Name of School Head:_____________________________________________

School: _________________________________________________________ District: ____________________________

Template 1: The Scoring Template:

DIMENSION LEVEL 1 LEVEL 2 LEVEL 3
Dimension 1 ITEMS SCORE ITEMS SCORE ITEMS SCORE
School Leadership 28 35 49

Dimension 2 23 28 38
Internal Stakeholders
Dimension 3 27 15 18
External Stakeholders
Dimension 4 31 27 25
School Improvement Process
Dimension 5 17 18 21
School Resources
Dimension 6
School Performance 23 14 19
Accountability
Total Score 149 137 170
Total Score Total Score Total Score
Computation Divided by Divided by Divided by
total no. of total no. of total no. of
items items items
multiplied multiplied multiplied
Percentage Rating by 100 by100 by 100

Scoring Formula: Total Score

__________________________ x 100
Divided by total No. of Items
Template 2:
SBM Practices Assessment Result Template

School Head: ___________________________________ Level of SBM Practice: ____________________________________________

School: ________________________________________ Name of Division SBM Coordinator: _________________________________

Address: _______________________________________ Date Submitted to the Division SBM Coordinator: ______________________

Division: _______________________________________

Resources Needed
SBM Dimension Indicator Action to be Taken By Whom (Human and/or material)