Form 138 Card Kinder Cover 2
34
DOMAIN 1st QUAR 2nd QUARTER 3rd QUARTER Attendance Record Gross Motor Domain June July August September October November December Fine Motor Domain Self- help Domain Receptive Language Domain Expressive Language Doma Number of School Cognitive Domain No. of School Days Present Social – Emotional Domain No. of School Days Absent STANDARD SCORE Date Signat Interpretation of the Scaled Score ___________________ _____________________ ___________________ _____________________ Scaled Score Interpretation ___________________ _____________________ 1 – 3 Suggests significant delay in overall dev 4 – 6 Suggests slight delayed in overall develo 7 – 13 Average overall development. 14 – 16 Suggests slightly advanced development. Certificate of Transfer 17 – 19 Suggests highly advanced development. gible for Admission to Grade ___________________ Interpretation of the Standard Score Approved: Standard Score Interpretation 69 and below Suggests significant delay in overall dev 7o – 79 Suggests slight delayed in overall develo AENGEL J 80 – 119 Average overall development. Kinderga 120 – 129 Suggests slightly advanced development. 130 and above Suggests highly advanced development. CRESENCIANO B. LLEGO TIC Raw Score Scaled Score Raw Score Scaled Score Raw Score Scaled Score
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This is the K to 12 Form 137 for Kindergarte (Sample)
Transcript of Form 138 Card Kinder Cover 2
DOMAIN1st QUARTER 2nd QUARTER 3rd QUARTER Attendance Record
Gross Motor Domain
June
July
Augu
st
Sept
embe
r
Oct
ober
Nov
embe
r
Dec
embe
r
Janu
ary
Febr
uary
Mar
ch
Tota
lFine Motor DomainSelf- help DomainReceptive Language DomainExpressive Language Domain Number of School
Cognitive Domain No. of School Days Present
Social – Emotional Domain No. of School Days Absent
STANDARD SCORE
Date Signature
Interpretation of the Scaled Score ___________________ ________________________________________________________________ _____________________________________________
Scaled Score Interpretation ___________________ _____________________________________________1 – 3 Suggests significant delay in overall development.4 – 6 Suggests slight delayed in overall development.
7 – 13 Average overall development.
14 – 16 Suggests slightly advanced development. Certificate of Transfer17 – 19 Suggests highly advanced development.
Eligible for Admission to Grade ______________________________________________
Interpretation of the Standard Score Approved:
Standard Score Interpretation69 and below Suggests significant delay in overall development.
7o – 79 Suggests slight delayed in overall development. AENGEL JUDE C. PAEL80 – 119 Average overall development. Kindergarten Techer
120 – 129 Suggests slightly advanced development.130 and above Suggests highly advanced development.
CRESENCIANO B. LLEGO
TIC
Raw Score
Scaled Score
Raw Score
Scaled Score
Raw Score
Scaled Score
Form 138
Republic of the PhilippinesDepartment of Education
Region VIIIDivision of CalbayogCalbayog II District
SALVACION ELEMENTARY SCHOOLCalbayog City
Philippine Early Childhood Development
KindergartenSchool Year 2014 – 2015
Name: Gialyn Wahingon Valentino Age: 5 Sex: FemaleSession: _____ A.M. _____ P.M. LRN: 124024140018
AENGEL JUDE C. PAEL Kindergarten Teacher
CRESENCIANO B. LLEGO TIC
Form 138
Republic of the PhilippinesDepartment of Education
Region VIIIDivision of CalbayogCalbayog II District
SALVACION ELEMENTARY SCHOOLCalbayog City
Philippine Early Childhood Development
KindergartenSchool Year 2014 – 2015
Name: Imar Valentino Casaljay Age: 6 Sex: MaleSession: _____ A.M. _____ P.M. LRN: 124024140004
AENGEL JUDE C. PAEL Kindergarten Teacher
CRESENCIANO B. LLEGO TIC
Form 138
Republic of the PhilippinesDepartment of Education
Region VIIIDivision of CalbayogCalbayog II District
SALVACION ELEMENTARY SCHOOLCalbayog City
Philippine Early Childhood Development
KindergartenSchool Year 2014 – 2015
Name: Rico Yan Yangzon Wahingon Age: 6 Sex: MaleSession: _____ A.M. _____ P.M. LRN: 124024140005
AENGEL JUDE C. PAEL Kindergarten Teacher
CRESENCIANO B. LLEGO TIC
Form 138
Republic of the PhilippinesDepartment of Education
Region VIIIDivision of CalbayogCalbayog II District
SALVACION ELEMENTARY SCHOOLCalbayog City
Philippine Early Childhood Development
KindergartenSchool Year 2014 – 2015
Name: Angelo Deguino Valentino Age: 6 Sex: MaleSession: _____ A.M. _____ P.M. LRN: 124024140017
AENGEL JUDE C. PAEL Kindergarten Teacher
CRESENCIANO B. LLEGO TIC
Form 138
Republic of the PhilippinesDepartment of Education
Region VIIIDivision of CalbayogCalbayog II District
SALVACION ELEMENTARY SCHOOLCalbayog City
Philippine Early Childhood Development
KindergartenSchool Year 2014 – 2015
Name: Shiela Mae Wahingon Salonoy Age: 9 Sex: FemaleSession: _____ A.M. _____ P.M. LRN: 124024140006
AENGEL JUDE C. PAEL Kindergarten Teacher
CRESENCIANO B. LLEGO TIC
Form 138
Republic of the PhilippinesDepartment of Education
Region VIIIDivision of CalbayogCalbayog II District
SALVACION ELEMENTARY SCHOOLCalbayog City
Philippine Early Childhood Development
KindergartenSchool Year 2014 – 2015
Name: Mary Rose Casaljay Yangzon Age: 8 Sex: FemaleSession: _____ A.M. _____ P.M. LRN: 124024140009
AENGEL JUDE C. PAEL Kindergarten Teacher
CRESENCIANO B. LLEGO TIC
Form 138
Republic of the PhilippinesDepartment of Education
Region VIIIDivision of CalbayogCalbayog II District
SALVACION ELEMENTARY SCHOOLCalbayog City
Philippine Early Childhood Development
KindergartenSchool Year 2014 – 2015
Name: Anna Mateo Valentino Age: 6 Sex: FemaleSession: _____ A.M. _____ P.M. LRN: 124024140007
AENGEL JUDE C. PAEL Kindergarten Teacher
CRESENCIANO B. LLEGO TIC
Form 138
Republic of the PhilippinesDepartment of Education
Region VIIIDivision of CalbayogCalbayog II District
SALVACION ELEMENTARY SCHOOLCalbayog City
Philippine Early Childhood Development
KindergartenSchool Year 2014 – 2015
Name: Lisa Valentino Pallioc Age: 5 Sex: FemaleSession: _____ A.M. _____ P.M. LRN: 124024140019
AENGEL JUDE C. PAEL Kindergarten Teacher
CRESENCIANO B. LLEGO TIC
