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School - School Address:

School Head - School ID:


District - Division:
Guidance Counselor/ Designate :

HOMEROOM GUIDANCE PROGRAM SY 2020-2021


(as per Memorandum DM-CI-2020-00155)

For Guidance Designate

Target Number Actual NOT


ACCOMPLISHED ACCOMPLISHED
(Date of Conduct)
of Attendees Number of REMARKS
Attendees
Orientation of Class
Advisers conducted by
School Head/Guidance
Counselor/Designates When was the Expected No. of Leave blank
in the Implementation of meeting held attendees Actual no. of once
Homeroom Guidance attendees accomplished
Program

Feedback/Observations:

Prepared and submitted by:

____________________
Counselor/ Designate

Noted:

____________________
School Head
Narrative about the Orientation
Note: Make it brief but significant –thank you po!
EVALUATION FORM
(TEACHERS WILL ACCOMPLISHED THIS AFTER THE ORIENTATION, IT CAN ALSO BE IN A
GOOGLE FORM)

Strongly agree Neutral Disagree Strongly disagree


(5) Agree (4) (3) (2) (1)
1. The session/orientation
delivered the information I
expected to receive.
2. The subject matter was
presented effectively.
3. The duration of the orientation
was sufficient for the material
covered.
4. The orientation was presented
with clarity and responded to
questions.
5. As a result of this orientation, I
gained new knowledge applicable
to my work.

Scale Range Value Verbal Interpretation


5 4,20- 5.00 Strongly Agree
4 3.40- 4.19 Agree
3 2.60-3.39 Neutral
2 1.80-2.59 Disagree
1 1.00- 1.79 Strongly Disagree
Photos / attendance during the Orientation
Note: To be consolidated by the Guidance Designate of the School from the adviser’s orientation to the parents and learners.
It can also be in a school wide orientation by means of live streaming.

Activities Conducted: (1) Documentation of Learner’s Orientation about the learning objectives and evaluation of their
development
(2) Documentation of learners and parents’ orientation conducted by class advisers in the
implementation of Homeroom Guidance Program

HOMEROOM GUIDANCE PROGRAM SY 2020-2021


(as per Memorandum DM-CI-2020-00155)

For Guidance Designate

Leaners Parents
Name of Grade ACCOMPLISHED NOT Target Actual Target Actual
(Date of Conduct of Orientation) ACCOMPLISHED
Class Level/ Number of Number of Number of Number of
Advisers Section Attendees Attendees Attendees Attendees

Prepared and submitted by:

_________________________
Designated Guidance Counselor

Noted:

_________________________
School Head
Photos, Attendance

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