1. QM - Page 1 of 3
Republic of the Philippines
Department of Education
Cordillera Administrative Region
Schools Division of Tabuk City
Bulanao Central School Compd., Purok 2, Bulanao, Tabuk City, Kalinga
FOURTH QUARTER 2022 MONITORING, EVALUATION, AND ADJUSTMENT TOOL FOR SCHOOLS
(October to December 2022)
TEMPLATE A (FOR PUBLIC, PRIVATE, SUC SCHOOLS)
Name of
School:
District:
1. KEY PERFORMANCE INDICATORS
a) For Public Schools and Private Schools
Key Indicators
Elementary Junior High School Senior High School Remarks
(Reasons & Analyses)
Male Female Total Male Female Total Male Female Total
a. Number of Transfer-in
b. Number of Transfer-out
c. No. of Dropout or Learner-
At-Risk of Dropping Out
d. Number of Learner Failed
in the First Quarter
e. 1st Quarter Overall MPS
f. 1st Quarter Overall GWA
b) Reading Profile Progress Monitoring
Grade
Enroll
ment
Baseline Data (Results of Diagnosis) Status of Learner’s Progress (As of End of November 2022)
L1 L2 L3 L4 L5 L6 L7 L8 L9 L10 Total L1 L2 L3 L4 L5 L6 L7 L8 L9 L10 Total
Kinder
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
2. QM - Page 2 of 3
Grade 6
Total
Analysis: ____________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________
2. ACCOMPLISHMENT REPORT BASED ON SIP-AIP, SCHOOL LEARNING RECOVERY & CONTINUITY PLAN (SLRCP) AND OTHER SOURCES
Note: This is a modified Project Monitoring Form under DO 44, s. 2015 (“ESIP Guidelines”)
a) Physical Accomplishments (Program/Projects/Activities) from October to December
TITLE OF PROGRAM/
PROJECTS & ACTIVITIES
(PPAs)
OBJECTIVES
AND TARGETS
ACCOMPLISHMEN
REMARKS
Ways Forward
Physical Financial
Target* Actual
% of
Accompli
shment
Target Actual
% of
Accompli
shment
Hindering
Factor
Facilitating
Factor
SIP-AIP
SLRCP
OTHER SOURCES
Note:
• For SIP-AIP, the targets are based on applicable project objectives/targets stated in the plan
• Private schools are encouraged to accomplish this by following their respective Action Plans
3. QM - Page 3 of 3
3. VALUE-ADDED OUTPUTS/ACCOMPLISHMENTS (Those not reflected in the Plan but have significant result/ outcome/ impact. E.g., Generated
funds for the restoration of one (1) school building damaged by typhoon)
PROGRAMS/ACTIVITIES/PROJECTS AMOUNT IF ANY SOURCE OF FUND OUTPUTS/RESULTS/OUTCOME
4. UNRESOLVED ISSUES/CONCERNS /CHALLENGES/PROBLEMS AND RECOMMENDATIONS FOR THE DIVISION OFFICE TO UNDERTAKE
Issues/ Concerns/
Challenges/ Problems
Action Taken Result Recommendations to Division Office
Term of Reference:
• Action Taken – State what were the specific actions the school has undertaken to address or resolve the issues/concerns/challenges
• Result – Your entry is either Resolved or Unresolved
• Recommendations - State recommendations and specify whether to be resolved/acted upon at the Division Level
5. SCHOOL RE-ENTRY/CATCH-UP PLAN FOR 1ST QUARTER 2023 IF ANY
PPAs to be Re-Entered Reasons for Re-Entry
Target Date/ Period of
Implementation
Enhancement Process/Strategy/Activity (If Any)
6. LESSONS LEARNED
a)
b)
c)
Prepared by:
________________________________________ Date: ______________________________
Signature Over Printed Name of School Head
