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ELLN Digital Forms For Technical Assistance Providers (School Heads, Education Program and District Supervisors)

1. The document contains digital forms for education supervisors and district supervisors to summarize school reports on the implementation of the ELLN Digital program. 2. It includes forms for supervisors to record which schools submitted reports, note any common difficulties reported, and summarize gains and challenges. 3. It also has forms for supervisors to record observations from LAC sessions, interactions with school heads, and receive school reports using a provided template.

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AMELOU AUSTRIA
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71 views5 pages

ELLN Digital Forms For Technical Assistance Providers (School Heads, Education Program and District Supervisors)

1. The document contains digital forms for education supervisors and district supervisors to summarize school reports on the implementation of the ELLN Digital program. 2. It includes forms for supervisors to record which schools submitted reports, note any common difficulties reported, and summarize gains and challenges. 3. It also has forms for supervisors to record observations from LAC sessions, interactions with school heads, and receive school reports using a provided template.

Uploaded by

AMELOU AUSTRIA
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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Enclosure No. 4 to DM No. _______.

, 2019

ELLN Digital Forms for Technical Assistance Providers


( School Heads, Education Program and District Supervisors)

ELLN Digital Form 4.3.1- ELLN Digital Summary of School Reports 

ELLN Digital Summary of School Reports (to be accomplished by the Education Supervisor and Public
Schools District Supervisor, based on the School Reports submitted by the School Heads). This report,
together with annexes will be used to determine issuance of CPD credits to teachers.

Name of Education/District Supervisor:


District/Division: Period covered: November 2019 to March 2020

Part A. School Reports Submission


Name of School Head Name of School Submitted School Did not submit School
Report Report
(/) (/)

Part B. Implementation Concerns Please tick all relevant items.


1. The School Reports show that the most common difficulties or concerns reported have to do with:
___ Independent study of the course
___ Collaborative learning in the LACs
___ Practice based study
___ Others (please specify)

2. Summarize the difficulties or concerns reported by the School Heads in the School Reports.
_________________________________________________________________________________
_________________________________________________________________________________
3. Summarize the perceived gains reported by the School Heads in the School Reports.
_________________________________________________________________________________
_________________________________________________________________________________

Part C. Observations

1. Number of LAC sessions observed: _____________

2. Specify the names of the schools and School Heads/LACF whose LAC session/s you observed, and the
date/s of observation. Ex. Jose Rizal ES, Juan de la Cruz, 10-08-18, 2 sessions OR Jose Reyes
Memorial ES, Eva San Juan, 10-10-18, 10-11-18

Name of School Head/LACF Name of School Date Significant Observation for the LACF

4. What positive aspects did you observe?


_________________________________________________________________________________
5. What challenges did you observe?
_________________________________________________________________________________
6. What recommendations did you make to the School Heads/LACF after the session?
_________________________________________________________________________________
_________________________________________________________________________________

Annexes (List the names of the schools whose report copies are attached as submitted School Reports as
Annexes)

Prepared by: ________________________________________________


<EDUCATION PROGRAM/DISTRICT SUPERVISOR> <SIGNATURE OVER PRINTED NAME>
ELLN Digital Form 4.3.2 - Anecdotal Record/Notes

Anecdotal Record/Notes on communication with School Head Form 2. Sample Anecdotal Record / Notes
on communication with School Head (to be accomplished by the Education Supervisor and Public
Schools District Supervisor

Name of School: ____________________________________________________________________

District/Division: ____________________________________________________________________

Name of School Head: _______________________________________________________________

Part A. School Reports Submission

Date spoken to/Date of interaction Notes

Prepared by:

<EDUCATION SUPERVISOR> <SIGNATURE OVER PRINTED NAME>

Date:
ELLN Digital Form 4.3.3 - School Report Template   

ELLN Digital School Report Template (to be accomplished by the School Head)

Name of School: ____________________________________________________________________

Division District: ____________________________________________________________________

Total # of K to 3 Teachers: ________________Module completed: ___________________________

Total # of LACs: __________ Dates of LAC sessions: ________________________________________

A. Completion of Module

Name of Teacher Complete Incomplete

1. Independent learning component (ELLN Digital Courseware)

Problem/s encountered Response Best practice/innovation

2. Collaborative learning component (ELLN Digital LAC sessions)

Problem/s encountered Response Best practice/innovation

3. Classroom implementation (Assignments and Tasks)

Problem/s encountered Response Best practice/innovation

Prepared by: _________________________________

<SCHOOL HEAD> <SIGNATURE OVER PRINTED NAME>


Date:

Received by: _________________________________

<EDUCATION SUPERVISOR> <SIGNATURE OVER PRINTED NAME>


Date:
ELLN Digital Form 4.3.4 -  LAC Session Observation Guide 

LAC Session Observation Guide (To be accomplished by the School Head; District and Education Program
Supervisors)

School: District:
School Head: No. of teachers present:
Name of LacF: ELLN Digital Module
LAC Session No. Lesson No.

Part A. Session components For each item, tick Yes (done) or No (not done) as the case may be, and
note down your observations or comments in the last column.

Expected Behaviors per Component Yes No Evidence/Comments


1. Review of previous LAC session:
a) Topics discussed previously and action steps
implemented are briefly reviewed.
2. Sharing and discussion of assignments (small
groups)
a) LAC members are divided into smaller groups
as needed.
b) LAC members brought their assignments.
c) LAC members discuss assignment outputs
openly, following the guide questions posed by
the LacFs. Discussion stays focused.
d) LacF moves around the room, listens to small-
group discussion, and provides feedback as
necessary.
e) The small-group discussions are completed
within the allotted time.
3. Plenary Discussion
a) Group representatives take turns presenting
the assignment outputs and/or consolidated
group answers to the question/s posed.
b) The LacF keeps the discussion going, and
encourages everyone to participate and share
their insights.
c) LAC members seem comfortable working
together / collaborating on lesson plans and
other activities as needed.
d) The session time is used effectively.
e) The overall atmosphere is relaxed and friendly,
and there is open exchange of ideas and insights.
4. Introduction to the next lesson
a) The LacF introduces the topics in the next
lesson briefly and clarifies details of the
assignment as needed.
5. Accomplishment of forms
a) The forms are ready for distribution.
b) All LAC members complete the form and
submit them to the LacF before leaving the
session.
Part B. Other observations
1. Were there any deviations from the LacF
Guide? If so, do you think the deviations were
necessary? How and why?
2. What was the best part of the session?
3. What are some points for improvement?

Prepared by:

_______________________________________
<SCHOOL HEAD/DISTRICT/EDUCATION PROGRAM SUPERVISOR> <SIGNATURE OVER
PRINTED NAME> Date: ___________________________________

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