Republic of the Philippines

Department of Education
Regional Office No. VIII
DIVISION OF NORTHERN SAMAR
Mondragon III District
FRANCISCA DOMINICE NATIONAL HIGH SCHOOL
Bugko, Mondragon, Northern Samar
School ID:303550

CHARACTER EVALUATION FORM

Please accomplish this Character Evaluation Form as part of your personal and professional assessment to the
undersigned teacher.
The undersigned upholds continuous personal and professional improvement thus, the result of this CEF will be used as
feedbacks and guide of the undersigned’s key character performance throughout and for succeeding Academic Years.
This CEF is for personal reflection and RMPS 2021-2022 purposes only
Respectfully,

PART II. Character Evaluation

Name of Teacher: VICKY RANCE-CATUBIG Date of Evaluation: ____________________
Designation: SECONDARY SCHOOL TEACHER III Result of Evaluation: ___________________
Instruction: Rate the teacher’s character performance according to the indicators below. Use the rating
scale below for your rating:
- Highly Observed 5
4- Observed
3- Seldom Observed
2. Slightly Observed
1- Not Observed
EVALUATION FACTORS 5 4 3 2 1
Attends to personal and academic
needs of the learners within and beyond
school hours.
Regularly checkups on students
regarding their academic performance,
family, and personal matters.
CARING
Encourage every learner to develop
ATTITUDE
their talents and perform at their best.
Teach students valuable values that
they can use to succeed in life.
Listen to what the students say and
acknowledge their feelings and
opinions.
RESPECTFUL Communicates with respectful tone,
ATTITUDE language, and texts.
Approaches the problem and school
concerns with a respectful attitude.
Addresses everyone with respect during
the meetings and or virtual conversation
with parents, students, superiors, and
colleagues.
 Considerate and kind to others, especially
to parents and students.
Performs best in teaching tasks and other
school assignments.
Has longer patience in challenging tasks at
hand.
INTEGRITY Takes responsibility of success and failures
in tasks performed.
Believes in always doing the “right thing”,
honest and trustworthy.
Believes in self and in students.

Comments and Suggestions:

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Name and signature of Evaluator (optional)

MARIA ELENA A. JARITO, DALL

School Head