Republic of the Philippines

Department of Education
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
Malasiqui District II

FUNCTIONAL LITERACY ASSESSMENT TOOL (FLAT)

ASSESSMENT REPORT
(School Level Report)
GRADE FOUR- DEL PILAR
SY. 2021-2022

School Name: NALSIAN - TOMLING ELEMENTARY SCHOOL School Principal: MARGIE S. LOPEZ
Grade and Section: GRADE FOUR DEL - PILAR Teacher: CRISTITAM. VIGO
Total No. of Enrolled Learners: 30 Total No. of Assessed Learners: 30
Date o Administration: MAY 23-27,2022 Pre- Assessment:____________ Post- Assessment: ___________
General Information Functional Literacy Level
Level of Learner
Below Letter Level= BLL
Letter Level= L
Word Level= W
Sex Below Local Material Paragraph Level= P
Letter Word Paragraph Story Story Level + Story Level= S
LRN Name of Learner Age Letter Level +
Level Level Level Level Comprehension
Level Cmprehension Story Level + Comprehension= SCL
Local Material + Comprehension
Level= LMCL

M F
101570160024 ARMAS,JUSTIN, BARBOZA 11 / / / / / / S
136595170095 ASIS,ACHILLES, ROSARIO 9 / / / / / / / LMCL
101570140057 CAMORONGAN,WENDELL, DEL MONTE 12 / / / / P
101570170063 DE GUZMAN,ALLEN DAVE, CANCINO 9 / / / / P
101570170060 DE VERA,ERICSON, DAYTO 9 / / / W
101570170064 DOLOQUE,DAN WESLEY, DE GUZMAN 9 / / / / / S
101570170006 ICO,MEG, ERJAS 9 / / / W
101570170066 JUNIO,REYMART, CRUZ 9 / / / / / S
101570170090 MAMARIL,MARK KEVIN, SEGOVIA 10 / / / / / S
101570170071 MARAYAG,ALEXANDER, OLIVARES 9 / / / / / / SCL
101570170072 MORALES,BRYAN, - 9 / / / / / / / LMCL
101570170014 PALOMINO,ALDRIN, JR DE LA CRUZ 9 / / / W
101570170018 PALOMINO,KHIAN CARL, LOREZCO 10 / / / / / / / LMCL
101564170015 PILAR,XYRIEL JHON, CAYAGO 10 / / / / P
 101570170029 TERRADO,JOHN PAUL, MANDING 9 / / / / / / SCL
101570170075 USON,JOHNRALP, MORANO 10 / / / / / / LMCL
101570170033 BORGA,RHIANNA, SERGOTE 9 / / / / / / / LMCL
101570170077 CALIMLIM,JESSICA, DELA CRUZ 10 / / / / / S
101570170097 CASTRO,DANICA, GERMINAL 10 / / / / / / SCL
136480180310 ESCALA,LOUIESA, PALAGANAS 10 / / / / / / SCL
101570170024 FABIA,MAICA LORRAINE, LORENZO 9 / / / / / S
101570170031 ICO,CHRISTINA ALIYAH, TORRALBA 9 / / / / / / SCL
101570170104 LOPEZ,MA ELISSA, MORANO 10 / / / / / / / LMCL
101570170036 MACAALAY,ASHLEY KATE, SANCHEZ 9 / / / / / / SCL
101570170100 MACASIEB,ZYREIGN JHAM, SORIANO 9 / / / / / / / LMCL
101570170053 MANGAOANG,MARY ROSE, CAMORONGAN 10 / / / / / / SCL
101570170040 NEVADO,ASHLEY KEITH, CAMORONGAN 10 / / / / / / / LMCL
101570170048 SERGOTE,ANGELICA, ROSARIO 9 / / / / / / LMCL
101570170085 TORRALBA,JENNY ROSE, TORDA 9 / / / / / / SCL
101570170086 TORRALBA,SZENNIEN, FETALVERO 10 / / / / / / / LMCL

Prepared by: Reviewed by: Noted by:

CRISTITA M. VIGO JOSEPHINE C. JUNIO MARGIE S. LOPEZ

Class Adviser English Coordinator Principal I
 Republic of the Philippines
Department of Education
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
Malasiqui District II

FUNCTIONAL LITERACY ASSESSMENT TOOL (F

SUMMARY REPORT
GRADE FOUR
SY. 2021-2022

Pre-Test Posttest

School Name: School Principal:

Date of Administration:
Total No. of Enrolled Learners: Total No. of Assessed Learne

General Information Fun

Paragraph
Grade Below Letter Level Letter Level Word Level Level

1
2
3
4
5
6

Total

Prepared by: Reviewed by:

Adviser English Coordinator

ines
tion

PANGASINAN
I

MENT TOOL (FLAT)

RT

ool Principal:
e of Administration:
al No. of Assessed Learners:

Functional Literacy Level

Local Material
Story Story Level +
Level Comprehension Level + Total
Comprehension

Noted by:

rdinator School Head

 Republic of the Philippines
Department of Education
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
Malasiqui District II

FUNCTIONAL LITERACY ASSESSMENT TOOL (F

SUMMARY REPORT
SY. 2021-2022

Pre-Test Posttest

School Name: School Principal:

Date of Administration:
Total No. of Enrolled Learners: Total No. of Assessed Learne

General Information Fun

Paragraph
Grade Below Letter Level Letter Level Word Level Level

1
2
3
4
5
6

Total

Prepared by: Reviewed by:

English Coordinator Principal

ines
tion

PANGASINAN
I

MENT TOOL (FLAT)

RT

ool Principal:
e of Administration:
al No. of Assessed Learners:

Functional Literacy Level

Local Material
Story Story Level +
Level Comprehension Level + Total
Comprehension

Approved by:

pal EPS in English

 Republic of the Philippines
Department of Education
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
Malasiqui District II

FUNCTIONAL LITERACY ASSESSMENT TOOL

SUMMARY REPORT
GRADE FOUR- TECSON
SY. 2021-2022

Pre-Test Posttest

Note: Please provide the necessary information. Put a check mark (/) on the reading level of your child based on the res

School Name: School Head:

Grade and Section: Adviser:
General Information
Below
LRN Name of Learner Age Sex Letter
Level

Prepared by: Reviewed by:

Class Adviser
Signature Over Printe Name of
Parent/Guardian
 Philippines
Education
nI
FICE I PANGASINAN
istrict II

SESSMENT TOOL (FLAT)

REPORT
- TECSON
2022

Date Administered: __________________________________

f your child based on the result of your assessment.

School Head:
Adviser:
Functional Literacy Level
Story Story Local
Letter Word Paragraph
Level Level Level Reading Comprehension Material
Level Level Level

Noted by:

Adviser School Head