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CLASSROOM-BASED ACTION PLAN EVALUATION TOOL

Title of the Intervention: "Enhancing Student Proficiency in Synthetic Division: A


Classroom-Based Action Plan for Mathematics"
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Name of the Proponent/s:
JOHN EZEKIEL S. UNGRIA
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Target Dates:
2ND QUARTER WEEK 1 TO WEEK 8
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Target Participants:
NON – NUMERATES STUDENTS
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Directions: Below is a set of criteria in evaluating the developed/crafted LAC Plan. Kindly rate
the plan by checking the corresponding rating per criteria.
Rating Verbal Interpretation
E Evident
NE Not Evident

The LAC Plan… E NE


1. states the title of the Learning Action Cell.
2. provides clear and precise objectives.
3. answers the needs of the participants.
4. follows the prescribed format of LAC Plan.
5. includes the complete information of LAC from planning,
implementation, and evaluation.
6. indicates activities that are relevant and significant for the
improvement of the target area.
7. provides appropriate persons to be involved in the LAC.
8. has suitable time frame in conducting a LAC.
9. provides clear sources of funds in conducting a LAC.
10. includes measurable and appropriate success indicators.

Comments and Suggestions: _________________________________________________


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Signature Over Printed Name of the Evaluator

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Position

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