BALINGASAG NORTH EVALUATION FORM

FOR THE Search of Best SLCRP Implementer 2022

(Each school have one (1) entry for every grade level with certification from the School Head)
(Deadline for Submission on or before December 9, 2022)

Criteria for the Best School Learning Recovery Implementer

Please check specific category to be Please check specific category to be
evaluated in ELEMENTARY evaluated in SECONDARY
KINDERGARTEN GRADE 7
GRADE 1 GRADE 8
GRADE 2 GRADE 9
GRADE 3 GRADE 10
GRADE 4 GRADE 11
GRADE 5 GRADE 12
GRADE 6

0=none/not observed
1=inadequate Points
AREAS TO BE EVALUATED
2=moderate/adequate Obtained
3=complete/updated/excessive
PHASE I 0 1 2 3
A.School Forms and Report
1. Daily Lesson Plan/Daily Log (Hard Copy)
2. E-Class Record (Hard Copy)
3. Table of Specifications(Compiled)
4. Test item blanks in all learning areas
5. Updated Curriculum Guides
6. Teacher’s Guide
7. Approved Class Program
8. Present Status of Learners in PHIL
IRI/EGRA/EGMA with Analysis and
Objectives
9. Home Visitation Reports
10. SF 1,2,3,8,9,10
TOTAL
PHASE II 0 1 2 3
B.MOST Numbered of Intervention based on
Anecdotal Record with Reports signed by the
SHs in Classroom Reading Program
1. Numeracy (Non- numerates in K to 6)
2. Literacy (Non- readers in K to 6 )
3. Vocabulary and Fluency (Gr. 7 to Gr. 10)
4. Comprehension ( Gr. 11 to Gr. 12)
TOTAL
C.BASIC EDUCATION INFORMATION SYSTEM 0 1 2 3
1. Updated
2. Appropriateness
3. Functionality
TOTAL

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D.CLASSROOM LEARNING RECOVERY CORNER 0 1 2 3
former Reading Corner
1. Functionality
2 Relevance/appropriate in grade level
3. Properly Arranged by Learning Area
4. Computer Assisted Instructional Materials
(Write the number of IMs _____)
5. Learners’ Materials
(Indigenized/Contextualized)
-Numeracy (Write the Number of IMs___)
-Literacy (Write the number of IMs_____)
TOTAL
E. Classroom Instructuring 0 1 2 3
1. Project W.A.T.C.H Corner
2. Pictures of National Heroes(above the
Chalk Board)
3, Chalk Board(with chalk ledge and curtain
(Dark Green)
4. Health Corner,NDEP & Learning Areas
5. Ornamental Plants
TOTAL
G. Most Number of Potential Stakeholder’s 0 1 2 3
Partnership with compiled donation form
signed by the donors
(Write the total amount generated _________)
H. Most Numbered of SLAC Sessions conducted
with compiled accomplishment reports
-Training Design and Matrix approved by the
School Head, attendance sheet and proper
documentation
(Write the number of SLAC sessions conducted
________)
OVER-ALL TOTAL SCORE
PHASE III 0 1 2 3
I.Sustainability (Support Intervention and
Programs for Learning Recovery)

Evaluators:

____________________________ ____________________________ _____________________________

Evaluator 1 Evaluator 2 Evaluator 3

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