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Suggested template: Results of ECCD Checklist Administration, Record 1

SAMPLE (for the Kindergarten Teacher)

School Year:
Name of School:
Name of District:
First Assessment: Number of Children with Standard Score below
delays*
Name of Learner
Write theScaled Score earned by the child in each domain below.

Gross Fine Receptive Expressive


Male Self-help
Motor Motor Language Language

1 Kyle 11 11 20 4 5
2 Celso 10 8 20 3 5
3 Arman 12 10 24 4 7
4 Stephin 9 9 20 3 5
5 Rico 6 6 16 3 4
6 Jolito 12 10 24 4 6
7
8
9
10
11
12
13
14
15
Average Score for Male 10.00 9.00 20.67 3.50 5.33
Percent of Total Male against the Total Enrollment. <<<(Leave this space blank.) >>>

Gross Fine Self-help Receptive Expressive


Female
Motor Motor Language Language

1 Sophie 9 7 18 3 4
2 Lea 9 9 18 4 3
3 Sarah 10 10 25 4 8
4 Jenny 12 11 26 5 8
5 Alice 8 7 17 3 4
6
7
8
9
10
11
12
13
14
15
Average Score for Female 9.60 8.80 20.80 3.80 5.40

Percent of Total Female against Total Enrollment. <<<(Leave this space blank.) >>>

Overall Total Number (OTN) - Male & Female 9.80 8.90 20.73 3.65 5.37

Percent of the total number of enrolled children. <<<(Leave this space blank.) >>>
(OTN/Total Enrollment)100%
* Standard score of 69 and below - to be moitored after 3 months.
** Could be an indicator of school readiness

Prepared by: Submitted to:

___________________________________
Kindergarten Teacher
ministration, Record 1
acher)

Enrollment: Male _ 6
Female _ 5
Total 11
ldren with Standard Score below 70 (at risk of developmental
delays*
Sum of Scaled Score/Standasrd
he child in each domain below.
Score
Socio- *69 and 80 and
Cognitive *70-79
Emotional below above**
17 19 87
17 18 81
20 20 97
17 15 78
15 16 66
18 21 95
7
8
9
10
11
12
13
14

17.33 18.17 1 1 4
ace blank.) >>>
9.09 9.09 36.36
Socio- *69 and 80 and
Cognitive *70-79
Emotional below above**
18 18 77
15 16 74
20 20 97
20 22 104
17 18 74
18.00 18.80 0 3 2
ace blank.) >>>
0.00 27.27 18.18
17.67 18.48 1 4 6

ace blank.) >>>


9.09 36.36 54.55

Submitted to:

_________________________________________
School Head
Suggested template: Results of ECCD Checklist Administration, Record 1
SAMPLE (for the Kindergarten Teacher)

School Year: Enrollment: Male ___________


Name of School: Female __________
Name of District: Total ___________
Second Assessment: Number of Children with Standard Score below 70
delays*
Name of Learner
Write the Scaled Score earned by the child in each domain below.

Gross Fine Receptive Expressive


Male Self-help Cognitive
Motor Motor Language Language

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Average Score for Male
Percent of Total Male against the Total
Enrollment. <<<(Leave this space blank.) >>>

Gross Fine Receptive Expressive


Self-help Cognitive
Female Motor Motor Language Language

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Average Score for Female
Percent of Total Female against Total Enrollment. <<< (Leave this space blank.) >>>

Overall Total Number (OTN) - Male & Female


Percent of the total number of enrolled children.
(OTN/Total Enrollment)100%
* Standard score of 69 and below - to be moitored after 3 months.
** Could be an indicator of school readiness

Prepared by: Submitted to:

___________________________________ _______________________
Kindergarten Teacher School
ration, Record 1

ent: Male ___________


Female __________
Total ___________
th Standard Score below 70 (at risk of developmental
delays*

n each domain below. Sum of Scaled Score/Standard


Score
Socio- 69 and 80 and
70-79
Emotional below above**
Number

) >>>
#DIV/0! #DIV/0! #DIV/0!
Socio- *69 and 80 and
*70-79
Emotional below above**
) >>>
#DIV/0! #DIV/0! #DIV/0!
0 0 0

#DIV/0! #DIV/0! #DIV/0!

_________________________________________
School Head
Suggested template: Results of ECCD Checklist Administration, Record 1
SAMPLE (for the Kindergarten Teacher)

School Year: Enrollment: Male ___________


Name of School: Female __________
Name of District: Total ___________
Second Assessment: Number of Children with Standard Score below 70
delays*
Name of Learner
Write the Scaled Score earned by the child in each domain below.

Gross Fine Receptive Expressive


Male Self-help Cognitive
Motor Motor Language Language

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Average Score for Male
Percent of Total Male against the Total
Enrollment. <<<(Leave this space blank.) >>>

Gross Fine Receptive Expressive


Self-help Cognitive
Female Motor Motor Language Language

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Average Score for Female
Percent of Total Female against Total Enrollment. <<< (Leave this space blank.) >>>

Overall Total Number (OTN) - Male & Female


Percent of the total number of enrolled children.
(OTN/Total Enrollment)100%
* Standard score of 69 and below - to be moitored after 3 months.
** Could be an indicator of school readiness

Prepared by: Submitted to:

___________________________________ _______________________
Kindergarten Teacher School
ration, Record 1

ent: Male ___________


Female __________
Total ___________
th Standard Score below 70 (at risk of developmental
delays*

n each domain below. Sum of Scaled Score/Standard


Score
Socio- 69 and 80 and
70-79
Emotional below above**

) >>>
#DIV/0! #DIV/0! #DIV/0!
Socio- *69 and 80 and
*70-79
Emotional below above**
) >>>
#DIV/0! #DIV/0! #DIV/0!
0 0 0

#DIV/0! #DIV/0! #DIV/0!

_________________________________________
School Head
Consolid

School Year:
Name of District:
Total Number of Enrolled
Children *Children with score 69
Name of School
Male
Male Female Total
Number Percent
1 Juan Dela Cruz ES 6 5 11 3 27.27
2
3
4
5
6
7
8
9
10
11
12
13
Overall Total Number
Percent of the total number of enrolled children
*Standard score of 69 and below - to be moitored after 3 months.
**Could be an indicator of school readiness

Prepared by:

____________________________________
District Kindergarten Coordinator
Cel. No. __________________
Consolidation of Results of ECCD Checklist Administration (Record 2)
First Administration

Sum of Scaled Score


*Children with score 69 and below *Children with score70-79
Female Total Male Female Total
Number Percent Number Percent Number Percent Number Percent Number
4 36.36 7 63.64 6 54.55 5 45.45 11
e
9 **Percent of children with score 80 and above.
Total Male Female Total
Percent Number Percent Number Percent Number Percent
100 2 18.18 4 36.36 6 54.55

Submitted by:

________________________________________
PSDS/PICD
Consolid

School Year: 2022-2023


Name of Division: Zamboanga del Norte
Total Number of Enrolled
Children *Children with score 69
Name of District
Male
Male Female Total
Number Percent
1. Piñan
2. Mutia
3. Sibutad 204 187 391 8 3.92
4. La Libertad
5. Rizal
6. Polanco I
7. Polanco II
8. Sergio Osmaña I
9. Sergio Osmeña II
10. Katipunan I
11. Katipunan II 143 129 172 34 23.78
12. Roxas I
13. Roxas II
14. Manukan I
15. Manukan II
16. Ponot
17. Sindangan North
18. Sindangan Central
19. Sindangan South
20. Siayan
21. Bacungan
22. Salug I
23. Salug II
24. Godod
25. Liloy I
26. Liloy II
27. Kalawit
28. Tampilisan
29. Labason 1&2
30. Labason 3
31. Gutalac I
32. Gutalac II
33. Baliguian 222 235 457 77 34.68
34. Siocon
35. Sirawai
36. Sibuco
Overall Total Number
Percent of the total number of enrolled children
*Standard score of 69 and below - to be moitored after 3 months.
**Could be an indicator of school readiness

Prepared by:

____________________________________
District Kindergarten Coordinator
Cel. No. __________________
Consolidation of Results of ECCD Checklist Administration (Record 2)
First Administration

Sum of Scaled Score


*Children with score 69 and below *Children with score70-79
Female Total Male Female Total
Number Percent Number Percent Number Percent Number Percent Number

10 5.35 18 4.6 16 7.84 8 4.28 24

30 23.26 64 37.21 49 34.27 42 32.56 91

64 27.23 141 30.85 63 28.38 87 37.02 150


e
9 **Percent of children with score 80 and above.
Total Male Female Total
Percent Number Percent Number Percent Number Percent

6.14 180 88.24 169 90.37 349 89.26

52.91 61 42.66 56 43.41 117 68.02

32.82 82 36.94 84 35.74 166 36.32


Submitted by:

________________________________________
PSDS/PICD
Consolid

School Year: 2022 - 2023


Name of Division: Zamboanga del Norte
Total Number of Enrolled
Children *Children with score 69
Name of District
Male
Male Female Total
Number Percent
1. Piñan
2. Mutia
3. Sibutad
4. La Libertad
5. Rizal
6. Polanco I
7. Polanco II
8. Sergio Osmaña I
9. Sergio Osmeña II
10. Katipunan I
11. Katipunan II 254 238 492 16 6.30
12. Roxas I
13. Roxas II
14. Manukan I
15. Manukan II
16. Ponot
17. Sindangan North
18. Sindangan Central
19. Sindangan South
20. Siayan
21. Bacungan
22. Salug I
23. Salug II
24. Godod
25. Liloy I
26. Liloy II
27. Kalawit
28. Tampilisan
29. Labason 1&2
30. Labason 3
31. Gutalac I
32. Gutalac II
33. Baliguian
34. Siocon
35. Sirawai
36. Sibuco
Overall Total Number
Percent of the total number of enrolled children
*Standard score of 69 and below - to be moitored after 3 months.
**Could be an indicator of school readiness

Prepared by:

____________________________________
District Kindergarten Coordinator
Cel. No. __________________
Consolidation of Results of ECCD Checklist Administration (Record 2)
Second Administration

Sum of Standard Score


*Children with score 69 and below *Children with score70-79
Female Total Male Female Total
Number Percent Number Percent Number Percent Number Percent Number

10 4.20 26 5.28 76 29.92 50 21.01 126


re
9 **Percent of children with score 80 and above.
Total Male Female Total
Percent Number Percent Number Percent Number Percent

25.61 162 63.78 178 74.79 320 65.04


Submitted by:

________________________________________
PSDS/PICD
Consolid

School Year: 2022 - 2023


Name of Division: Zamboanga del Norte
Total Number of Enrolled
Children *Children with score 69
Name of District
Male
Male Female Total
Number Percent
1. Piñan
2. Mutia
3. Sibutad
4. La Libertad
5. Rizal
6. Polanco I
7. Polanco II
8. Sergio Osmaña I
9. Sergio Osmeña II
10. Katipunan I
11. Katipunan II
12. Roxas I
13. Roxas II
14. Manukan I
15. Manukan II
16. Ponot
17. Sindangan North
18. Sindangan Central
19. Sindangan South
20. Siayan
21. Bacungan
22. Salug I
23. Salug II
24. Godod
25. Liloy I
26. Liloy II
27. Kalawit
28. Tampilisan
29. Labason 1&2
30. Labason 3
31. Gutalac I
32. Gutalac II
33. Baliguian
34. Siocon
35. Sirawai
36. Sibuco
Overall Total Number
Percent of the total number of enrolled children
*Standard score of 69 and below - to be moitored after 3 months.
**Could be an indicator of school readiness

Prepared by:

____________________________________
District Kindergarten Coordinator
Cel. No. __________________
Consolidation of Results of ECCD Checklist Administration (Record 2)
Second Administration

Sum of Standard Score


*Children with score 69 and below *Children with score70-79
Female Total Male Female Total
Number Percent Number Percent Number Percent Number Percent Number
re
9 **Percent of children with score 80 and above.
Total Male Female Total
Percent Number Percent Number Percent Number Percent
Submitted by:

________________________________________
PSDS/PICD

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