Name Surname: Name: Middle Initial:

Quarter 3rd Quarter

Grade & Section Subject Teacher Ruben Orocio Jr. (Sir Zen) Subject Araling Panlipunan

Written Outputs Performance Tasks

Remediation Remediation
Date Activity Date Activity

INDIV
Score Signature Score Signature

GRP
M/D/Y *Please indicate week no. Y N M/D/Y *Please indicate week no. Y N

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Q. Exam Score /50 Remedial Quarter Exam Score /50 Student Signature

Signature of Parent/ Guardian Date Signed: Signature of Parent/ Guardian Date Signed:
over Printed name / / over Printed name / /

Parent / Guardian’s Feedback:

Day Day Day Attendance Instructions:

• Please put the day of your class schedule inside the boxes above; ( M ) for Monday, ( T ) for Tuesday, ( W ) for
Self-Monitoring Week 1 Week 4 Week 7 Wednesday, ( TH ) for Thursday, and ( F ) for Friday.
Weekly/Daily • For Special Classes use the 4 boxes including blue boxes which indicates the 4 meetings/classes a week.
Attendance Week 2 Week 5 Week 8 • For Regular Classes use only 3 boxes excluding blue boxes which indicates the 3 meetings/classes a week.
• If present, please put a ( / ) mark in the box corresponding to the week number below the class schedule.
Week 3 Week 6 Week 9 • If absent, please put an ( A ) mark in the box corresponding to the week number below the class schedule.
• If no classes e.g., holiday, suspension, cancellation of classes, please put an ( O ) mark in the box corresponding to the

SELF-MONiTORiNG RECORD SHEET

week number below the class schedule.
• If excused, please put an ( E ) mark in the box corresponding to the week number below the class schedule.