Model Division CI Implementation Monitoring Form

Report No.:
Date of report:
Division:
SDS:
No. of schools in division:
Number of division personnel:
No. of districts in division:
Male Female Total CI implementation and expansion status in the division
1. Schools implementing CI (please list down number of schools in the division currently with CI teams and CI
projects)

Type of School
No. With CI Teams
No. With CI Projects
Elementary schools
High schools
Integrated schools
Others
Total
2. CI events (please note down all CI events organized by and conducted by the division to date)
Event
Date
Est.
Status
Participants

Events include symposiums, CI presentations, forum, workshops, orientations, etc. Status cover completed, ongoing
and planned.

3. CI communication
Which mode of communications is used by the division in communicating CI related matters?
facebook emails
division/regional meetings
visits to schools
mobile phone
division web site
others, pls. specify
4. CI linkages and network
Has the division
yes no - if yes, please provide details below.
assisted other
Division/Regional Office
Type of Assistance Provided
divisions or regional
office in CI related
activities?
(type of assistance
include coaching,
workshops,
orientation, etc.)

Has any of the

division personnel
involved in CI
transferred to
another division or
office?

yes no - if yes, please list down where the person has transferred to
Name of Division
Division/Office Transferred To
Personnel/Position

Concerns or suggestions related to the division CI implementation/expansion

Thank you for your kind assistance.

Prepared by: _____________________

Noted by:____________________

Model School CI Implementation Monitoring Form

School:
School ID No.
Division:
Report no.
School head:
Date of report:
Basic background information (for SY 2014-2015)
Item
Male
Female
Total
No. of students
No. of teachers
No. of non-teaching staf
CI implementation status
No. of CI teams:
Frequency of CI team meetings:
weekly 3X a month 2X a month once a
CI
month as needed
organization
CI organization chart established?
yes no under development
CI organization manual established? yes no under development
Minutes of CI team meetings documented? yes no
CI
CI guides in use by CI teams? yes no
documentatio
Other CI related reports prepared? yes no , if yes please state title of report:
n
CI
communicatio
n
CI projects

(Please list
down all CI
projects since
the start of the
CI
implementation
in the school.
Use a separate
sheet if
needed.)

Which mode of communications is used by the school in communicating CI related

matters?
Facebook emails division/regional meetings visits to other schools mobile
phone
school web site
others, pls. specify
Title
Type
Status

For type, pls. indicate issue addressed i.e. reading, SARDO, for status, pls. indicate if ongoing,
completed or for initiation. For ongoing, pls. indicate where in the CI 10 steps the project is
currently in.

CI events (please note down all CI events organized by and conducted by the school to date. Events include

symposiums, CI presentations, forum, workshops, orientations, etc. Status cover completed, ongoing and planned.)

Event

Date

CI linkages and network

Has the school
yes no - if yes, please provide details below.
assisted other
School/Division/Regional Office
schools or the
division/regional
office in CI related
activities?

Est.
Participants

Status

Type of Assistance Provided

(type of assistance
include coaching,
workshops,
orientation, etc.)

Has any of the

school personnel
involved in CI
transferred to
another school or
office?

yes no - if yes, please list down where the person has transferred to
Name of School
School/Office Transferred To
Personnel/Position

Concerns or suggestions related to the school CI implementation

Thank you for your kind assistance.

Prepared by: _____________________

Noted by:____________________

School CI Project Validation Form

School:
School ID No.
Division:
Report no.
School head:
Date of Validation:
Basic background information (for SY 2014-2015)
Item
Male
Female
Total
No. of students
No. of teachers
No. of non-teaching staf
CI implementation status
No. of CI teams:
Frequency of CI team meetings:
weekly 3X a month 2X a month once a
CI
month as needed
organization
CI organization chart established?
yes no under development
CI organization manual established? yes no under development
Minutes of CI team meetings documented? yes no
CI
CI guides in use by CI teams? yes no
documentatio
Other CI related reports prepared? yes no , if yes please state title of report:
n
CI
communicatio
n
CI projects

(Please list
down all CI
projects since
the start of the
CI
implementation
in the school.
Use a separate
sheet if
needed.)

Which mode of communications is used by the school in communicating CI related

matters?
Facebook emails division/regional meetings visits to other schools mobile
phone
school web site
others, pls. specify
Title
Type
Status

For type, pls. indicate issue addressed i.e. reading, SARDO, for status, pls. indicate if ongoing,
completed or for initiation. For ongoing, pls. indicate where in the CI 10 steps the project is
currently in.

CI events (please note down all CI events organized by and conducted by the school to date. Events include

symposiums, CI presentations, forum, workshops, orientations, etc. Status cover completed, ongoing and planned.)

Event

Date

Est.
Participants

CI linkages and network

Has the school
yes no - if yes, please provide details below.
assisted other
Team/s
teams in the school
CI related activities?
(type of assistance
include coaching,
workshops,
orientation, etc.)

Name of School
Personnel/Position

Status

Type of Assistance Provided

School/Office Transferred To

Type of Validation
Test Conducted
Result of Validation
Concerns or suggestions related to the school CI Project

Thank you for your kind assistance.

Prepared by: _____________________

Noted by:____________________