REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF EDUCATION
Education Facilities Division
DepEd Complex, Meralco Avenue, Pasig City

SITE APPRAISAL FORM

School: School ID:

Address: Name of Principal:

No. Street Baranggay City/Municipality Province

Division:
Region:

I. SITE INFORMATION

Site Ownership: Titled under the name of Contract of Usufruct Deed of Donation Tax Declaration

DepED Private/Others With conditions Absolute DepED

LGU Perpectual Use With Condition LGU

Deed of Sale Presidential Proclamation Others/ specify:

Location: Urban Low land Island Coastal Others/ specify:

Rural High land/Up land w/ about ____ km boat ride from the mainland

Distance to nearest public school:_______(m/km) Distance to nearest private school:_______(m/km)

Name of nearest public school :_________________________________ Name of nearest private school :_________________________________

Topography: Level/ Flat Sloping Rolling w/ cut & fill works (_____m)/ needs site
Others/ specify: improvement

Flood Level: (m) Often utilized as Evacuation Center during Disaster/Emergencies Yes No

Soil Condition: Rocky Sandy Clayey Others/ specify:

Power Supply: NPC Line Cooperative Generator Others/ PELCO

Water Supply: Potable (drinking) Local Water District Spring Others/ specify:

Distance from Tapping Point: ______(m)

Not Potable Deepwell Shallow well

Depth: ______(m) Depth: ______(m)

Access: Cemented ____ km. Asphalt _______ km. Gravel bed _______ km. Rough _____ km

Hiking______km. Others/ specify: By boat _______ km.

Material Source: Distance from the school site:

II. SITE DEVELOPMENT PLAN Total lot area: ________ ( sq mtr./hectare) Proposed total buildable space for construction:_______sq/mtr.

- include the following:

pathwalk
access road
orientation
distance between bldgs.
indicate set back

*To include the locations of proposed Electrical and Water Supply lay-out
III. FEASIBILITY

A. SCHOOL BUILDING

Condition
No. of
Type of Building For Remarks
Units Good Needs Replacement
Repair
Academic Classrooms * Indicate justification on the following
Science Laboratory conditions:
Home Economics - needs replacement
Industrial Arts - for demolition
Kindergarten - for condemnation
Makeshift Classrooms - heritage school building for
demolition/condemnation
Total:
Anxiliary Rooms
Admin Offices
Library
Canteen
Others
Total:
WASH Facilities
Attached Toilets
Urinals
Toilet
Toilet for PWD
Detached Toilets
Urinals
Toilet
Handwashing Facilities
Total:

B. AVAILABLE SPACE FOR CONSTRUCTION

(For this section, location/s of the available space for construction(if any)should be reflected in the Site Development Plan)

Building footprint can be accomodated in the Remarks (Additional Site

available space?* Information e.g.
No. of Units
Type of Building Embankment, Slope
(Building)
Yes, but with Protection, Hauling
Yes, but with etc.)
Yes design No
demolition
modification

* If the site will require demolition of an old or condemnable structure, specify in the remarks column the type and number of buildings and classrooms to be demolished. If the site will require some modifications in the
design,specify in the remarks columns the particular modifications to be made in the design of the building.

C. SCHOOL PROFILE
Student Population : _________________ No. of Classes: ______________

ELEMENTARY Kinder I II III IV V VI Total

No of Enrollment -

No. of Sections -

SECONDARY Y1 Y2 Y3 Y4 Total
No of Enrollment

No. of Sections

SENIOR HIGH Y1 Y2 Total

No of Enrollment

No. of Sections

Additional Remarks (if any):

Appraised by: Noted:

DepEd Engineer School Head/ Principal/Teacher-in-charge Date of Inspection