MIS FORM 1.
2 – M & E IN INSTRUCTIONAL SUPERVISORY PLAN
Republic of the Philippines
Department of Education
Region VII – CENTRAL VISAYAS
M & E BASED ON INSTRUCTIONAL SUPERVISORY PLAN
S.Y. ______________ Qtr. _____
IS Provider: ___________________________ School: _____________________________
Position: ______________________________ District: ____________________________
Date: _________________________________ Division: ___________________________
Supervisory Source
Target Time Expected Expected
Focus Objectives
Recipient Frame
Activities/ of
Outputs Outcomes
Remarks Agreement Signature Date
Strategies Fund
PRE-IMPLEMENTATION Dis Div Reg ISP ISM
Prepared by: Noted by:
_______________________
Master Teacher/School Head/PSDS/EPS EPS/CID Chief/CLMD Chief
Approved by:
__________________________
CID Chief/CLMD Chief/ASDS/ARD