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Eccd Summary Form 1

The document is an assessment form used by the Department of Education in the Philippines to identify the most and least learned skills among kindergarten learners for the school year 2021-2022. It includes various domains such as gross motor, fine motor, self-help, receptive and expressive language, cognitive, and socio-emotional domains, with spaces for teacher and school head signatures. The form is designed to track student progress and is certified by the teacher and reviewed by the school head.

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Daniel Alvarez
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76 views5 pages

Eccd Summary Form 1

The document is an assessment form used by the Department of Education in the Philippines to identify the most and least learned skills among kindergarten learners for the school year 2021-2022. It includes various domains such as gross motor, fine motor, self-help, receptive and expressive language, cognitive, and socio-emotional domains, with spaces for teacher and school head signatures. The form is designed to track student progress and is certified by the teacher and reviewed by the school head.

Uploaded by

Daniel Alvarez
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
Regional Office No. VIII
Schools Division of Northern Samar
District: ________________________
S.Y: 2021-2022

IDENTIFICATION OF MOST AND LEAST LEARNED AMONG KINDERGARTEN LEARNERS


(ECCD CHECKLIST SUMMARY)

Name of Teacher: ________________________ School Head___________________________________


School:
_______________________________________
Assessment 1st: _______ 2nd: ______3rd: _____ Enrollment: Male: ____ Female: ____
Total: ____
Date: __________________
GROSS MOTOR DOMAIN FINE MOTOR DOMAIN SELF-HELP DOMAIN
NAME OF BDAY AG Item Number Item Number Item Number
KINDERGARTEN E 1 2 3 4 5 6 7 8 9 1 1 1 1 1 2 3 4 5 6 7 8 9 1 1 1 2 3 4 5 6 7 8 9 1
LEARNER 0 1 2 3 0 1 0
SELF- HELP DOMAIN RECEPTIVE EXPRESSIVE
NAME OF KINDERGARTEN LANGUAGE LANGUAGE DOMAIN
LEARNER Item Number Item Item Number
Number
11 12 13 14 15 16 17 18 19 2 2 2 2 2 2 2 27 1 2 3 4 5 1 2 3 4 5 6 7 8
0 1 2 3 4 5 6
COGNITIVE DOMAIN
NAME OF KINDERGARTEN Item Number
LEARNER 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
SOCIO-EMOTIONAL DOMIAN Scaled Standar Interpretation
Score d Score
NAME OF KINDERGARTEN Item Number
LEARNER 1 2 3 4 5 6 7 8 9 1 1 1 1 1 1 1 1 1 1 2 2 2 2 24
0 1 2 3 4 5 6 7 8 9 0 1 2 3
Certified True and Correct: Checked and Reviewed by:

____________________________ ______________________________
Kindergarten Teacher School Head

Noted:

_______________________________
Public Schools District Supervisor

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