Document Code: SDO-WIM-QF-SGOD-SMME-029A

Quality Form Revision: 00

Effectivity date: 06-01-2018

Name of Office: BOLITOC ES Main

SCHOOL MONITORING, EVALUATION AND ADJUSTMENT – FORM 1
Sta. Cruz District

School/ District: Bolitoc ES Main/STA. CRUZ School Head: RICHARD E. EDQUILA

Quarter/ School Year: Quarter 2/SY 2018-2019 Date Accomplished/ Submitted: JULY 11, 2018

Table 1-A: PHYSICAL OUTPUT MATRIX

STANDARDS STATUS (pls. put a check mark)

KEY RESULT PROGRAMS/ PROJECTS/ IMPLEMENTATION
MOVs TO BE
AREA ACTIVITIES CONTENT PROCESS DONE ON GOING ISSUES
DONE
Conduct regular class

supervision to all
teachers
Monitor the
administration of the
different programs
Instructional
 Pre-test 
Supervision
Instructional  Remedial Reading RA 9155 Monitoring, Forms,
Leadership  Project AN (All NCBSSH Supervision
Accomplishment
Numerates) Report, Pictures,

Nutritional Status 
(Baseline)

Monitor the cleanliness

Learning RA 9155 Monitoring, Accomplishment 
of the school and
Environment NCBSSH Supervision Report, Pictures,
classroom environment
QM - Page 1 of 4
 Document Code: SDO-WIM-QF-SGOD-SMME-029A

Quality Form Revision: 00

Effectivity date: 06-01-2018

Name of Office: BOLITOC ES Main

SCHOOL MONITORING, EVALUATION AND ADJUSTMENT – FORM 1
Sta. Cruz District

Ensure the safety of

pupils through 
coordination with the
security guard
Develop physical

facilities including the
school ground
Conduct Earthquake 
drill
Monitor the conduct of
Parent Teacher 
Parent Conference
Involvemen Conduct Homeroom PTA 
Meeting / Assembly RA 9155 Monitoring, Accomplishment
t and
NCBSSH Supervision Report, Pictures,
Community Coordinate with the
Partnership barangay about the 
school's programs and
planned activities
Human Organize and conduct

Resource INSETS /LAC Session
Manageme Activities
RA 9155 Monitoring, Accomplishment
nt and Encourage teachers to
NCBSSH Supervision Report, Pictures,
Developme undergo personal and 
nt professional
development

QM - Page 2 of 4
 Document Code: SDO-WIM-QF-SGOD-SMME-029A

Quality Form Revision: 00

Effectivity date: 06-01-2018

Name of Office: BOLITOC ES Main

SCHOOL MONITORING, EVALUATION AND ADJUSTMENT – FORM 1
Sta. Cruz District

Utilize and manage

school funds according 
to prioritized needs and
submitted reports
Assist teachers in the

preparation of revised
RPMS
Assist teachers in

preparation of SAT and
Development plans
Liquidate funds properly
before the deadline

 MOOE
 Canteen Fund

Prepare and
School submit all needed

Manageme reports to the
nt and district and division RA 9155 Monitoring, Liquidation
Operation NCBSSH Supervision Report,
Form and Reactivate Accomplishment 
different committee to Report, Pictures,
address each particular
concerns

 SMEA Technical
Working Group

QM - Page 3 of 4
 Document Code: SDO-WIM-QF-SGOD-SMME-029A

Quality Form Revision: 00

Effectivity date: 06-01-2018

Name of Office: BOLITOC ES Main

SCHOOL MONITORING, EVALUATION AND ADJUSTMENT – FORM 1
Sta. Cruz District

 Brigada Eskwela
Committee
 HRPTA Officers

QM - Page 4 of 4