SDOURDANETA_LRMS_SCHOOL/DISTRICT QA FORM

LOCALLY DEVELOPED LEARNING RESOURCE REPORT

LR Tracking Number

Title

Developer

School/District District

Contact No. and email address email

Learning Resource Type

Basis of Development

Summary of Implementation

Attachment Finalized Learning Resource, Daily Lesson Log (DLL), Signed Quality
Assurance Tool, Signed Individual Narrative Feedback or Evaluation
Tool and/or Alternative MOVs

Prepared by:

_______________________________________
Developer/Proponent

Recommending Approval:
__________________________________ Approved:
Head Teacher

____________________________________
School Head

Noted:

____________________________________
Public Schools District Supervisor _____________________________________
Education Program Supervisor, LRMS