Republic of the Philippines

Department of Education
Region IV-A CALABARZON
Division of Rizal

SAN GUILLERMO NATIONAL HIGH SCHOOL

San Guillermo, Morong, Rizal

NAME OF PRINCIPLE: PRINCIPLE 1- LEADERSHIP and MANAGEMENT DEPARTMENT: AP/VALUES

NAME OF CHAIRPERSON: WILLIEJADO L. LUMHOD/MERCY SJ. INGUITO DATE OF EVALUATION: _________

TWG: ___________________________________________________

_____1. DEPED ORDER NO. 36, s. 2013 ____10. School Organizational chart (with roles)

_____2. Displayed Vision and Mission Statements ____11. Office Order/Job Description

_____3. Original and Revised SIP ____12. List of Homeroom Officers

_____4. Documents to Show the revision of SIP ____13. Documents on School Budget Allocation

_____5. Barangay Development Plan ____14. Personnel Evaluation System/Per Rating

_____6. School Profile Report Card ____15. Staff and Students’ Handbook (If any)

_____7. State of the School Report of the SH ____16. SPG/SSG Accomplishment Report

_____8. SH’s/DH’s Professional Dev’t Plan ____17. Home room and Gen. PTA Accomp. Report

_____9. School Incentives/ Reward System for staff, Students and School Community

Verified by:

JENNY G. DELOS SANTOS MARLEA B. RECTO NORAYDA DL. MONTEALEGRE

SBM Coordinator SSG President GPTA President

ROQUITA S. SUYOD
Principal II
 Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Division of Rizal

SAN GUILLERMO NATIONAL HIGH SCHOOL

San Guillermo, Morong, Rizal

NAME OF PRINCIPLE: PRINCIPLE 2- CURRICULUM AND LEARNING DEPARTMENT: ENGLISH/SCIENCE

NAME OF CHAIRPERSON: MARITES I. ESPEJO/JUVY S. DELOS SANTOS DATE OF EVALUATION: _________

TWG: ___________________________________________________

_____1. Student Portfolio ____20. DAT RESULTS

_____2. List of Non-Readers ____21. NAT Review Schedule (If Done)

_____3. List of Frustration Reader by Grade Level ____22. School reading Action Plan

_____4. List of Instructional Readers by Grade Level ____23. Copy of Vision and Mission

_____5. List of Independent Readers by Grade level ____24. Letter of Invitation Sent/Received

_____6. Staff and Student Handbook ____25. Attendance/Pictorials

_____7. Localized Lesson Plans ____26. Certificates of Appreciation

_____8. Portfolio of Quizzes ____27. Periodical and Year-end Reports

_____9. Report Cards ____28. Professional Development Programs

_____10. Meeting Conducted Every Periodic Rating ____29. CGS/TGS/LMS/ Syllabus

_____11. Attendance During School Activities ____30. Student Learning Plans

(Attendance/Minutes/Resolutions)
_____12. School-Based Monitoring and Evaluation
(Observation and Supervisory Plan/
Checklist Implementation/Memorandum/
Report on Results: Application to Teaching-
Learning and Innovation(s))
______13. Remedial/Intervention Programs
______14. Drop-Out Reduction Program
______15. Summative Test and Periodical Test
______16. Phil-IRI
______17. MPS of Summative Test and Periodical Tests ____40. Health Program (Nutritional Status,
______18. FORM 138 and 137
______19 NAT Result (LAST 2 Years)
____31. Reading Program (Phil-IRI, EGRA, etc.)
____32. Science and Math Program (EGMA, Invst)
____33. English and Filipino Program (Journalism
Program, School Publication, SPA Dev’t)
____34. MAPEH PROGRAM
____35. SPED Program
____36. SPORTS Program
____37. MADRASHA/ALIVE
____38.ALS (Literacy Program, A&E Results)
____39. EPP/TECH-VOC Program
Feeding Program, Etc.)

Verified by:

JENNY G. DELOS SANTOS MARLEA B. RECTO NORAYDA DL. MONTEALEGRE

SBM Coordinator SSG President GPTA President

ROQUITA S. SUYOD
Principal II
 Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Division of Rizal

SAN GUILLERMO NATIONAL HIGH SCHOOL

San Guillermo, Morong, Rizal

NAME OF PRINCIPLE: PRINCIPLE 3 ACCONTABILITY AND CONTINOUS IMPROVEMENT DEPARTMENT: FIL/MATH

NAME OF CHAIRPERSON: IRMA A. DOLORES\SUSAN I. ARALAR DATE OF EVALUATION: _________

TWG: ___________________________________________________

_____1. Participation Rate ____18. Approved Work and Financial Plan

_____2. Cohort Survival Rate ____19. Validated and Signed Liquidation Reports

_____3. Drop-out Rate ____20. Reports of Financial Transactions

_____4. Retention Rate ____21. Records of Donations In-Cash and In-kind

_____5. Achievement Rate ____22. Canteen Report

_____6. Completion Rate ____23. Written Appointment of School Canteen

Manager and Assistant
_____7. NAT RESULT ____24. Canteen Financial Reports (audited/signed)

_____8. NAT Review Schedule (If any) ____25. Report on Share Funds from Sch. Canteen

_____9. DAT Results ____26. PTA Records of Annual Program and project with
_____10. TSNA Corresponding audited Financial Reports
_____11. IPPD ____27. Approved Request Form/Matrix (SBIDP)

_____12. CIP ____28. INSET and its Schedule of reports

_____13. RPMS (OPCRF/IPCRF) ____29. Coaching and Mentoring Schedule and Reports

_____14. Records of School MOOE/SBM ____30. Observation and Supervisory Plan

_____15. Crises Management Plan ____31. Checklist implementation

_____16. LIST of School Building and Facilities built by _____32. Report on Result of M&E
LGUs, NGOs in the last 2 Years _____33. Memorandum
_____17. Record and Pictures of Events, Activities
Held or spearheaded by stakeholders and
The school

Verified by:
JENNY G. DELOS SANTOS MARLEA B. RECTO NORAYDA DL. MONTEALEGRE
SBM Coordinator SSG President GPTA President

ROQUITA S. SUYOD
Principal II
 Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Division of Rizal

SAN GUILLERMO NATIONAL HIGH SCHOOL

San Guillermo, Morong, Rizal

NAME OF PRINCIPLE: PRINCIPLE 4- MANAGEMENT OF RESOURCES DEPARTMENT: MAPEH/TLE

NAME OF CHAIRPERSON: GINA C. SALVADOR/ LEN FERNANDO DATE OF EVALUATION: _________

TWG: ___________________________________________________

_____1. BEIS ____11. School Site Title

_____2. Report on Brigada Eskwela ____11. Inventory of Physical Facilities

_____3. Financial Support on Brigada Eskwela
_____4. Project Proposal for Sch. Improvement plan
_____5. Income Resources Generating Program
____12. Feeding Beneficiaries (SBFP, School
Canteen feeding, other Stakeholders’
Feeding programs.
____13. Other Stakeholders’ financial support for
School Programs and Projects
____14. Regular Resources Inventory

_____6. Fidelity Bond Document ____15. Annual AIP Revision/Adjustment

_____7. Plantilla ____16. Memorandum of Agreement for Utility

_____8. School Feeding Program

_____9. School Head’s and Staff’s Prof.Dev’t. Plan

_____10. School Layout

Verified by:

JENNY G. DELOS SANTOS MARLEA B. RECTO NORAYDA DL. MONTEALEGRE

SBM Coordinator SSG President GPTA President

ROQUITA S. SUYOD
Principal II