Enclosure No.

1 – Evaluation form for School Heads

Name of School: CABAS-AN ELEMENTARY SCHOOL

1. Put a check ( ) before a number that best describes your school:

________ a) Elementary School

________ b) High School

________ c) Integrated School ( Elementary and High School )

2. Number of school clubs/ organizations present in school: 5

( It is considered a club if a certain group has a students as members, and a school employee as its adviser)

3. Number of enrolled students in the school year 2014 – 2015: 313

Please accomplish the following table for each of the clubs/organizations in school. The table maybe reproduced into multiple copies if needed.

Name of school/ Number of Number of List all activities Description of the activity ( Please check the box that most
club organization members activities the club did in accurately defines the activity. Please check ( 1 ) box only
conducted in School year 2014- per activity
school year 2014- 2015
2015
Speech contest Pageant
Paper / bottle drive Clean - Ups
Conducted Awareness campaign C Quiz bee
GPTA 18 4 Meeting Musical Contest Sportfest
Seminars
Tree Planting

Others _______________________________
 Speech contest Pageant
Paper / bottle drive Clean - Ups
Conducted Awareness campaign C Quiz bee
SGC 26 2 Meeting Musical Contest Sportfest
Seminars
Tree Planting

Others _______________________________
Speech contest Pageant
Paper / bottle drive Clean - Ups
Conducted Awareness campaign C Quiz bee
SPG 12 2 Meeting Musical Contest Sportfest
Seminars
Tree Planting

Others _______________________________
Speech contest Pageant
Paper / bottle drive Clean - Ups
Conducted Awareness campaign C Quiz bee
NGP 14 2 Meeting Musical Contest Sportfest
Seminars
Tree Planting

Others _______________________________
Speech contest Pageant
Paper / bottle drive Clean - Ups
Awareness campaign C Quiz bee
Musical Contest Sportfest
Seminars
Tree Planting

Others _______________________________

Prepared by:
RAUL G. ROYO
ESHT - I