Republic of the Philippines

DEPARTMENT OF EDUCATION
SOCCSKSARGEN
Regional Center, Brgy. Carpenter Hill, City of Koronadal
Telefax No.: (083) 2288825/(083) 2281893
Website: depedroxii.org Email:region12@deped.gov.ph

Enclosure 1 to CLMD Memo 16, s. 2019

ACADEMIC AND WORK PROFILE TEMPLATE
Name:_______________________________ Division:
_________________________________
Current
Position:_______________________________________________________________

Educational Attainment
Name of School Degree/Course Year Academic
Graduated Honors
Received
Elementary
Secondary
College
Graduate
Studies
Post Graduate
Work Experience:
Inclusive Position/Title Agency/Office Status of Salary Grade
Dates Appointment

Seminars and Trainings attended

Title of Inclusive Dates Type of Conducted Number of
Training Learning by Hours
Development

QUARTERLY ACADEMIC PERFORMANCE REPORT

Quarter 1 Quarter2 Quarter3 Quarter 4
Averag No. of Averag No. of Averag No. of Averag No. of
e Failure e Failure e Failure e Failure
Grade s Grade s Grade s Grade s
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
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RO12-CLMD-RM-03-v1.0r0.0, effective 2/18/2019

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Grade 8
 Grade 9
Grade
10
Reasons of Failures Recommendations Action Take

TEMPLATE FOR BEGINNING READING ASSESSMENT IN MTB-MLE AND ELLN

Name of Program Holder in MTB-
MLE/ELLN___________________________________________
Division
Grade 1 Grade 2 Grade 3
No. of No. of No. of No. No. of No. of No. No. of No. of
Pupil Pupils Pupils of Pupils Pupil of Pupil Pupil
Name s who need who Pupi who s who Pupi s who s who
of Asses Immediat need ls need Reinf ls need Reinf
District sed e Reme- Reinfor Asse Immed orce Asse Imme orce
diation ce ssed iate ment ssed diate ment
ment Reme- Reme
diation -
diatio
n

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Kasali lahat. Kasama lahat. Para sa lahat.

RO12-CLMD-RM-03-v1.0r0.0, effective 2/18/2019

page 2 of 2