PHILIPPINE ECCD CHECKLIST CLASS SU

Disrtict: KABASALAN Enrolment As of

School: SAYAO PRIMARY SCHOOL Kindergarten Tea
Name of Teacher: EMMABEL M. OMEREZ Status of Appoin
Educational Qualification: BSIE Eligibility: LICEN
Trainings/Orientation Attended for S.Y:2016-2017 Eight Week Curriculum Orie
Division on training on N
Curriculum Guide Received: 40 number of weeks ____ Number of times received by the school head/supervisor:_____ Number of tim

GROSS MOTOR
LRN Name of Pupil Age
NUMBER RS SS SSI
MALE
### Banawa, Alfred S. 6.07 12 7 AD

### Deguro, Gerald John S. 6.08 12 7 AD

### Lagumbay, Jimbo D. 5.11 12 7 AD

### Salumbao, Eugene J. 6.05 12 7 AD

### Tandus, Cris Paulo L. 6.03 12 7 AD

FEMALE

### Catalbas, Stephany G. 6.02 12 7 AD

### Galleposo, Mary Jane C. 6.04 12 7 AD

### Gaudiano, Jay Anne T. 6.08 12 7 AD

### Mueblas, Zyra Kate M. 5.09 12 7 AD

### Quiño, Ginalyn B. 6.05 12 7 AD

### Sampayan, Myla P. 5.10 12 7 AD

### Sandalan, Jessa Mae M. 6.03 13 11 AD

### Tandus, Rena Mea S. 6.06 12 7 AD

LEGEND: RS – RAW SCORE(No. of checks /skills the child was able to performs per domain) SSI - Scale
SS - STANDARD SCORE(equivalent of the raw scores per domain using table 1) 1-3 signifi
Sum of Scaled Score - (add all the scaled scorer per domain) 4-6 slight
Standard Score - (equivalent of sum of scaled scorers - Table 1) 7-13 aver
14-16 slig
17-19 hig

Prepared by:

EMMABEL M. OMEREZ
Adviser
ST CLASS SUMMARY (POST TEST)

ment As of June: M:M: 5 F:

_ F:
8 6 __ Total: As of March: M _5__ F _8_ Total _13__
ergarten Teaching Experience: ___54 YRS._
years
s of Appointment: Volunteer
ility: LICENSURE EXAMINATION FOR TEACHERS
culum Orientation Orientation on National Kindergarten Curriculum Guide(INKCG)
aining on NKCG District Echo Training on NKCG
mber of times monitored by the school heads/supervisor: _______
Sum of
EXPRESSIVE
FINE MOTOR SELF-HELP RECEPTIVE LANGUAGE LANGUAGE COGNITIVE SOCIO-EMOTIONAL Scaled
Score
RS SS SSI RS SS SSI RS SS SSI RS SS SSI RS SS SSI RS SS SSI

11 12 AD 25 10 AD 4 8 AD 8 11 AD 21 13 AD 24 13 AD 74

11 12 AD 25 10 AD 4 8 AD 8 11 AD 21 13 AD 24 13 AD 74

11 12 AD 24 9 AD 4 8 AD 7 5 SLD 20 12 AD 22 10 AD 61

11 12 AD 23 7 AD 4 8 AD 7 5 SLD 20 12 AD 22 10 AD 61

10 10 AD 24 9 AD 4 8 AD 7 5 SLD 20 12 AD 23 13 AD 63

11 12 AD 25 10 AD 4 8 AD 7 5 AD 20 12 AD 22 10 AD 64

11 12 AD 25 10 AD 4 8 AD 8 11 AD 20 12 AD 23 11 AD 71

11 12 AD 25 10 AD 4 8 AD 8 11 AD 20 12 AD 23 11 AD 71

11 12 AD 25 10 AD 4 8 AD 8 11 AD 21 13 AD 23 11 AD 72

10 10 AD 24 7 AD 4 8 AD 7 5 SLD 20 12 AD 23 11 AD 63

11 12 AD 25 10 AD 4 8 AD 8 11 AD 20 12 AD 23 11 AD 71

11 12 AD 25 10 AD 4 8 AD 8 11 AD 21 13 AD 24 13 AD 74

11 12 AD 25 10 AD 4 8 AD 8 11 AD 21 13 AD 24 13 AD 74
SSI - Scaled Score Interpretation (Table 6) Standard Score Interpretation (Table 7)
1-3 significant delay in overall devt (SID) 69 and below - significant delay in over all devt (SID)
4-6 slight delay in overall devt (SLD) 70-79 slight delay in overall devt (SLD)
7-13 average devt (AD) 80-119 average devt (AD)
14-16 slightly advance devt (SAD) 120-129 slightly advance devt (SAD)
17-19 highly advance devt (HAD) 130 and above - highly advance devt (HAD)
Standard Interpretation
Score

103 AD

103 AD

84 AD

84 AD

86 AD

88 AD

98 AD

98 AD

100 AD

86 AD

98 AD

103 AD

103 AD
 PHILIPPINE ECCD CHECKLIST CLASS SUMMARY (PRE-TEST)

Disrtict: KABASALAN Enrolment As of June: M: M: 19 _ F: F:616__

School: SALIPYASIN ELEMENTARY SCHOOL Kindergarten Teaching Experience: ___ 4 YRS._
Name of Teacher: RONA SHEILAH PEARL C. ARASAIN Status of Appointment: Volunteer Permanent
Educational Qualification: BEED/ECE Eligibility: LICENSURE EXAMINATION FOR TEACHERS
Trainings/Orientation Attended for S.Y:2016-2017 Eight Week Curriculum OrientaOrientation on National Kindergarten Curriculum Guide(INKCG)
Division on training on NKCG District Echo Training on NKCG
Curriculum Guide Received: 40 number of weeks ____ Number of times received by the school head/supervisor:_____ Number of times monitored by the school heads/supervisor: _______
RECEPTIVE EXPRESSIVE
LRN
GROSS MOTOR FINE MOTOR SELF-HELP LANGUAGE LANGUAGE COGNITIVE SOCIO-EMOTIONAL
Name of Pupil Age
NUMBER RS SS SSI RS SS SSI RS SS SSI RS SS SSI RS SS SSI RS SS SSI RS SS
FEMALE
### SHAIRA V. ADRIANO 5 12 7 C 9 8 C 23 7 C 3 4 D 7 5 D 13 5 D 22 10
### JAIRA T. ANTOL 5 12 7 C 10 10 C 24 9 C 3 4 D 7 5 D 15 7 C 22 10
5 12 7 C 9 8 C 23 7 C 3 4 D 7 5 D 16 8 C 23 11
### ALYANA A. ASGAL
SHEENA MAE D. BANGGULAN 5 12 7 C 9 8 C 23 7 C 3 4 D 7 5 D 15 7 C 22 10
###
JEHAN B. BASA 5 12 7 C 11 12 C 24 9 C 4 8 C 8 11 C 18 10 C 23 11
###
ASHLEY P. BORON 5 12 7 C 10 10 C 25 10 C 4 8 C 7 5 D 17 9 C 20 7
###
GABRIELA S. CALLAO 5 12 7 C 11 12 C 24 9 C 4 8 C 8 11 C 18 10 C 22 10
###
ALBEA A. CHIONG 5 11 4 D 9 8 C 22 6 D 3 4 D 7 5 D 14 6 D 18 6
###
ERICKA A. DANDAN 5 11 4 D 6 3 E 22 6 D 3 4 D 7 5 D 11 3 E 18 5
###
MONALISA C. DAPAT 5 11 4 D 9 8 C 23 7 C 3 4 D 7 5 D 14 6 D 21 9
###
ASHLEY S. DONIO 5 12 7 C 10 10 C 24 9 C 3 4 C 7 5 D 16 8 C 22 10
###
ALVIA J. LUCAS 5 11 4 D 7 5 D 22 6 D 3 4 D 7 5 D 11 3 E 18 5
###
JENEVIE M. LUCIN 5 11 4 D 6 3 E 21 4 D 3 4 D 7 5 D 12 4 D 18 5
###
AXEL JOY Y. MUTIA 5 12 4 D 10 10 C 24 9 C 3 4 D 7 5 D 17 9 C 22 10
###
SAPEYA C. NASSER 5 11 4 D 10 10 C 23 7 C 3 4 D 7 5 D 13 5 D 22 10
###
BEA MAE T. PAGLINAWAN 5 11 4 D 9 8 C 23 7 C 3 4 D 7 5 D 14 6 D 22 10
###
 UMMU FIRWEE A. SALIH 12 7 C 11 12 C 25 10 C 4 8 C 7 5 D 18 10 C 23 11
### 5
### PRINCESS SULARAN 5 11 4 C 7 5 D 22 6 D 3 4 D 7 5 D 13 5 D 22 10
### MYLENE T. TOQUERO 5 12 7 C 9 8 C 24 9 C 4 8 D 7 5 D 14 6 D 21 9
### JOHANIE P. USMAN 5 11 4 D 11 12 C 23 7 C 4 8 C 7 5 D 15 7 C 22 10

LEGEND: RS – RAW SCORE

SS - STANDARD SCORE
SSI – STANDARD SCORE INTERPRETATION

SCALE SCORE STANDARD SCORE LEGEND OF COMMENT

INTERPRETATION

3-Jan 69 AND BELOW E Suggest significant delay in over-all development

6-Apr 70-79 D Suggest slight delay in over-all development

PREPARED BY:
13-Jul 80-119 C Average Development

14-16 120-129 B Suggest slight advance in development

RONA SHEILAH PEARL C. ARASA
ADVISER
17-19 130 AND ABOVE A Suggested high advance in development
 Sum of Standard
SOCIO-EMOTIONAL Scaled Interpretation
Score
Score
SSI

C 46 62 E
C 52 70 D
C 50 67 E
C 50 67 E
C 68 94 C
C 56 76 D
C 67 92 C
D 39 51 E
D 30 38 E
C 43 57 E
C 53 72 D
D 32 41 E
D 29 37 E
C 51 69 E
C 45 60 E
C 44 59 E
 C 63 86 C
C 39 51 E
C 52 70 D
C 53 72 D

LAH PEARL C. ARASAIN