Republic of the Philippines

Department of Education
Regional Office No. VIII-Eastern VISAYAS
SCHOOLS DIVISION OF CATBALOGAN CITY
SILANGA NATIONAL HIGH SCHOOL
BARANGAY SILANGA, CATBALOGAN CITY

SURVEY ON THE AVAILABLE GADGETS FOR RADIO-BASED INSTRUCTION(RBI) AND TELEVISION-BASED INSTRUCTION (TBI)

Gadgets available at home(Put a check mark)

Is there an
available home

w/ Laptop/Tablet/Desktop

w/ Android Phones & Can

PARENTS/

w/ TV without USB Port

Accommodate Big Files
NAME OF 4 Ps learning

w/ Radio Without USB

w/ Radio w/ USB Port
w/ Keypad & Android
GUARDIAN'S

w/ Decobeam Cable
Without Cellphones
NAME OF LEARNER GENDER PARENTS/GUARDIAN BENIFICIARY(Ye facilitator?

Phones but Cannot

w/ Other TV Signal
w/ TV w/ USB Port

w/ Leopards Cable
CONTACT

Accom. Big Files

S s/No) (Yes/No). If Yes,
NUMBERS

Without Radio
write the specific
name

None
Port
Monitored by: Noted:

RHUM O. BERNATE
Teacher-monitor School Head
 Republic of the Philippines
Department of Education
Regional Office No. VIII-Eastern VISAYAS
SCHOOLS DIVISION OF CATBALOGAN CITY
SILANGA NATIONAL HIGH SCHOOL
BARANGAY SILANGA, CATBALOGAN CITY

CONSOLIDATED LIST OF LEARNERS TO BE MONITORED

EB Form B
Address(Include
Name of the Learner School enrolled in Adviser Reading Status Remarks
Purok #)

Monitored by: Noted:

RHUM O. BERNATE
Teacher-monitor School Head
 Republic of the Philippines
Department of Education
Regional Office No. VIII-Eastern VISAYAS
SCHOOLS DIVISION OF CATBALOGAN CITY
SILANGA NATIONAL HIGH SCHOOL
BARANGAY SILANGA, CATBALOGAN CITY
EB FORM E
CLASS ADVISER’S WEEKLY INTERVENTION REPORT

District:_____VIII______ School: Silanga NHS Grade:____________ Section:___________ Week #____ Date:____

INTERVENTION/MATERIAL
NAME OF LEARNERS TEACHER-MONITOR ISSUES/CONCERNS RESULT/REMARKS
GIVEN

Monitored by: Noted:

RHUM O. BERNATE
Teacher-monitor School Head
 Republic of the Philippines
Department of Education
Regional Office No. VIII-Eastern VISAYAS
SCHOOLS DIVISION OF CATBALOGAN CITY
SILANGA NATIONAL HIGH SCHOOL
BARANGAY SILANGA, CATBALOGAN CITY
EB FORM C
TEACHER’S ACCOMPLISHMENT/MONITORING REPORT

Date and time monitored:

Grade level: Grade 9
Assigned purok & barangay CLC:

OBSERVATIONS/
LEARNING MODALITY INTERVENTIONS MOVS
Name of the Learner School enrolled in Adviser FINDINGS/HIGHLIGHTS
Modular RBI TBI
Monitored by: Noted:

RHUM O. BERNATE
Teacher-monitor School Head
 Republic of the Philippines
Department of Education
Regional Office No. VIII-Eastern VISAYAS
SCHOOLS DIVISION OF CATBALOGAN CITY
SILANGA NATIONAL HIGH SCHOOL
BARANGAY SILANGA, CATBALOGAN CITY
EB FORM D
LEARNER’S PERFORMANCE FEEDBACK TEMPLATE

Learner’s Name
Grade Level:
Learner’s Status
Learning Area Learner’s Need Intervention Strategies Monitoring Progress
Insignificant Significant
Mastery
Progress Progress

Learner is not making significant progress in a timely manner. Intervention strategies need to be revised
Intervention Status
Learner is making significant progress. Continue with the learning plan
Learning as reached mastery of the competencies in learning plan

Monitored by: Noted:

RHUM O. BERNATE
Teacher-monitor School Head
 Republic of the Philippines
Department of Education
Regional Office No. VIII-Eastern VISAYAS
SCHOOLS DIVISION OF CATBALOGAN CITY
SILANGA NATIONAL HIGH SCHOOL
BARANGAY SILANGA, CATBALOGAN CITY
EB FORM F
LIST OF LEARNERS PER BARANGAY/PUROK

Name of Barangay/Purok:

GRADE LEVEL NAME OF LEARNER SPECIFIC ADDRESS REMARKS

Monitored by: Noted:

RHUM O. BERNATE
Teacher-monitor School Head