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Department of Education

Regional Office No. VIII


DIVISON OF NORTHERN SAMAR
Catarman

CURRICULUM IMPLEMENTATION DIVISION (CID)

Teacher_________________________________ School________________________ District_______________________


Subject__________________ Level & Sec.__________________ Date__________________ GP_______ SY___________

Curriculum Form No. 1


MONITORING AND EVALUATION CHECKLIST FOR REVIEWING THE BUDGET OF WORK/
LEARNING COMPETENCY DIRECTORY (LCD)

Directions: The following are the indicators to be observed in reviewing the Budget of Work/Learning Competency
Directory (LCD). Put a check mark (√) on the corresponding column that suffices the needed information.

Some times
All the time

Most of the

Not at All
Rarely
Time

RATING
ITEMS TO BE OBSERVED

10 8 6 4 2
1. Budget of work submitted on time.
2. Learning competencies are set according to the arrangement
presented in the curriculum guide.
3. Learning competencies are delivered according to the targeted time
indicated in the curriculum guide.
4. Number of learning competencies delivered is the same with the
one suggested in the curriculum guide per grading period.
After the GP
5. Students’ performance level per competency aptly recorded.
6. Least learned competencies accordingly identified & recorded for
LAC Sessions/RRE purposes.
7. Applicable interventions for every least learned competencies
appropriately indicated.

Suggestion/s:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
__________________________________________________

Agreement/Next Step:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
__________________________________________________

______________________________ ______________________________
Teacher’s Signature School Head/Monitor’s Signature over Printed Name

Date Signed______________ Date Signed______________

Description of Rating: 8.5-10 – Outstanding; 6.5-8.49 – Very Satisfactory; 4.5-6.49 – Satisfactory; 2.5-4.49 –
Unsatisfactory; 2.0-2.49 – Poor
Sources: IPCRF/RPMS/SMEA Appraisal Forms
Department of Education
Regional Office No. VIII
DIVISON OF NORTHERN SAMAR
Catarman

CURRICULUM IMPLEMENTATION DIVISION (CID)

Teacher_________________________________ School________________________ District_______________________


Subject__________________ Level & Sec.__________________ Date__________________ GP_______ SY___________

Curriculum Form No. 2


MONITORING AND EVALUATION CHECKLIST FOR REVIEWING THE COMPETENCY- BASED
CONTEXTUALIZED LEARNING MATERIALS (LMs)

Directions: The following are the indicators to be observed in reviewing the Competency-Based Contextualized LMs.
Put a check mark (√) on the corresponding column that suffices the needed information.

Some times
All the time

Most of the

Not at All
Rarely
Time

RATING
ITEMS TO BE OBSERVED

10 8 6 4 2
Parts of the Plan:
1. Competency- Based Contextualized Learning Materials submitted
on time.
2. Learning competencies are set according to the arrangement
presented in the CG/LCD.
3. Detailed Lesson Plans (DLP)/ Daily Lesson Logs (DLL) are
contextualized according to the perceived demand of the given
learning competency.
4. Activities are differentiated according to the pre-assessment
results. (MI or any assessment tool)
5. Details of utilized references are aptly indicated, (such as the title of
the reference and page number).
6. Teacher made activities are fully described/stated. (when needed)
7. Neatness and orderliness of the submitted material are observed.

Suggestion/s:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
__________________________________________________

Agreement/Next Step:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
__________________________________________________

______________________________ ______________________________
Teacher’s Signature School Head/Monitor’s Signature over Printed Name

Date Signed______________ Date Signed______________

Description of Rating: 8.5-10 – Outstanding; 6.5-8.49 – Very Satisfactory; 4.5-6.49 – Satisfactory; 2.5-4.49 –
Unsatisfactory; 2.0-2.49 – Poor
Sources: IPCRF/RPMS/SMEA Appraisal Forms
Department of Education
Regional Office No. VIII
DIVISON OF NORTHERN SAMAR
Catarman

CURRICULUM IMPLEMENTATION DIVISION (CID)

Teacher_________________________________ School________________________ District_______________________


Subject__________________ Level & Sec.__________________ Date__________________ GP_______ SY___________

Curriculum Form No. 4


MONITORING AND EVALUATION CHECKLIST FOR CLASSROOM MANAGEMENT

Directions: The following are the indicators to be observed in monitoring and evaluating the Classroom Management.
Put a check mark (√) on the corresponding column that suffices the needed information.

Some times
All the time

Most of the

Not at All
Rarely
Time

RATING
ITEMS TO BE OBSERVED

10 8 6 4 2
1. Calls learners by name (with the help of memory, IDs, name tags or seat plan).
2. Implements procedures in group work (evidence of instituted break-out procedures
for peer work or group work).
3. Implements entrance and exit discipline (after flag ceremony, recess, activity outside
the classroom, etc.).
4. Implements procedures in the distribution of materials and collection, turning in,
and handing back checked learners’ work.
5. Employs a facilitated and purposive checking of attendance (finds out who are
absent/ cutting classes and why and make a follow up).
6. Implements proactive discipline plan (e.g. detects inappropriate behaviour and
intervenes, calls the learners’ attention, deal with disruption appropriately to avoid
arguments).
7. Uses efficient routines in starting and ending class periods.
8. Implements specified work formats (themes, exercise notebooks, experiment
notebooks, projects).
9. Provides authentic rewards and incentives (appropriate praises, facial expression,
gestures).
10. Reminds students of important schedules and assignment efficiently.
11. Manages time appropriately (engaged time on task—arrives and leaves classroom
on time and stays in the classroom or activity area for the whole period).
12. Movement in the classroom (moves around, divides attention equally among
students).
13. Gives clear directions (e.g. giving appropriate examples or non-examples).
14. Uses of appropriate verbal communication (e.g. provides positive feedback).
15. Uses of appropriate non-verbal communication (observes entire class and scans
frequently, signals/gestures).

Suggestion/s:
____________________________________________________________________________________________________
____________________________________________________________________________________________________

Agreement/Next Step:
____________________________________________________________________________________________________
____________________________________________________________________________________________________

______________________________ ______________________________
Teacher’s Signature School Head/Monitor’s Signature over Printed Name

Date Signed______________ Date Signed______________

Description of Rating: 8.5-10 – Outstanding; 6.5-8.49 – Very Satisfactory; 4.5-6.49 – Satisfactory; 2.5-4.49 –
Unsatisfactory; 2.0-2.49 – Poor

Sources: IPCRF/RPMS/SMEA Appraisal Forms


Department of Education
Regional Office No. VIII
DIVISON OF NORTHERN SAMAR
Catarman

CURRICULUM IMPLEMENTATION DIVISION (CID)

Teacher_________________________________ School________________________ District_______________________


Subject__________________ Level & Sec.__________________ Date__________________ GP_______ SY___________

Curriculum Form No. 5


MONITORING AND EVALUATION CHECKLIST FOR CLASSROOM MANAGEMENT
(Ensuring and Maintaining Clean, Conducive, Secure, and Energy-Saving Learning Environment)

Directions: The following are the indicators to be observed in monitoring and evaluating Classroom Management. Put
a check mark (√) on the corresponding column that suffices the needed information.

Some times
All the time

Most of the

Not at All
Rarely
Time

RATING
ITEMS TO BE OBSERVED

10 8 6 4 2
1. Electric fans/air-conditioned units are turned off when not in use and when not
necessary (when there is fresh air, during recess time, lunchtime, and dismissal).
2. Lights are turned off when not in use and when not necessary (when there is enough
sunlight, during recess time, lunchtime, and dismissal).
3. Water faucets are turned off when not in use and after dismissal.
4. Classroom is open before the first session starts.
5. Classroom is locked when nobody is inside and after dismissal of the last session for
the day/night.
6. Classroom has a designated area for cleaning tools/materials and residual waste
container.
7. Classroom has updated display boards. (LCD section, EMIS, DRRM, Health &
Sanitation, NDEP, Filipiñana, Subject Area, ABC, etc.).
8. Classroom has approved class schedule.
9. Classroom posts the copy of school calendar of activities.
10. Classroom holds a well-organized mini- library/ reading nook.
11. Classroom has updated bulletin boards (Reminders, best work).
12. Availability of curriculum guides, teaching guides and other teaching materials.
13. Learners do not throw their garbage anywhere.
14. Learners segregate their trash.
15. Homeroom PTA helps in performing minor repairs/improvement of classroom and
its furniture/equipment.
16. Homeroom PTA helps in performing minor painting works for the classroom and its
furniture.

Suggestion/s:
____________________________________________________________________________________________________
____________________________________________________________________________________________________

Agreement/Next Step:
____________________________________________________________________________________________________
___________________________________________________________________________________________________

______________________________ ______________________________
Teacher’s Signature School Head/Monitor’s Signature over Printed Name

Date Signed______________ Date Signed______________

Description of Rating: 8.5-10 – Outstanding; 6.5-8.49 – Very Satisfactory; 4.5-6.49 – Satisfactory; 2.5-4.49 –
Unsatisfactory; 2.0-2.49 – Poor

Sources: IPCRF/RPMS/SMEA Appraisal Forms


Department of Education
Regional Office No. VIII
DIVISON OF NORTHERN SAMAR
Catarman

CURRICULUM IMPLEMENTATION DIVISION (CID)

Teacher_________________________________ School________________________ District_______________________


Subject__________________ Level & Sec.__________________ Date__________________ GP_______ SY___________

Curriculum Form No. 6


MONITORING AND EVALUATION CHECKLIST FOR REVIEWING
THE QUALITY OF INSTRUCTIONAL MATERIALS (IMs)

Directions: The following are the indicators to be observed in reviewing the Quality of Instructional Materials (IMs). Put
a check mark (√) on the corresponding column that suffices the needed information.

Some times
All the time

Most of the

Not at All
Rarely
Time

RATING
ITEMS TO BE OBSERVED

10 8 6 4 2
1. Content reinforces, enriches and / or leads to the mastery of certain
learning competencies for the level and subject it is intended.
2. Material has the potential to arouse interest of the target users.
3. Facts are accurate.
4. Information provided is up-to-date.
5. Materials are relevant to the text.
6. Materials are suitable to the age level and interests of the target
users.
7. Materials are clear and adequately convey the message of the
subject or topic.
8. Typographic layout/design facilitates understanding of concepts
presented.
9. Size of the material is appropriate for use in school.
10. Material is safe, easy, and durable to use.
11. Material is free of ideological, cultural, religious, racial, and gender
biases and prejudices.
12. Material enhances the development of desirable values and traits.

Suggestion/s:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
______________________________________________________________________

Agreement/Next Step:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
______________________________________________________________________

______________________________ ______________________________
Teacher’s Signature School Head/Monitor’s Signature over Printed Name

Date Signed______________ Date Signed______________

Description of Rating: 8.5-10 – Outstanding; 6.5-8.49 – Very Satisfactory; 4.5-6.49 – Satisfactory; 2.5-4.49 –
Unsatisfactory; 2.0-2.49 – Poor

Sources: IPCRF/RPMS/SMEA Appraisal Forms


Department of Education
Regional Office No. VIII
DIVISON OF NORTHERN SAMAR
Catarman

CURRICULUM IMPLEMENTATION DIVISION (CID)

Teacher_________________________________ School________________________ District_______________________


Subject__________________ Level & Sec.__________________ Date__________________ GP_______ SY___________

Curriculum Form No. 7


MONITORING AND EVALUATION CHECKLIST FOR TEACHER/CLASS OBSERVATION

Directions: The following are the indicators to be observed in conducting Teacher/Class Observation. Put a check mark
(√) on the corresponding column that suffices the needed information.

Some times
All the time

Most of the

Not at All
Rarely
Time

RATING
ITEMS TO BE OBSERVED

10 8 6 4 2
Initial Focus:
1. States objectives of the session clearly to students.
2. Gains attention of students (punctuality, good grooming, posture,
classroom presence, well-prepared with all lesson paraphernalia).
Content Emphasis and/or Linking:
3. Stresses the importance/significance/essence of the topic.
4. Links lesson to learners’ backgrounds and life experiences, past
learning including those in other subject areas, and future learning.
5. Points out similarities and differences of the previous of the topic to
the new one.
Comprehensible Input:
6. Explains academic tasks clearly.
7. Uses speech appropriate for learners’ proficiency level (slower rate,
enunciation, simple sentence structure for beginners).
8. Use a variety of techniques to make content concepts clear (e.g.
modelling, visuals, hands-on activities, demonstrations, gestures,
body language).
Strategies:
9. Provide ample opportunities for students to use strategies (e.g.,
problem solving, predicting, organizing, summarizing, categorizing,
evaluating, self-monitoring).
10. Use scaffolding techniques consistently (providing the right amount
of support to move students from one level of understanding to a
higher level) throughout lesson.
11. Use a variety of question types including those that promote higher-
order thinking skills throughout the lesson (e.g., literal, analytical,
and interpretive questions).
Interaction:
12. Give ample opportunities for students to clarify key concepts.
13. Provide frequent opportunities for interactions and discussion
between teacher/learner and among learners, and encourage
elaborated responses.
14. Use group configurations that support language and content
objectives of the lesson. Provide sufficient wait time for student
response consistently.
Practice/Application:
15. Provide hands-on materials and/or manipulatives for students to
practice using new content knowledge.
16. Provide activities for students to apply content and language
knowledge in the classroom.
Sources: IPCRF/RPMS/SMEA Appraisal Forms
Emphasis/Review/Assessment:
17. Give comprehensive review of key vocabularies.
18. Give a comprehensive review of key content concepts, skills, values,
and attitudes.
19. Provide feedback to learners regularly on their output (e.g.
language, content, work).
20. Conduct assessments of learner comprehension based on learning
objectives (e.g. spot checking, group response, individual work,
peer work and/or group work).

Suggestion/s:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
__________________________________________________

Agreement/Next Step:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
__________________________________________________

______________________________ ______________________________
Teacher’s Signature School Head/Monitor’s Signature over Printed Name

Date Signed______________ Date Signed______________

Description of Rating: 8.5-10 – Outstanding; 6.5-8.49 – Very Satisfactory; 4.5-6.49 – Satisfactory; 2.5-4.49 –
Unsatisfactory; 2.0-2.49 – Poor
Sources: IPCRF/RPMS/SMEA Appraisal Forms
Department of Education
Regional Office No. VIII
DIVISON OF NORTHERN SAMAR
Catarman

CURRICULUM IMPLEMENTATION DIVISION (CID)

Teacher_________________________________ School________________________ District_______________________


Subject__________________ Level & Sec.__________________ Date__________________ GP_______ SY___________

Curriculum Form No. 8


MONITORING AND EVALUATION CHECKLIST FOR REMEDIATION, REINFORCEMENT,
and ENRICHMENT (RRE) CLASS OBSERVATION

Directions: The following are the indicators to be observed in conducting Remediation, Reinforcement, & Enrichment
(RRE) Class Observation. Put a check mark (√) on the corresponding column that suffices the needed information.

Some times
All the time

Most of the

Not at All
Rarely
Time

RATING
ITEMS TO BE OBSERVED

10 8 6 4 2
I. On-the-Spot Remediation (OSR)
A. Diagnostic Phase
- Observes pupils at work
- Analyzes pupils’ performance
- Asks questions to clarify if they understand the lesson
- Interprets nonverbal signals of confusion
- Encourages pupils to ask questions
- Makes them write brief statements of what they are learning
- Gives brief written quizzes
- Others, please specify
B. Adjusting Instruction as Needed
- Uses a simpler vocabulary to explain key concepts
- Gives more examples of concepts about the lesson at hand
- Uses visual representation of the concept presented
- Takes additional time to explain
- Provides pupils with concrete experiences with the concepts
- Taps pupils who have mastered the concept to explain it in their
own words
- Others, please specify
II. Systematic Remediation
A. In-School
- Provides additional time after classes for remedial instruction
- Utilizes volunteers (little teachers) as after class tutors
- Taps other teachers in conducting remediation
- Uses differentiated learning activities
- Employs computer-assisted instructional materials
- Does tutorial instruction
- Assigns volunteer-parents to assist me in my remedial
instruction
- Others, please specify
B. Off-School
- Uses self-study materials/Modules that provide an alternative
route to learning
- Coordinates with parents to develop supportive home
environment
- Encourages parents to follow up home works and assignments
- Asks big brothers/sisters to assist the younger sibling in their
assigned off-school tasks
Sources: IPCRF/RPMS/SMEA Appraisal Forms
- Encourages peer-volunteers to help their schoolmates with
their off-school tasks

Suggestion/s:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
__________________________________________________

Agreement/Next Step:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
__________________________________________________

______________________________ ______________________________
Teacher’s Signature School Head/Monitor’s Signature over Printed Name

Date Signed______________ Date Signed______________

Description of Rating: 8.5-10 – Outstanding; 6.5-8.49 – Very Satisfactory; 4.5-6.49 – Satisfactory; 2.5-4.49 –
Unsatisfactory; 2.0-2.49 – Poor
Sources: IPCRF/RPMS/SMEA Appraisal Forms
Department of Education
Regional Office No. VIII
DIVISON OF NORTHERN SAMAR
Catarman

CURRICULUM IMPLEMENTATION DIVISION (CID)

Teacher_________________________________ School________________________ District_______________________


Subject__________________ Level & Sec.__________________ Date__________________ GP_______ SY___________

Curriculum Form No. 9


MONITORING AND EVALUATION CHECKLIST FOR RECORD MANAGEMENT
(Promptness of Submission /Neatness of Submitted Reports)

Directions: The following are the indicators to be observed in monitoring and evaluating Record Management. Put a
check mark (√) on the corresponding column that suffices the needed information.

Some times
All the time

Most of the

Not at All
Rarely
Time

RATING
ITEMS TO BE OBSERVED

10 8 6 4 2
Daily
1. Detailed Lesson Plans/Daily Lesson Logs
Monthly Reports
2. School Form 1
3. School Form 2
4. Daily Time Record
5. Monthly Accomplishment/Supervisory/ Technical Assistance
Report
6. School Learning Action Cell (SLAC)
Quarterly Reports
7. RRE Implementation Report
8. Reading Implementation Report
9. Homeroom Guidance Implementation Report (Including Home
Visit)
10. Nutritional Status (For the 1st and 4th quarter of SY)
11. LCD
12. LCDAR
13. Table of Specifications
14. Periodical Test Questions
15. Teacher M & E
16. Anecdotal Record (Student Information Sheet)
17. MI Assessment Results
18. Subject Grade Sheets
19. Consolidated Grade Sheets
20. Form 137 Permanent Records
21. Form 138 Report Cards
22. Activity Reports (School based events/ celebrations)
23. DepED Special Programs & Projects (OHSP, SPED, ALS, etc.)
Year-End Reports
24. Guidance Programs Implementation Report
25. Project AIM-WATCH Implementation Report
26. Project AIM-DCI Implementation Report
27. Project AIM-Assessment Implementation Report
28. Project REAP Implementation Report
29. School Form 1
30. School Form 5
31. Rank list of students per level
32. Rank list of honor students per level
Sources: IPCRF/RPMS/SMEA Appraisal Forms
33. Financial Statements of Homeroom PTA Projects
34. Accomplishment Reports (Ancillary Services)
35. Inventory of classroom facilities/furniture
36. DRRM Implementation Report
37. YES-O Implementation Report
38. SSG Programs. & Projects Implementation Report
39. Other Important Reports

Suggestion/s:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
__________________________________________________

Agreement/Next Step:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
__________________________________________________

______________________________ ______________________________
Teacher’s Signature School Head/Monitor’s Signature over Printed Name

Date Signed______________ Date Signed______________

Description of Rating: 8.5-10 – Outstanding; 6.5-8.49 – Very Satisfactory; 4.5-6.49 – Satisfactory; 2.5-4.49 –
Unsatisfactory; 2.0-2.49 – Poor
Sources: IPCRF/RPMS/SMEA Appraisal Forms
Department of Education
Regional Office No. VIII
DIVISON OF NORTHERN SAMAR
Catarman

CURRICULUM IMPLEMENTATION DIVISION (CID)

Teacher_________________________________ School________________________ District_______________________


Subject__________________ Level & Sec.__________________ Date__________________ GP_______ SY___________

Curriculum Form No. 10

MONITORING AND EVALUATION CHECKLIST FOR REVIEWING THE TABLE OF SPECIFICATIONS, TEST
QUESTIONS, AND LEARNING COMPETENCY DIRECTORY ACCOMPLISHMENT REGISTER

Directions: The following are the indicators to be observed in reviewing the Table of Specifications, Test Questions,
and Learning Competency Directory Accomplishment Register. Put a check mark (√) on the corresponding column
that suffice the needed information.

Some times
All the time

Most of the

Not at All
Rarely
Time

RATING
ITEMS TO BE OBSERVED

10 8 6 4 2
1. TOS & TQ are submitted on time.
2. Test items are crafted according to the learning competencies set in
the budget of work/learning competency directory duly approved
by the School Head.
3. Test items are arranged according to Bloom’s Taxonomy standards.

4. The number of test items is determined according to learning


competency instructional time.
5. Test items are aptly constructed following the grammar rules of the
utilized language.
6. Least learned competencies not duly addressed by RRE sessions
should not be included in the test construction. (Pls. refer to the
Learning Competency Directory Accomplishment Register/LCDAR.)
7. Test instructions/directions are clearly stated.

Suggestion/s:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
__________________________________________________

Agreement/Next Step:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
__________________________________________________

______________________________ ______________________________
Teacher’s Signature School Head/Monitor’s Signature over Printed Name

Date Signed______________ Date Signed______________

Description of Rating: 8.5-10 – Outstanding; 6.5-8.49 – Very Satisfactory; 4.5-6.49 – Satisfactory; 2.5-4.49 –
Unsatisfactory; 2.0-2.49 – Poor
Sources: IPCRF/RPMS/SMEA Appraisal Forms

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