TEACHERS CHECKLIST FOR INDIVIDUAL
DATA COLLECTION
School-Based Management
Reminder: Please prepare all these documents to be collected by assigned teachers for
SBM
PROFESSIONAL DEVELOPMENT
LRC RECORDS
TEACHERS TECHINCAL
ASSISTANCE
AWARDS/CERTIFICATION OF
RECOGNATION RECEIVED BY
THE SCHOOL
ASSESSMENT RESULT
ACADEMIC AND
EXTRACURRICULAR ACTIVITIES
COMPILATION OF
ACCOMPLISHMENT REPORT
OTHERS
GPTA / HRPTA MEETING
INTERVENTION PROGRAM
REMEDIAL READING
TEACHERS DATA
1) Approved Training Design, 2) Matrix of Activities, 3) Narrative
Report, 4) Attendance, 5) Memorandum
1) Innovations, 2) action researches, 3) List of localized materials which
were formulated and utilized, 4)List of topics integrated in the lesson plan
suited to the community, 5) Inventory of property instructional materials
and classroom structuring, 6) Learning environment pictures, 7)
Assessment tool
4) COT Rating, 5) Copies of ITTPR, STAR, TOGA,
1) List of awards/certificates received by the school, 2) Certificates, 3)
Memorandum,
1) Copy of test results (periodical rest result, 2) MPS of the NAT,
Summative Test and Periodical Test
1) Activity Request activities Conducted, Attendance, Narrative reports on
academic and extracurricular Activities
1) Copies of updated accomplishment report
1) Visitors Log BOOK, 2) 3) Copies of memorandum of agreement
pictorials and documentations, 4) Personnel Handbook, 5)
Facebook) Records of Quarterly updated BEIS,
1) Approved Request for GPTA General Assembly/HRPTA Meeting, 2)
Attendance Sheets, 3) Copies of invitation and confirmation of meetings,
4) minutes/ Narrative Reports, 5) resolutions, 6) Post Activity Survey
1) Program Proposal, 2) Action Plan, 3) Accomplishment Report, 4)
Attendance, 5) Assessment Result or Pupils Anecdotal Record basis for
Intervention, 6) Individual Intervention Plan, 7) Progress Result
1) Program Proposal of remedial reading, 2) Action Plan for reading
Intervention, 3) List of Pupils According to their Level, 4) List of
stakeholders who assisted in review classes and reading remediation, 5)
Reading Assessment Result, 6) Accomplishment Report on remedial
reading
1) Teachers Portfolio, 2) , 4) Copies of appointment of teachers, 5) Copies
of the plantilla of teachers, 6) Records of updated personnel profile, 7)
 IPCRF, 8) Class record, 9) Classroom program, 10, List of Teachers
graduate MA/PHD, 11) Action Plan
1) FORM, 137 A-E, 2) List of 4ps beneficiaries, 3) List of school age
PUPILS DATA pupils in the community, 5) Copies of school report card, 6) Revised
Philippine ECD Checklist, 7) Pupils anecdotal records
1) List of formulated accountability systems process mechanisms and
SURVEY tools (school climate survey, opinion survey, students’ pupils’ opinion
survey etc)
Accomplished Project Proposal, 4) Narrative report of strategies/activities,
LEARNING DISTANCE MODALITY
6)WHLP, 7)ILP, 8)School Monitoring Evaluation and Plan Adjustment,
SIGNIFICANT
9) 10) Innovative Teaching Strategies,11) Leaners Assessment
ACCOMPLISHMENTS
Result/Progress in the LDM, 12) self-learning Module in Print,
LEARNING DISTANCE MODALITY 1) Programs/Projects/ Health protocols initiated for a safe Learning
PROVISION OF LEARNING Environment for Learners, 2) Parents and Stakeholders, 3) Management
ENVIRONMENT and Improvement of Classroom Facilities
LEARNING DISTANCE MODALITY 1) Professional development/training participated in the implementation of
PROFESSIONAL Alternative learning modalities, 2) Technical Assistance Provided to
DEVELOPMENT/TRAININGS
PARTICIPATED IN THE
Teachers and Stakeholders
IMPLEMENTATION OF ALTERNATIVE
MODALITIES
LEARNING DISTANCE MODALITY 1) Stakeholders Participation and Involvement, 2) Parents Willingness to
PARENTS INVOLVEMENT AND Co-Supervise and –monitor the Progress of their Children learning
COMMUNITY PARTNESHIP

Prepared by:

BENES H. DOPITILLO
SBM Coordinator