Republic of the Philippines

DEPARTMENT OF EDUCATION
Caraga Administrative Region
Division of Surigao del Sur
LINGIG I DISTRICT

CHECKLIST FOR EVALUATION OF CLASSROOM TEACHER

Secondary
(Pre-evaluation)
Name: ______________________________________________________Rater:___________________________
School: _____________________________________________________Rating:__________________________
Grade Level Assignment: _______________________________________School Year: ______________________
C.S. Status: ______________________________________

CRITERIA AND INDICATOR 1 2 3 4

A. CLASSROOM ESSENTIALS
1. Reading Inventory Chart
2. Student Portfolio
a. Test Materials/Test Notebooks
b. Experiment Notebook / Activity Notebooks/ Worksheets
3. Instructional Materials
4. Learning Stations
5. Motto
6. Personality/Health Nook
7. Classroom Norms
8. Learner’s Routine
9. Displayed Area for Learner’s Output / Project
10. Attendance Monitoring Board
11. Clock
12. Displayed Vision, Mission & Core Values
13. Class Program at the door
14. School Calendar of Activities
Sub – Total: _______________________
Sub – Total Rating (ST/15): ___________

CRITERIA AND INDICATOR 1 2 3 4

B. RECORDS AND FORMS
1. Lesson Plans/DLLs
2. Curriculum Guide/Teachers Guide
3. Nutritional Status (SF 8)
4. Grade Sheet
5. E- Class Record / Class Record
6. Records of HRPTA Meetings( Attendance;Minutes;Agreement)
7. School Form 1
8. School Form 2
9. School Form 3
10. Form 137 – E/A / SF 10
11. Form 138 – A
12. Diagnostic Test results (MS-ML)
13. Test Item Bank/Test Questionnaires with complete TOS
14. CMIS Modules ( Classroom Management Information System )
15. IPCRF Target for S.Y. 2018 – 2019
16. Teacher’s Clearance and Medical Certificate
17. Research Proposal S.Y. 2018 - 2019
Sub – Total: _______________________
Sub – Total Rating (ST/17): ___________
 CRITERIA AND INDICATOR 1 2 3 4
C. CLASSROOM/ FACILITIES
1. Garbage Bins (at least 6)
2. Umbrella Stand
3. First Aid and Emergency Kits
4. Classrooms have chalkboards
5. Cabinets/Bookshelves
6. Mini-library
7. Window Curtain
8. Student’s chairs
9. Painting / Repair/ Improvement of Classroom (Project)
10. Comfort Room
11. Potable Water Provision
12. Unique Feature
Sub – Total: _______________________
Sub – Total Rating (ST/12): ___________

CRITERIA AND INDICATOR 1 2 3 4

D. LEARNING ENVIRONMENT
1.Holding Power(100% pupils attendance/no drop out)
2.Orderliness/Cleanliness
3.Physical Arrangement (Light and Ventilation)
4.Ambiance (Total Vicinity Effect)
Sub – Total: _______________________
Sub – Total Rating (ST/4): ___________
Summary (Indicate Sub - Ratings)

A. Instructional Supervision __________________

B. Records Management __________________
C. Classroom Facilities __________________
D. Classroom Management __________________

Overall Total __________________

Overall Rating __________________
Description __________________

Considerables: Rubrics:
1. Updated/ new/ functional 4 – presence of all or 5 indicators
2. Well-organized / well-structured 3 – absence of 1 indicator
3. Coherence / logical 2 – absence of 2 – 3 indicators
4. Completeness / properly labeled 1 – absence of 4 – 5 indicators
5. Visual quality/ attractive presentation

Legend:
4 – Outstanding
3 – Very Satisfactory
2 – Satisfactory
1 – Needs Improvement

_______________________________________ _________________________________
Teacher’s Signature Evaluator’s Name and Signature

ELIZABETH N. GARDONES, Ph.D.

Public Schools District Supervisor
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Caraga Administrative Region
Division of Surigao del Sur
LINGIG I DISTRICT

CHECKLIST FOR EVALUATION OF CLASSROOM TEACHER

Secondary
(Post-evaluation)
Name: ______________________________________________________Rater:___________________________
School: _____________________________________________________Rating:__________________________
Grade Level Assignment: _______________________________________School Year: ______________________
C.S. Status: ______________________________________

CRITERIA AND INDICATOR 1 2 3 4

A. CLASSROOM ESSENTIALS
1. Reading Inventory Chart
2. Student Portfolio
a. Test Materials/Test Notebooks
b. Experiment Notebook / Activity Notebooks/ Worksheets
3. Instructional Materials
4. Learning Stations
5. Motto
6. Personality/Health Nook
7. Classroom Norms
8. Learner’s Routine
9. Displayed Area for Learner’s Output / Project
10. Attendance Monitoring Board
11. Clock
12. Displayed Vision, Mission & Core Values
13. Class Program is at the door
14. School Calendar of Activities
Sub – Total: _______________________
Sub – Total Rating (ST/15): ___________

CRITERIA AND INDICATOR 1 2 3 4

B. RECORDS AND FORMS
1. Lesson Plans/DLLs
2. Curriculum Guide/Teachers Guide
3. Nutritional Status (SF 8)
4. Grade Sheet
5. E- Class Record / Class Record
6. Records of HRPTA Meetings( Attendance;Minutes;Agreement)
7. School Form 1
8. School Form 2
9. School Form 3
10. Form 137 – E / SF 10
11. Form 138 – A
12. Achievement Test results (MS-ML)
13. Test Item Bank/Test Questionnaires with complete TOS
14. Test Item Analysis
15. CMIS Modules ( Classroom Management Information System )
16. IPCRF for S.Y. 2018 – 2019
17. Teacher’s Clearance and Medical Certificate
18. Research S.Y. 2018 – 2019
Sub – Total: _______________________
Sub – Total Rating (ST/18): __________
 CRITERIA AND INDICATOR 1 2 3 4
C. CLASSROOM/ FACILITIES
1. Garbage Bins (at least 6)
2. Umbrella Stand
3. First Aid and Emergency Kits
4. Classrooms have chalkboards
5. Cabinets/Bookshelves
6. Mini-library
7. Window Curtain
8. Student’s chairs
9. Painting / Repair/ Improvement of Classroom (Project)
10. Comfort Room
11. Potable Water Provision
12. Unique Feature
Sub – Total: _______________________
Sub – Total Rating (ST/12): ___________

CRITERIA AND INDICATOR 1 2 3 4

D. LEARNING ENVIRONMENT
1.Holding Power(100% pupils attendance/no drop out)
2.Orderliness/Cleanliness
3.Physical Arrangement ( Light and Ventilation)
4.Ambiance ( Total Vicinity Effect)
Sub – Total: _______________________
Sub – Total Rating (ST/4): ___________
Summary (Indicate Sub - Ratings)

E. Instructional Supervision __________________

F. Records Management __________________
G. Classroom Facilities __________________
H. Classroom Management __________________

Overall Total __________________

Overall Rating __________________
Description __________________

Considerables: Rubrics:
1. Updated/ new/ functional 4 – presence of all or 5 indicators
2. Well-organized / well-structured 3 – absence of 1 indicator
3. Coherence / logical 2 – absence of 2 – 3 indicators
4. Completeness / properly labeled 1 – absence of 4 – 5 indicators
5. Visual quality/ attractive presentation

Legend:
4 – Outstanding
3 – Very Satisfactory
2 – Satisfactory
1 – Needs Improvement

_______________________________________ _________________________________
Teacher’s Signature Evaluator’s Name and Signature

ELIZABETH N. GARDONES, Ph.D.

Public Schools District Supervisor