Republic of the Philippines

Department of Education
Region VIII
SCHOOLS DIVISION OF NORTHERN SAMAR
Name of School : ________CAG-AMESARAG ELEMENTARY SCHOOL________________________________________ _
District: LOPE DE VEGA
MONITORING AND EVALUATION TOOL
For Division Learning Delivery Modality
INSTRUCTIONS: In a scale of 1-3 where 1 means Not Implemented (NI); 2 means Partially Implemented (PI); and 3 means Fully Implemented
(FI), rate the indicators below by checking the appropriate column in line with these indicators.
Scale
Strategic Implementation Measures Means of
Verification
1 2 3 Rating Remarks
NI PI FI
LEARNERS SUPPORT COMPONENT
1.Has established a Management Information System regarding the profile of
 3
the learners which will guide the schools in providing help and support
2.Has reached out to parents to provide SLMs, LAS or other learning materials  3
3.Has regularly provided the parents the assessment report of the learners  3
Total 9 9
SCHOOL PERSONNEL SUPPORT COMPONENT
1.Has enhanced the competence of school personnel for the effective delivery
 3
of the Learning modality
2.Has provided health supplies and other provision such as PPEs, face masks,
 2
hand sanitizing materials, etc.
3.Has monitored and provided technical assistance/instructional support to
 3
school personnel
4.Psycho-social support is given to school personnel  3
Total 2 9 11
INSTRUCTIONAL MATERIALS COMPONENT
1.Has provided and distributed SLMs/LAS or a soft copy and other learning
 3
materials to the learners
2.Has checked the learning outputs and provided the learning feedback &
 3
addressed issues & concerns.
3.Has monitored the completeness of the modules/LAS and other learning
 3
materials.
4.Assessment mechanism is completely aligned to the MELC  3
5.Has utilized the tools and templates in the Learning Delivery Modality
 3
Framework
Total 15 15
INSTRUCTIONAL MATERIALS COMPONENT
1.Has conducted capacity-building to school personnel on the new learning
 3
modality, utilization of modules, and assessment.
2.Has monitored the conduct of capacity-building on the new learning modality,
 3
utilization of modules, and others at the school level
[
Total 6 6

Mabini St., Brgy. Acacia, Catarman, 6400, Northern Samar

Telefax : (055) 500 9801
nsamardivision@deped,gov.ph
Page 1 of 2
 FINANCIAL COMPONENT
1.Has allocated funds for the reproduction of modules and other learning
 3
resources like activity sheets, study guides, and other study materials
2.Has utilized the Special Education Funds for the reproduction of modules &
 3
provision of health supplies for the division, district, and school personnel
Total 6 6
PARENT INVOLVEMENT COMPONENT
1.Has monitored the conduct of the orientation of parents on the learning
modality, utilization of modules, how parents/guardians/siblings help the  3
learning process at the school level.
2.Has monitored the conduct of the school head/teacher-parent conference re:
 3
progress of individual pupils, performance feedback, etc.
3.Has profiled the socio-economic data of the parents/guardians as to
educational qualification, occupation, no. of siblings and their educational
 3
level, and other factors that will help the school heads and the teachers in
identifying the type of intervention/approach that will be given to the learners.
4.Has organized the Family Support System or Home-based learning support
 2
system
5.Has observed parents or any family member getting and returning the
 3
SLMs/LAS
Total 14 14
PARNERSHIP COMPONENT
1.Has forged and strengthened partnership with stakeholders e.g. media,
 2
NGOs, Pos, private sector, etc.
2.Has organized/mobilized and strengthened parents & community support
 3
groups
3.Has coordinated with the LGUs particularly the brgy. officials  3
Total 8 8
Over-all Rating
= (Sum of Totals of component 1, component 2, component 3, 3.83
component 4, component 5, component 6, and component 7) ÷ 18
RUBRICS:
1 - No MOV
2 - Lacking with 1 or more MOVs
3 - Complete MOVs
Remarks:

Prepared by: Verified true & correct:

__________RHEA N. GAYO_________________ ARNOLDO B. ROSALES

School In-Charge District Head
Note:
District Head should collect and compile this filled up tool and submit to the CID Office on July 20, 2021 with the attached
MOVs.

Mabini St., Brgy. Acacia, Catarman, 6400, Northern Samar

Telefax : (055) 500 9801
nsamardivision@deped,gov.ph
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