CENTRAL BICOL STATE UNIVERSITY OF AGRICULTURE

PASACAO CAMPUS
PRE- SERVICE TEACHER’S SUMMATIVE EVALUATION RATING FORM

Name of Mentee: _____________________________ Mentor/CT:________________

School: _______________________________________________________________
Period Covering: _______________________________________________________
Subject Area: __________________________________________________________

Dear Mentor/ Cooperating Teacher:

This instrument is a summative evaluation of your mentee’s performance during his/her
off campus teaching. Kindly rate the student teacher/ mentee honestly and objectively. Please
refer to the following verifiable indicators:
 Attendance/ Logbook/ DTR
 Daily or weekly Observation forms (e.g. form 178 original and revised)
 Accomplished class record
 Lesson plans of mentee
 Assessment tools
 Personal relationship with clients, peers and supervisors
 Others as maybe necessary.

DIRECTION: Using the following guide, Please rate each criteria/ performance
indicator by checking the appropriate column found at the right.

LEGEND : 4 - Very Good 3 - Good 2 – Fair 1 - Poor

CRITERIA RATING REMARKS

PART I. TEACHER’S PERSONALITY 4 3 2 1
COURTESY. Polite, kind and thoughtful behaviors toward the
public/clientele in manners of speech and actions
HUMAN RELATIONS. Establishes and maintains good relationship
with students, faculty and staff, and supervisors of the school
PUNCTUALITY & ATTENDANCE. Observed behavior of coming
to the School on time or to be present at work to complete
assigned responsibilities.
INITIATIVE. Starts action, projects and performs assigned tasks
without being told and under minimal supervision
Maintains appropriate appearance and dress code
STRESS TOLERANCE. Stability of performance under pressure
Is careful about the effect of one's behavior on students
show appropriate behavior even during unguarded moments
apply knowledge on social learning in dealing with students
The teacher shows dynamism and enthusiasm in teaching
The teacher’s personality is strong enough to command respect
and attention
Subtotal
PART II. INSTRUCTIONAL COMPETENCE
A. LESSON PLANNING ASSESSING, & REPORTING
Translates learning competencies to instructional objectives
Formulates/adopts objective of the lesson plan which are Specific,
Measurable, Attainable, Realistic and Timely (Plans lessons to fit
within available instructional time)
Selects content and prepares adequate and appropriate
instructional materials which are congruent and relevant to the
lesson
Adjust the instructional plan to ensure attainment of objectives

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 4 3 2 1 REMARKS
Manifest openness to make necessary adjustments to improve the
instructional plan
Identify appropriate and varied assessment procedures
Prepares formative and summative tests in line with the curriculum
Construct valid and reliable formative and summative tests
Employs non-traditional assessment techniques (portfolio, journals,
rubric, etc.)
Interprets and uses assessment results to improve teaching and
learning
Provides timely and accurate feedback to learners to encourage
them to reflect on and monitor their own learning growth
Employs non-traditional assessment techniques (portfolio, journals,
rubric, etc.)
Identifies teaching-learning difficulties and possible causes and
takes appropriate action to address them
Keeps accurate records of grades/performance levels of learners
maintain accurate and updated learners' records
Utilizes information derived from assessment to improve teaching
and learning
Subtotal
B. CONTENT
Delivers accurate and updated content knowledge using
appropriate methodologies approaches and strategies
Explains learning goals, instructional procedures and content
clearly and accurately to students
Integrates language, literacy and quantitative skill development
and values in his/her subject area
Keeps abreast of new ideas and understanding in the field and
supplements knowledge from textbook
Gives sufficient and concrete examples to create meaningful
learning experiences.
Integrates content of subject areas with other disciplines
Links the current content with past and future lessons.
Engages and sustains learners' interests in the subject by making
content meaningful and relevant to learner’s background
Subtotal
C.TEACHING METHODS/DELIVERY
Provides appropriate motivation by adopting selected audio visual
instructional materials, utilizing varied activities, relating to past
and present terms, to boost student’s active participation to
sustain learner’s interest.
Relates new lesson with previous knowledge/skills using
drills/review questions on past and present lessons with informal
assessment
Presents and develops lesson according to the desired objectives,
& needs of the class by using appropriate strategies, utilizing
varied teaching materials. Paces and lessons appropriate to needs
and difficulties of learners
Conveys ideas clearly by unlocking difficulties, using words within
the level of students, using varied strategies by in promoting
student’s responsiveness to questions raised & using knowledge
learned in other situations.
Utilizes technology and other instructional materials appropriate to
the learners & learning objectives
Apply different teaching approaches and strategies and techniques
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 suitable to the subject matter and various learners. Addresses
individual differences by providing activities and uses materials
which fit the learners' learning styles, goals and culture, & socio-
economic background
Provides activities and uses materials which involve students in
meaningful learning by applying concepts learned in real life
situations.
Creates situations that encourage learners to use high order
thinking skills and/or utilizes art of questioning to develop HOTS
among students by giving simple & varied types of questions
which are focused on application, synthesis, and generalization.
Ensures student’s participation which shows active teacher-learner
interaction, group mobilization/group work, with learner
interaction, teacher facilitated learning & student’s general
conclusion from the lesson.
Subtotal
D. LEARNING ENVIRONMENT & CLASSROOM 4 3 2 1 REMARKS
MANAGEMENT
Maintains a clean, conducive, safe and orderly classroom free from
distractions. Apply the principles of classroom management, room
structuring and safety measures
Maintains a learning environment of courtesy & respect for different
learners (e.g. ability, culture, gender)
Establishes routines and procedures to maximize instructional time
Arranges challenging activities in a given physical environment.
Chairs/tables arranged according to the activity, approximate
learning materials were displayed in the corresponding subject area
corner, books/ apparatus & related learning materials are accessible
anytime
Uses individual and cooperative learning activities to improve
capacities of learners for higher learning
Communicates and maintains high standards of learning
performance help learners maintain high standards of learning
inspire learners to set high performance targets for themselves
Handles behavior problems quickly and with due respect to
children's rights
Gives timely feedback to reinforce appropriate learners' behavior
Guides individual learners requiring development of appropriate
social and learning behavior use varied teaching-learning strategies
that make use of social interaction show patience in managing
different social and learning activities
Encourages learners to ask questions and Encourages free
expression of ideas from students apply the concepts and
principles of democratic expression of ideas provide activities that
will encourage respect and free expression of ideas encourage
learners to express their ideas freely and responsibly
Creates stress-free environment and takes measures to minimize
anxiety and fear of the teacher and/or subject encourage learners
to develop a positive attitude towards their subject and teacher
Subtotal
Total
TOTAL POINTS _______________
EQUIVALENT GRADE _______________

__________________________________ ____________________________________
Student Teacher’s Signature over Printed Name CooperatingTeacher’s Signature over Printed Name

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