Republic of the Philippines

Department of Education
Region VI – Western Visayas
Division of Negros Occidental
DISTRICT OF TOBOSO
DISTRICT EVALUATION MONITORING FORM
Name of Teacher: __________________________________ Date: ___________
School: __________________________________________ Grade & Section Assignment: ___

A. Teaching Learning Documents, Materials and YES NO REMARKS

Paraphernalia
1. Lesson Plan/ Log with Reference
2. SF1,SF2,SF3,, F-137E, F-138
3. Recordings/ E-Recording
4. Test Notebook with TOS/ Compilation of Test
a. Summative Test
b. Periodical Test
c. Diagnostic & Survey Test
5. Periodical Test Results and Item Analysis ( with Least Learned skills)
6. Remedial Log (Un mastered Lessons/ Skills) with date & Value Focus
7. Guidance Log
8. Kindergarten Curriculum Guide
9. ECCD Checklist
10. Teaching Guide (Grades I – VI)
11. Curriculum Guide (Grades I – VI)
12. Learners Materials
13. Learner’s Portfolio
14. Form Rack (Form 178,48 & other forms)
15. IPCRF
16. Class Program
17. Attendance Chart
18. Pupils Anecdotal Record (FICS & Pupils Profile)
19. Phil IRI (English & Filipino) Oral & Silent Reading
20. Nutritional Status Record
21. Numeracy Results (Math Inventory)
B. Classroom Structuring
1. Chalkboard with chalk ledge & curtain or (Whiteboard)
2. Comfort Room
3. Bulletin Board per Subject Area (Should be Updated)
4. Information Board
5. Health Corner with Learner’s Personality Kit
6. Classroom Set-Up (Cleanliness and Orderliness)

Good Points Noted:

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Areas for Improvement:

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Monitored by: Conformed:

______________________________ _____________________

School Head Teacher

 Republic of the Philippines
Department of Education
Region VI – Western Visayas
Division of Negros Occidental
DISTRICT OF TOBOSO
CHECKLIST OF BASIC CLASSROOM FACILITIES AND STRUCTURING

Name of School: _________________________________________________________ Date: ______________

Name of School Head: ____________________________________________________
Name of Classroom Adviser: ________________________________________________
A. CLASSROOM FACILITIES Quantity Quality Remarks
1.Tables with 2 chairs with all wood/ non-wood based materials for Grades I – IV
2.Tables with 2 chairs with all wood/ non-wood based materials for Grades V– VI
3.Tablet armchairs with all wood/ or non- wood based materials for Kindergarten
4.Teacher’s Table with chair (located in front & at the back inside the room)
5. Chalkboard, framed, wall type with ledge (4tf.x 8ft.)
6.Teacher’s Cabinet
7.Hand Washing Facility
8.Drinking Jar/ Container with Faucet
9.Water Pail
10.Divan (with storage space for cleaning materials)
11.Trash Cans (3 Garbage Bin with Cover & Label)
12.Bulletin Board
13. Filing/Storage Cabinet
14.DepED Forms Rack
15.Utility Box ( for: Ind. Arts, Agri. , Art Tools, Science Apparatus & Kits)
16.Charts Stand
17.First Aide Cabinet (Medicine)
B. CLASSROOM STRUCTURING REMARKS
1.At the entrance exam to the room, a sign board is posted, showing the following identification:
a. Grade and Section occupying the room
b. Name of Teacher handling the class & Class Program
2.A framed copy of the class program is displayed on the door to classroom, at adult eye level
3. On the front wall (that is, the wall facing the class), the classroom chalkboard, properly framed and
provided with chalk ledge and curtains, are installed at the height which is in accordance with the
maximum comfortable reach of the children to the top of the board.
4. Above the chalkboard, a framed portrait of the President of the Philippines shall be displayed
prominently at the center, flanked on one side at a lower level by a framed motto. In grades I and II,
framed perception strips are displayed along the top edge (or frame) of the chalkboard, while frame
conceptualizing strips are displayed along the bottom- edge of the chalk ledge. The bulletin boards
are tack board as well as charts, maybe placed on the walls at the side or at the back of the room.
They shall be placed at the same height as the chalkboards.
5. The attendance chart and the DepEd Forms rack are placed near the door.
6. The teacher’s table, chair and cabinet are located at the rear of the room.
7. One corner of the room is set up as a reading corner. Another corner of the room is set up as a
health corner and provided with a first aid or medicine cabinet with mirror, soap dish, towel rack, and
hand washing and drinking facilities.
8. The seating arrangement of the pupils/ students shall be flexible, depending upon the needs or
activities of the class.

Over-all Recommendations:

Entries
Quantity: actual account
Quality: Superior, Standard, Sub-standard
Remarks: Complaint or non-complaint

Monitored by: Concurred: Witness:

__________________________ __________________________
Monitor/TA Provider Teacher School Head