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Template Integrative Assessment Example Blank Form

This document is a summative assessment form from the Department of Education of the National Capital Region of the Philippines. It contains sections for identifying the grade level, learning areas, competencies, content and performance standards, assessment activity details, expected outputs, recording methods, judgement criteria, and spaces for teacher signatures. The form provides a standardized way to plan, record, and evaluate summative assessments given to students.

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Jaddie Lorzano
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193 views2 pages

Template Integrative Assessment Example Blank Form

This document is a summative assessment form from the Department of Education of the National Capital Region of the Philippines. It contains sections for identifying the grade level, learning areas, competencies, content and performance standards, assessment activity details, expected outputs, recording methods, judgement criteria, and spaces for teacher signatures. The form provides a standardized way to plan, record, and evaluate summative assessments given to students.

Uploaded by

Jaddie Lorzano
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Education
National Capital Region
Schools Division of Pasig City

SUMMATIVE ASSESSMENT

Put an X Mark on the blank where appropriate


_____Integrative Written Works Number _____
_____Integrative Performance Tasks Number _____

Grade Level: ______ Quarter: ___ Date to be given/communicated to Time (Indicate the
the learner/parents/LSA: estimated time the
activity is to be
Date/ time to be submitted: accomplished):
e.g. 1 hour

Assessment Criteria
Learning Areas Most Essential Learning Competencies: Competency Codes:

Content Standard Performance Standard

Overview of the Assessment Activity (Provide a clear and concise description of your activity)

Assessment Method/Methods (Put an X Mark on the blank where appropriate)


______ Observation _______Tests
______ Analyses of learner’s products _______ Talking to Learners

Assessment Activity

Expected Output:
Note:
Instruction and mode of submission will be communicated in the Weekly Home Learning Plan considering the
Learner’s Modality
Recording Methods (Put an x mark on the blank where appropriate)
____Checklist ____Marks
____Class Grids ____Anecdotal Record
____Grades ____Self assessment records
____Comments on Learner’s work
____Audio recording, photographs, video footages

Making Consistent Judgement (Put an x mark on the blank where appropriate)


____ Rubric link to the assessment criteria
____Marks scheme link to assessment criteria

Feedback (Put an x mark on the blank where appropriate)

_____ Oral Feedback


_____ Written Feedback

Prepared by:

________________________ _______________________
Signature above printed name Signature above printed name
MAPEH-Teacher EsP-Teacher

________________________ _________________________
Signature above printed name Signature above printed name
English Teacher Math Teacher

________________________
Signature above printed name
Science Teacher

Date: ____________________

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