Republic of the Philippines

Department of Education
Regional Office 1
SDO PANGASINAN II
Canarvacanan, Binalonan, Pangasinan

CURRICULUM IMPLEMENTATION DIVISION

END OF THE QUARTER MONITORING AND EVALUATION FORM
QUARTER ___
School: ____________________________________________ School ID: _____________
School Head: _______________________________________ Contact No:____________
Position: ___________________________________________

Note: 1. The result of School ME shall be CONSOLIDATED by the EPS concerned per Municipality and
shall be submitted on the 3rd week after the end of the quarter.
2. Only the soft copy of the Consolidated Reports shall be submitted online using the OFFICIAL
TEMPLATES. Google Drive link shall be sent via the EPS Group Chat.

1. Enrolment as of __________________ (Include the transferees in, exclude the transferred out)
School Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 Totals
M F T M F T M F T M F T M F T M F T M F T

School Gr 11 GAS Gr 11 STEM Gr 11 ABM Gr 11 HumSS Gr 11 TVL Gr11 Arts/Sports Totals

M F T M F T M F T M F T M F T M F T M F T

School Gr 12 GAS Gr 12 STEM Gr 12 ABM Gr 12 HumSS Gr 12 TVL Gr12 Arts/Sports Totals

M F T M F T M F T M F T M F T M F T M F T

2. Number of Learners who Passed in all the Subjects During the Quarter
School Gr 7 Gr 8 Gr 9 Gr 10 Gr 11 Gr 12 Gr 6 Total

3. Quarterly Overall General Average per Learning Area

Grade Eng Fil Sci Math AP MAPEH EsP TLE
Level
7
8
9
10
Gen Ave

4. Data on Failed Learners during the Quarter

Grade Eng Fil Sci Math AP MAPEH EsP TLE
Level
7
8
9
10
Gen Ave
4.a Teachers who failed his/her learners Subject Grade Level
_________________________________________ ___________________ ___________
_________________________________________ ___________________ ___________
Use separate sheet if necessary
 5. Top 3 Reasons why learners failed Frequency

5.1 _______________________________________________________________ ________

5.2 _______________________________________________________________ ________
5.3 _______________________________________________________________ ________

6. Data on Dropped Outs (Cumulative)

School Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 Totals
M F T M F T M F T M F T M F T M F T M F T

7. List of Drop Outs

Municipality School Name (Family, Given, MI) Grade Month of Reason of Dropping
Level Dropping Out Out - FICS

8. Number of Tablets Received by the Learners

School 7 8 9 10 11 12 Total

9. Number of Learners Using Modules only (Hard Copy)

School 7 8 9 10 11 12 Total

10. Number of Learners Using Online Learning and Modular Approach (Blended Modality)
School 7 8 9 10 11 12 Total

11. Number of Teachers Using Online Teaching/Coaching (Synchronous/Asynchronous)

School 7 8 9 10 11 12 Total

12. Number of Teachers Using Online Test/Cumulative Evaluation (e.g. Google Form, etc.)
School 7 8 9 10 11 12 Total

13. Please put a check mark (√) on the appropriate column for each item below:
A. Utilization of Tablets in learning the MELCs Evident Partially Not Remarks
Evident Evident
1. Organized committee to install, check and review
the e-modules/video lessons before its
distribution.
2. Quarterly conduct of orientation to
teachers/learner-recipients/parents on the use of
tablets. Re: Modules/ Video Lessons to be
accomplished every week/quarter
3. All e-copies of modules in all quarters are
installed in the tablet.
4. Reported lost/damaged tablets.
5. Distributed the tablets with the MOA with the
parents
6. Others, please specify below

Other issues and challenges:

B. During the Distribution/Retrieval of Modules Evident Partially Not Remarks

Evident Evident
1. Learners, teachers and parents were oriented on
Modular Distance Learning, proper handling of
modules and safekeeping.
2. Presence of triage in the school/drop off areas
and adhering to the minimum health standards and
safety protocols are observed.
 3. Presence of Strategic Plan for the
distribution/retrieval of modules
4. Assistance of Brgy. Official/ BHW is observed
5. Parents/Guardians are on time to receive/return
the modules
6. Others, please specify
Other issues and challenges:

C. Answering/Working on the Evident Partially Not Remarks

Evident Evident
Modules/Summative Evaluation – Written
Works and Performance Tasks
1. WHLP- Weekly Home Learning Plans s are
distributed to parents/learners
2. Weekly Home Learning Plans of teachers are
up-to-date/complete and regularly checked by
the School Head / Department Head before its
distribution.
3. Parents have contacts with teachers
thru SMS/online (Group chat, FB, etc.)
4. Teachers are assigned as facilitator of learning
online/offline
5. Summative Evaluation – WW or PT are
consolidated as bases for the rating of learners
6.Practicing the Academic Ease
7. Others, please specify below

Other issues and challenges:

_____________________________________________________________________________________

D. Preparation of Portfolio of Learning by the Evident Partially Not Remarks

Evident Evident
Learners
1. Learners are given orientation on the
preparation of Portfolio of Learning
2. Learners completed at least 4 written works
per quarter
3. Learners completed at least 4 performance
task per quarter
4. Submitted portfolio of learning on a specified
time
5. Fast learners were provided more than 4
activities in written works and performance
tasks
6. Slow learners were given learning support from
their teachers.
7. Others, please specify below

Other issues and challenges:

E. Preparation of Online Teaching Evident Partially Not Remarks

Evident Evident
(Synchronous/Asynchronous Lessons)
1. Teachers are provided the necessary training
on the development of video lessons, conduct of
synchronous / asynchronous online teaching.
2. Learners are given the orientation on how to
join/participate online learning.
3. Recorded Video lessons were reviewed and
checked by the department heads/school
heads/school committee before its utilization.
4. A/Synchronous teaching/learning are properly
monitored by the department head/school head
7. Others, please specify below

Other issues and challenges:

Monitored by:
______________________________
EPS

Conforme:
__________________________
School Head

Date: ___________________________