Diplahan District

PILAR ELEMENTARY SCHOOL

CLASSROOM READINESS CHECKLIST (PRE-ASSESSMENT)BY CLASS ADVISERS
S.Y. 2022-2023
Teacher: ________________________ Grade/Section: __________

A. CLASS INFORMATION FEATURES D. LEARNING RESOURCE FEATURES

___ 1. Signage “Welcome Back to School” ___ 1. Reading Area with Materials
___ 2. Signage “Honesty is the Best Policy” ___ 2. LM’s/ TG’s per Learning Area
___ 3. Signage “Vision, Mission and Core Values” ___ 3. Manipulatives/ Activity Cards, Books, etc.
___ 4. Class Schedule/Program (Door/Table) ___ 4. Multi-Media and Computer Aided Materials
___ 5. Name of Adviser (Door) Total: _______
___ 6. Class List
___ 7. Classroom/House Rules
___ 8. Posted contact numbers (School head, Police, Hospital, Medical Personnel)

Total: _______

B. DOCUMENT FEATURES E. BASIC SUPPLIES

___ 1. School Forms (SF 1, 2, 3) ___ 1. Pencil/Ball pen
___ 2. Form 138-E/ SF 9 (Report Cards) ___ 2. Rubber Eraser/Chalkboard Eraser
___ 3. Form 137-E/SF 10 (Permanent School Records) ___ 3. Chalks
___ 4. SF-8 Nutritional Status ___ 4. Marking Pens (White Board/Permanent
___ 5. PSA/NSO Birth Certificate ___ 5. Correction pen/Tape
___ 6. Class Record/E-Class Records ___ 6. Adhesive/Scotch Tape
___ 7. Daily Lesson Plan (DLL/DLP) ___ 7. Pair of Scissors
___ 8. MELCS per Learning Area ___ 8. Folder/ Envelopes
___ 9. Classroom Evaluation Plan ___ 9. Glue/Pastes
Total : ________ ___ 10. Meeting Notebook
___ 11. Bond Paper
C. PHYSICAL FACILITIES FEATURES ___ 12. Manila Paper
___ 1. Clean Chalkboard ___ 13. Cartolina
___ 2. Enough Lighting ___ 14. Ruler
___ 3. Proper Ventilation ___ 15. Crayons/Coloring Materials
___ 4. Enough and repaired/repainted Desk/ Armchairs/ Tables___ 16. Flash Cards
___ 5. With First Aid Kit ___ 17. Charts
___ 6. Free from hazards ___ 18. Alcohol/Hand soap
___ 7. Personal Care and Grooming Area/WINS Area ___ 19. Facemask
___ 8. Garbage Bins (with Label) F. CLASSROOM SURROUNDINGS FEATURES
___ 9. Calendar and Time Piece (Wall Clock) ___ 1. Cleanliness of Surroundings and Flower boxes assigned
___ 10. Clean Floors and Hallway ___ 2. Cleanliness of Comfort Rooms
Total: ________ ___ 3. Window and Ceiling Cleanliness
___ 4. Walls/ Doors free from Markings/Vandalism

Grand Total: __________ Percentage of Readiness: __________

Prepared by: ___________________________________ Date: _____________

(Name and Signature of Teacher

Verified by: __IVY A. GUILLERMO___ Date: ____________

School PRAISE Coordinator

Noted by: LEONISA V. BRAGANZA Date: ____________

School Head
 Diplahan District
PILAR ELEMENTARY SCHOOL
CLASSROOM READINESS CHECKLIST (QUARTERLY ASSESSMENT)
S.Y. 2022-2023

Teacher: ________________________ Grade/Section: __________

A. CLASS INFORMATION FEATURES D. LEARNING RESOURCE FEATURES

___ 1. Signage “Welcome Back to School” ___ 1. Reading Area with Materials
___ 2. Signage “Honesty is the Best Policy” ___ 2. LM’s/ TG’s per Learning Area
___ 3. Signage “Vision, Mission and Core Values” ___ 3. Manipulatives/ Activity Cards, Books, etc.
___ 4. Class Schedule/Program (Door/Table) ___ 4. Multi-Media and Computer Aided Materials
___ 5. Name of Adviser (Door) Total: _______
___ 6. Class List
___ 7. Classroom/House Rules
___ 8. Posted contact numbers (School head, Police, Hospital, Medical Personnel)

Total: _______

B. DOCUMENT FEATURES E. BASIC SUPPLIES

___ 1. School Forms (SF 1, 2, 3) ___ 1. Pencil/Ball pen
___ 2. Form 138-E/ SF 9 (Report Cards) ___ 2. Rubber Eraser/Chalkboard Eraser
___ 3. Form 137-E/SF 10 (Permanent School Records) ___ 3. Chalks
___ 4. SF-8 Nutritional Status ___ 4. Marking Pens (White Board/Permanent
___ 5. PSA/NSO Birth Certificate ___ 5. Correction pen/Tape
___ 6. Class Record/E-Class Records ___ 6. Adhesive/Scotch Tape
___ 7. Daily Lesson Plan (DLL/DLP) ___ 7. Pair of Scissors
___ 8. MELCS per Learning Area ___ 8. Folder/ Envelopes
___ 9. Classroom Evaluation Plan ___ 9. Glue/Pastes
Total : ________ ___ 10. Meeting Notebook
___ 11. Bond Paper
C. PHYSICAL FACILITIES FEATURES ___ 12. Manila Paper
___ 1. Clean Chalkboard ___ 13. Cartolina
___ 2. Enough Lighting ___ 14. Ruler
___ 3. Proper Ventilation ___ 15. Crayons/Coloring Materials
___ 4. Enough and repaired/repainted Desk/ Armchairs/ Tables___ 16. Flash Cards
___ 5. With First Aid Kit ___ 17. Charts
___ 6. Free from hazards ___ 18. Alcohol/Hand soap
___ 7. Personal Care and Grooming Area/WINS Area ___ 19. Facemask
___ 8. Garbage Bins (with Label) F. CLASSROOM SURROUNDINGS FEATURES
___ 9. Calendar and Time Piece (Wall Clock) ___ 1. Cleanliness of Surroundings
___ 10. Clean Floors and Hallway ___ 2. Cleanliness of Comfort Rooms
Total: ________ ___ 3. Window and Ceiling Cleanliness
___ 4. Walls/ Doors free from Markings/Vandalism

Grand Total: __________ Percentage of Readiness: __________

Assessed by: _________________________________ ____________________________

(Name and Signature of Evaluator/ Date) (Name and Signature of Evaluator/ Date)

Verified by: IVY A. GUILLERMO

School PRAISE Coordinator/Date

Noted by: LEONISA V. BRAGANZA

School Head