Republic of the Philippines

Department of Education
REGION VIII
SCHOOLS DIVISION OF SAMAR
CURRICULUM IMLEMENTATION DIVISION
Catbalogan City

WEEKLY SUPERVISORY REPORT

For Week No. _____
Date: __________

District: _______________________ District Head: __________________________________

I. Schools Visited:

No. of Literacy
Attendance
Volunteer No. of
Name of Schools School Head School ID
No. of Teachers With Without LSAs
Actual Present approval of MOA

II. Enrolment

Enrolment No. of Teachers Excess/Shortage

No. of
Name of Schools Previou Classes/Section T1-T3 MT I-MT II
s Recent
   
   
   
   
   

III. Performance Indicators (2021-2022)

Dropout Rate No. of LAS Prepared

Cohort Survival Rate No. of Quality Assured Materials
Completion Rate No. of Audio-Video Materials
SLM Ratio Other Materials Used
IV. Status of Buildings and other Ancillary Facilities

Name of Building/ Ancillary No. of Other Furniture/s

No. of
Facilities Excess/Shortage Buildings Needed
Makeshift/
of Building Needing
s
Repair

V. On Room Structuring:

- No Structuring - Moderately Structured - Well-Structured

_______________ ___________________ _________________
_______________ ___________________ _________________
_______________ ___________________ _________________

VI. Assessment:

Average No. of Formative Summative Assessment Conducted with TOS and Test
Assessments Conducted Questions
Quarter 1
Quarter 2
Quarter 3
Quarter 4

VII. Instructional Supervisory Activities/TA Provided:

(This will be the no. of visits that the School Head/District Head conducted)

Record Focus of Instructional Date Visited Monitor TA Provided

Supervisory Activities

VIII. School Forms

Codes and Title Description To be Prepared Mode of Schedule

by Preparation
SF 1 –School Master List of Class Class Adviser LIS Beginning of
Register Enrollment School Year (BoSY)
and as needed
SF 2 – Learner’s Recording of Class Adviser Partially through Daily
Daily Class attendance, LIS and manual
Attendance absence, or
tardiness (template
with name of
learners)
SF 3 –Books List of books (by Class Adviser Partially through BoSY and End of
Issued and title) issue LIS and manual School Year (EoSY)
 Returned to/returned by
learners
SF 4 – Summary Enrollment count, School Head LIS Monthly
Enrollment and transferred in/out
Movement of and dropout by
Learners grade level
(Summary of SF 2)
SF 5 – Report on List of Class Adviser LIS EoSY
Promotion promoted/retained
by class
SF 6 – Summary Number of School Head LIS EoSY
Report on promoted/retained
Promotion by grade level
(Summary of SF 5)
SF 7 – Inventory List of school School Head Manual (originally BoSY and as
of School personnel with designed in Human needed
Personnel basic profile and Resource
teaching Information
load/assignment System)
SF 8 – Learner Per learner Class LIS Bosy and EoSY
Basic Health Profile assessment of Adviser/MAPEH
Body Mass Index Teachers
SF 9 – Learner Individual Class Adviser Manual Quarterly
Progress report academic
Card behavioral and
attendance report
by quarter
(formerly Form
138)
SF 10 – Learner’s Individual Class Adviser Manual EoSY
Permanent academic record by
Academic Record quarter and SY
(simplified and
standardized from
former Form 137)

IX. TA Provision given by the School Head

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X. Recommendations: _______________________________________________________________________

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Prepared by:

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EPS