MONITORING AND EVALUATION TOOL ON PROGRESSIVE EXPANSION OF LIMITED
F2F CLASSES
School Name: __________________________________________ School ID: ______________________
School Head: __________________________________________ CP Number: ____________________
School Address: _________________________________________________________________________
District: ________________________ Division: _______________________________________________
I. Grade Level Offering for Limited F2F
Pls mark( or X)
Elementary
No. of Learners
Male
Female
TOTAL
No. of Learners
Male
Female
TOTAL
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
GRAND TOTAL
Pls mark( or X)
Secondary
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
GRAND TOTAL
II. School Safety Assessment
Categories for School
Reasons for
Safety Assessment
Concerns/Issues/Gaps/Problems
Managing School Operations
a. Shared
Responsibility
b. Alternative Work
Arrangement
c. Classroom, LayOut and Structure
d. School Traffic
Management
e. Protective
Measures,
Interventions
BARCO DE HERE
Document Control No:
DepEdRO13-F-REC-004/R3/2-18-2020
Hygiene Practices,
and Safety
Procedures
f. Communication
Strategy
g. Contingency Plan
Focusing on Teaching and Learning
a. Learning
Resources
b. Limited Face-toFace Classes
c. Teacher Support
Well-Being and Protection
a. Personal
Protective
Equipment
b. COVID-19 Case
Management
c. Including the
Most Marginalized
Home-School
Coordination
Accomplish the table below based on the total implementation of the progressive
expansion of the limited F2F classes.
What went right?
What needs to be improved?
III. General Findings/Observations
1. Findings/Observations
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2. Actions Taken
___________________________________________________________________________
___________________________________________________________________________
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3. Recommendations
___________________________________________________________________________
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Prepared by:
____________________________
School Head
Date: _________________________
Certified by:
____________________________
Division Focal Person
Date: _________________________