Republic of the Philippines

Department of Education
REGION VII-CENTRAL VISAYAS
SCHOOLS DIVISION OF TANJAY CITY
PAMPLONA DISTRICT II
HUNOP ELEMENTARY SCHOOL

School: _____________________________ Grade Level: ___________________

Name of Teacher: ____________________ Date: _________________________

DISTRICT EVALUATION MONITORING TOOL

Items Scoring
KRA 1 – CONTENT KNOWLEDGE AND PEDAGOGY
1. Daily Learning 5 - Complete and MELC- based Daily Learning Plan/Log Plan indicating the dates and
Plan/Log Plan duly signed/checked by the school head, with sequence that coincides with the classroom
program.
4 - Complete and MELC-based Daily Learning Plan/Log Plan indicating the dates with
sequence that coincides with the classroom program; incomplete signatory.
3 - Incomplete signatory and incomplete MELC- based Daily Learning Plan/Log Plan
indicating the dates with sequence that coincides with the classroom program.
2 - Incomplete Daily Learning Plan/Log Plan which is not signed/checked by the school
head.
2. Printed Periodic 5 – Complete compilation of Printed Periodic Tests and QAR per subject -Form 1 for the
Tests and QAR school year per grading period with lists of honors per quarter.
4 – Complete compilation of Printed Periodic Tests and QAR of some subjects for the
school year per grading period with lists of honors per quarter .
3 - Incomplete compilation of Printed Periodic Testsand QAR for the school year per
grading period with lists of honors.
2 - Incomplete compilation of Printed Periodic Tests and QAR for the school year per
grading period with no lists of honors.
3. Teacher-made 5 – Five (5) instructional materials are properly labeled and sequenced based on the
Devices/IMs competencies covered per grading period in each subject and are placed in an
expanded
envelope or box.
4 - Below 5 instructional materials are properly labeled per grading period in each
subject
and are placed in an expanded envelope or box.
3 - Instructional materials are properly labeled for each subject and are placed in an
expanded envelope or box.
2 - Instructional materials are placed in an expanded envelope or box.
4. Teacher’s Portfolio 5- Clear book containing teacher’s documents found in 201 File (PDS, Updated Service
Record, 3-Year Performance Rating, IPCRF Target Setting current SY, certificates of
recognition during trainings and webinars, designations from the school, district or
division levels), KRA MOVs, current E-SAT, IPPD.
4- Lacks one item from the given list
3- Lacks 2 items
2- Lacks 3 items
KRA 2 – LEARNING ENVIRONMENT
5. Classroom 5 - Updated, labeled, bordered and properly painted display board of the subjects
Structuring/Display handled with motive questions, not directly tacked on the wall.
Center 4 - Updated, labeled and properly painted display board of the subjects handled with
motive questions not directly tacked on the wall.
3 - Updated and labeled display boards of the subjects handled with motive questions not
directly tacked on the wall.
2 - Updated display boards of the subjects handled
6. Teacher’s table / 5 - Teacher’s table with Teacher’s Name Plate is properly labeled, painted, with glass
pupils desk/chairs cover or plastic cover and a chair.
 Pupils’ desks/chairs are painted, properly and neatly arranged following the safety
health protocols
4 - Teacher’s table with Teacher’s Name Plate is properly labeled with glass cover or
plastic cover and a chair. Pupils’
desks are neatly arranged following the safety health protocols.
3 - Teacher’s table with Teacher’s Name Plate is properly labeled and with a chair. Pupils’
desks are properly arranged following the safety health protocols.
2 - Teacher’s table with Teacher’s Name Plate is covered and with a chair but with no
label. Pupils’ desks are arranged.
7. Observation Table 5- Observation table properly labeled, painted, with glass or plastic cover, and a chair.
4- Observation table properly labeled, with glass or plastic cover, and a chair.
3- Observation table properly labeled and a chair.
2- Observation table with a chair but with no label.
8. Cleanliness / 5 - Well-painted, cleaned walling and ceiling, tidy floor, well-landscaped/painted area
Orderliness of with
Classroom and flowering plants properly arranged/trimmed free from weeds. Four waste
surroundings receptacles are
including waste properly labeled such as biodegradable, non-biodegradable, hazardous, used PPE
receptacles covered, with stand and placed near the main door. Garbage are
properly segregated
4 - Well-cleaned walling and ceiling, tidy floor, well-landscaped area with plants. Four
waste receptacles are properly labeled such as biodegradable, non-biodegradable,
hazardous, used PPE covered, with stand and placed near the main door. Garbage are
properly segregated
3 - Cleaned walling and ceiling, tidy floor with flowering plants arranged properly. Three
waste
receptacles are covered and placed near the main door.
2 - Cleaned walling and ceiling, untidy floor, with plants and with two receptacles
9. DRRM Corner 5- Utilized a portion of the classroom as DRRM Corner with the following 5 features:
a.) school earthquake/fire evacuation map; b.) school hazard map; c.) records of
conducted earthquake/fire/flood drills as to the date, list of pupils, and pictures; d.)
family
earthquake preparedness questionnaire; e.) MDRRMO Directory.
4- Utilized a portion of the classroom as DRRM Corner but lacks one (1) in any of the
aforementioned 5 features.
3 - Utilized a portion of the classroom as DRRM Corner but lacks two (2) in any of the
aforementioned 5 features.
2 – Utilized a portion of the classroom as DRRM Corner but lacks three (3) in any of the
aforementioned 5 features.
10. Personality and 5 - Presence of mirror, toothbrush with rack and toothpaste (Not for HS), wash stand
Health Corner with water and complete drinking/washing facilities with soap, alcohol/hand sanitizer.
4 – Presence of mirror, toothbrush and toothpaste (Not for HS), wash stand with
water and complete drinking/washing facilities with soap, alcohol/hand sanitizer
3 – Presence of mirror, toothbrush (Not for HS), wash stand with water but with
incomplete drinking/washing facilities with soap, alcohol/hand sanitizer.
2 – Presence of mirror and water in a container only.
11. Blackboard / 5 – Presence of painted chalkboard with lines appropriate for a certain grade level, chalk
Chalkboard ledge, chalk, eraser, curtains and absence of sticks.
4 - Presence of chalkboard with or without lines for certain grade level, chalk ledge, chalk,
eraser, curtains and absence of sticks.
3 – Presence of chalkboard with or without lines for certain grade level, chalk ledge and
curtains.
2 – Presence of chalkboard with or without lines for certain grade level with curtains.
12. Information Corner 5 – Presence of the President’s picture, 5 pictures of DepEd Key Officials-DepEd Sec, RD,
SDS, PSDS, list of provincial/municipal/barangay officials, General PTA & HRPTA officials
properly bordered and posted appropriately
4 – Lacking one of the specified pictures/list of officials
3--Lacking two of the specified pictures/list of officials
2 - Lacking three of the specified pictures/list of officials
13. National Heroes 5-Presence of the pictures of the 14 identified National Heroes properly bordered.
Display Area 4 – Lacking one of the specified pictures
3 -Lacking two of the specified pictures
2 - Lacking three of the specified pictures
14. Posters for COVID- 5- Availability of five (5) posters for COVID-19 safety health protocols-“Wear Face Mask
19 Safety Health Properly, Sanitize Your Hands Frequently, Observe Physical Distancing, Avoid Sharing of
Protocols Personal Belongings, Avoid Touching your Eyes, Nose and Mouth” and other related
 posters posted on the wall near the room entrance.
4- Availability of four (4) posters for COVID-19 safety health protocols posted on the wall
near the room entrance.
3- Availability of three (3) posters for COVID-19 safety health protocols posted on the
wall near the room entrance.
2- Availability of two (2) posters for COVID-19 safety health protocols posted on the wall
near the room entrance
15. Mini 5 – Well-arranged books in a book shelf properly labeled; with dictionary, newspapers &
Library/Reading magazines; with reading area and record or logbook as evidence of children’s
Corner utilization.
4 – Well-arranged books in a shelf properly labeled with dictionary, reading area and
record of logbook as evidence of children’s utilization
3 – Well-arranged books in a shelf properly labeled with reading area and logbook
2 – Well-arranged books in a shelf properly labeled with reading area and without
logbook
16. List of Donations 5- Donations are presented with proper documentation indicating the quantity, donor,
the date things donated and the cost/amount of the items and deed of donation
4- Donations are presented with proper documentation indicating the quantity, donor,
the date things donated but cost/amount of the items are not indicated.
3- Documents are presented with quantity, donor, date the items are donated but not the
donated items.
2- Items are presented with names of donor
17. Classroom Lighting 5- Well-lighted/ventilated room, functioning outlet and properly installed wirings with at
and Ventilation least 2 Electric Fans
4- Well-lighted/ventilated room, and properly installed wirings with at least 2 Electric
Fans but with no outlet functioning.
3- Room has electricity source through extension wire only with only 1 Electric Fan.
2-Wiring installation is ongoing.
18. Teacher’s 5 - Teacher is wearing the complete/prescribed uniform with matching clean black and
Personality/Good well-polished close shoes and DepEd ID. Hair is well-kept.
Grooming 4 - Teacher is wearing the complete/prescribed uniform and DepEd ID but does not wear
black close shoes.
3 – Lacking 2 of the prescribed uniform
2- Teacher is wearing uniform but is not the prescribed one.
19. Comfort Room 5- Well-maintained, with water, soap, sanitary napkin and tissue paper
4 - Well-maintained, with water, soap and sanitary napkin
3 - Well-maintained, with water, soap
2- Well - maintained, with water
KRA 3 – CURRICULUM AND PLANNING
20. Classroom 5 - Updated Classroom program posted /hung under the Teacher’s name plate, indicating
Program / the Teacher’s Name Plate indicating the Grade level handled at the main door, with
Schedule copies properly place on the teacher and demonstration table duly signed by the
teacher, principal and PSDS.
4 - Updated Classroom program posted/hung under the Teacher Name Plate indicating
the Grade level handled at the main door, with a copy on the teacher’s table duly signed
by the teacher, school head and PSDS
3 - Updated Classroom program posted/hung under the Teacher Name Plate indicating
the Grade level handled at the main door, duly signed by the teacher, school head and
PSDS.
2 - Updated Classroom program posted/hung under the Teacher Name Plate indicating
the Grade level handled at the main door, not completely signed

KRA 4 – ASSESSMENT AND REPORTING

21. Form 1, Form 2, 5 – Updated Form 1, accomplished Form 2 with signature of the school head per month
Updated Learners’ and learners’ profile by quarter with school head’s signature
Profile 4 – Updated Form 1, accomplished Form 2 with the signature of the school head in the
previous month/s; learners’ profile with school head’s signature lacking one quarter
3 – Updated Form 1, accomplished Form 2 without the signature of the school head;
learners’ profile not updated
2 - Not Updated Forms 1, 2 and learners’ profile
22. E-Class Records / 5 - Class record indicating learners’ performance per subject based on the existing
Grading sheets / Criteria/ guidelines and with final rating in a grading period indicated in the grade sheets
Computation Sheets duly signed by the subject teacher and the school head
4 - Class record indicating learners’ performance per subject based on the existing
Criteria /guidelines and with final rating in a grading period indicated in the grade sheets
 duly signed by the subject teacher.
3 - Class record indicating learners’ performance per subject based on the existing
Criteria/guidelines and with final rating in a grading period indicated in the grade sheets.
2 - Class record indicating learners’ performance per subject based on the existing
Criteria/guidelines and with final rating in a grading period.
23. Permanent Record 5 - Updated permanent record with LRN. Report cards have the necessary quantitative
(SF10), Form 138(SF 9) with HG attachment, completely signed by the parents per grading period. Each report
card is placed in an envelope with pupil’s name
4 - Updated permanent record with LRN. Report cards have the necessary quantitative
with HG attachment, completely signed by the parents per grading period. Each report
card is placed in one envelope
3 - Updated permanent record with LRN. 90-99% of the report cards are signed by the
parents with the necessary quantitative with HG attachment per grading period. The
cards are placed in one envelope.
2 - Updated permanent record with LRN. 80-89% of the report cards are signed by the
parents with the necessary quantitative with HG attachment per grading period. The
cards are placed in one envelope.
24. Nutritional Status 5- Updated records of pupils’ height and weight/ BMI are properly kept in a labeled
folder;
Consolidated records on feeding and outcome of the feeding to the identified
beneficiaries is recorded and MOVs on the distribution of milk feeding and NFP is
evident.
4- Updated records of pupils’ height and weight/ BMI are properly kept in a labeled
folder.
Records on feeding and outcome of the feeding to the identified beneficiaries are
recorded and MOVs on the distribution of milk feeding and NFP is evident.
3-Updated records of pupils’ height and weight/ BMI are properly kept in a labeled
folder;
Records on feeding to the identified beneficiaries are recorded.
2- Updated record of pupils’ height and weight/ BMI are properly kept in a labeled folder
with List of identified beneficiaries of the feeding program

KRA 5 – PLUS FACTOR

25. Ancillary Services 5 – Consistently performed various related works/activities that contribute to the
teaching-
learning process such as: Served as reliever of classes in the absence of teachers,
served as
OIC in the absence of the Principal/School Head, Represented the principal in
meetings and
conferences, Observed classes of Teachers I-III, Assisted the school selection
committee in
the evaluation of credentials when hiring or promoting teachers, Certificate of
Recognition
or participation, Certificate of training, Certificate of Speakership and Committee
Involvement.
4 – Frequently performed various related works/activities that contribute to the
teaching-
learning process such as: Served as reliever of classes in the absence of teachers,
served as
OIC in the absence of the Principal/School Head, Represented the principal in
meetings and
conferences, Observed classes of Teachers I-III, Assisted the school selection
committee in
the evaluation of credentials when hiring or promoting teachers, Certificate of
Recognition
or participation, Certificate of training, Certificate of Speakership and Committee
Involvement.
3 – Occasionally performed various related works/activities that contribute to the
teaching-
learning process such as: Served as reliever of classes in the absence of teachers,
served as
OIC in the absence of the Principal/School Head, Represented the principal in
meetings and
conferences, Observed classes of Teachers I-III, Assisted the school selection
committee in
 the evaluation of credentials when hiring or promoting teachers, Certificate of
Recognition
or participation, Certificate of training, Certificate of Speakership and Committee
Involvement.
2 – Rarely performed various related works/activities that contribute to the teaching-
learning
process such as: Served as reliever of classes in the absence of teachers, served as OIC
in the absence of the Principal/School Head, Represented the principal in meetings
and
conferences, Observed classes of Teachers I-III, Assisted the school selection
committee in
the evaluation of credentials when hiring or promoting teachers, Certificate of
Recognition
or participation, Certificate of training, Certificate of Speakership and Committee
Involvement.
26.Awards/Recognition 5 - National Awards/Recognition
4 - Regional Awards/Recognition
3 - Division Awards/Recognition
2 - District Awards/Recognition
1 - School level Awards/Recognition

___________________________ ___________________________________________
Signature of Teacher Name and Signature of Evaluator

TEACHER M&E FORM

Republic of the Philippines

Department of Education
REGION VII-CENTRAL VISAYAS
SCHOOLS DIVISION OF TANJAY CITY
PAMPLONA DISTRICT II
HUNOP ELEMENTARY SCHOOL
 SCHOOL EVALUATION MONITORING TOOL
(SUMMARY)
Name of Teacher:______________________________________ Date:
________________________________
School: _________________________________________________ Grade
Level:_________________________
District : _______________________________________________ Subject:
_____________________________

Use the following scales to rate the observed points.

5….. Outstanding 3….Satisfactory
4….Very Satisfactory 2….Unsatisfactory 1…. Needs Improvement

ITEMS RATING
1 Daily Learning Plan/Log Plan 5 4 3 2 1
2 Printed Periodic Tests and QAR 5 4 3 2 1
3 Teacher-made devices/IMs 5 4 3 2 1
4 Teacher’s Portfolio 5 4 3 2 1
5 Classroom Structuring/Display Center 5 4 3 2 1
6 Teacher’s table /pupils desk/chairs 5 4 3 2 1
7 Observation Table 5 4 3 2 1
8 Cleanliness / Orderliness of Classroom and surroundings including wastes receptacles 5 4 3 2 1
9 DRRM Corner 5 4 3 2 1
10 Personality and Health Corner 5 4 3 2 1
11 Blackboard /Chalkboard 5 4 3 2 1
12 Information Corner 5 4 3 2 1
13 National Heroes Display Area 5 4 3 2 1
14 Posters for COVID-19 Safety Health Protocols 5 4 3 2 1
15 Mini Library/Reading Corner 5 4 3 2 1
16 List of Donations 5 4 3 2 1
17 Classroom Lighting and Ventilation 5 4 3 2 1
18 Teacher’s Personality/Good Grooming 5 4 3 2 1
19 Comfort Room 5 4 3 2 1
20 Classroom Program/Schedule 5 4 3 2 1
21 FORM 1, Form 2, Updated Learners’ Profile 5 4 3 2 1
22 E-Class Records/ Grading Sheets / Computation Sheets 5 4 3 2 1
23 Permanent Record (SF 10), Form 138 (SF 9) 5 4 3 2 1
24 Nutritional Status 5 4 3 2 1
25 Ancillary Services 5 4 3 2 1
26 Awards / Recognition 5 4 3 2 1

EVALUATION RESULTS

_____________________________________
______________________________________________
Signature of Teacher Name and Signature of Evaluator