Department of Education

Region VII, Central Visayas

Division of Cebu Province
DISTRICT OF BORBON
Borbon, Cebu

School:_________________________________ Grade: __________________

Teacher: _______________________________ Date of Evaluation: ________

Gen. Direction: Assess the effectiveness and efficiency of the teachers according to the indicators below:
5. Strongly agree - exceeds expectations
4. Agree - display high level of competency
3. Disagree - fails to meet required outcome
2. Strongly Disagree - not observed
1. Highly Disagree - not at all
I. INSTRUCTIONAL COMPETENCE (30%) 5 4 3 2 1
Both: Elementary/Secondary
Computation:
Total Score ÷ Perfect Score (30) X .30 X 100 =
A. LESSON PLAN
1. Daily Lesson Log (DLL/DLP/IP/LE) with complete parts, reflection properly filled up (both)
2. Learning Objectives used were aligned with K to 12 Competencies and follow the
SMART, KSA Standards (both)
3. The lesson plan is accurate, relevant, meaningful updated and integrative
(GAD, DRRE, Values, etc.) (both)
4. IPPDP (both)
5. One classroom observation per quarter (COT) (both)
6. (1st to 2nd quarter) RPMS Portfolio 5 KRA's (both)
II. PUPILS/STUDENTS OUTCOME (50%)
Elementary: Total Score ÷ Perfect score (185) X .50 X 100 =
Secondary : Total Score ÷ Perfect score (160) X .50 X 100 =
A. Conducted Periodical Test of all subject areas with table of specification/
analysis/frequency of correct responses/ errors (kinder & SPED - NA) (both)
B. Form 14 Periodical Test in all subject areas (1st , 2nd & 3rd R P ) (both)
C. Pupils/Students accomplishment were contained in his/her portfolio (Spelling
Booklets, (Eng. & Fil.) Theme Notebooks, etc. Grade IV-VI) (writing spicemen Grade I-III)
Secondary Outputs (both)
D. Report cards were issued 1 week after the periodic test. (both)
D.1. Parents'Attendance/supporting documents (both)
D.2. Signed Report Cards/ supporting documents (both)
E. Conduct Remediation/ Enrichment Activity (Elementary/Secondary) (both)
E.1 List of Pupils/students that need of (both)
E.2. Schedule/ topic of remediation (both)
F. Maintained a safe, clean and orderly classrrom conducive to learning
F.1. Functional comfort rooms (both)
F.2. Teacher's Table and chair (both)
F.3. Visitor's Table and chair (both)
F.4. Trash cans with covers (biodegradable, non-biodegradable, recyclable) (both)
F.5. Toothbrush holder with toothbrush checklist (Elementary)
F.6. Mini library (Bookshelves,/magazine rack) both
F.7. Broomstand with brooms (both)
F.8. Vocabulary Holder ( Elementary)
F.9. Chart stand - (Elementary)
F.10. Door Name and Class Program is mounted and framed displayed at the
entrance of the room. (both)
F.11. Display Boards (with Catch Questions) (both)
F.12. Performance output (exhibit of projects etc. One every quarter/subject) (both) sample
 F.13. Subject Labels (both)
F.14. Saying/Quotations with readable font size, free from grammatically errors,
big enough to be seen by the entire class. Appropriately displayed. (at least two) (both)
F.15. DepEd Vision, Mission, Core-Values, Filipino Heroes (2 pictures/posters) (both)

F.16. Classroom Structuring systematically artistic,well arranged and pleasant to student's/

pupil's eyes. (both)
F.17. Wall of Honors (both)
F.18. Compilation of songs, Rhymes, Jingles, tongue twister, riddles and poems (Elementary)
F.19. Activity Cards (both)
F.20. Visual Aids (Instructional Materials in all subject areas)
adequate, varied and updated (Elementary)
G. Participated in school, District, and Division Curricular and Non- Curricular activities
G.1. BSP/GSP Registration per troop (Elementary & Secondary) (both)
G.2. Winner in the School District, Division (Academic/ Sports Competitions) (both)

H. Conducted at least 4 Home Visits with focus on LARDO's /SARDOs (1st ,2nd & 3rd quarter) (both)
H.1. Home Visitation Form (1st & Second quarter) (both)
H.2. Documentation (pictures, signature of parents) (both)
I. Keep and updated reports, anecdotal records, referral slips and other guidance forms (both)
I.1. Class records
I.2. Grade Sheet
I.3. SF 1 and SF 2
I.4. SF 3 and SF 8
I.5. SF 9 and SF 10
I.6. Guidance Service Records
III. COMMUNITY INVOLVEMENT (10%)
Both: Total Score ÷ Perfect score (45) X .10 X 100 =
A. Organized Functional Homeroom PTA (both)
A.1. Attendance (supporting documents)
A.2. Minutes (supporting documents)
A.3. Pictures (supporting documents)
A.4. List of Homeroom PTA Officers (supporting documents)
B. Undertaken/initiated/events/activities with external funding sponsorhip within target dates
B.1. The teacher has initiated resources worth not less than 1000 (both)
B.2. Documentation of the Project (Pictures)
B.3. Participated/Attended LGU Activities such as Teachers' Nite, Festivals, Nutrition month
Celebration, Independence Day/Municipal Celebration, etc) (both)
B.3.1. Certificate of Appearance (supporting documents)
B.3.2. Pictures (supporting documents)
IV. PROFESSIONAL GROWTH AND DEVELOPMENT (10%)
Both: Total Score ÷ Perfect score (10) X .10 X 100 =
A. Participation in (both)
A.1. Trainings/Seminar
A.2. LAC Sessions conducted in school/district/per month (10 LAC Session attended)
V. FOOD PRODUCTION, BEAUTIFICATION AND SANITATION (20%)
Both: Total Score ÷ Perfect score (20) X .20 X 100 =
A. Teacher/Pupils/Students Flower Garden (both)
B. Teacher/Pupils/Students Vegetable Garden (both)
C. Potted plants (atleast 12 flowering/ornamental/edible/landscapping) (both)
D. Cleanliness of Ground Assignment (both)
E. Seedboxes with seedlings (vegetable/fruit trees. Forest trees) (both)
F. Records of Tree Planting Activities (Documentation) Grade V & VI/Secondary
G. Record of Gulayan sa Paaralan Activities (Documentation) Kinder to Grade IV
H. Recycled Materials used as pots and garden accessories.
PLUS FACTOR (5%) or (.25)
FOR TEACHER 1, TEACHER 2, TEACHER 3
1. Personal provision of multi media in the classroom to be utilized for instruction
 2. Served as demonstrator teacher in innovative teaching techniques/ classroom management
3. Served as subject area coordinator/ chairman in school, district/ Division
4. Action Research
5. Officiating Officials any of the event, Sports/Academic
FOR MASTER TEACHER ONLY
1. Evidence in providing TA to co-teacher in improving their teaching competence,
instructional development supported by documents
2. Action Plan for the year for the subject assigned and monthly accomplishement reports
with supported documents.
3. Personal provision of multi media in the classroom to be utilized for instruction.
4. Prepared proto type instructional materials for use with evidence

TOTAL SCORE

SUB RATING
OVER-ALL RATING

DESCRIPTIVE RATING

SUMMARY RATING

I - INSTRUCTIONAL COMPETENCE (30%)

II - PUPIL'S / STUDENT'S OUTCOME (50%)

III - COMMUNITY INVOLVEMENT (10%)

IV- PROFESSIONAL GROWTH AND DEVELOPMENT (10%)

V - PLUS FACTOR (May or May Not) (5%/.25)

OVER-ALL RATING

DESCRIPTIVE RATING

COMMENTS AND COMMENDATIONS:

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

________________________
Teacher's Signature
Over Printed Name

____________________________ ___________________________ __________________________

Evaluator's Signature Evaluator's Signature Evaluator's Signature
Over Printed Name Over Printed Name Over Printed Name
____________________________ ___________________________ __________________________
Evaluator's Signature Evaluator's Signature Evaluator's Signature
Over Printed Name Over Printed Name Over Printed Name

____________________________ ___________________________ __________________________

Evaluator's Signature Evaluator's Signature Evaluator's Signature
Over Printed Name Over Printed Name Over Printed Name

Noted:

OMEGA M. SOL, Ed.D.

PSDS
______________
tion: _________

TOTAL
_________________
s Signature
nted Name
_________________
s Signature
nted Name

_________________
s Signature
nted Name