e r' s

c h
Te a
N E
A N
L
P R
PERSONAL INFORMATION
Full Name: RICSHELL V. BULUTANO
Address: PASIAGON, PLACER, MASBATE
Birthday: JUNE 16, 1995
Phone #: 09481185918
DepEd Email: ricshell.Vasquez@deped.gov.ph
Employee #:
Gsis Bp #:
Philhealth #:
Pag-ibig #:
Tin #:
Prc #:
Name Of School:
School ID
School Address:
LIS email:

EMERGENCY CONTACT
Name:
Relationship:
Phone #:
Address:
Email/Username and
Password
DEPED PERSONAL EMAIL
EMAIL EMAIL
USER NAME USER NAME
PASSWORD PASSWORD

FACEBOOK APPLICATION
EMAIL EMAIL
USER NAME USER NAME
PASSWORD PASSWORD

CANVA GSIS TOUCH

EMAIL EMAIL
USER NAME USER NAME
PASSWORD PASSWORD

NETFLIX MICROSOFT 365

EMAIL EMAIL
USER NAME USER NAME
PASSWORD PASSWORD

LRMDS DEPED LMS

EMAIL EMAIL
USER NAME USER NAME
PASSWORD PASSWORD

PNPKI LIS
EMAIL EMAIL
USER NAME USER NAME
PASSWORD PASSWORD
 2
CALEND
AR
Sun Mon Tue
AUGUST
Wed Thu Fri Sat Sun Mon
20
SEPTEMBER
Tue Wed Thu Fri
3
2
Sat

4
1 2 3 4 5 1 2
6 7 8 9 10 11 12 3 4 5 6 7 8 9
13 14 15 16 17 18 19 10 11 12 13 14 15 16
20 21 22 23 24 25 26 17 18 19 20 21 22 23
27 28 29 30 31 24 25 26 27 28 29 30

OCTOBER NOVEMBER
Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat
1 2 3 4 5 6 7 1 2 3 4
8 9 10 11 12 13 14 5 6 7 8 9 10 11
15 16 17 18 19 20 21 12 13 14 15 16 17 18
22 23 24 25 26 27 28 19 20 21 22 23 24 25
29 30 31 26 27 28 29 30

DECEMBER JANUARY
Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat
1 2 1 2 3 4 5 6
3 4 5 6 7 8 9 7 8 9 10 11 12 13
10 11 12 13 14 15 16 14 15 16 17 18 19 20
17 18 19 20 21 22 23 21 22 23 24 25 26 27
24 25 26 27 28 29 30 28 29 30 31
31
 2
CALENDA
Sun
R Mon
FEBRUARY
Tue Wed Thu Fri Sat Sun Mon
20
Tue
MARCH
Wed Thu Fri
3
2
Sat

4
1 2 3 1 2
4 5 6 7 8 9 10 3 4 5 6 7 8 9
11 12 13 14 15 16 17 10 11 12 13 14 15 16
18 19 20 21 22 23 24 17 18 19 20 21 22 23
25 26 27 28 29 24 25 26 27 28 29 30
31

APRIL MAY
Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat
1 2 3 4 5 6 1 2 3 4
7 8 9 10 11 12 13 5 6 7 8 9 10 11
14 15 16 17 18 19 20 12 13 14 15 16 17 18
21 22 23 24 25 26 27 19 20 21 22 23 24 25
28 29 30 26 27 28 29 30 31

JUNE JULY
Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat
1 1 2 3 4 5 6
2 3 4 5 6 7 8 7 8 9 10 11 12 13
9 10 11 12 13 14 15 14 15 16 17 18 19 20
16 17 18 19 20 21 22 21 22 23 24 25 26 27
23 24 25 26 27 28 29 28 29 30 31
30
 2
20
DepEd
Calendar 3
of Activities 2
4
 2
20
DepEd
Calendar 3
of Activities 2
4
 2
20
DepEd
Calendar 3
of Activities 2
4
 2
20
School
Calendar 3
of Activities 2
4
 2
20
School
Calendar 3
of Activities 2
4
 School Year
Plan
FIRST QUARTER

SECOND QUARTER
 School Year
Plan
THIRD QUARTER

FOURTH QUARTER
 Goals/Target

SY 2023-
2024
 2
To do list
LIST
20 3
2
REMARKS

4
 Te a c h e r ' s
Schedule
TIME MON TUE WED THU FRI

Notes
:
Advisory
Class
 CLASS SCHEDULE
TIME MON TUE WED THU FRI

Notes:
 Classroom
Officers
PRESIDENT:
VICE PRESIDENT:
SECRETARY:
TREASURER:
AUDITOR:
P.I.O:
PEACE OFFICER:
SGT AT ARMS:
MUSE:

H R P TA
Officers
PRESIDENT:
VICE PRESIDENT:
SECRETARY:
TREASURER:
AUDITOR:
P.I.O:
LEARNER’S PROFILE
CONTACT
NAME LRN GUARDIAN
NUMBER
LEARNER’S PROFILE
NAME BIRTHDAY AGE ADDRESS
LEARNER’S PROFILE
LIS BIRTH
NAME SF 10
CONCERN CERTIFICATE

n
ATTENDANCE MONITORING
4P's RECIPIENT
S
A O N D J M A M J J
E
NAME/S U C O E A A P A U U
P
G T V C N R R Y N L
T
 LIST OF 4P’S LEARNERS
NAME OF LEARNER NAME OF PARENT REMARKS
LIST OF NON-READERS AND SLOW
READERS FOR REMEDIATION
NAME OF LEARNER READING LEVEL REMARKS
 LIST OF FEEDING
BENEFICIARIES
NAME OF LEARNER NUTRITION STATUS REMARKS
 LEARNER'S BMI
BOSY EOSY
NAME
HEIGHT WEIGHT HEIGHT WEIGHT

BOYS

GIRLS
Birthdays
January February

March April

May June
Birthdays
July August

September October

November December
CLEANERS
Monday Tuesday

Wednesday Thursday

Friday
 Classroom
Data
Student’s EIS
ENROLLMENT

MALE 15 FEMALE 15 TOTAL30

Age Profile
AGE
GENDE
R 8 9 10 11 12

MALE
FEMAL
E
SUBTOTAL

TOTAL
No. of 4P’s Recipient No. of IP
MALE MALE

FEMALE FEMALE

TOTAL TOTAL
 Classroom
Data
CLASS MPS
1st Grading 2nd Grading 3rd Grading 4th Grading

Proficiency
Level
GSA

READING EVALUATION
SPEED LEVEL
SPEED Non-Reader Slow Average Fast
LEVEL
MALE

FEMALE

TOTAL

READING LEVEL
SPEED Non-Reader Slow Average Fast
LEVEL
MALE

FEMALE

TOTAL
 Classroom
Data
MPS
SUBJECTS 1ST 2ND 3RD 4TH
GRADING GRADING GRADING GRADING

ENGLISH

MATH

FILIPINO

MAPEH

SCIENCE

ARALING
PANLIPUNAN

EPP

ESP
 PARENT'S/
GUARDIAN
COMMUNICATION
Name: _____________________________________
Address: ___________________________________
Mother
Father

FORM
Contact Number/s:____________________________ Guardian

Name of Student: ____________________________

Grade & Section: ____________________ Gender: Male Female
Name of Adviser:____________________ Quarter: 1st 2nd 3rd 4th

Type of Encounter Details of Concern Agreed Resolution Signature

________________ ________________
___ ___ Parent's /
Dialogue
________________ ________________ Guardian:
Consultation ___ ___
Home ________________ ________________ ___________
___ ___
Visitation
________________ ________________ Teacher:
Assembly / ___ ___
Forum ________________ ________________ ___________
___ ___
________________ ________________
___ ___
________________ ________________
___ ___
Date Reported: __________________
________________ ________________
___ ___
REMARKS:
________________ ________________
________________________________________________________________________
___ ___
________________________________________________________________________
________________ ________________
________________________________________________________________________
___ ___
________________
________________ ________________
___ ___
 LEARNER'S NEED,
PROGRESS AND
ACHIEVEMENT FORM
Name of Student: _______________________________
Grade & Section: __________________ Gender: Male Female
Name of Adviser: __________________ Quarter: 1st 2nd 3rd 4th

Type of Encounter Details of Concern Agreed Resolution Signature

________________ ________________
___ ___ Parent's /
Dialogue
________________ ________________ Guardian:
Consultation ___ ___
Home ________________ ________________ ___________
___ ___
Visitation
________________ ________________ Teacher:
Assembly / ___ ___
Forum ________________ ________________ ___________
___ ___
________________ ________________
___ ___
________________ ________________
___ ___
________________ ________________
___
Date Reported: __________________ ___
________________ ________________
REMARKS: ___ ___
________________ ________________
________________________________________________________________________
___ ___
________________________________________________________________________
________________ ________________
________________________________________________________________________
___ ___
________________________________________________________________________
________________ ________________
________________________________________________________________________
___ ___
______________________________________________
 INDIVIDUAL
LEARNING
MONITORING
Name of Student: _______________________________
Grade & Section: __________________ Gender: Male Female
Name of Adviser: __________________ Quarter: 1st 2nd 3rd 4th

LEARNING AREA

LEARNER'S NEED

INTERVENTION STRATEGIES
PROVIDED

MONITORING DATE

INSIGNIFICANT PROGRESS

SIGNIFICANT PROGRESS
LEARNER'S STATUS MASTERY

DETAILS:

LEARNER IS NOT MAKING SIGNIFICANT

PROGRESS IN A TIMELY MANNER, PROGRESS
IN A TIMELY MANNER, INTERVENTION
STRATEGIES NEEDS TO BER REVISED.

INTERVENTION STATUS LEARNER IS MAKING SIGNIFICANT

PROGRESS CONTINUE WITH THE LEARNING
PLAN.

LEARNER HAS REACHED MASTERY OF THE

COMPETRNCIES IN LEARNING PLAN.
ANECDOTAL RECORD AND
LEARNING OBSERVATION
DATE
SHEET
NAME/S INCIDENTAL REPORT AGREEMENT
SIGNATU
RE
 PARENT-TEACHER
CONFERENCE 1st
Grade and Section: ______________________________
Date: ____________________________________________
No. of Attendees: _______________________________
Time Started: ___________________________________
Time Ended: ____________________________________
Homeroom
Meeting/
MINUTES
Orientation
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Prepared by:
_______________________________________________

______________________________
Class Adviser
 PARENT-TEACHER
CONFERENCE
Grade and Section: ______________________________
1st Quarter
Date: ____________________________________________
No. of Attendees: _______________________________
Time Started: ___________________________________
Time Ended: ____________________________________

MINUTES
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Prepared by:
_______________________________________________

______________________________
Class Adviser
 PARENT-TEACHER
CONFERENCE 2nd
Grade and Section: ______________________________
Date: ____________________________________________
No. of Attendees: _______________________________

Quarter
Time Started: ___________________________________
Time Ended: ____________________________________

MINUTES
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Prepared by:
_______________________________________________

______________________________
Class Adviser
 PARENT-TEACHER
CONFERENCE
Grade and Section: ______________________________
Date: ____________________________________________
No. of Attendees: _______________________________
3rd
Time Started: ___________________________________
Time Ended: ____________________________________ Quarter
MINUTES
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Prepared by:
_______________________________________________

______________________________
Class Adviser
 PARENT-TEACHER
CONFERENCE
Grade and Section: ______________________________
Date: ____________________________________________
No. of Attendees: _______________________________
Time Started: ___________________________________
4th
Time Ended: ____________________________________
Quarter
MINUTES
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Prepared by:
_______________________________________________

______________________________
Class Adviser
 M O N T H LY
ENROLLMENT
MONT H RMALEE P OF E MAL
R TE TOTAL
AUGUST

SEPTEMBER

OCTOBER

NOVEMBER

DECEMBER

JANUARY

FEBRUARY

MARCH

APRIL

MAY

JUNE

JULY
RPMS
 RPMS
CHECKLIST
NO. OF
OBJ Q E T MOVS REMARKS
MOVS

K 2
R
A
3
1

K 6
R
A

2 7

8
 RPMS
CHECKLIST
NO. OF
OBJ Q E T MOVS REMARKS
MOVS

K
R
A 10

11

12

K
R 13
A

4
14

K
R
15
A
5
COT Schedule
COT DATE TOPIC RATER

1ST
QUARTER

2ND
QUARTER

3RD
QUARTER

4TH
QUARTER
 LAC Session
Facilitator: _________________________________________
LAC Session No.: __________________________________
Date and Time of Session: ________________________
Venue: ____________________________________________
Quarter: 1st 2nd 3rd 4th

MINUTES
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
 LAC Session
Facilitator: _________________________________________
LAC Session No.: __________________________________
Date and Time of Session: ________________________
Venue: ____________________________________________
Quarter: 1st 2nd 3rd 4th

ATTENDAN
CE
__________________________________ __________________________________

__________________________________ __________________________________

__________________________________ __________________________________

__________________________________ __________________________________

__________________________________ __________________________________

__________________________________ __________________________________

__________________________________ __________________________________

__________________________________ __________________________________

__________________________________ __________________________________

__________________________________ __________________________________

__________________________________ __________________________________

__________________________________ __________________________________

__________________________________ __________________________________

__________________________________ __________________________________

__________________________________ __________________________________

__________________________________ __________________________________
 LAC Session
Facilitator: _________________________________________
LAC Session No.: __________________________________
Date and Time of Session: ________________________
Venue: _____________________________________________
Quarter: 1st 2nd 3rd 4th

REFLECTION
NOTES
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
 Focus Group
Discussion
Facilitator: _________________________________________
LAC Session No.: __________________________________
Date and Time of Session: ________________________
Venue: ____________________________________________
Quarter: 1st 2nd 3rd 4th

MINUTES
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
 Focus Group
Discussion
Facilitator: _________________________________________
LAC Session No.: __________________________________
Date and Time of Session: ________________________
Venue: _____________________________________________
Quarter: 1st 2nd 3rd 4th

ATTENDANC
E
__________________________________ __________________________________

__________________________________ __________________________________

__________________________________ __________________________________

__________________________________ __________________________________

__________________________________ __________________________________

__________________________________ __________________________________

__________________________________ __________________________________

__________________________________ __________________________________

__________________________________ __________________________________

__________________________________ __________________________________

__________________________________ __________________________________

__________________________________ __________________________________

__________________________________ __________________________________

__________________________________ __________________________________

__________________________________ __________________________________

__________________________________ __________________________________
 Focus Group
Discussion
Facilitator: _________________________________________
LAC Session No.: __________________________________
Date and Time of Session: ________________________
Venue:_____________________ _______________________
Quarter: 1st 2nd 3rd 4th

REFLECTION
NOTES
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
 Te a c h e r s ’
Conferences/Meetings
Presiding Officer: _________________________________________
Meeting No.: ______________________________________________
Date and Time : ___________________________________________
Venue: ____________________________________________________
Agenda:____________________________________________________
____________________________________________________
____________________________________________________

MINUTES/
NOTES
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
 CLASS
RECORD

1st Quarter
GRADE & SECTION: SUBJECT:

WRITTEN OUTPUTS PERFORMANCE TASKS Q.A

LEARNER'S NAME
1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10

BOYS

GIRLS
 CLASS
RECORD

2ndQuarter
GRADE & SECTION: SUBJECT:

WRITTEN OUTPUTS PERFORMANCE TASKS Q.A

LEARNER'S NAME
1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10

BOYS

GIRLS
 CLASS
RECORD

3rd Quarter
GRADE & SECTION: SUBJECT:

WRITTEN OUTPUTS PERFORMANCE TASKS Q.A

LEARNER'S NAME
1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10

BOYS

GIRLS
 CLASS
RECORD

4th Quarter
GRADE & SECTION: SUBJECT:

WRITTEN OUTPUTS PERFORMANCE TASKS Q.A

LEARNER'S NAME
1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10

BOYS

GIRLS