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Annex A School Level Monitoring Tool

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Republic of the Philippines

Data Privacy Notice: Data and information in this form are intended exclusively for the purpose of this activity. Serving other
Department of Education
purpose not intended by the process owner is a violation of Data Privacy Act of 2002.

LEARNER GOVERNMENT (LG) COMEA MONITORING TOOL

This monitoring tool shall be utilized and filled out by all schools nationwide and must be submitted to their
respective Division Youth Formation Coordinator (YFC) for consolidation. The deadline of the submission will be
determined by their Division YFC.
I. Monitoring Tool
Name of School: ______________________________ School Year: ___________ Date Accomplished: ____________ School
ID: ____________________ Region/Division: __________________________________________________
LG COMEA Chief Commissioner: __________________________________
Designation: _____________________
Date of Election: _________________ Time of Election: _____________________
Learner Government Category: SELG SSLG

Number of Candidates: ________________________ Number of Polling Precinct: _____________________


Election Period: ________________________________ Polling Precinct Station/s:
Campaign Materials Used: ______________________ ______________________
 Fliers  Posters
 Social Media Post Total Number of Qualified Voters: _____________
 Others (please specify): _________________________ Total Number of Actual Voters: ________________

Has there been any disqualification of a candidate? Mode of Election


 Yes Reasons: _____________________________  Manual  Blended
 No  Digital  Others (please specify): _____________

Composition of the LG COMEA

LG COMEA Commissioners:
Commissioner on Screening and Validation Commissioner Appointment
 Appointed  Appointed
Others (please specify): ___________________ Others (please specify): ___________________
Commissioner on Electoral Board Commissioner on Grievance
 Appointed  Appointed
Others (please specify): ___________________ Others (please specify): ___________________

LG COMEA Permanent Committees:


Executive Committee Appointment Committee
Number of Members: ________ Number of Members: ________
Screening and Validation Committee Grievance Committee
Number of Members: ________ Number of Members: ________
Electoral Board Committee
Number of Members: ________

Number of meetings conducted throughout the election and appointment process: __________

Number of violations committed throughout the election and appointment process: ___________

Number of complaints filed throughout the election and appointment process: ________________

II. Results

List of Elected/Appointed Officers for the Learner Government (SELG/SSLG)


Supreme Elementary Learner Government Officers for SY: 2023-2024

Position Name of Learner Grade level


President
Vice-President
Secretary
Treasurer
Auditor
Public Information Officer
Protocol Officer

Supreme Secondary Learner Government Officers for SY: 2023-2024

Position Name of Learner Grade level


President
Vice-President
Secretary
Treasurer
Auditor
Public Information Officer
Protocol Officer

III. Recommendations
Kindly note that recommendations shall be centered on the improvement of the issued policy.

Members of the LG COMEA:

____________________________________ ____________________________________
LG COMEA Commissioner LG COMEA Commissioner

Prepared by: Validated by:

____________________________________ ____________________________________
LG COMEA Commissioner LG COMEA Commissioner

Approved by:

________________________________________________
LG COMEA Chief Commissioner/School Head

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