Republic of the Philippines

Department of Education
REGION X
DIVISION OF MISAMIS ORIENTAL
Velez St., Cagayan de Oro City | www.depedmisor.net; (08822)724-615 / (088) 856-4454, Fax: (088) 856-4524

SENIOR HIGH SCHOOL EVALUATION FORM

LEARNER'S INFORMATION
LRN:
Name of Learner:
Last Name First Name Middle Name
Sex: Date of Birth: Place of Birth:
Home Address: Contact Number:
Name of Parent/Guardian: Contact Number:

SCHOLASTIC RECORD
School ID: School: SY: Semester: FIRST
Track: TVL Strand: Grade Level: 11 Section:
Elective: Number of Contact Hours:
Indicate if Subject is CORE, FINAL
SUBJECTS REMARKS
APPLIED or SPECIALIZED GRADE
Core Oral Communication
Core Komunikasyon at Pananaliksik sa Wika at Kulturang Pilipino
Core Contemporary Philippine Arts from the Regions
Core General Mathematics
Core Earth and Life Science (Lecture and Laboratory )
Core Understanding Culture, Society and Politics
Core Physical Education and Health
Core Media Information Literacy
Applied Practical Research I

REMEDIAL CLASSES Conducted from: to School ID: School:

Indicate if Subject is CORE, FINAL REMEDIAL RECOMPUTED
SUBJECTS CLASS MARK FINAL GRADE
REMARKS
APPLIED or SPECIALIZED GRADE

Name of Teacher/Adviser: Signature:

School ID: School: SY: Semester: SECOND

Track: TVL Strand: Grade Level: 11 Section:
Elective: Number of Contact Hours:
Indicate if Subject is CORE, FINAL
SUBJECTS REMARKS
APPLIED or SPECIALIZED GRADE
Core Reading and Writing
Core Pagbasa at Pagsuri ng Ibat't Ibang Teksto Tungo sa Pananaliksik
Core 21st Century Literature from the Philippines and the World
Core Statistics and Probability
Core Physical Science (Lecture and Laboratory )
Core Physical Education and Health
Core Introduction to the Philosophy of the Human Person/ Pambungad sa Pilosopiya ng Tao
Core Personal Development/ Pansariling Kaunlaran
Applied English for Academic and Professional Purposes

REMEDIAL CLASSES Conducted from: to School ID: School:

Indicate if Subject is CORE, FINAL REMEDIAL RECOMPUTED
SUBJECTS CLASS MARK FINAL GRADE
REMARKS
APPLIED or SPECIALIZED GRADE

Name of Teacher/Adviser: Signature:

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 SCHOLASTIC RECORD

School ID: School: SY: Semester: FIRST

Track: TVL Strand: Grade Level: 12 Section:
Elective: Number of Contact Hours:
Indicate if Subject is CORE, FINAL
SUBJECTS REMARKS
APPLIED or SPECIALIZED GRADE
Core Physical Education and Health
Applied Filipino sa Piling Larangan (Akademik, Isports, Sining at Tech-Voc )
Applied Practical Research 2*
Specialized Empowerment Technologies (for the Strand )
Specialized TVL Course
Specialized TVL Course
Specialized TVL Course
Specialized TVL Course

REMEDIAL CLASSES Conducted from: to School ID: School:

Indicate if Subject is CORE, FINAL REMEDIAL RECOMPUTED
SUBJECTS CLASS MARK FINAL GRADE
REMARKS
APPLIED or SPECIALIZED GRADE

Name of Teacher/Adviser: Signature:

School ID: School: SY: Semester: SECOND

Track: TVL Strand: Grade Level: 12 Section:
Elective: Number of Contact Hours:
Indicate if Subject is CORE, FINAL
SUBJECTS REMARKS
APPLIED or SPECIALIZED GRADE
Core Physical Education and Health
Applied Inquiries, Investigations and Immersion
Applied Entrepreneurship
Specialized TVL Course
Specialized TVL Course
Specialized TVL Course
Specialized TVL Course
Specialized Work Immersion

REMEDIAL CLASSES Conducted from: to School ID: School:

Indicate if Subject is CORE, FINAL REMEDIAL RECOMPUTED
SUBJECTS CLASS MARK FINAL GRADE
REMARKS
APPLIED or SPECIALIZED GRADE

Name of Teacher/Adviser: Signature:

PREREQUISITES AND CO-REQUISITES

SUBJECTS PREREQUISITE(S)
*Practical Research 2 Practical Research 1, Statistics and Probability

SUMMARY
General Average: Awards/Honors Received (if any ): Date of Graduation:

Prepared by : Certified True & Correct :

Signature of Class Adviser Over Printed Name Signature of School Head Over Printed Name

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