Republic of the Philippines

Department of Education
Region VI Western Visayas
DIVISION OF ANTIQUE
Binirayan Hills, San Jose, Antique
Telefax: (036) 540-9837 deped_antique2010@yahoo.com.ph

MID-SCHOOL YEAR STATUS OF SCHOOL-BASED MANAGEMENT (SBM)-PASBE INSTALLATION CHECKLIST

S.Y. 2017-2018
Name of District: Hamtic North Name of School: Buhang Elementary School
Name of School Head:Mrs. Miguela A. Checa Contact No. of School Head:09165051461
Direction: The following are minimum Means of Verifications (MOVs) of every indicator in each SBM principle. Kindly
check the box if there are MOVs that can support the indicator.

A. Leadership and Governance

Indicator 1
/ Attendance sheets/pictures during the crafting of E-
SIP/AIP / School Report Card (April 2017 & October 2017
/ School Governing Council organizational structure
with their functions
Indicator 2
/ Pictures/Letters addressed to members of School / AIP Monitoring Report
Planning Team (SPT) during the crafting of E-SIP/AIP
Indicator 3
/ Structures of different school organizations and their / Attendance sheets/pictures during meetings of
functions different school organizations
Indicator 4
/ Minutes of meetings during grade/year level meetings / Letters, pictures, and minutes of general PTA
assembly meetings
/ Minutes of meetings during School Planning Team / School Transparency Board with posted financial
meetings reports
Action researches conducted / Records of home visitations conducted
/ Records on PARDO/SARDO
Published school financial reports in the school Signed MOA on partnerships
publication
Indicator 5
/ Designation of Training and Development Coordinator / Approved training proposals/plan/designs
/ Compilation of NCBTS/TDNASH/IPPD-SH reports
/ Records of trainings attended by the school head and / Records on mentoring and coaching sessions by
teachers school heads/master teachers

Assessed by: ___________________________

Team Leader, Leadership and Governance Committee

B. Curriculum and Instruction

Indicator 1
/ Enrollment by grade level
/ Records on the tracking of pupils/students
performance
/ Report on the conduct of recognition/culminating
programs
/ Record of the result of Periodical Tests
/ Record of benchmarking to other schools
/ Result of reading/numeracy inventories
/ Records/reports on remedial/enrichment reading
program
/ Availability of Drop-Out Reduction Program (DORP)
/
Record of Guidance activities

Indicator 2
/ MOVs for the implementation of CLI / Records on the conduct of community outreach

Indicator 3
List of school-based made learning materials / Inventory of Teaching Materials

Indicator 4
/ Instructional Supervisory plan/reports / School-based developed assessment tools (e.g.
checklist, rubrics) for the learning systems
Report on the conduct of Focus Group Discussions (FGDs) to pupil/students about teaching-learning process
Indicator 5
/ Minutes of the stakeholders assembly meetings in / Action plans/interventions to address pupils/students
which assessment results were discussed learning gaps

Indicator 6
/ Attendance of parents participation in school activities
/ Records of orientation with parents on Child
Protection/responsible parenting
/ LGU/Community initiated programs to address
learning and non-learning needs
/ School Child Protection Policy

Indicator 7
Pupils/Students Investigatory Projects Copies of learners self-directed activities

Assessed by: ______________________________

Team Leader, Curriculum and Instruction Committee

C. Accountability and Continuous Improvement

Indicator 1
/ Constitution and by-laws of different school / Action plans of different school organizations
organization
/ Compilation of school memoranda

Indicator 2
/ Records on self-assessment of SBM practice
/ Records on the conduct of awards and recognition for / List of donations received
stakeholders

Indicator 3
/ Presence of suggestion box / Compilation of school resolutions
Presence of School Handbook

Indicator 4/5
/ Records on the conduct of periodic review of school accomplishments (mid and year-end)

Assessed by: ________________________

Team Leader, Accountability and Continuous Improvement Committee

D. Management of Resources
Indicator 1
/ Record on school inventory of school properties / Filed Memorandum of Receipts
/ Organization of School Inspectorate Team (MRs)/Acknowledgement Receipts (ARs)

Indicator 2
/ Organization of Bids and Awards Committee (BAC) Letter of invitation to stakeholders for educational
/ Financial Reports / planning for resource programming

Assessed by: _________________________

Team Leader, Management of Resources Committee

Conforme: MIGUELA A. CHECA

School Head