Republic of the Philippines

Department of Education
Region VIII
Division of Samar
BALUD ELEMENTARY SCHOOL
Balud Sta. Margarita, Samar

PERFORMANCE MONITORING AND COACHING FORM

School Year 2021-2022

DATE CRITICAL INCIDENCE OUTPUT IMPACT ON SIGNATURE

DESCRIPTION JOB/ RATER RATEE
ACTION
PLAN
Checked her DLP for COT in COT detailed Must follow
English 5 where she is handling lesson plan the guide in
has complete making or
parts and are crafting a DLL
aligned with IRENE S. CABER CHERRY ANN. OYAO
MELCS
competencies
She also applied learning Detailed Followed the
activities with integration Lesson Plan format in
within and across learning is evident in making DLP
areas, uses HOTS with ICT the crafting of within and
integration. her COT plan across learning IRENE S. CABER CHERRY ANN. OYAO
areas. uses
HOTS with
ICT integration
As District ICT Coordinator Submit Manages time
and a subject teacher, she reports on on task, so that
balances workloads and time reports are not
documents/reports needed for delayed
submission IRENE S. CABER CHERRY ANN. OYAO
 Republic of the Philippines
Department of Education
Region VIII
Division of Samar
BALUD ELEMENTARY SCHOOL
Balud Sta. Margarita, Samar

PERFORMANCE MONITORING AND COACHING FORM

School Year 2021-2022
DATE CRITICAL INCIDENCE OUTPUT IMPACT ON SIGNATURE
DESCRIPTION JOB/
ACTION RATER RATEE
PLAN

Checked and edited the COT detailed Followed the

COT Plan for demo plan has complete correct format
teaching parts following in making the
the K- 12 DLP detailed lesson
and the learning plan. IRENE S. CABER JESSIE Y. MILCA
competency used
is aligned with
MELC
Gave technical assistance She applied Evident in the
on the COT plan that will learning activities crafting of the
be used in the lesson with integration DLP
delivery that highlights within and across
successful strategy which learning areas, IRENE S. CABER JESSIE Y. MILCA
will inspire learners to uses HOTS with
actively participate in the ICT integration
demonstration teaching

Observed the teacher in the The

delivery of the demonstration Managed time
lesson/suggested ways of teaching was on task in the
having varied activities for successful and actual demo
the learning competency followed the teaching IRENE S. CABER JESIE Y. MILCA
presented suggested
activities intended
for learners in
their group
activity.
 Republic of the Philippines
Department of Education
Region VIII
Division of Samar
BALUD ELEMENTARY SCHOOL
Balud Sta. Margarita, Samar

PERFORMANCE MONITORING AND COACHING FORM

School Year 2021-2022
DATE CRITICAL OUTPUT IMPACT ON SIGNATURE
INCIDENCE JOB/
DESCRIPTION ACTION RATER RATEE
PLAN

Checked and edited the COT detailed plan Followed the

COT Plan for demo has complete parts correct format
teaching following the K- in making the
12 DLP and the detailed lesson
learning plan. IRENE S. CABER ELMA P. SERITO
competency used
is aligned with
MELC

Gave technical assistance She applied Evident in the

on the COT plan that will
be used in the lesson
delivery that highlights
successful strategy which
will inspire learners to
actively participate in the
demonstration teaching
learning activities crafting of the
with integration DLP
within and across
learning areas, IRENE S. CABER ELMA P. SERITO
uses HOTS with
ICT integration

Observed the teacher in The demonstration Managed time

the delivery of the teaching was on task in the
lesson/suggested ways of successful and actual demo
having varied activities followed the teaching
for the learning suggested IRENE S. CABER ELMA P. SERITO
competency presented activities intended
for learners in their
group activity.