Republic of the Philippines

Department of Education
CARAGA REGION XIII
SCHOOLS DIVISION OF BUTUAN CITY

CID Monitoring and Evaluation Checklist 001

SY 2020-2021

Name of Teacher: ____________________________________________

Grade Level Taught: ______________ Subject: ______________________________________________
School: _____________________________________________________ District: _________________

INSTRUCTIONAL MANAGEMENT
Item No. DOCUMENTS TO BE EVALUATED ˨/ x REMARKS

1 Class Program
2 Teacher’s Program
3 Weekly Home Learning Plan*
4 Budget of Work for the Subject/s Taught
ASSESSMENT OF LEARNING
5 TOS for all the Written Works*
6 Questionnaire for all the Written Works*
7 Item Analysis for all the written Works*
8 Performance Tasks with Rubrics*
9 Checked Summative Assessment / Learners’
Portfolio – including Record of Performance Tasks
and Formative assessments
10 Grading Sheet
11 Class Record*
12 SF 10*
13 SF 9 with parent’s signature
14 List of Least Learned Skills*
15 Intervention Material/s for the Least Learned Skills*
16 Record of Learners given remedial instruction and
progress notations*
17 Record of follow-up of learners with brief details/
description of agenda*;
Mode of communication: F2F, SMS, Voice call,
Video call, etc.
18 Anecdotal Record of Learners
(with narrative for specific event/ concerns) *
LR MATERIALS MANAGEMENT & DEVELOPMENT
19 List of Modules Ready for Distribution
20 List of Modules Distributed
21 List of Modules Retrieved

*May be compiled in soft copies provided it is available for verification.

 Republic of the Philippines
Department of Education
CARAGA REGION XIII
SCHOOLS DIVISION OF BUTUAN CITY

22. What challenges have you encountered in the delivery of instruction considering the current situation?
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23. What support did you get in the delivery of instruction and in reaching-out to your learners
A. from your school head?

B. from your PDSD/DIC?

24. Who among your partners (PTA, LGU, NGO, Alumni, Private Companies, etc.) have helped/ assisted you in
the delivery of instruction? In what way have they helped you?

Partner/Stakeholder Assistance Provided

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Signature Above Printed Name of Monitoring Supervisor/ Date