ALS PRESENTATION PORTFOLIO INITIAL ASSESSMENT FORM

Republic of the Philippines

Department of
Education
REGION III
SCHOOLS DIVISION OF CITY OF SAN JOSE DEL MONTE

Name of Learner: LRN:

CLC: (Last Name. Given Name, Middle Name, Extension Name)
MINUYAN PROPER Level:
CLC Number: 32000648 Sex:
Birthdate: Age: SY Completed: 2023-204

Written Reflection on Portfolio Contents Completed (Check the appropriate box)

2-3 paragraphs
 Elementary Level
3-5 paragraphs
 Junior High School Level

ALS Presentation Portfolio Initial Assessment Form

Formal Records

Birth/marriage certificate or any proof of identification containing picture, complete

name, and birthday (e.g., government-issued ID, barangay certification,
BJMP/BUCOR certificate, or company ID).
Enrollment Form (AF2)
Personal Information Sheet (PIS) Pre and Post
Functional Literacy Test (FLT) Pre and Post Test
Individual Learning Agreement (ILA) (AssessmentForm1)
Record of Module Use and Monitoring of Learner’s Progress (Assessment Form 2)
Documentation of Life Experiences (RPL Form 1)
Record of Training/Skills (RPL Form 2)
Summary of Work History (RPL Form 3)

Learner's Checklist of Competencies (RPL Form 4)

Work Samples

LS 1 - Communication Skills (English)

NOT REMARKS
WORK SAMPLE ACCEPTED
ACCEPTED (If not accepted)
1
2
3
4
5
 LS 1 - Communication Skills (Filipino)
NOT REMARKS
WORK SAMPLE ACCEPTED
ACCEPTED (If not accepted)
1
2
3
4
5
LS 2 - Scientific Literacy and Critical Thinking Skills
NOT REMARKS
WORK SAMPLE ACCEPTED
ACCEPTED (If not accepted)
1
2
3
4
5

LS 3 - Mathematical and Problem-Solving Skills

NOT REMARKS
WORK SAMPLE ACCEPTED
ACCEPTED (If not accepted)
1
2
3
4
5

LS 4 – Life and Career Skills

NOT REMARKS
WORK SAMPLE ACCEPTED
ACCEPTED (If not accepted)
1
2
3
4
5

LS 5 – Understanding the Self and Society

NOT REMARKS
WORK SAMPLE ACCEPTED
ACCEPTED (If not accepted)
1
2
3
4
5

LS 6 – Digital Citizenship
NOT REMARKS
WORK SAMPLE ACCEPTED
ACCEPTED (If not accepted)
1
2
3
4
5

Certified by: Validated by:

JOVIE ROMMEL G. LOGRONIO ROMAN F. CACHO

ALS Teacher/Community ALS Implementor Designated District Validator
/Learning Facilitator Signature over Printed Name
Signature over Printed Name Date:
Date:
PRESENTATION PORTFOLIO ASSESSMENT DECLARATION AND CERTIFICATION FORM

Republic of the Philippines

Department of Education
REGION III
SCHOOLS DIVISION OF CITY OF SAN JOSE DEL MONTE

PRESENTATION PORTFOLIO ASSESSMENT DECLARATION AND CERTIFICATION FORM

DECLARATION

I hereby certify that all submitted learning outputs contained in my Presentation

Portfolio, are my own work and that all information contained in formal records are true
and correct.

________________________________
Learner
Signature over Printed Name

Date: ________________________

CERTIFICATION
This is to certify that all the learning contents of the Presentation Portfolio are the learner’s
own individual work and that each learning output is valid evidence of learning/mastery of
the ALS Learning Strand’s competencies.

Certified True and Correct

JOVIE ROMMEL G. LOGRONIO

ALS Teacher/Community ALS Implementor/Learning Facilitator
Signature over Printed Name

Date:____________________
 CERTIFICATE OF ALS PROGRAM COMPLETION

Republic of the Philippines

Department of Education
REGION III
SCHOOLS DIVISION OF CITY OF SAN JOSE DEL MONTE

CERTIFICATION

This is to certify that __________________________________________________with LRN

(Last Name. Given Name, Middle Name, Extension Name)
__________________ of Brgy. Minuyan Proper CLC is a/an ___________________________
(CLC Name) Elementary of Junior High School

ALS PROGRAM COMPLETER in the Learners Information System (LIS) of SY

2023-2024.

This certification is issued as one of the requirements for the Presentation

Portfolio Assessment Year V. The result of which shall be the basis for the issuance of

an Elementary Certificate or Junior High School Certificate.

JOVIE ROMMEL G. LOGRONIO

ALS Teacher/Community ALS Implementor/Learning Facilitator
Signature over Printed Name
Date:_______________________
 Republic of the Philippines
Department of Education
REGION III
SCHOOLS DIVISION OF CITY OF SAN JOSE DEL MONTE

PRESENTATION PORTFOLIO ASSESSMENT SCORING SHEET

Name of Learner: LRN:

(Last Name, Given Name, Middle Name, Extension Name)

CLC: MINUYAN PROPER Level:

PART I. FINAL ASSESSMENT

Check if the following documents are presented in the Presentation Portfolio. All forms must be duly
accomplished and complete before proceeding to the next part of the assessment.
EVIDENT NOT
EVIDENT
Written Portfolio Reflection Paper
The contents of the presentation portfolio provide evidence of the
learner’s progress towards achieving stated learning goals.
Prerequisite Forms (Formal Records)
 Birth/Marriage Certificate or any proof of identification
 Enrollment Form (AF2)
 Personal Information Sheet (PIS)
 Functional Literacy Test Result (FLT) Pre and Post Test
 Individual Learning Agreement (ILA) (Assessment Form 1)
 Record of Module Use and Monitoring of Learner’s Progress
(Assessment Form 2)
 Documentary of Life Experience (RPL Form 1)
 Record of Training Skills (RPL Form 2)
 Summary of Work History (RPL Form 3)
 Learner’s Checklist of Competence (RPL Form 4)

Five (5) Work Samples for each Learning Strand POINTS

 LS 1 – Communication Skills (English)
 LS 1 – Communication Skills (Filipino)
 LS 2 – Scientific Literacy and Critical Thinking Skills
 LS 3 – Mathematical and Problem–Solving Skills
 LS 4 – Life and Career Skills
 LS 5 - Understanding the Self and Society
 LS 6 – Digital Citizenship
TOTAL SCORE:
REMARKS (PASSED/FAILED) (minimum total of 21 points with
at least a score of 3 per Learning Strand):
PART II. INTER – DISTRICT REVALIDA:
CRITERIA ENGLISH FILIPINO TOTAL REMARK
POINTS (Passed/Failed)
(minimum of 28 points
combined for reading &
writing + minimum 4 points
for interview)
Oral Reading
Writing
Interview
CONSOLIDATED SCORE:
Work Sample Inter–District PPA Final Score/Percentage
Score Revalida Score (Work Sample Score + Inter–District
Revalida Score) (minimum of 53 to pass)

(1X1 picture
Evaluated by: VILMA A. MARQUEZ Date: ______________________ of learner)
Education Program Specialist II for ALS
Signature over Printed Name