division Office

Advocacy and Social Mobilization
(AdSocMob) Activities (check all that Coordination with the Schoolhead of nearby school/s Coordination with the officials of the LGU (barangay, municipality, province)
apply):
Coordination with the local government agencies (e.g. DSWD, DILG, TESDA) Advocating/ promoting to potential partners

Meetings with private sector/ government agencies, NGOs, CSO, etc. for post -program support for learners

Other: ____________________________________________________________________________ Not Applicable

Self - generated:
renting of CBLC/ SBLC space renting of CBLC/ SBLC facility/equipment

sale of products (e.g., baked goods, food, preserves, decorations) sale of services from techvoc skills, livelihood skills

Other: ____________________________________________ Not Applicable

Funding Source (Financial
Sustainability of CBLC/SBLC) Dependent on:
Donations and gifts Grants Loans/Borrowings Sponsorships Volunteers

Project Funding (LGU, NGO, CSO, Private sector) DepEd subsidy (e.g. Program Support Fund, MOOE)

Other: ____________________________________________

Accreditation and Equivalency (A&E) Test:

1. Number of Learners who took the 2018-2019 A&E Test (administered in February and March 2019):
Sustainability of ALS programs and A&E Elementary Level: __________________ A&E Secondary Level: ___________________
Enrichment programs offered
2. Number of Learners who passed the 2018-2019 A&E Test (administered in February and March 2019):

A&E Elementary Level: __________________ A&E Secondary Level: ___________________

Presentation Portfolio Assessment (PPA):

PPA Year 1 : SY 2019-2020 (conducted from March to June 2021)

1. Number of Learners who took the PPA Year 1:

PPA Elementary Level: __________________ PPA Junior High School: ___________________
2. Number of Learners who passed the PPA Year 1
PPA Elementary Level: __________________ PPA Junior High School: ___________________

PPA Year 2: SY 2020-2021 PPA (conducted from August to October 2021)

3. Number of Learners who took the PPA Year 2:

Sustainability of ALS programs and PPA Elementary Level: __________________ PPA Junior High School: ___________________
Enrichment programs offered
4. Number of Learners who passed the PPA Year 2:

PPA Elementary Level: __________________ PPA Junior High School: ___________________

PPA Year 3: SY 2021-2022 PPA (conducted from April to August 2022)

5. Number of Learners who took the PPA Year 3:

PPA Elementary Level: __________________ PPA Junior High School : ___________________

6. Number of Learners who passed the PPA Year 3:

PPA Elementary Level: __________________ PPA Junior High School: ___________________

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PPA Elementary Level: __________________ PPA Secondary Level: ___________________
 PPA Elementary Level: __________________ PPA Secondary Level: ___________________

ALS Program Exits: (check all that apply)

There are employment prospects within the local community, municipality, or province

There is post-secondary Technical- Vocational Education Training (TVET) in the municipality or province
Sustainability of ALS programs and
Enrichment programs offered There is support for start- ups and Small and Mid-size enterprises (SMEs)

There are nearby Higher Education Institutions (HEIs)

Other: ________________________________________

There is a dedicated CLC management team. The management team is (e.g., local community, LGU, DepEd, owner, etc)___________________

The CLC is managed by the ALS Teachers, CAIs (DepEd or LGU-engaged) or Learning Facilitators

The CLC is managed by the school The CLC is managed by the Division Office
Management of CBLC/SBLC
The CLC is managed by the LGU The CLC is managed by the land/building owner

The CLC is co- managed by _________________ and ______________________ Other: ________________________________________

Not Applicable

Prepared by: Validated by:

Field Enumerator ALS Teacher

I hereby certify that all information provided in this I hereby certify that all information provided in this form is
form is complete, true and correct to the best of my validated and found to be complete, true and correct to the best of
knowledge. my knowledge.

Endorsed by: Approved by:

EPS II for ALS or Division ALS Focal Person Schools Division Superintendent

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