1.

1 Communic
ated the
DepEd
vision,
mission
and core
values to
the wider
school
community
to ensure
shared
understand
CONDUCTED
ACTIVITIES
Documentation of
Project HEALERS
(Help Encourage
Assist Learners
Enhance Reading
Skills)
Documentation of
Project MATHENICS
(Mental Alertness to
Help Enhance
Numeracy in Central
School)
Documentation of
Project SPE
(Schools Platform
Enriched)
Documentation of
Project IWASH
(Improvement of
Water Supply and
Hygiene)
Documentation of
Project LUSOG-
BUSOG (Let Us Save
Our Grade Schoolers
Being Undernourished
and Stunted for
Optimum Growth)
Documentation of
Project KKISS
(Keeping Kids Safe in
School)
Documentation of
Project TRASH
(Throw Rubbish and
Segregate Habitually)
Documentation of
Project FENCES
(Fence to Enhance
Children’s
Environment)
Documentation of
Project BUHAWI
(Bawat Unos Handang
Aksiyonan Walang
Iwanan)
Documentation of
Project CASAMA
(Competitive and
Strengthened Athletes
in the Midst of
Adversity)
Documentation of
CRLA
(Comprehensive Rapid
Literacy Assessment)
Documentation of
ALNAT
(Numeracy
Assessment Tool)
Documentation of
SBFP (School
Based Feeding
Program)
Documentation of
WinS (Water,
Sanitation and
Hygiene in Schools)
Documentation of
BSP (Boy Scout
of the Philippines)
Documentation of
Project TRANsforM
(Teachers’
Readiness in
Acquiring New
Skills for Mastery)
Documentation of
GPP (Gulayan sa
Paaralan
Program)
Documentation of
GSP (Girl Scouts
of the
Philippines)
Documentation of
GAD (Gender
and
Development)
1.2
1. Copy of approved AIP
1.2
2. Accomplishment Report with
documentation signed by the
School Project Management
Team (PMT) noted by the
school head
1.2
3. Signed Quarterly M&E
Report signed by the PMT
and noted by the school head
1.2
4. Signed Project Workplan
and Budget Matrix per PPA
1.2
5. Memorandum on the conduct
of AIP Adjustment/Annual
Performance Review is available
1.2
6. Received copy of the letter of
invitation sent to identified
participants in the AIP Adjustment/
Annual Performance Review such as
the school head and team, SPT, PT,
and support staff, with at least 3
community stakeholders is available
1.2
7. received copy of designation
papers of the SPT, PT, and support
staff; documentation/minutes of the
orientation meeting with photos/videos;
draft development guide formulated in
consultation with community stakeholders
1.2
8. Attendance sheet
showing presence of
community stakeholders
throughout the duration
of the AIP Adjustment/
Annual Performance
Review
1.2
9. Terms of reference indicating
stakeholders leadership role
in the AIP Adjustment/Annual
Performance Review
1.2
10. Documentation report
showing the actual preparation
of the AIP process and formulation
of AIP documents
1.3
1. At least one (1) accomplished
and signed M&E tool to track
and evaluate each of the
enumerated PPAs plus
Memorandum, invitation,
attendance sheet showing
the review of AIP
1.3
2. List of SIP
Monitoring
Team
1.3
3. Approved guidelines
and activity matrix for
reviewing SIP
1.3
4. Summary of findings,
recommendations and
suggested AIP adjustments
to improve the plan
1.3
5. Mid-year and
year-end Project
Monitoring Reports
1.3
6. Revised SIP/AIP
incorporating the
comments and
suggestions
and recommendations
1.3
7. Documentations with
pictures showing the
stakeholders as the lead
facilitators in the reviewing
and improving the Development
Plan (e.g. SIP)
2.1 Submission of all of the following online/offline reports:
Online Reports:

1. Learner Information System

(Early enrolment, QC, BOSY, EOSY)
(to be provided by the Planning Unit)
2.1 Submission of all of the following online/offline reports:
Online Reports:

2. Wash in School (WinS) rating

2.1 Submission of all of the following online/offline reports:
Online Reports:

3. Monthly DPDS Report

(Partnership)
2.1 Submission of all of the following online/offline reports:
Online Reports:

4. School eSAT summary

(first and fourth phases)
2.1 Submission of all of the following online/offline reports:
Online Reports:

5. RPMS Cycle Uploads

2.1 Submission of all of the following online/offline reports:
Online Reports:

6. Brochure and booklet-type

e-School Report Card (EOSY)
2.1 Submission of all of the following online/offline reports:
Online Reports:

7. Generated acknowledgment
receipt of the Uploaded SMEA
Report per quarter
(for discussion during the
orientation re generating the report)
2.1 Submission of all of the following online/offline reports:
Online Reports:

8. LR Reports
2.1 Submission of all of the following online/offline reports:
Offline Reports:

1. PSIPOP
2.1 Submission of all of the following online/offline reports:
Offline Reports:

2. SF4
2.1 Submission of all of the following online/offline reports:
Offline Reports:

3. Updated School Form 7

2.2
1. Cash Disbursement Reports /
Liquidation Reports MOOE
and other funds (containing
BAC Resolution)
2.2
2. Certification of MOOE
utilization from the
accounting office
2.2
3. Utilization of other financial resources/grants/assistance/
donations based on the SIP/AIP/SRC
or (any of the following)

3. 1. PTA audited financial report signed by the president, treasurer

and auditor with attached proof of expenses
2.2
3. Utilization of other financial resources/grants/assistance/
donations based on the SIP/AIP/SRC
or (any of the following)

3. 2. Financial Report of LGU donations

2.2
3. Utilization of other financial resources/grants/assistance/
donations based on the SIP/AIP/SRC
or (any of the following)

3. 3. Financial report on Alumni association

2.2
3. Utilization of other financial resources/grants/assistance/
donations based on the SIP/AIP/SRC
or (any of the following)

3. 4. Financial report on school produce

2.2
3. Utilization of other financial resources/grants/assistance/
donations based on the SIP/AIP/SRC
or (any of the following)

3. 5. Financial report on Brigada Eskwela donations with deed of

donations
2.2
4. Updated Transparency Board/
Information Board
2.3
1. Annual Inventory report of school facilities
1. a. school buildings: classrooms and laboratories
1. b. equipment (Science, TLE/TVL, Math, etc.) with property
stickers
1. c. computer sets and printers with property stickers
1. d. tables and chairs with property stickers
1. e. handwashing facilities
1. f. toilets
1. g. furniture
2.3
2. Books and other learning materials
2. 1. Inventory of Books
2.2 Inventory of TGs
2. 3. Inventory of LGs
2. 4. Inventory of IMs
2.3
3. List of Donations
3. 1. School Facilities
3.2. Books and other learning materials
2.3
4. Repair and maintenance/upkeeping
of school physical structures and facilities
(pictures of before, during and after repair)
2.3
5. Structured classrooms,
comfort rooms, ICT lab/room,
directory, stage
2.3
6. Presence of segregated
waste facilities
2.3

7. Functional health facilities

2.3
8. Logbook of utilization of school equipment
2.3

9. Disposal/demolition report, if any

2.3

10. Site Development Plan

2.3
11. Site Acquisition/Titling or
any action/move for titling
3.1
a. TA plan approved
by the PSDS
3.1
b. copy of contextualized lessons
per quarter such as learning
activity sheets, SLMs, and
worksheets reviewed by the
SH
3.1
c. photo-documentation
of the utilization of
the contextualized
lessons
3.1
d. quarterly inventory of
TA outputs.
District stamped
TA reports
(narrative report,
pictures, samples)
showing TA provision
3.1
1. Documentation Report/Certificates of
Participation in workshops to localize
the curriculum
3.1
2. Local Heritage Matrix/Local
Heritage Materials
3.1
3. Contextualized Curriculum
Matrix per learning area
3.1
4. Inventory of localized
and indigenized teaching
and learning materials
3.1
5. Organized School
Level Learning
Resource Evaluators
3.1
6. Evaluation Tools
for localized Learning
Resources
3.1
7. Record of utilization
of downloaded materials
from the LR portal
3.1
8. Record of the quality
assured locally-developed
LRs utilized at the school,
district, division level
3.1
9. Functional school library/
LRC/mobile library/library
corner/ classroom mini-libraries
3.1
10. Monitoring report of the of the
localized curriculum
3.1
11. Records of locally-developed
LRs published in the
LR portal/printed, published
or widely-circulated
3.1
12. Report/record of community
engagement program/
extension services/
immersion in communities
3.2
1. Enrolment Data by
ALL Type of learners
3.2
2. Assessment Tools and Database of
Assessment Results Diagnostric Tools
MFAT (SPED) ECD Checklist (Elem)
Reading Inventory Numeracy
Language Mapping
3.2
3. Report on the Analysis of
Assessment results: NAT
(if applicable), Teacher-made
tests (with TOS), Other Summative
Assessment Results (least learned
skills and performance gaps)
3.2
4. Availability of CGs, TGs. LMs,
etc. for other types of learners :
Students with special needs
(if applicable), IPs, Muslim
Learners (if applicable), ALS Modules
(if applicable), Modules for ADM
(Open High School, MISOSA,
Home Schooling (if applicable)
3.2
5. Supervisory Plan,
Instructional Supervision
Report
3.2
6. Action plans, accomplishment, documentation reports on
implementation of programs and projects that address
learners’ needs (submitted & received by the district/SDO)
3.2
7. Intervention action plans, M&E Reports, accomplishment,
documentation reports on implementation of initiated PAPs
3.2
8. Documentation report of
LAC Sessions
3.2
9. Intervention Reports (e.g. SIM,
Actions Research, Best Practice)
3.2

10. School rewards/awards

program
3.2
11. Instructional monitoring report/
anecdotal report/other proofs
of monitoring
3.2
12. Results of Academic Contests,
Awards, Certificates of
Commendation received
3.2
13. School Paper, website/PLNs
or other means to showcase
best practices
3.2
14. Report of Participation
of students and teachers
in activities outside the
school
3.2
15. Documentation that the
school has been benchmarked
(Logbook, Letter of Appreciation,
etc.)
3.3
1. Copy of coaching/mentoring form signed by the coached and
the coach, issued school memo on the conduct of said activity,
SDS-approved INSET proposal and/or SDS-approved L and D
plan (including LAC Sessions)
3.3
2. Copy of agreement form signed by the
SH and teacher, sample of validated
contextualized assessment tool
3.3
3. Accomplished COT
3.3
4. Any five (5) of the following acceptable evidences/MOVs:
a. attendance sheet
b. sample copy of validated assessment tool
c. sample of test item analysis,
d. sample of lesson design on least mastered competencies,
e. sample of authentic assessment materials,
f. sample of revised assessment tool,
g. copy of the adjusted assessment tool per assessment result.
3.3 Efficiency

1. Creation of Assessment
Review Team with terms
of reference
3.3 Efficiency
2. Evidence of Reviewed Assessment Tool/s on written work such
as sample Pupils'/Students' Portfolio with specific rubrics; sample
Pupils' Students' Journals with rubrics and other written work like
Reaction of Reflection Paper, Students' Researches, etc.
3.3 Efficiency
3. Evidence of Reviewed Assessment Tool/s on Performance Task
such as Culminating Activities, Simulation and Actual Performance
of Task/s
3.3 Efficiency
4. Evidence of Reviewed Assessment
Tool/s on Quarterly Examinations
with TOS and/or Summative Tests
3.3 Efficiency
5. Documentation of the Review of
Assessment Tools (FGD, meeting)
conducted by school community
and stakeholders
3.3 Efficiency
6. Evidences of modification
of assessment tools based
on the suggestions gathered
from the FGD
3.3 Efficiency
7. Assessment results are
conveyed to stakeholders
through assemblies and
other appropriate online
or offline strategies
3.3 Efficiency
8. Documents on the
Learning Programs/
Activities developed as
a result of assessment
4.1
1. L&D Needs Report of the school
and community leaders
(Barangay Captain, 4Ps
leaders, NGO President, etc.)
4.1
2. Capacity-building program
plan based on the identified
L&D needs
4.1
3. Implementation plan
showing the budget source
(GAA from the stakeholders)
4.1
4. Training Plan ( inclusion of GAD,
Child Protection, etc.) for
community leaders including
funding source
4.1
5. Inclusion of training
plans in the AIP/PPMP
4.1
6. Training Report
4.1
7. Monitoring and evaluation
report on the conduct of the
trainings/ TA
4.1
8. Documentation implementation
of Community of Practice (COP)
involving school community leaders
4.1 Efficiency
Completion report/documentation of four (4) of the
following professional development initiatives:

1. School INSET,
2. TIP,
3. Coaching and Mentoring,
4. 10 LAC sessions,
5. Job Rotations,
6. Benchmarking
4.2
Documentation/certification of performed leadership roles and
responsibilities in the conduct of the enumerated activities:

1. SLAC
4.2
Documentation/certification of performed leadership roles and
responsibilities in the conduct of the enumerated activities:

2. School INSET
4.2
Documentation/certification of performed leadership roles and
responsibilities in the conduct of the enumerated activities:

3. Assignments to Task Forces/Committees/special

projects
4.2
Documentation/certification of performed leadership roles and
responsibilities in the conduct of the enumerated activities:

4. Job Rotations
4.2
Documentation/certification of performed leadership roles and
responsibilities in the conduct of the enumerated activities:

5. Benchmarking
4.2
Documentation/certification of performed leadership roles and
responsibilities in the conduct of the enumerated activities:

6. Coaching and Mentoring

4.3 Quality
1. Minutes of Consultative Meetings
on Rewards and Incentives System
Mechanism (School Memo, School
Bulletin, Guidelines, Committees)
4.3 Quality
2. Documentations including
the approved school
R&R Programs (certificate
of accreditation)
4.3 Quality
3. List of Stakeholders as
Members of School PRAISE
4.3 Quality
4. Documentation on objectively
verifiable indicators (list of awardees/
donors among others)
4.3 Quality
5. Resolutions on Incentives
and Rewards System
(LGU, NGO, BLGU)
4.3 Quality
6. List of awardees
in different categories
4.3 Quality
7. Documentation of
activities conducted
(sample program,
pictures)
4.3 Efficiency
1. Issuance of school policy/
guidelines/memo aligned
with Division Memorandum
No, 113, s. 2020
4.3 Efficiency
2. Creation of Rewards
and Recognition
Committee
4.3 Efficiency
3. Selection of applicants
4.3 Efficiency
4. Development of selection
criteria per category
4.3 Efficiency
5. Sourcing of funds for prizes
4.3 Efficiency
6. Awarding/Recognition
Ceremony/ies
 5.1 Quality
Presented all of the following evidences with corresponding minutes
and photo documentation:

1.Terms of Reference (TOR) of Members /List of Roles and

responsibilities/Job Description
5.1 Quality
2. Written Designation of accountable persons based on
applicable rules and regulations (as applicable) of SIP such as
the school project team and School PMT
 5.1 Quality

3. Constitution and By-laws (PTA, SGC and others)

5.1 Quality
4. Code of Conduct/Documentation of the School adoption and
observance of the RA 6713
5.1 Quality
5. Ratified/Amended Constitution and By-laws (as applicable)
 5.1 Quality
6. MOA/MOU/Board Resolution (as applicable)
 5.1 Quality
Non-negotiable:
Addressed a grievance within the school level
5.1 Efficiency
Have conducted at least 7 relevant activities in a year with
documents such as:

1. Letters of Invitation
5.1 Efficiency
2. Memoranda
5.1 Efficiency

3. Attendance Sheets
5.1 Efficiency

4. Minutes of Meetings
5.1 Efficiency

5. Photo documentations
 5.2 Quality

1. Documentation of School Assemblies and Meetings

 5.2 Quality

2. State of the School Address (SOSA)

 5.2 Quality
3. Updated School Report Card
(SRC) - Mid-Year and year-end
5.2 Quality
5.2 Quality
5.2 Quality
6. Formulated School Policy Guidelines
on learner development activities
5.2 Quality
7. Presented/Communicated
SRCs to stakeholders
 5.2 Quality
8. LGU/Community Resolutions/Municipal/Barangay Ordinance supporting
the activities for the total development of learners (such as Brigada Eskwela
and Brigada Basa/ Pagbasa etc.)
 5.2 Quality
9. Manual/Handbook on learning
and monitoring system is available
5.2 Efficiency
Documentation showing communication of the non-negotiable
documents (SRC, SIP/AIP, BE-LCP, MDL) through the use of any
five (5) communication platforms such as :

1. text
2. letters/memo
3. tarpaulin
4. bandillo
5. FB page/FB account
6. radio broadcast
7. flyers
8. Others
5.3 Efficiency
1. Directory of school and community leaders with their names and
updated contact information such as; email, cellphone number are
available.
5.3 Efficiency
2. List of LGUs, NGAs, NGOs, Alumni and other partners for the last 5
years with previous engagement.
5.3 Efficiency
3. Copy of Pledge of Commitment indicating school and community
leaders’ support in making decisions and/or solving school problems is
available.
5.3 Efficiency
4. Availability of any of the ff: reports;
a. Incident Reports
b. Spot Reports
c. Intake Sheets
d. Referral Slips
5.3 Efficiency
5.Invitation letters, Attendance Sheets, Minutes of the Meeting with
Photos/Videos or other related documents of leaders’ discussing school
problem/s and proposing solutions are available.
5.3 Efficiency
6.Copy of Memorandum of Agreement/Understanding entered/forged
between the school and identified community leaders/members addressing
a particular school problem is available.
5.3 Efficiency
7. List of completed programs and projects implemented in collaboration
with the community stakeholders
Performed any 5 of the following:
1. Facilitator/Resource speaker in trainings;
2. Acted as one of the writers of instructional