Form No. NB 2.

1
Evaluation Sheet to be filled by the Principal/Head Teacher for “Nation Builder Award” (Outstanding Teacher Award)

Rotary/Inner Wheel/Rotaract Club of: _________________________ RI/IW/Rtr. Dist. : _________ Date : __________ Tick one  Government/Aided School
 Zilla Parishad School
Name of the person filling this form : _________________________________________________________________
 Gram Panchayat School
Type of School:  Primary /  Elementary (Tick the relevant option)  Municipal School
Name of the School : ______________________________________________________________________________ To be filled by Principal/Head Teacher of the School
*Please give marks from 1(lowest) to 10 (highest) for each attribute
Address : _______________________________________________________________________________________

Name of Teacher 10

Name of Teacher 11

Name of Teacher 12

Name of Teacher 13

Name of Teacher 14

Name of Teacher 15
Name of Teacher 1

Name of Teacher 2

Name of Teacher 3

Name of Teacher 4

Name of Teacher 5

Name of Teacher 6

Name of Teacher 7

Name of Teacher 8

Name of Teacher 9
Sl.
Attributes of Teacher
No

1 Regularity in attendance
2 Knowledge of the Subject

3 Communication ability
4 Use of Innovative methods
5 Understanding students’ needs

6 Ability to
motivate/inspire/respond to
slow learners
7. Performance of the students in
the subject taught by the
teacher
8. Teacher’s interest in organizing
extra-curricular activities(NCC,
Scouts and Guides)
9. Interest shown by the students
in attending his/her class
10 Helpful beyond working hours

TOTAL B
Total C = Total B X 5
(To be carried over to Form No. NB 3.1)

SIGNATURE OF PRINCIPAL