Republic of the Philippines
Department of Education
NEGROS ISLAND REGION
SCHOOLS DIVISION OF BACOLOD CITY
Office of the Schools Division Superintendent
MONITORING OF THE LEARNER GOVERNMENT PROGRAM ELECTIONS
FOR THE SCHOOL YEAR 2026 -2027
Name of School: __________________________________________________ ________________________________
School ID: ________________________ District/ Cluster: ____________________
Date Accomplished: ______________________________________________
LG COMEA Chief Commissioner: _____________________________________________________________________
Date of Election: ________________________________________________ Time of Election: ____________________
Learner Government Category: SELG SSLG
Number of Candidates: ____________________________________ Number of Polling Precincts: __________________
Election Period: ________________________________ Polling Precinct Station/s : ______________________________
Campaign Materials Used: ______________________________
Fliers Posters Social Media Post ______________________________
Others (please specify): ________________________________________________
Mode of Election: Manual Digital Total Number of Qualified Voters: ___________________________
Blended Others (please specify): ________________________________________________
Has there been any disqualification of a candidate? No
Yes (reasons): ___________________________________________________________________________________________
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 CommitteeNumber of Members: _______________________
Republic of the Philippines
Department of Education
NEGROS ISLAND REGION
SCHOOLS DIVISION OF BACOLOD CITY
Office of the Schools Division Superintendent
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: _______________________
Please indicate whether the outputs/ activities were compiled/observed in connection with the implementation of the
Learner Government Program. Tick the column of your response and indicate remarks if applicable.
Expected Outputs/ Activities Yes No Remarks
1 a.) Establishment of School’s Learner Government
Commission on Elections and Appointments (LG COMEA)
1. Identification of Commissioners
2. Composition of Committees
b.) Identification of modality and schedule of election
activities
School Memorandum
Resolution
Notice of Meeting
Minutes of the Meeting
2 Application Period: Submission of required forms and
documents
Election Application Form
Introductory Profile
Certificate of Good Moral
Photocopy of School Forms 9 (Learner’s Progress
Report Card)
3 Screening Process
Screening Form
4 Posting of Official list of Candidates
Resolution
5 Campaign Period: Setting of campaign modality and
guidelines
Resolution
Notice of Meeting
Minutes of Meeting
Republic of the Philippines
Department of Education
NEGROS ISLAND REGION
SCHOOLS DIVISION OF BACOLOD CITY
Office of the Schools Division Superintendent
6 Pre- Election
a. Identification of polling precincts
b. Authorization of Poll Watchers
c. Preparation of ballots, master list of voters, and displayed
list of candidates
Resolution
Poll Watcher Authorization Form
Sample Ballot
7 Post-election
a. Tabulation of votes
b. Canvassing of votes
Election Tabulation Form
Election Canvass Form
8 Issuance of Official Results of Winners
Registry of Elected Officers
9 Oath Taking Ceremony
Oath of Office
Monitored by:
______________________________________________
Name and Signature
______________________________________________
Designation and Office
Conforme:
__________________________________________
Name and Signature
__________________________________________
Designation and School