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School Form 5 Report on Promotion & Level of Proficiency For Kinder (SF5-K)
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End of School Year Kindergarten Appraisal Report
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School Name DistrictDivisionRegion
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School ID SectionSchool Year
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No.LRNNAME OF LEARNER
(Last Name, First Name, Name Extension, Middle Name)
SUMMATIVE ASSESSMENT STANDARD SCOREINTERPRETATIONAPPRAISED (Grade One Ready or Needs Further Intervention)SUMMARY TABLE
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STATUSMALEFEMALETOTAL
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GRADE ONE (1) READY
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MALE
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NEEDS FURTHER INTERVENTION
15
16
17
18
19
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LEVEL OF PROGRESS AND ACHIEVEMENT
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22
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INTERPRETATIONMALEFEMALETOTAL
24
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Suggest Highly Advanced Development -
S.H.A.D. (130 and above)
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27
28
Suggest Slight Advanced Development
- S.S.A.D. (120-129)
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30
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Average Development - A.D. (80-119)
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34
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Suggest Slight Delay in Overall Development -
S.Sl.D.O.D (70-79)
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Suggest Significant Delay in Overall Development -
S.S.D.O.D (69 and below)
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TOTAL BY GENDER
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44
45
46
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48
49
50
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52
53
54
<=== TOTAL MALE
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No.LRNLEARNER'S NAME
(Last Name, First Name, Name Extension, Middle Name)
SUMMATIVE ASSESSMENT STANDARD SCOREINTERPRETATIONACTION TAKEN (Grade One Ready or Needs Further Intervention)
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FEMALE
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Prepared By:
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Signature of Class Adviser over Printed Name
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Certified Correct & Submitted By:
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Signature of School Head over Printed Name
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Reviewed By:
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Signature of Public Schools District Supervisor/Representative over Printed Name
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Checked & Validated By:
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Signature of Division Representative over Printed Name
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GUIDELINES:
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1. Do not include Dropouts and Transferred Out (DO 4, s. 2014)
2. This should be prepared by the Adviser. Post Test Standard Score should be taken from the record submitted to the Division Office.
3. The summary table should reflect the total number of learners. For GRADE ONE READY, Summative Assessment Standard Score must be 80 and above, while NEEDS FURTHER INTERVENTION must be 79 and below.
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87
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89
90
<=== TOTAL FEMALE
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<=== COMBINED
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SFRT 2017
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95
96
97
98
99
100