Republic of the Philippines

Department of Education
REGION VI – WESTERN VISAYAS
SCHOOLS DIVISION OF SAN CARLOS CITY
DISTRICT ___, CLUSTER ___

MONITORING CHECKLIST
(School's Readiness for the Opening of Classes SY 2020-2021)
Name of School: _____________
School Head: _____________
Date: _____________

BOSY 2019-2020 As of August 2020 Variance Percentage of Participation

A. Enrollment

B. Printing of Self- Learning Modules (SLMs)

English Filipino Math AP MTB EsP EPP MSEP
Grade Level Remarks
Target Actual Target Actual Target Actual Science Actual Target Actual Target Actual Target Actual Target Actual Target Actual
Kindergarten Target
Grade I
Grade II
Grade III
Grade IV
Grade V
Grade VI

C. Teachers' Training (Webinars) Title of Training Date Conducted by

With Without
Name of Teachers Certificate Certificate
1
2
3
4
D. School Initiative on Radio and TV Modalities Partnership Evident % Not Evident Remarks
1. On Advocay Campaign
Radio Station
TV Station
2. On Modality Evident Not Evident Remarks
RBI
TBI

E. Online Learning Materials (Instructional Videos, PPT slide decks, etc…) Applicable No. Not Applicable Remarks
Kindergarten
Grade I
Grade II
Grade III
Grade IV
Grade V
Grade VI

F. Training/ Orientation of Parents/ Guardians No. of Parents Trained

Percentage Remarks
Grade Level Target Actual
Kindergarten
Grade I
Grade II
Grade III
Grade IV
Grade V
Grade VI

G. On Health and Safety Protocol, Adherence to Regional Memorandom 099, s 2020- INTENSIFYING THE WaSH IN SCHOOLS (WinS Program)
COVID-19 Pandemic Essentials (New Normal) Advanced Progressing Catching Up Lagging Behind
1. Hands Free Handwashing Facility
2. Thermal Scanner
8-10(Advanced) 3. Alcohol
5-7 (Progressing) 4. Sanitizer
2-4 (Catching Up) 5. Liquid Hand Soap
0- (Lagging Behind) 6. Face Mask
7. Face Shied
8. Floor Marking (1m distance)
9. Water for Handwashing
10. Potable Drinking Water
Note: Schools with clear Health and Safety Protocol in place through Memorandum
Yes No
OVERALL CLUSTER READINESS ASSESSMENT. The Public Schools District Supervisors should be able to provide an indication of the overall
readiness of their respective cluster.
readiness of their respective clusters
 Classification
( Advanced, Progressing, Catching Up, Lagging Behind)

Indicators Result on School Readiness Percentage

1. Enrollment
2. Printing of self- Learning Modules (SLMs)
3. Teachers' Training
4. Radio and TV Modality
5. Online Learning
6. Training/ Orientation of Parents/ Guardians
7. Health and Safety Protocols

OTHER IMPORTANT INFORMATION WORTH SHARING TO DIVISION OFFICE, REGIONAL OFFICE AND THE GENERAL PUBLIC.

Submitted by:

_______________________
School Head
Noted by:

_____________________
PSDS, Cluster _
 Republic of the Philippines
Department of Education
REGION VI – WESTERN VISAYAS
SCHOOLS DIVISION OF SAN CARLOS CITY
DISTRICT 2 , CLUSTER 3

Dry Run of Learning Delivery Modality

MONITORING CHECKLIST

Name: ______________________
Date : ______________________
School : ____________________
Grade Level : ________________

Activity Sheets/Worksheets Textbooks/LM's SLM,s

Subjects Remarks
Ready Not Ready Ready Not Ready Ready Not Ready
English
Filipino
Math
Science
A. Panlipunan
EPP
MAPEH
ESP

Others Ready Not Ready Remarks

SanCaPack Contents
1. Parent's Agreement
2. Weekly Home Learning Plan
3. Class Program
3. RBI/ TBI Schedule
4. Flowchart
5. Portfolio
6. Norms for(Expandable
Home Schooling
Plastic
Envelope)
7. SanCaPack
8. Reading ( Box
Materials )
(DOLCH Basic
Sight Words, Marungco)

Teacher's Teaching Resources

1. MELCs
2. References
3. Copies of the SLMs
4. Class Program
5. List of Pupils (SF1)
6. Class Record
7. Distribution and Retrieval Form
8. Learning Device/ Gadgets
Cellphone
Laptop
Radio
Television
Flash Drive
Speaker
9. Weekly Home Learning Plan
10. Helpline Note Service
11. Classroom ( Set- up/ Fixtures)

Submitted by:

School Head
Noted by:
SHEILA B. TABUENA
PSDS, Cluster 3
 Republic of the Philippines
Department of Education
REGION VI – WESTERN VISAYAS
SCHOOLS DIVISION OF SAN CARLOS CITY
DISTRICT , CLUSTER

Dry Run of Learning Delivery Modalities

MONITORING CHECKLIST
School: _______________________________________________
Date : _______________________________________________
Name of School Principal/Head Teacher/TIC : ________________

Activity
Textbooks/LM's SLMs
Subjects Sheets/Worksheets Remarks
Ready Not Ready Ready Not Ready Ready Not Ready
English
Filipino
Math
Science
AP
EPP
MAPEH
MTB
ESP
Kindergarten
OTHERS
SanCaPack Contents Ready Not Ready Remarks
1. Parent's Agreement
2. Weekly Home Learning Plan
3. Class Program \
3. RBI/ TBI Schedule
4. Flowchart
5. Norms for Home Schooling
6. Portfolio (Expandable Plastic Envelope)
7. SanCaPack ( Box )
8. Reading Materials (DOLCH Basic Sight Words, Marungko)
9.Parents' Role & Responsibilities
Teacher's Teaching Resources
1. MELCs (all learning Areas)
2. References
3. Copies of the SLMs
4. Class Program
5. List of Pupils (SF1)
6. Class Record
7. Distribution and Retrieval Form
8. Learning Device/ Gadgets
Cellphone
Laptop
Radio
Television
Flash Drive
Speaker
9. Weekly Home Learning Plan
10. Helpline Service Note
11. Classroom ( Set- up/ Fixtures)

Monitored by:

Division Education Program Supervisor Conformed:

_________________________
___________________ Principal/Head Teacher/TIC
Public Schools District Supervisor, Cluster 3