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Enclosure 1a to Division Memorandum No. 251, s.

2017
(For the Grade 10 Class Adviser)
Republic of the Philippines
Department of Education
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
Lingayen

MONITORING OF GRADE 10 CAREER GUIDANCE PROGRAM IMPLEMENTATION


SCHOOL: __________________________________________ DISTRICT: _______________________
SCHOOL HEAD: _____________________________________ CONTACT NO.: ___________________
CLASS/SECTION: ____________________________________ NO. OF STUDENTS: _______________
GRADE 10 ADVISER: ___________________________________ CONTACT NO.: _________________
1. Grade 10 Module delivered? (Please check):
___ Module 1: Embarking on a Journey of Self-Awareness
DATE CONDUCTED: ____/____/____ NO. OF STUDENTS COVERED: ____/_____
FEEDBACK/OBSERVATIONS:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

___ Module 2: Examining the Destinations


____ Session1 DATE: ____/____/____ NO. OF STUDENTS COVERED: ____/_____
____ Session2 DATE: ____/____/____ NO. OF STUDENTS COVERED: ____/_____
FEEDBACK/OBSERVATIONS: ______________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

___ Module 3: Charting Your Own Course


DATE CONDUCTED: ____/____/____ NO. OF STUDENTS COVERED: ____/_____
FEEDBACK/OBSERVATIONS:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

2. NCAE Interpretation: ___ YES ___NO DATE: ____/____/____


NO. OF STUDENTS COVERED: ____/_____
FEEDBACK/OBSERVATIONS:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

Accomplished by:

____________________________________

Signature above Printed Name – Position

DATE: _______________________________

Submit this form to the School Guidance Counselor/Designate of your school.


Enclosure 1b to Division Memorandum No. 251, s. 2017
(For the School Guidance Counselor/Designate)

Republic of the Philippines


Department of Education
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
Lingayen

GRADE 10 CAREER GUIDANCE PROGRAM IMPLEMENTATION


MONITORING REPORT
SCHOOL: __________________________________________ DISTRICT: _______________________
SCHOOL HEAD: _____________________________________ CONTACT NO.: ___________________
GUIDANCE COUNSELOR/DESIGNATE: ___________________________ CONTACT NO.: ___________
TOTAL NUMBER OF ENROLLED GRADE 10 STUDENTS: __________
1. Grade 10 Module delivered? (Please check):
___ Module 1: Embarking on a Journey of Self-Awareness
DATE CONDUCTED: ____/____/____ NO. OF STUDENTS COVERED: ____/_____
FEEDBACK/OBSERVATIONS:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

___ Module 2: Examining the Destinations


____ Session1 DATE: ____/____/____ NO. OF STUDENTS COVERED: ____/_____
____ Session2 DATE: ____/____/____ NO. OF STUDENTS COVERED: ____/_____
FEEDBACK/OBSERVATIONS: ______________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

___ Module 3: Charting Your Own Course


DATE CONDUCTED: ____/____/____ NO. OF STUDENTS COVERED: ____/_____
FEEDBACK/OBSERVATIONS:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

2. NCAE Interpretation: ___ YES ___NO DATE: ____/____/____


NO. OF STUDENTS COVERED: ____/_____
FEEDBACK/OBSERVATIONS:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

Accomplished by:

____________________________________

Signature above Printed Name – Position

DATE: _______________________________
Submit this form to the Youth Formation Unit of SGOD-SDO1 Pangasinan

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