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Republic of the Philippines

DEPARTMENT OF EDUCATION
Region IV-A CALABARZON

DIVISION OF RIZAL

Appraisal Form #1: Checklist on Classroom Management

Most of the Time


All the time

Sometimes
Item

10 8 6

1 Calls learners by name (with the help of memory, IDs,


name tags or seat plan )
Implements procedures in group work ( evidence of
2 instituted break-out procedures for peer work or group
work)

Implements discipline in letting students enter inside


3 (after flag ceremony, recess, activity outside the
classroom, etc) and making them take exit from the
classroom

Implements procedures in the distribution of materials


4 and collection, turning in, and handing back checked
learners’ work

Employs a facilitated and purposive checking of


5
attendance (finds out who are absent/cutting classes
and why and make a follow up)

Implements proactive discipline plan (e.g. detects


6 inappropriate behavior and intervenes, calls the
learners’ attention, deal with disruption appropriately
to avoid arguments)
Uses efficient routines in starting and ending class
7
periods

8 Implements specified work formats (themes, exercise


notebooks, experiment notebooks, projects, etc.)
9 Provides authentic rewards and incentives
(appropriate praises, facial expression, gestures)

10 Reminds students of important schedules and


assignment efficiently

Manages time appropriately (engaged time on task—


11 arrives and leaves classroom on time and stays in the
classroom or activity area for the whole period)

12 Movement in the classroom (moves around, divides


attention equally among students)
Gives clear directions (e.g. giving appropriate
13
examples or non-examples)

Gives clear directions (e.g. giving appropriate


14
examples or non-examples)

Uses of appropriate non-verbal communication


15 (observes entire class and scans frequently,
signals/gestures)

Overall Rating
Description of Rating
8.5 - 10 Outstanding
6.5 - 8. 49 Very Satisfactory
4.5 - 6.49 Satisfactory
2.5 - 4. 49 Unsatisfactory
2.0 - 2. 49 Poor
ON

4
Rarely

m Management

2
Not at All

RATING
Republic of the Philippines

DEPARTMENT OF EDUCATION
Region IV-A CALABARZON

DIVISION OF RIZAL

Appraisal Form #2: Classroom Management - Ensuring and Maintain


Clean, Conducive, Secure, and Ebnergy-Saving Environment

Most of the Time


All the time

Sometimes
Item

10 8 6

Electric fans/air-conditioned units are turned off when


1 not in use and when not necessary (when there is
fresh air, during recess time, lunchtime, and dismissal)
Lights are turned off when not in use and when not
2 necessary (when there is enough sunlight, during
recess time, lunchtime, and dismissal)

3 Water faucets are turned off when not in use and after
dismissal
4 Classroom is open before the first session starts.

Classroom is locked when nobody is inside and after


5
dismissal of the last session for the day/night.

6 Classroom has broom/s, dust pan, and garbage


containers.
7 Classroom has updated display boards.

Classroom has updated bulletin boards (Absences,


8
reminders, best work)

9 Learners do not throw their garbage anywhere.

10 Learners segregate their trash.


Homeroom PTA helps in performing minor
11 repairs/improvement of classroom and its
furniture/equipment.
Homeroom PTA helps in performing minor painting
12
works for the classroom and its furniture.

OVERALL RATING (TOTAL RATING ÷ 12 X 100)


Description of Rating
8.5 - 10 Outstanding
6.5 - 8. 49 Very Satisfactory
4.5 - 6.49 Satisfactory
2.5 - 4. 49 Unsatisfactory
2.0 - 2. 49 Poor
ON

uring and Maintaining


ing Environment
Not at All
Rarely

RATING

4 2
AL RATING ÷ 12 X 100)
Republic of the Philippines

DEPARTMENT OF EDUCATION
Region IV-A CALABARZON

DIVISION OF RIZAL

Appraisal Form #3: Checklist for Record Management

Some times
All the time

Most of the

Rarely
Time
ITEM

10 8 6 4
1 Class record/s

2 Form 1 School Register

Form 2 Monthly Attendance and


3
Enrolment

4 Subject Grade Sheets

5 Consolidated Grade Sheets

6 Form 137 Permanent Records

7 Form 138 Report Card


Keeps(monthly)/
submits(monthly List of Top Ten for a Grading
8
/quarterly) up-to-date Period
reports
Form 18-A (for the fourth quarter
9
of SY)

10 Anecdotal Records

11 Lesson Plans

Nutritional Status (For the 1st


12
and 4th quarter of SY)
Phil-IRI (For the 1st and 4th
13
quarter of SY)
14 Other reports required

15 Class record/s

16 Form 1 School Register


Form 2 Monthly Attendance and
17
Enrolment
18 Subject Grade Sheets

19 Consolidated Grade Sheets

20 Accomplishes neat, Form 137 Permanent Records


accurate, and
21 complete reports Form 138 Report Card
personally
List of Top Ten for a Grading
22
Period
Form 18-A (for the fourth quarter
23
of SY)
24 Anecdotal Records

25 Lesson Plans

Nutritional Status (For the 1st


26
and 4th quarter of SY)
OVERALL RATING (TOTAL RATING ÷ 26 X 100)

Description of Rating
8.5 - 10 Outstanding
6.5 - 8. 49 Very Satisfactory
4.5 - 6.49 Satisfactory
2.5 - 4. 49 Unsatisfactory
2.0 - 2. 49 Poor
ent

2
Not at All

RATING
Republic of the Philippines

DEPARTMENT OF EDUCATION
Region IV-A CALABARZON

DIVISION OF RIZAL

Appraisal Form #4: Checklist for Reviewing Lesson Plans

OBSERVED
ITEM
YES NO
OBJECTIVES
1 Writes objectives clearly for students

2 Writes objectives in behavioral terms

Objectives are SMART (Specific, Measurable, Attainable, Result-


3
oriented, Time-bounded)
Objectives manifest psychomotor, cognitive and affective
4
domains of learning

SUBJECT MATTER

6 Based on PELC/PSSLC Budget of Work (Expectation: On time)

7 Reflects the use of references and IMs

PROCEDURES

The strategy used is suitable in developing the lesson/subject


8
matter.

Preparatory activity/ies employed effectively prepares or


motivates learners for the lesson (e.g. drill such phonics drill,
9 review, checking of assignment, unlocking of difficulties,
motivation such as a song, poem, anecdote, mini-story, picture,
game, trivia or motivating question)

Activities for the development of the lesson are

10 · well-organized

11 · objective-oriented
12 · meaningful to learners
Activities for the development of the lesson provide opportunities
for learners to
13 · develop higher order thinking skills (HOTS)

14 · make generalizations/conclusions

15 · apply knowledge and skills learned

EVALUATION

16 Directions are brief and concise

17 Items are aligned with the lesson objectives

18 Items are skill-based

ASSIGNMENT

19 Provide clear directions

Provides opportunities to enhance knowledge and skills learned


20
or prepares the learners for the next lesson
N

Lesson Plans

REMARKS
Republic of the Philippines

DEPARTMENT OF EDUCATION
Region IV-A CALABARZON

DIVISION OF RIZAL

Appraisal Form #5: Checklist for Teacher/Class Observation


OBSERVED
ITEM REMARKS
YES NO
INITIAL FOCUS

1 States objectives of the session clearly to students

Gains attention of students (Punctuality, Good


2 Grooming, Posture, Classroom Presence, well-
prepared with all lesson paraphernalia)

CONTENT EMPHASIS AND/OR LINKING

Stresses the importance/significance/essence of the


3
topic

Links lesson to learners’ backgrounds and life


4 experiences, past learning including those in other
subject areas, and future learning

Points out similarities and differences of the previous


5
of the topic to the new one

COMPREHENSIBLE INPUT

Uses speech appropriate for learners’ proficiency


5 level (slower rate, enunciation, simple sentence
structure for beginners)

6 Explain academic tasks clearly

Use a variety of techniques to make content


7 concepts clear (e.g. modeling, visuals, hands-on
activities, demonstrations, gestures, body language)

STRATEGIES
Provide ample opportunities for students to use
strategies (e.g., problem solving, predicting,
8
organizing, summarizing, categorizing, evaluating,
self-monitoring).

Use scaffolding techniques consistently (providing


the right amount of support to move students from
9
one level of understanding to a higher level)
throughout lesson.

Use a variety of question types including those that


promote higher-order thinking skills throughout the
10
lesson (e.g., literal, analytical, and interpretive
questions).

INTERACTION

Provide frequent opportunities for interactions and


11 discussion between teacher/learner and among
learners, and encourage elaborated responses.

Use group configurations that support language and


12 content objectives of the lesson. Provide sufficient
wait time for student response consistently.

Give ample opportunities for students to clarify key


13
concepts

PRACTICE/APPLICATION

Provide hands-on materials and/or manipulatives for


14
students to practice using new content knowledge.

Provide activities for students to apply content and


15
language knowledge in the classroom.

EMPHASIS/REVIEW/ASSESSMENT

16 Give comprehensive review of key vocabularies.

Give a comprehensive review of key content


17
concepts, skills, values, and attitudes.

Provide feedback to learners regularly on their


18
output (e.g. language, content, work)
Conduct assessments of learner comprehension
based on learning objectives (e.g. spot checking,
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group response, individual work, peer work and/or
group work)