Republic of the Philippines

Department of Education
REGION I
SCHOOLS DIVISION OF LA UNION

FUNCTIONAL LITERACY ASSESSMENT TOOL (FLAT) FORM 1

ILOKANO GRADE -3-LAUAN
School Name:ARINGAY CENTRAL E/S School Principal: CHERRY BELLE F. DEL ROSARIO

Grade and Section:3-LAUAN Teacher: PATRICK HENRY R. PALTEP

Total No. of Enrolled Learners: 27 Total No. of Assessed Learners: 27

Date of Administration:
Pre-Assessment: / Post Assessment: ________________
GENERAL INFORMATION FUNCTIONAL LITERACY LEVEL
LRN Name of Learners Age Sex Nothing Letter Syllable Word Phrase Sentence Paragraph Story Story Local Level of Lerner
Level Level Level Level Level Level Level Level Level + Material (0-Nothing Level-; 1-Letter
Compreh Level + Level-; 2-Syllable Level; 3-
ension Compreh Word Level; 4-Phrase
ension Level;
5-Sentence Level; 6-
Paragraph Level;
7-Story Level; 8-Story
Level + Comprehension; 9-
Local Material +
Comprehension Level
100809180129 ABDULLAH, GAMOR II M. M /
CABRERA, PAUL F. M /
DE DIOS, FRITZ RENRICK F. M /
DULAY, ISAAC KING A. M /
ESTIGOY, HARLIN CARL Q. M /
GARCIA, ALLAN C. M /
MANAOIS, JAMES P. M /
MANGAOANG, KHYLE ANDREI B. M /
MANONGDO, FRANZ CEDRICK C. M /
MEDINA, CRIS JOHNZEN N. M /
MEDRIANO, JERALD JR. S. M /
NIMUAN, CARL DENVER B. M /
RULLAN, ZHUIE T. M /
VILLANUEVA, VHIEN DANIELLE M /

Address: Flores St., Catbangen, City of San Fernando, La Union

Telephone No.: (072) 205-0046
Email: la.union@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION I
SCHOOLS DIVISION OF LA UNION

FUNCTIONAL LITERACY ASSESSMENT TOOL (FLAT) FORM 1

ILOKANO GRADE -3-LAUAN
E.
ABELLERA, CRIZZA QUEL R. F /
ADUAN, ANGEL ANN F. F
AGATEP, LOUISSE MARA G. F
APOLINAR, AYESSHA SHANE B. F
BALANAG, DANA ROSS N. F
BALANAG, RHEIAN ANDREA A. F
CAOILE, HANAYAKA H. F
CUBI, PRINCESS SAICYL M. F
DULCE, SAORIE G. F
GALDONES, ASHLEY KATE Q. F /
MAZON, XYREL L. F
MUNAR, SAMERA MARIAN K. F
RAMIREZ, ELIZABETH G. F

TOTAL NUMBER OF LEARNERS ASSESSED 27

Prepared by: PATRICK HENRY R. PALTEP Reviewed by: CHERRY BELLE F. DEL ROSARIO
Teacher School Head
School Name:ARINGAY CENTRAL E/S School Principal: CHERRY BELLE F. DEL ROSARIO

Grade and Section:3-LAUAN Teacher: PATRICK HENRY R. PALTEP

Total No. of Enrolled Learners: 27 Total No. of Assessed Learners: 27

Date of Administration:
Pre-Assessment: / Post Assessment: ________________

Address: Flores St., Catbangen, City of San Fernando, La Union

Telephone No.: (072) 205-0046
Email: la.union@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION I
SCHOOLS DIVISION OF LA UNION

FUNCTIONAL LITERACY ASSESSMENT TOOL (FLAT) FORM 1

ILOKANO GRADE -3-LAUAN
GENERAL INFORMATION FUNCTIONAL LITERACY LEVEL
LRN Name of Learners Age Sex Nothing Letter Syllable Word Phrase Sentence Paragraph Story Story Local Level of Lerner
Level Level Level Level Level Level Level Level Level + Material (0-Nothing Level-; 1-Letter
Compreh Level + Level-; 2-Syllable Level; 3-
ension Compreh Word Level; 4-Phrase
ension Level;
5-Sentence Level; 6-
Paragraph Level;
7-Story Level; 8-Story
Level + Comprehension; 9-
Local Material +
Comprehension Level
100819180153 1.
100819180114 2.
100819180017 3.
100819180119 4.
100819180129 5.
100819180052 6.
100819180016 7.
411017180029 8.
100819180107 9.
411017180030 10.
Total Number of Learners Assessed

Prepared by: _____________________________________________ Reviewed by: ____________________________________________________

School Name:ARINGAY CENTRAL E/S School Principal: CHERRY BELLE F. DEL ROSARIO

Grade and Section:3-MOLAVE Teacher: ARLENE V. CALPO

Total No. of Enrolled Learners: 29 Total No. of Assessed Learners: 29

Date of Administration:
Pre-Assessment: / Post Assessment: ________________

Address: Flores St., Catbangen, City of San Fernando, La Union

Telephone No.: (072) 205-0046
Email: la.union@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION I
SCHOOLS DIVISION OF LA UNION

FUNCTIONAL LITERACY ASSESSMENT TOOL (FLAT) FORM 1

ILOKANO GRADE -3-LAUAN
GENERAL INFORMATION FUNCTIONAL LITERACY LEVEL
LRN Name of Learners Age Sex Nothing Letter Syllable Word Phrase Sentence Paragraph Story Story Local Level of Lerner
Level Level Level Level Level Level Level Level Level + Material (0-Nothing Level-; 1-Letter
Compreh Level + Level-; 2-Syllable Level; 3-
ension Compreh Word Level; 4-Phrase
ension Level;
5-Sentence Level; 6-
Paragraph Level;
7-Story Level; 8-Story
Level + Comprehension; 9-
Local Material +
Comprehension Level
100819180153 1.
100819180114 2.
100819180017 3.
100819180119 4.
100819180129 5.
100819180052 6.
100819180016 7.
411017180029 8.
100819180107 9.
411017180030 10.
Total Number of Learners Assessed

Prepared by: _____________________________________________ Reviewed by: ____________________________________________________

Address: Flores St., Catbangen, City of San Fernando, La Union

Telephone No.: (072) 205-0046
Email: la.union@deped.gov.ph