Checklist for clearnace

1. Republic ofthePhilippines
DepartmentofEducation
Caraga Region
Schools Division of Agusan del Norte
TUBAY DISTRICT-II
Name of Teacher: WILLIAM E. FELISILDA Grade Level: 9 School ID: 317309
School: DONA ROSARIO NATIONAL HIGH SCHOOL District: TUBAY II
School Head: ROLANDO A. LAURO Date of Monitoring:_____________________
Monitored by: _________________________________________________________________________
School Forms
Complete
(/)
Incomplete
(/)
Total No. of
Sections per
Grade Level
TA Provided Remarks
SF 1
- SchoolRegister(LIS Generated)
SF 2
- DailyAttendanceReport (May& June)
SF 3- Books Issued& Returned/Recordof
Distribution/Retrievalof Modules
SF 4
- MonthlyLearnersMovementandAttendance
(LIS Generated)
SF 5
- Reporton PromotionandLevel of Proficiency
(LIS Generated)
SF 5 A
- SHS End of SemesterandSchoolYear Status of
Learnersfor SeniorHighSchool
SF 5 B
- SHS List of LearnerswithComplete SeniorHigh
School Requirements
SF 5 K
- Reporton PromotionandLevel of Proficiencyfor
Kinder(LIS Generated)
SF 6
- SummarizeReportonPromotionandLevel of
Proficiency(Kinder.Grade6, Grade10and
Grade12)
SF 6
- SHS SummarizeReportof LearnerStatus as of
End of SemesterandSchoolYear for Senior
HighSchool
SF 7
- Inventory SchoolPersonnel(K-6,G7-G10)
SF 7
- SchoolPersonnelBasic ProfileandAssignment
for Senior HighSchool
SF 8
- LearnersBasic HealthProfile
SF 9

2. - LearnersProgressReport Card/ECCDChecklist
(with attachmentofHomeroom Guidance
LearnersDevelopmentAssessment)
SF 10
- LearnersPermanentAcademicRecord (with
attachmentofHomeroom GuidanceLearners
DevelopmentAssessment)
AF 1
- Masterlistof MappedandPotentialLearners
AF 2
- ALS EnrolmentForm/Learner’sBasic Profile
AF 3
- Masterlistof EnrolledLearnerswithEnd of
Program/CYStatus
AF 4
- Masterlistof A & E Registrants
AF 5
- Learner’sPermanentRecord
Summaryof Grades (1st-4th,Quarter, Final)
ClassRecords (1st-4th,Quarter per Learning Area)
LearnersBirth CertificateorEquivalent Document
List of CompleterswithLRN
List of Graduates(Candidates)withLRN
CompletionCertificates
Diploma
MPSper LearningArea (1st to 4th Quarter)
Checked by:
Chairman: Members:
_________________________ _________________ _________________ _________________
SchoolHead (Grade Consultant) Teacher Teacher Teacher
____________________________________________
SIGNATURE OVER PRINTED NAME OF TEACHER
NOTED:
JUVY A. SUSON
District In Charge