Republic of the Philippines

Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya
DUMALIGUIA ELEMENTARY SCHOOL

CHECKLIST OF CLASSROOM MANAGEMENT

Month: _________________
Name of Teacher: ______________________________ Grade Level: _______________________
Position: __________________ Number of Learners M____ F____ T____
Date of Evaluation: Pre:___________Post:______________ Quarter: _____ ______ _____ ______
Target Areas Evident Fairly Evident Not Evident REMARKS
(5) (3) (0)
PRE POST PRE POST PRE POST PRE POST
1. DLL
2. MELC in all Subject Area
3. Class Record and Grading Sheets
4. Summative Test/Assessment
5. Summative Test Result with Item
Analysis and Interpretation
6. Individual Monitoring Plan
7. Accomplishment Report (attached
DTR)
8. Class Program (on the table &
Door)
9. Reading Profile of Learners (PHIL
IRI English & Filipino, EGRA)
10. Numeracy Profile of Learners
(Non-Numerates, MYS)
11. Writing Profile of Learners
12. SF1 (LIS Generated)
13. SF 2

Address: Sitio Dumaliguia, Runruno, Quezon, Nueva Vizcaya

Telephone/Mobile No.: 09972083988
Email Address:
* *
Website:
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya
DUMALIGUIA ELEMENTARY SCHOOL

14. SF3
15. SF10 (Form137)
16. Report Card (Form 138)
17. Home Visitation Form
18. Stakeholder’s Donation Form
19. Classroom LRCP
20. Profiling of Learners
21. Classroom Logbook
22. Homeroom Guidance Tools
23. School Coordinatorship Action
Plan
24. Cleanliness and Orderliness of
Classroom
- Classroom Structure
- Repainted chairs/wall
- Uniformed Curtains
- At least 10 plants

25. Wash Area w/ Hygiene Kit

-alcohol, soap, water
26. Cleanliness of Zone/Garden
27. Wear School Uniform

Monitored and Evaluated by: Conforme:

LEIZEL M. ALEXANDER _______________________

T-III, TIC Teacher

Address: Sitio Dumaliguia, Runruno, Quezon, Nueva Vizcaya

Telephone/Mobile No.: 09972083988
Email Address:
* *
Website:
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya
DUMALIGUIA ELEMENTARY SCHOOL

CHECKLIST OF CLASSROOM MANAGEMENT

S.Y. 2020-2021
Name of Teacher: JONALYN A. NAVARRETE Grade Level: GRADE I
Position: TEACHER III Number of Learners M____ F____ T____
Date of Evaluation: ____________________________ Quarter: 1ST QUARTER

Target Areas Evident Fairly Evident Not Evident REMARKS

(5) (3) (0)
1. Printed Module
2. Packaging of Modules
3. Checked Modules
4. Distribution and Retrieval Forms
5. Copy of Feedback on Errors
6. MELC in all Subject Area
7. Learner Enrolment and Survey
Form
8. Class Record and Grading Sheets
9. Summative Test/Assessment
10. Summative Test Result with Item
Analysis and Interpretation
11. Weekly Home Learning Plan
12. Individual Monitoring Plan
13. Individual Workweek Plan

Address: Sitio Dumaliguia, Runruno, Quezon, Nueva Vizcaya

Telephone/Mobile No.: 09972083988
Email Address:
* *
Website:
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya
DUMALIGUIA ELEMENTARY SCHOOL

14. Individual Workweek Plan

Accomplishment Report
15. Class Program (on the table &
Door)
16. Reading Profile of Learners (PHIL
IRI English & Filipino, EGRA)
17. Numeracy Profile of Learners (Non-
Numerates, MYS)
18. Writing Profile of Learners
19. SF1 (LIS Generated)
20. SF3
21. SF10 (Form137)
22. Report Card (Form 138)
23. Home Visitation Form
24. Stakeholder’s Donation Form
25. Classroom BE LCP
26. Profiling of Learners
27. Classroom Logbook
28. Homeroom Guidance Tools
29. School Coordinatorship Action Plan
30. Cleanliness and Orderliness of
Classroom
- Classroom Structure
- Repainted chairs/wall
- Uniformed Curtains
- At least 10 plants
- Organized cabinet

Address: Sitio Dumaliguia, Runruno, Quezon, Nueva Vizcaya

Telephone/Mobile No.: 09972083988
Email Address:
* *
Website:
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya
DUMALIGUIA ELEMENTARY SCHOOL

31. Wash Area w/ Hygiene Kit

-alcohol, soap, water, foot bath
32. Cleanliness of Zone/Garden
33. Wear School Uniform

Monitored and Evaluated by: Conforme:

LEIZEL M. ALEXANDER JONALYN A. NAVARRETE

T-III, TIC Teacher

Address: Sitio Dumaliguia, Runruno, Quezon, Nueva Vizcaya

Telephone/Mobile No.: 09972083988
Email Address:
* *
Website:
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya
DUMALIGUIA ELEMENTARY SCHOOL

CHECKLIST OF CLASSROOM MANAGEMENT

S.Y. 2020-2021
Name of Teacher: JHONA T. GUINID Grade Level: GRADE II
Position: TEACHER III Number of Learners M____ F____ T____
Date of Evaluation: ____________________________ Quarter: 1ST QUARTER

Target Areas Evident Fairly Evident Not Evident REMARKS

(5) (3) (0)
1. Printed Module
2. Packaging of Modules
3. Checked Modules
4. Distribution and Retrieval Forms
5. Copy of Feedback on Errors
6. MELC in all Subject Area
7. Learner Enrolment and Survey
Form
8. Class Record and Grading Sheets
9. Summative Test/Assessment
10. Summative Test Result with Item
Analysis and Interpretation
11. Weekly Home Learning Plan
12. Individual Monitoring Plan
13. Individual Workweek Plan
14. Individual Workweek Plan
Accomplishment Report

Address: Sitio Dumaliguia, Runruno, Quezon, Nueva Vizcaya

Telephone/Mobile No.: 09972083988
Email Address:
* *
Website:
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya
DUMALIGUIA ELEMENTARY SCHOOL

15. Class Program (on the table &

Door)
16. Reading Profile of Learners (PHIL
IRI English & Filipino, EGRA)
17. Numeracy Profile of Learners (Non-
Numerates, MYS)
18. Writing Profile of Learners
19. SF1 (LIS Generated)
20. SF3
21. SF10 (Form137)
22. Report Card (Form 138)
23. Home Visitation Form
24. Stakeholder’s Donation Form
25. Classroom BE LCP
26. Profiling of Learners
27. Classroom Logbook
28. Homeroom Guidance Tools
29. School Coordinatorship Action Plan
30. Cleanliness and Orderliness of
Classroom
- Classroom Structure
- Repainted chairs/wall
- Uniformed Curtains
- At least 10 plants
- Organized cabinet

31. Wash Area w/ Hygiene Kit

Address: Sitio Dumaliguia, Runruno, Quezon, Nueva Vizcaya

Telephone/Mobile No.: 09972083988
Email Address:
* *
Website:
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya
DUMALIGUIA ELEMENTARY SCHOOL

-alcohol, soap, water, foot bath

32. Cleanliness of Zone/Garden
33. Wear School Uniform

Monitored and Evaluated by: Conforme:

LEIZEL M. ALEXANDER JHONA T. GUINID

T-III, TIC Teacher

Address: Sitio Dumaliguia, Runruno, Quezon, Nueva Vizcaya

Telephone/Mobile No.: 09972083988
Email Address:
* *
Website:
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya
DUMALIGUIA ELEMENTARY SCHOOL

CHECKLIST OF CLASSROOM MANAGEMENT

S.Y. 2020-2021
Name of Teacher: GRACE M. SANSANO Grade Level: GRADE III
Position: TEACHER III Number of Learners M____ F____ T____
Date of Evaluation: ____________________________ Quarter: 1ST QUARTER

Target Areas Evident Fairly Evident Not Evident REMARKS

(5) (3) (0)
1. Printed Module
2. Packaging of Modules
3. Checked Modules
4. Distribution and Retrieval Forms
5. Copy of Feedback on Errors
6. MELC in all Subject Area
7. Learner Enrolment and Survey
Form
8. Class Record and Grading Sheets
9. Summative Test/Assessment
10. Summative Test Result with Item
Analysis and Interpretation
11. Weekly Home Learning Plan
12. Individual Monitoring Plan
13. Individual Workweek Plan
14. Individual Workweek Plan
Accomplishment Report
15. Class Program (on the table &
Door)

Address: Sitio Dumaliguia, Runruno, Quezon, Nueva Vizcaya

Telephone/Mobile No.: 09972083988
Email Address:
* *
Website:
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya
DUMALIGUIA ELEMENTARY SCHOOL

16. Reading Profile of Learners (PHIL

IRI English & Filipino, EGRA)
17. Numeracy Profile of Learners (Non-
Numerates, MYS)
18. Writing Profile of Learners
19. SF1 (LIS Generated)
20. SF3
21. SF10 (Form137)
22. Report Card (Form 138)
23. Home Visitation Form
24. Stakeholder’s Donation Form
25. Classroom BE LCP
26. Profiling of Learners
27. Classroom Logbook
28. Homeroom Guidance Tools
29. School Coordinatorship Action Plan
30. Cleanliness and Orderliness of
Classroom
- Classroom Structure
- Repainted chairs/wall
- Uniformed Curtains
- At least 10 plants
- Organized cabinet

31. Wash Area w/ Hygiene Kit

-alcohol, soap, water, foot bath
32. Cleanliness of Zone/Garden

Address: Sitio Dumaliguia, Runruno, Quezon, Nueva Vizcaya

Telephone/Mobile No.: 09972083988
Email Address:
* *
Website:
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya
DUMALIGUIA ELEMENTARY SCHOOL

33. Wear School Uniform

Monitored and Evaluated by: Conforme:

LEIZEL M. ALEXANDER GRACE M. SANSANO

T-III, TIC Teacher

CHECKLIST OF CLASSROOM MANAGEMENT

S.Y. 2020-2021

Address: Sitio Dumaliguia, Runruno, Quezon, Nueva Vizcaya

Telephone/Mobile No.: 09972083988
Email Address:
* *
Website:
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya
DUMALIGUIA ELEMENTARY SCHOOL

Name of Teacher: PRINCES ANNE T. INOCENCIO Grade Level: GRADE IV

Position: TEACHER I Number of Learners M____ F____ T____
Date of Evaluation: ____________________________ Quarter: 2ND QUARTER

Target Areas Evident Fairly Evident Not Evident REMARKS

(5) (3) (0)
1. Printed Module
2. Packaging of Modules
3. Checked Modules
4. Distribution and Retrieval Forms
5. Copy of Feedback on Errors
6. MELC in all Subject Area
7. Learner Enrolment and Survey
Form
8. Class Record and Grading Sheets
9. Summative Test/Assessment
10. Summative Test Result with Item
Analysis and Interpretation
11. Weekly Home Learning Plan
12. Individual Monitoring Plan
13. Individual Workweek Plan
14. Individual Workweek Plan
Accomplishment Report
15. Class Program (on the table &
Door)
16. Reading Profile of Learners (PHIL
IRI English & Filipino, EGRA)

Address: Sitio Dumaliguia, Runruno, Quezon, Nueva Vizcaya

Telephone/Mobile No.: 09972083988
Email Address:
* *
Website:
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya
DUMALIGUIA ELEMENTARY SCHOOL

17. Numeracy Profile of Learners (Non-

Numerates, MYS)
18. Writing Profile of Learners
19. SF1 (LIS Generated)
20. SF3
21. SF10 (Form137)
22. Report Card (Form 138)
23. Home Visitation Form
24. Stakeholder’s Donation Form
25. Classroom BE LCP
26. Profiling of Learners
27. Classroom Logbook
28. Homeroom Guidance Tools
29. School Coordinatorship Action Plan
30. Cleanliness and Orderliness of
Classroom
- Classroom Structure
- Repainted chairs/wall
- Uniformed Curtains
- At least 10 plants
- Organized cabinet

31. Wash Area w/ Hygiene Kit

-alcohol, soap, water, foot bath
32. Cleanliness of Zone/Garden
33. Wear School Uniform

Address: Sitio Dumaliguia, Runruno, Quezon, Nueva Vizcaya

Telephone/Mobile No.: 09972083988
Email Address:
* *
Website:
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya
DUMALIGUIA ELEMENTARY SCHOOL

Monitored and Evaluated by: Conforme:

LEIZEL M. ALEXANDER PRINCES ANNE T. INOCENCIO

T-III, TIC Teacher

CHECKLIST OF CLASSROOM MANAGEMENT

S.Y. 2020-2021
Name of Teacher: REY R. DUCUSIN Grade Level: GRADE V
Position: TEACHER III Number of Learners M____ F____ T____

Address: Sitio Dumaliguia, Runruno, Quezon, Nueva Vizcaya

Telephone/Mobile No.: 09972083988
Email Address:
* *
Website:
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya
DUMALIGUIA ELEMENTARY SCHOOL

Date of Evaluation: ____________________________ Quarter: 2ND QUARTER

Target Areas Evident Fairly Evident Not Evident REMARKS

(5) (3) (0)
1. Printed Module
2. Packaging of Modules
3. Checked Modules
4. Distribution and Retrieval Forms
5. Copy of Feedback on Errors
6. MELC in all Subject Area
7. Learner Enrolment and Survey
Form
8. Class Record and Grading Sheets
9. Summative Test/Assessment
10. Summative Test Result with Item
Analysis and Interpretation
11. Weekly Home Learning Plan
12. Individual Monitoring Plan
13. Individual Workweek Plan
14. Individual Workweek Plan
Accomplishment Report
15. Class Program (on the table &
Door)
16. Reading Profile of Learners (PHIL
IRI English & Filipino, EGRA)
17. Numeracy Profile of Learners (Non-
Numerates, MYS)

Address: Sitio Dumaliguia, Runruno, Quezon, Nueva Vizcaya

Telephone/Mobile No.: 09972083988
Email Address:
* *
Website:
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya
DUMALIGUIA ELEMENTARY SCHOOL

18. Writing Profile of Learners

19. SF1 (LIS Generated)
20. SF3
21. SF10 (Form137)
22. Report Card (Form 138)
23. Home Visitation Form
24. Stakeholder’s Donation Form
25. Classroom BE LCP
26. Profiling of Learners
27. Classroom Logbook
28. Homeroom Guidance Tools
29. School Coordinatorship Action Plan
30. Cleanliness and Orderliness of
Classroom
- Classroom Structure
- Repainted chairs/wall
- Uniformed Curtains
- At least 10 plants
- Organized cabinet

31. Wash Area w/ Hygiene Kit

-alcohol, soap, water, foot bath
32. Cleanliness of Zone/Garden
33. Wear School Uniform

Monitored and Evaluated by: Conforme:

Address: Sitio Dumaliguia, Runruno, Quezon, Nueva Vizcaya

Telephone/Mobile No.: 09972083988
Email Address:
* *
Website:
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya
DUMALIGUIA ELEMENTARY SCHOOL

LEIZEL M. ALEXANDER REY R. DUCUSIN

T-III, TIC Teacher

CHECKLIST OF CLASSROOM MANAGEMENT

S.Y. 2020-2021
Name of Teacher: JENNYLYN S. BANGAD Grade Level: GRADE VI
Position: TEACHER III Number of Learners M____ F____ T____
Date of Evaluation: ____________________________ Quarter: 2ND QUARTER

Address: Sitio Dumaliguia, Runruno, Quezon, Nueva Vizcaya

Telephone/Mobile No.: 09972083988
Email Address:
* *
Website:
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya
DUMALIGUIA ELEMENTARY SCHOOL

Target Areas Evident Fairly Evident Not Evident REMARKS

(5) (3) (0)

Address: Sitio Dumaliguia, Runruno, Quezon, Nueva Vizcaya

Telephone/Mobile No.: 09972083988
Email Address:
* *
Website:
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya
DUMALIGUIA ELEMENTARY SCHOOL

1. Printed Module
2. Packaging of Modules
3. Checked Modules
4. Distribution and Retrieval Forms
5. Copy of Feedback on Errors
6. MELC in all Subject Area
7. Learner Enrolment and Survey
Form
8. Class Record and Grading Sheets
9. Summative Test/Assessment
10. Summative Test Result with Item
Analysis and Interpretation
11. Weekly Home Learning Plan
12. Individual Monitoring Plan
13. Individual Workweek Plan
14. Individual Workweek Plan
Accomplishment Report
15. Class Program (on the table &
Door)
16. Reading Profile of Learners (PHIL
IRI English & Filipino, EGRA)
17. Numeracy Profile of Learners (Non-
Numerates, MYS)
18. Writing Profile of Learners
19. SF1 (LIS Generated)
20. SF3
21. SF10 (Form137)

Address: Sitio Dumaliguia, Runruno, Quezon, Nueva Vizcaya

Telephone/Mobile No.: 09972083988
Email Address:
* *
Website:
 Republic of the Philippines
Department of Education
Region II – Cagayan Valley
Schools Division of Nueva Vizcaya
DUMALIGUIA ELEMENTARY SCHOOL

22. Report Card (Form 138)

23. Home Visitation Form
24. Stakeholder’s Donation Form
25. Classroom BE LCP
26. Profiling of Learners
27. Classroom Logbook
28. Homeroom Guidance Tools
29. School Coordinatorship Action Plan
30. Cleanliness and Orderliness of
Classroom
- Classroom Structure
- Repainted chairs/wall
- Uniformed Curtains
- At least 10 plants
- Organized cabinet

31. Wash Area w/ Hygiene Kit

-alcohol, soap, water, foot bath
32. Cleanliness of Zone/Garden
33. Wear School Uniform

Monitored and Evaluated by: Conforme:

LEIZEL M. ALEXANDER JENNYLYN S. BANGAD

T-III, TIC Teacher

Address: Sitio Dumaliguia, Runruno, Quezon, Nueva Vizcaya

Telephone/Mobile No.: 09972083988
Email Address:
* *
Website: