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District of ______________

School Name

SBM VALIDATION FORM


TEMPLATE
TABLE 1

1 2 3 4 5 6
Thematic Rating and
Area Performance Indicators Data Computation Result
Equivalent Points
Enrolment Rate (ER)
Access 45%

SY 2016 -2017 935 1-Marginal: At least 1% increase


SY 2017 - 2018 984 5.24 Source:
2-Average: At least 3% increase
0 X 0.45 0.00 BEIS
SY 2018 - 2019 927 -5.79 3- High: At least 5% increase BOSY
Average % of Increase /Decrease -0.28
Rating 0
DROP OUT RATE (DR)
SY 2016 -2017 1.00 1-Marginal: At least 2% decrease
Total No. of Drop Outs 2 2-Average: At least 4% decrease
Total No. of Enrollment+Drop Out 200 3- High: Has 0 DR or more than
SY 2017 - 2018 0.38 4% decrease
Total No. of Drop Outs 1 Source:
BEIS
Total No. of Enrollment+Drop Out 260
EOSY
SY 2018 - 2019 1.08
Total No. of Drop Outs 3 -61.54
Total No. of Enrollment+Drop Out 279 179.57
Note: Kindly fill out all WHITE CELLS only

Name of School Head:

Position:
o. of Years in Present School:
ntact No. of the School Head:
Contact No. of the School:
E-Mail Address of the School:
EOSY

Average % of Increase /Decrease 59.02


Rating 0
COMPLETION OR GRADUATION RATE (CR)
SY 2016 -2017 93
No. of Graduates SY 2016 -2017 185
Grade I Enrolment SY 2011 - 2012 200 1-Marginal: At least 5% increase
SY 2017 - 2018 87
Efciency 25%

2-Average: At least 7% increase


No. of Graduates SY 2017 - 2018 175 Source:
3- High: At least 10% increase
BEIS
Grade I Enrolment SY 2012- 2013 201 or at least 95% CR for the last 3 years 1.00 x 0.25 0.25 EOSY
SY 2018 - 2019 80
No. of Graduates SY 2018 - 2019 200 -5.88
Grade I Enrolment SY 2013 -2014 250 -8.11
Average % of Increase /Decrease -7.00
Rating 0
COHORT SURVIVAL RATE (CSR)
SY 2016 -2017 98
No. of VI Enrollment SY 2016 -2017 260
Grade I Enrolment SY 2011 - 2012 265 1-Marginal: At least 5% increase
SY 2017 - 2018 96 2-Average: At least 7% increase
No. of VI Enrollment SY 2017 - 2018 267 3- High: At least 10% increase Source:
Grade I Enrolment SY 2012- 2013 279 or at least 95% CSR for the last 3 years BEIS
SY 2018 - 2019 98 BOSY
No. of VI Enrollment SY 2018 - 2019 278 -2.46
Grade I Enrolment SY 2013 -2014 284 2.29
Average % of Increase /Decrease -0.09
Rating 3
SUB-TOTAL(DR+CR+CSR)/3= 1.00
MPS
Quality 30%

SY 2016 - 2017 75 1 - Marginal: at least 2% increase

3 x 0.3 0.90
MOVs: LOA
LINK SY 2016-2017
Quality 30%
SY 2017 - 2018 75 0.00 2 - Average: at least 5% increase
3 x 0.3 0.90
SY 2018 - 2019 75 0.00 3 - High: at least 7% increase

Average % of Increase /Decrease 0.00 or at least 75% MPS

Rating 3
SUB - TOTAL 1.15

Table 2

Accountability and
Curriculum and Management of
Leadership and Governance Continuous
Learning Resources
Improvement
Item No. Score Item No. Score Item No. Score Item No. Score
1 3 1 1 1 3 1 3
2 3 2 2 2 3 2 3
3 3 3 3 3 3 3 3
4 1 4 2 4 3 4 3
5 2 5 3 5 3 5 3
6 3
7 3
TOTAL 12 TOTAL 17 TOTAL 15 TOTAL 15
AVERAGE 2.40 AVERAGE 2.43 AVERAGE 3.00 AVERAGE 3.00

Table 3

Categories Percentage Computations Sub Total


Leadership and Governance 30% 2.40 x 0.30 0.72
Curriculum and learning 30% 2.43 x 0.30 0.73
Accountability and Continuous improvement 25% 3.00 x 0.25 0.75
Management of Resources 15% 3.00 x 0.15 0.45
Sub Total 2.65
LINK SY 2017-2018
LINK SY 2018-2019
Table 4

Performance Improvement SBM Assessment Score Based on DOD


Total
60% 40% Level
A+B
Sub-total Computation Result (A) Sub-total Computation Result (B)
1.15 1.15 x 0.6 0.69 2.65 2.65 x 0.4 1.06 1.75 II

Description Maturing

Evaluated by: Checked & Verified: Noted:

_____________________________ ______________________________ _____________________________

*Note: For the School Validation (Evaluated by the SBM Coordinator, Checked & Verified by the School M&E Coordinator, Noted
For the District Validation (Evaluated by the District Validator, Checked & Verified by the District SBM Consultant, and Noted by
For the Division Validation (Evaluated by the Division Validator, Checked and Verified by the EPS II-SMME, Noted by the Di
SCHOOL-BASED MANAGEMENT (SBM) PRACTICES ASSESSMENT TOOL

School: ________________________________________________________
Name of School Head: ____________________________________________

Directions: Rate the SBM Practices per indicator based on the indicated artifacts (e.g. compliance to artifac
1, compliance to artifacts a-c, check 2, compliance to artifacts a-e, check 3).

Ratings:
0 No evidence
1 Evidences indicate that indicators/ artifacts were at least 25% met
2 Evidences indicate that indicators/ artifacts were at least 75% met
3 Evidences indicate practices and procedures satisfy quality standards (All or 10

PRINCIPLE I: LEADERSHIP AND GOVERNANCE (30%, X 0.30)

STANDARD INDICATOR

A network of leadership and 1. In place is a development


governance guides the education plan developed collaboratively
system to achieve its shared by the stakeholders of the
vision, mission and goals making school and community
them responsive and relevant to
the context of diverse
environments.
INDICATOR

2. The development plan is


regularly reviewed by the school
community to keep it responsive
and relevant to emerging needs,
INDICATOR

3. The school is organized by a


clear structure and work
arrangements that promote
shared leadership and
governance and define the roles
4. A leadership network
facilitates communication
between and among the school
and community leaders for
informed decision-making and
5. A long-term program is in
operation that addresses the
training and development needs
training and development needs
of school and community
leaders.
TOTAL
AVERAGE
RATING (AVERAGE x 30%)

PRINCIPLE II: CURRICULUM AND INSTRUCTION (30%, X 0.30)

STANDARD INDICATOR

The curriculum learning systems 1. The curriculum provides for


anchored on the community and the development needs of all
learners’ contexts and aspirations types of learners in the school
are collaborative ly developed and community
continuously improved.

INDICATOR

2. The implemented curriculum


is localized to make it more
meaningful to learners and
applicable in the community

INDICATOR

3. A representative group of
school and community
stakeholders develop the
method and materials for
developing creative thinking and
INDICATOR

4. The learning systems are


regularly and collaboratively
monitored by the community
using appropriate tools to
5. Appropriate assessment tools
for teaching and learning are
continuously reviewed and
improved, and assessment
INDICATOR

6. Learning managers and


facilitators nurture values and
environments that are protective
of all children and demonstrate
behaviors consistent to the
organization’s vision, mission
and goals.
6. Learning managers and
facilitators nurture values and
environments that are protective
of all children and demonstrate
behaviors consistent to the
organization’s vision, mission
and goals.

INDICATOR

7. Methods and resources are


learner and community friendly,
enjoyable, safe, inclusive,
accessible and aimed at
TOTAL
AVERAGE
RATING (AVERAGE x 30%)

PRINCIPLE III: ACCOUNTABILITY AND CONTINUOUS IMPROVEMENT (25%, X 0.2

STANDARD INDICATOR

A clear, transparent, inclusive, and 1. Roles and responsibilities of


responsive accountability system accountable persons and
is in place, collaboratively collective bodies are clearly
developed by the school defined and agreed upon by the
community, which monitors community stakeholders.
performance and acts
appropriately on gaps and gains.

2. Achievement of goals is
recognized based on a
collaboratively developed
performance accountable
3. The accountability system is
owned by the community and is
continuously enhanced to
ensure that management
4. Accountability assessment
criteria and tools, feedback
mechanisms, and information
collection and validation
5. Participatory assessment of
performance is done regularly
with the stakeholders.
Assessment results and lessons
TOTAL
AVERAGE
RATING (AVERAGE x 25%)

PRINCIPLE IV: MANAGEMENT OF RESOURCES (15%, X 0.15)

STANDARD INDICATOR

Resources are collectively and 1. Regular resource inventory is


judiciously mobilized and managed collaboratively undertaken by
with transparency, effectiveness, learning managers, learning
and efficiency. facilitators, and community
stakeholders as basis for
resource allocation and
mobilization.
Resources are collectively and 1. Regular resource inventory is
judiciously mobilized and managed collaboratively undertaken by
with transparency, effectiveness, learning managers, learning
and efficiency. facilitators, and community
stakeholders as basis for
resource allocation and
mobilization.

INDICATOR

2. A regular dialogue for


planning and resource
programming that is accessible
and inclusive, continuously
3. In place is a community-
developed resource
management system that drives
appropriate behaviors of the
4. Regular monitoring,
evaluation, and reporting
processes of resource
management are developed and
5. There is a system that
manages the network and
linkages which strengthen and
sustain partnerships for
TOTAL
AVERAGE
RATING (AVERAGE x 15%)

Evaluated by: Checked & Verified:

____________________________ __________________________

*Note: For the School Validation (Evaluated by the SBM Coordinator, Checked & Verified by the School M&E Coord
For the District Validation (Evaluated by the District Validator, Checked & Verified by the District SBM Consultant, an
For the Division Validation (Evaluated by the Division Validator, Checked and Verified by the EPS II-SMME, Noted b
AGEMENT (SBM) PRACTICES ASSESSMENT TOOL

_________________ District: __________________


_________________ School Year: _______________

ed on the indicated artifacts (e.g. compliance to artifacts a-b, <rating is 1> check
artifacts a-e, check 3).

at indicators/ artifacts were at least 25% met


at indicators/ artifacts were at least 75% met
actices and procedures satisfy quality standards (All or 100% of the indicators/artifacts w

ADERSHIP AND GOVERNANCE (30%, X 0.30)


RATING
ARTIFACTS REMARKS
a. Original Enhanced School 0 1 a-b 2 a-c 3 a-e
Improvement Plan (ESIP) guided by
Planning Team (SPT) with and School
D.O. 36 s.2013
Governing Council (SGC) with
c. Annual Implementation Plan (AIP) 3
d. School Operational Budget (SOB)
showing the involvement of
stakeholders in the Annual
RATING
ARTIFACTS REMARKS
0 1 a 2 a-b 3 a-c
a. Memorandum/Minutes of meetings
on the review
b. Letter and enhancement
of invitation of
and confirmation 3
c. Memorandum/ Minutes of meetings
on the regular review of SIP headed RATING
ARTIFACTS REMARKS
0 1 a-b 2 a-c 3 a-d
a. School Planning Team (SPT) and
School
b. List ofGoverning Council (SGC)
General Parent-Teacher
Association (GPTA)ofwith Terms of
of SPT 3
c. Sample Minutes meetings
or GPTA with attendance
d. Resolutions/ Memorandum on the
agreed organizational
a. Evidence showing astructure of the
confirmation of
open
b. communication
School Report Cardbetween
(SRC) school
1
c. State of the School Address
(SOSA)/ Summit
d. Pictures / General
showing Assembly
that there is an
exchange of network communication
a. Individual Plan for Professional
Development
b. School Head (IPPD)
Developmental Plan
2
2
c. School Action Plan and Targets
d. School-Based Training Plan for
School and community leaders and
TOTAL 12
AVERAGE 2.4
RATING (AVERAGE x 30%) 0.72

URRICULUM AND INSTRUCTION (30%, X 0.30)


RATING
ARTIFACTS REMARKS
0 1 a-f 2 a-g 3 a-h
a. Phil-IRI result
b. SF1 generated from Learners
Information
c. NutritionalSystem
Status/(LIS)
SF8
d. List of 4Ps Beneficiaries
1
e. Learner’s Anecdotal
Records/Guidance
f. NotebookProjects,
List of School’s Programs,
and
g. Activities
List of Best (PPAs) concerning
Practices concerning
curriculum
h. Accomplishment Report of Schools’
Programs, Projects, and Activities RATING
ARTIFACTS REMARKS
0 1 a-b 2 a-c 3 a-e
a. Enhanced School Improvement
Plan (ESIP)
b. Result Project
of the Matrix Plan
Monitoring Evaluation
on the use of the localized materials
c. Evidences showing the Innovations 2
done
d. by school
Report on thefor a meaningful
Orientation on the
developed
e. localized
Implemented curriculum
localized curriculum
was benchmarked by other schools RATING
ARTIFACTS REMARKS
0 1 a-b 2 a-c 3 a-d
a. Photos showing compilation of
Instructional
b. Sample of Materials
Strategic (IMs)
Intervention
Materials 3
c. Learning Materials (LMs)/least
(SIM) concerning
Instructional Materials
d. Accomplishment (IMs)onwith
Report the
Implementation of the developed RATING
ARTIFACTS REMARKS
0 1 a 2 a-b 3 a-c
a. Sample accomplished Class
Observation by the School
b. Sample accomplished Class 2
Observation
c. Feedback by thethe
from School
stakeholders
(e.g.
a. learners,
Result parents,
of Quarter other external
Assessment Mean
Percentile Score (MPS) in all learning
b. Minutes of the meeting and photos 3
on the conduct meeting
c. Consultative of reviewwith
on the
the SGC
regarding the assessment tools for RATING
ARTIFACTS REMARKS
0 1 a-c 2 a-d 3 a-f
a. Documents showing a Child-
Friendly School
b. Signage (ESIP
related to aAnnex 2A & B)
Child-Friendly
school
c. Photos showing posted composition
of School Child Protection Committee 3
3
d. Narrative and Pictorial Report on
Orientation of various
e. Implementation DepEd
of the Orders
Localized
Guidelines
f. Localizedon Child Protection
Guidelines on Childand
Protection and Anti-Bullying adopted RATING
ARTIFACTS REMARKS
0 1 a 2 a-b 3 a-c
a. List of intervention programs
b. Sample Learner’s Portfolio 3
c. Sample Self-Directed Materials (e,g.
localized / contextualized modules)
TOTAL 17
AVERAGE 2.43
RATING (AVERAGE x 30%) 0.73

BILITY AND CONTINUOUS IMPROVEMENT (25%, X 0.25)


RATING
ARTIFACTS REMARKS
0 1 a 2 a-b 3 a-c
a. School Memorandum on the
Composition and Terms
· Bids and Awards of References
Committee (BAC)
· Teaching/Non-teaching personnel
· Different Coordinators and
3
Ancillary
· School Governing Council (SGC)
· School Planning team (SPT)
b. School Memorandum, Minutes of
Meeting
c. of BAC,
Resolutions onSPT, SGC, and
determined terms of
reference of BAC,
a. Gap Analysis SPT,
(SIP and 3)
Annex SGC with
b. Project Work Plan for Priority 3
Improvement AreasReports
c. Accomplishment (PIA) and Crises
showing
theSchool
a. TargetWork
vs Output
Plan vs Gaps with
addressing the
gaps
b. for priority improvement
Memorandum and Minutes area
of the 3
meeting in working School Work
c. Memorandum and Minutes of the Plan
meeting in accomplishing
a. Feedback the Schoolby
mechanism developed
theAccomplishment
b. school Governing Council
Report (SGC)
showing 3
theResolutions
c. collaborative work of the
regarding the school
developed
a. Memorandum on the conduct ofis
Feedback Mechanism
School Monitoring
b. Conduct Evaluation
of Quarterly SMEAandwith 3
printout
c. CLCand Pictorial Report
Narrative
showing the involvement of the TOTAL 15
AVERAGE 3
RATING (AVERAGE x 25%) 0.75

MANAGEMENT OF RESOURCES (15%, X 0.15)


RATING
ARTIFACTS REMARKS
0 1 a-c 2 a-e 3 a-f
a. School Physical Plant, Property and
Equipment (PPE)

3
b. Resource Inventory of Semi-
Expandable Supplies,
c. School Canteen Consumable
Reports
3
d. Deeds of Donations
e. Brigada Eskwela (BE) Forms 1-7
f. Memorandum, Minutes of meeting,
Attendance showing stakeholders RATING
ARTIFACTS REMARKS
0 1 a-c 2 a-b 3 a-c
a. List of school resources
programmed
b. Minutes of for Access,
Meeting andQuality,
photosandon 3
the conduct of Focus Group
c. Memorandum, Minutes of Meeting,
Accomplishment
a. Reports
List of resources given and
to the school
by Photos
b. the stakeholders
of updatedfor the current
reports posted 3
on the Transparency Board
c. Liquidation Report of MOOE, with
School Canteen, School
a. Accomplished GPTA, and
CLC
Monitoring
b. Minutes of& Evaluation
meeting onReport
the conduct 3
of Minutes
c. SMEA reporting specifically
of meeting on the
on the reporting
of SMEA quarterly report to
a. Process Flow Chart on Schoolthe
Networking
b. Guidelines and
onLinkages for Flow
the Process 3
Chart
c. on Schoolcollaboration
Stakeholders Networking and on the
development of Guidelines on the TOTAL 15
AVERAGE 3
RATING (AVERAGE x 15%) 0.45

cked & Verified: Noted:

_________________________ _____________________________

Coordinator, Checked & Verified by the School M&E Coordinator, Noted by the School He
ator, Checked & Verified by the District SBM Consultant, and Noted by the PSDS)
dator, Checked and Verified by the EPS II-SMME, Noted by the Division SBM Coordi