School Form 5 Report on Promotion and Level of Proficiency For Kinder (SF5-K)

End of School Year Kindergarten Appraisal Report

School Name Bliss ES District Lamut Division Ifugao Region CAR

School ID 135897 Section LONE School Year 2021-2022

SUMMARY TABLE
Summative Appraised (Grade One
LEARNER'S NAME
NO LRN Assesment Interpretation Ready or needs
(Last Name, First Name, Middle Name) Standard Score Further Intervention STATUS MALE FEMALE TOTAL

FEMALE GRADE ONE READY 0 0 0

0 <=== TOTAL FEMALE

Needs Further Intervention 0 0 0
0 <=== COMBINED

LEVEL OF PROFICIENCY

Descriptor & Grading

Scale
MALE FEMALE TOTAL

Suggest Highly Advanced

Development - SHAD (130 0 0 0
and above)

Suggest Slight Advanced

Development - SSAD (120- 0 0 0
129)

Average Development - AD
(80-119) 0 0 0

Suggest Slight Delay in

Overall Development - 0 0 0
SSIDOD (70-79)

Suggest Significant Delay in

Overall Development - 0 0 0
SSDOD (69 and below)

INSTRUCTIONS:
 1. The SCC shall conduct checking in their own school, no
swapping of SCC from one school to another is permitted.
2. The name of SCC members shall be printed and put their
signature on top (additional space may be added)
3. The school head is accountable and liable for any wrongful entry
on the forms (Deped Order 4, 2014 par.5) therefore, the DCC is not
required to put their names and signatures in SF 5
4. Only LIS generated SF5 shall be recognized (DO 11, 2018, page
7)
5. This form shall be submitted to the DCC together with the
accomplished SFCR1 - SCC- (Deped Order 11, 2018, page 11)

PREPARED BY:

JONALYN UMINGLI LINNAM

Class Adviser
(Name and Signature)

CERTIFIED CORRECT & SUBMITTED BY:

MAGDALENA GAHID LOHAN

School Head & SCC Chair
(Name and Signature)

REVIEWED BY: SCC Members

Signature over Printed Name

Signature over Printed Name

Signature over Printed Name

Generated thru LIS (SCC CO-Chair)