Republic of the Philippines

Department of Education
National Capital Region

SUMMATIVE ASSESSMENT

Put an X Mark on the blank where appropriate

_____Integrative Written Works _____Integrative Performance Tasks

Grade Level: ______ Quarter: ___ Date to be given/communicated to Time (Indicate the
the learner/parents/LSA: estimated time the
activity is to be
Date/ time to be submitted: accomplished):
e.g. 1 hour

Assessment Criteria
Learning Areas Most Essential Learning Competencies: Competency Codes:

(add/delete row whenever necessary)

Content Standard Performance Standard

Overview of the Assessment Activity (Provide a clear and concise description of your activity)

Assessment Method/Methods (Put an X Mark on the blank where appropriate)

______ Observation _______Tests
______ Analyses of learner’s products _______Talking to Learners
IV. Assessment Activity

Expected Output:
Note:
Instruction and mode of submission will be communicated in the Weekly Home Learning Plan considering the
Learner’s Modality
Recording Methods (Put an x mark on the blank where appropriate)
____Checklist ____Marks
____Class Grids ____Anecdotal Record
____Grades ____Self assessment records
____Comments on Learner’s work ____Audio recording, photographs, video footages

Making Consistent Judgement (Put an x mark on the blank where appropriate)

____ Rubric link to the assessment criteria ____Marks scheme link to assessment criteria

Feedback (Put an x mark on the blank where appropriate)

_____ Oral Feedback _____ Written Feedback

Prepared by:
________________________ _______________________
Signature above printed name Signature above printed name
Subject A Teacher Subject C Teacher

________________________ _________________________
Signature above printed name Signature above printed name
Subject B Teacher Subject D Teacher

________________________
Signature above printed name
Subject E Teacher

Date: ____________________