Republic of the Philippines

Department of Education
REGION VIII
Schools Division of Samar
CURRICULUM IMPLEMENTATION DIVISION
Catbalogan City

DEPED SCHOOL FORMS MONITORING CHECKLIST

Name of School Head: _______________________District: ___________Observer: ________________________

Name of Teacher Monitored: ____________________________Grade Level: _____________________________
Name of School: ____________________School ID: _____________ Subject Area: _______________________

DepED School Forms Available Not Available Remarks

1.o SF 1 Register

2.o SF 2 Daily Attendance

o SF 3 Books Issued and

3.
Returned 

o SF 4 Monthly Learner
4.
Movements and Attendance 

o SF 5 Report on Promotion and

5.
Learning Progress & Achievement

o SF 6 Summarized Report on
6. Promotion and Learning Progress &
Achievement

o School Form 7 School Personnel

7. Assignment List and Basic Profile

o School Form 8: Learner’s Basic

8. Health and Nutrition Report (SF8)

9. School Form 9: Learner’s Progress

 Report Card
o School Form 10: Learner’s
10. Permanent Academic Record for
Elementary School (SF10)

Class Record (E-copy /hard copy)

Others

Findings:
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Technical Assistance Provided:

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Agreements:
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Recommendations:
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Monitored by:

_________________________
District Head
_________________________
Date
Conforme:

__________________________
Teacher/ Date

__________________________
School Head/ Date