Republic of the Philippines

CEBU TECHNOLOGICAL UNIVERSITY

DAANBANTAYAN CAMPUS
Agujo, Daanbantayan, Cebu, Philippines
Website: http://www.ctu.edu.ph E-mail: info-daanbantayan@ctu.edu.ph
Phone: 239 6549 loc. 113

ST Form 5
IN/OFF CAMPUS STUDENT TEACHING EVALUATION FORM October 2012
Revision: 0

Page 1 of 2

Name of Student Teacher: ____________________________Yr., Sec. & Curr.: ______________

Name of Laboratory School: ______________________________________________________
Name of Student Teaching Mentor: _________________________________________________

POINTS OBSERVED. Kindly rate appropriately on the space which corresponding indicated be-
havior benefits the performance of the Student Teacher inside or outside the classroom. The rating
scale is as follows:
1 - Outstanding 2 - Above Average 3 - Average 4 - Below Average 5 - Poor
POINTS
CRITERIA DEFINITIONS
1 2 3 4 5
I. INSTRUCTION COMPETENCIES
1. Identifies specific needs, interest and capacities of individual pupils/
Students and provides adequately for these.
2. Analyzes and identifies specific learning tasks.
3. Shows evidence of mastery of subject matter.
4. Provides varied learning experiences for the learners.
5. Prepares and utilizes instructional materials effectively in achieving
teaching goals.
6. Motivates on the lessons and tasks questions effectively to develop critical
thinking/creativity.
7. Communicates effectively in English and Filipino.
8. Prepares adequately for the days learning tasks.
9. Provides the maximum involvement of pupils in the learning activities.
10. Simulates and compliments pupils to elicit positive and active interaction.
11. Functions effectively as a member of a learning group.
12. Helps pupils/students develop self-discipline in and through the learning
process.
13. Prepares adequately for the days learning tasks.
14. Starts learning activities promptly.
15. Provides permissive and stimulating atmosphere that encourages pupils to
raise questions and suggest alternative solutions to the problem.
16. Achieves teaching objectives for the particular subjects, lesson or activity
within a reasonable period of time.
17. Maintains order or discipline in class.
18. Uses specific criteria for the accurate evaluation of individual performance.
19. Selects, evolves and uses criterion-reference tests.
20. Analyzes and interprets evaluate results effectively.
21. Utilizes evaluation results as a basis for improving instructions.
22. Administers test effectively/returns corrected answer sheets other pupils’
works promptly.
TOTAL
TOTAL FOR INSTRUCTIONAL COMPETENCIES
MEAN
 Republic of the Philippines
CEBU TECHNOLOGICAL UNIVERSITY
DAANBANTAYAN CAMPUS
Agujo, Daanbantayan, Cebu, Philippines
Website: http://www.ctu.edu.ph E-mail: info-daanbantayan@ctu.edu.ph
Phone: 239 6549 loc. 113

ST Form 5
IN/OFF CAMPUS STUDENT TEACHING EVALUATION FORM October 2012
Revision: 0
Page 2 of 2

POINTS
CRITERIA DEFINITIONS
1 2 3 4 5
II. PERSONAL AND SOCIAL COMPETENCIES
1. Set example in moral and ethical behavior to the pupils, peers, and
community.
2. Shows honesty and integrity in all his or her activities.
3. Accepts and performs leadership and integrity in all his or activities.
4. Shows evidence of professional and cultural gowth.
5. Gets along with students/school staff/community without comprising
rules of proprierty.
6. Participates actively in cultural, professional, and other
community organization activities.
7. Shows evidence of mental health stability.
8. Shows evidence of sound physical health.
9. Observes proper grooming and attire all the times.
10. Shows creativeness and resourcefulness his/her performance.
11. Prepares and submits neat and accurate reports and
requirements on time.
12. Observes official time and is already to serve beyond the call. of duty
when the needs arise.
13. Uses free time wisely.
TOTAL
TOTAL FOR II PERSONAL AND SOCIAL COMPETENCIES
MEAN
GRAND MEAN: 70% (I)
30% (II)
OVER-ALL MEAN

III. COMMENTS / RECOMMENDATIONS

_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
__________________________________________________________________________

Evaluated by:

Printed Name and Signature of Student Teaching Mentor

Printed Name and Signature of Student Teacher

 Republic of the Philippines
CEBU TECHNOLOGICAL UNIVERSITY
DAANBANTAYAN CAMPUS
Agujo, Daanbantayan, Cebu, Philippines
Website: http://www.ctu.edu.ph E-mail: info-daanbantayan@ctu.edu.ph
Phone: 239 6549 loc. 113