SUMMARY SHEET

MENTEE: JOANA MARIE P. DOROL

Directions: Check (/) the box below the score that best describes the indicator. The legend
below gives the description of each score.

Legend: 4- Outstanding 3- Very Satisfactory 2- Fair 1- Needs Improvement

CRITERIA SELF PEER(20%) MENTOR SUPERVISOR

(20%) (30%) (30%)

VISUAL APPEAL (20%)

Cover
Lay-out
Tone/mode
Creativity
Resourcefulness
Neatness

ORGANIZATION (20%)
Order of Entries
Coding Technique
Readability of Entries
Correctness of form (e.g.
grammar)

CONTENT (30%)
Statement of Purpose
Completeness of Entries
Diversity of Selections

REFLECTIONS (30%)
Depth of Understanding
Application of Ideas

TOTAL

FINAL RATING: ______________________________

 RUBRIC FOR STUDENT TEACHING PORFOLIO

MENTEE: JOANA MARIE P. DOROL

Evaluator: __________ Self __________ Peer _______ Mentor
_____Supervisor
Direction: Tick (/) the box below the score that best describes the indicator.
The legend
Below gives the description of each score.

Legend: 4-Outstanding 3-Very Satisfactory 2-Fair 1-Need

Improvement
CRITERIA 4 3 2 1
VISUAL APPEAL (20%)
1.Cover
2. Lay-out
3.Tone/Mood
4.Creativity
5.Resourcefulness
6.Neatness
ORGANIZATION (20%)
1.Order of entries
2.Coding technique
3.Reability of entries
4.Correctness of form (e.g. grammar)

CONTENT (30% )
Statement of purpose
Completeness of entries
Diversity of selections
REFLECTIONS
Depth of understanding
Application of ideas
FINAL RATING:

_____________________________
Name and Signature of Rater
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region 02
Division of Isabela
Alicia South District
ALICIA CENTRAL SCHOOL
Alicia

CERTIFICATION

To Whom It May Concern;

This is to certify that all activities and experiences pertinent to Experiential Learning

Course (Practice Teaching/ Student Teaching) were actually undertaken by JOANA MARIE P.

DOROL of the Philippine Normal University, North Luzon Campus, Alicia, Isabela from June

15, 2015 to August 05, 2015 under our supervision and guidance.

ROWENA D. BALICO
Cooperating Teacher

RUFO S. ABUAN
Principal III
Principal In-charge
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region 02
Division of Isabela
Alicia South District
ALICIA CENTRAL SCHOOL
Alicia

CLEARANCE SHEET

To Whom It May Concern;

This is to certify that JOANA MARIE P. DOROL, a BEEd/BSEd student teacher of the

Philippine Normal University, North Luzon Campus, Alicia, Isabela assigned in this school for

his/her Experiential Learning Course (Practice Teaching/ Student Teaching) from June 15,

2015 to August 05, 2015 has been cleared of all properties and obligations.

ROWENA D. BALICO
Cooperating Teacher

RUFO S. ABUAN
Principal III
Principal In-charge

TENTATIVE SCHEDULE OF DEMONSTRATION TEACHING OF

 STUDENT TEACHERS OF ALICIA CENTRAL SCHOOL
(1st Quarter)

No Name Cooperating Teacher Date of Grade

. Demonstration Assignment
1 Fatima Joyce A. Agustin Rosalia P. Gaoiran July 13, 2015 Grade 6
2 Novie S. Casero Andrea G. Sibayan Grade 5
3 Ryan C. Monchaya Felimar L. Andres Grade 5
4 Charity P. Dulay Rowena D. Balico July 14, 2015 Grade 3
5 Charity C. Chaguna Joselito M. Medina Grade 4
6 Joevelyn R. Maraña Maria Azazel B. Jimenez Grade 3
7 Judy Anne C. Balao Maria Azazel B. Jimenez July 15, 2015 Grade 3
8 Joana Marie P. Dorol Rowena D. Balico Grade 3
9 Cherry Ann B. Baguilat Maribel O. Medina Grade 4
10 Jean D. Camacuna Novelyn S. Alejandro July 16, 2015 Grade 5
11 Mary Rose L. Torres Rosalia P. Gaoiran Grade 6
12 Flor L. Tallod Patricia B. Narne Grade 2
13 Cherry T. Molina Lorie N. Kasing July 17, 2015 Grade 3
14 Shaidy Grace D. Secolles Camila S. De Vera Grade 4
15 Joan Carolyn U. Calderon Camila S. De Vera Grade 4
16 Rojen Gail R. Saet Patricia B. Narne July 20, 2015 Grade 2
17 Diana Rose D. Almoite Rhodora B. Mabagos Kinder
18 Juloura Ann C. Pastor Linda C. Gomez Grade 6
19 Adelina P. Benavidez Enelyn M. Gabriel July 21, 2015 Grade 2
20 Princes M. Movilla Basilisa C. Ordoñez Grade 6
21 Margielyn C. Pascua Maribel O. Medina Grade 4
22 Jan Lord F. Agpaoa Andrea G. Sibayan July 22, 2015 Grade 5
23 Jeriel R. Calinggangan Phoebe G. Valdez Grade 6
24 Novelyn P. Vidad Novelyn S. Alejandro July 23, 2015 Grade 5
25 Divine Grace S. Toquero Mary Ann B. Saculles Grade 2

Prepared by:

Joana Marie P. Dorol

Student Teacher

Noted by:

Carlito G. Miguel
College Supervisor Approved by:

Rufo S. Abuan
Principal III
Philippine Normal University
National Center for Teacher Education
 Indigenous Peoples Education Hub
North Luzon Campus
Aurora, Alicia, Isabela

Department of Education

Evaluation Form of Student Teacher’s Performance

Name of Student: JOANA MARIE P. DOROL Year & Section: III-AVOCADO

Curriculum: K – 12 Semester: First Quarter School Year: 2015 – 2016

Supervising Instructor: Dr. CARLITO MIGUEL

Cooperating Teacher: Ma’am Rowena D. Balico

Daily Teaching ________ X 60% =_________

Attendance ________ X 20% =_________

Auxiliary Services/Participation ________ X 20% =________

__________________________________
Cooperating Teacher