School-based management form

1. RepublicofthePhilippines
DepartmentofEducation
Region II – Cagayan Valley
Address: Regional Government Center, CarigSur, Tuguegarao City, 3500
Telephone Nos.: (078) 304-3855;(078) 396-9728
Email Address: region2@deped.gov.ph
Website: region2.deped.gov.ph Doc Code: FM-FTD-005 Rev: 00
As of: Mar 17, 2021 Page: 1
Republicof theP hilippines
Department of Educ
ation
Reg io n II – Cag ayan Val l ey
SBM PROGRESS MONITORING TOOL
Date: _______________________
I. PERFORMANCE IMPROVEMENT
A. ACCESS
Grade Level
Enrolment
No of Learners
(SY 2019-2020)
No of Learners
(SY 2020-2021)
Enrolment as of
(SY 2021-2022)
Enrolment as of
(October 2021)
Trend
(Increasing/
Decreasing/ Fluctuating)
Reason for the
Variance
M F Total M F Total M F Total M F Total
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
GENERAL INFORMATION
Name of School Address
Division School ID
Name of Principal CP Number
SBM Coordinator CP Number
Total No. Of
Teachers
Total No. of Non-Teaching
Staff

2. Address: Regional Government Center, CarigSur, Tuguegarao City, 3500
Telephone Nos.: (078) 304-3855;(078) 396-9728
Email Address: region2@deped.gov.ph
Website: region2.deped.gov.ph Doc Code: FM-FTD-005 Rev: 01
As of: Mar 17, 2021 Page: 2
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Grand Total
No of Learners
(SY 2019-2020)
No of Learners
(SY 2020-2021)
Enrolment as of
(SY 2021-2022)
Enrolment as of
(October 2021)
Trend
(Increasing/Decreasing)
Reason for the
Variance
M F Total M F Total M F Total M F Total
ALS LEARNERS
No. of Learners
Mapped
No. of OSC/OSY
enrolled
No. of Learners
who completed
module
No. of Learners
who took the A &
E Test
No. of A&E
passers
SPED
LEARNERS
No. of SPED
LEARNERS
IPED
LEARNERS
No. of IPED
LEARNERS

3. Address: Regional Government Center, CarigSur, Tuguegarao City, 3500
Telephone Nos.: (078) 304-3855;(078) 396-9728
Email Address: region2@deped.gov.ph
Website: region2.deped.gov.ph Doc Code: FM-FTD-005 Rev: 01
As of: Mar 17, 2021 Page: 3
B. EFFICIENCY
KPIs SY 2019-2020 SY 2020-2021 SY 2021-2022
Trend-
(Increasing/Decreasing)
Reason for
Variance
Gross Enrolment Rate
Net Enrolment Rate
% of Learners Enrolled
in Special Programs
% of SHS enrolment
Aligned to NCAE Result
Cohort Survival Rate
Transition Rate
School Leaver Rate
Repetition Rate
Drop out Rate
Completion Rate
Proportion of Learners
Performing at Mastered
Level
Promotion Rate
Graduation Rate
ALS Completion Rate
ALS A&E Passer Rate
C. QUALITY
KPIs
*SY 2012-2013/
SY 2019-2020
*SY 2013-2014/
SY 2020-2021
*SY 2014-2015/
SY 2021-2022
Trend-
(Increasing/Decreasing)
Reason for Variance
For Elementary Schools:
NAT 3*
NAT 6*
For Secondary Schools:
NAT 10*
For Senior High Schools:

4. Address: Regional Government Center, CarigSur, Tuguegarao City, 3500
Telephone Nos.: (078) 304-3855;(078) 396-9728
Email Address: region2@deped.gov.ph
Website: region2.deped.gov.ph Doc Code: FM-FTD-005 Rev: 01
As of: Mar 17, 2021 Page: 4
Grade 12 NAT/Exit
Assessment
II. STATUS OF SBM Implementation
1. Conducted SBM School-Initiated Self-Assessment Yes No
2. Used the D-O-D Process Yes No
3. SBM Level of Practice: Level I Beginning
Level II Maturing
Level III Advanced
A. ENHANCED SCHOOL IMPROVEMENT PLAN (E-SIP) & OTHER SBM ARTIFACTS
CONCERNS Evident Not Evident CIGPs
School Improvement Plan with Certificateof Acceptance
(SY 2019-2022)
a. Chapter 1 – DepEd’s Vision,Mission,and Core
Values Statement ( Documentation of the
Vision-Mission Sharing Activity,SPT Roles &
Responsibilities,SPTTimetable)
b. Chapter 2- Schools Current Situation ( School’s
Current Situation,Results of the Prioritization of
Root Causes,Listof PIAs, PlanningWorksheet)
c. Chapter 3- Plan ( Listof Solutions,ProjectWork
Plan and Budget Matrix, Annual Implementation
Plan)
d. Chapter 4- Monitoring& Evaluation
(Project MonitoringReport)
School Head with Team
School Community-PlanningTeam
School ProjectTeam
School Governing Council
School Report Card (SRC)

5. Address: Regional Government Center, CarigSur, Tuguegarao City, 3500
Telephone Nos.: (078) 304-3855;(078) 396-9728
Email Address: region2@deped.gov.ph
Website: region2.deped.gov.ph Doc Code: FM-FTD-005 Rev: 01
As of: Mar 17, 2021 Page: 5
B. SCHOOL-BASED MANAGEMENT(SBM) PRACTICE
Learners’ Hand Book
BELCP
Modules/LAS
School-Based Child Protection Policy/Anti-BullyingPolicy
Implementation
Canteen Management
School Clinic
SBFP/Gulayan sa Paaralan
DRRM
WASH IN SCHOOLS (WinS Program)/ WatSan
Utilization of MOOE and Other Resources
Transparency Board
Other Stakeholders’Accomplishments (PleaseSpecify)
SBM THEMATIC AREAS/PRINCIPLES Documented Practices
(Innovations/Effective Practices/Best Practices)
A. LEADERSHIP AND GOVERNANCE
B. CURRICULUM AND LEARNING
C. ACCOUNTABILITY AND CONTINUOUS IMPROVEMENT
D. RESOURCE MANAGEMENT

6. Address: Regional Government Center, CarigSur, Tuguegarao City, 3500
Telephone Nos.: (078) 304-3855;(078) 396-9728
Email Address: region2@deped.gov.ph
Website: region2.deped.gov.ph Doc Code: FM-FTD-005 Rev: 01
As of: Mar 17, 2021 Page: 6
III. TEACHERS’ PROFESSIONAL DEVELOPMENT
Educational Attainment of Teachers Total Number Position Total Number TrainingNeeds
Teachers with MA Units Teacher 1 No. of Newly-Hired Teachers (i.e., w/ 0-3 years of experience) who
attended orcompletedTIP Module: _________________
Teachers with MA Degree Teacher 2
Teachers with PhD Units Teacher 3
PhD Degree Master Teacher 1
Others Master Teacher 2
Head Teacher 1
Head Teacher 2

7. Address: Regional Government Center, CarigSur, Tuguegarao City, 3500
Telephone Nos.: (078) 304-3855;(078) 396-9728
Email Address: region2@deped.gov.ph
Website: region2.deped.gov.ph Doc Code: FM-FTD-005 Rev: 01
As of: Mar 17, 2021 Page: 7
Head Teacher 3
Head Teacher 4
Head Teacher 5
Others
Total
IV. SCHOOL AWARDS AND RECOGNITION
Programs Awards & Recognitions Sponsor Prize Year Given/Awarded
1.
2.
3.
4.
5.
Note: Use additional sheet/s if necessary.
V. ISSUES AND CONCERNS
(Note: This must be solicited through an interview. Not just1 or 2 to answer this.)
Priority Needs Problems Met/Challenges TA needed from the DO/RO
1.
2.
3.
4.
5.
6.
7.
8.
9.

8. Address: Regional Government Center, CarigSur, Tuguegarao City, 3500
Telephone Nos.: (078) 304-3855;(078) 396-9728
Email Address: region2@deped.gov.ph
Website: region2.deped.gov.ph Doc Code: FM-FTD-005 Rev: 01
As of: Mar 17, 2021 Page: 8
10.
_____________________ ______________________ _______________________
School Head Division Monitor RO Monitor