Republic of the Philippines

DEPARTMENT OF EDUCATION
Region XII
Division of South Cotabato
TBOLI WEST I DISTRICT
EVALUATION FORM FOR MUNICIPAL PAID TEACHER

A score of one is low and score of five is high

NOTE: One column in each category must be checked.
NAME : YEAR/MONTH OF ASSESSMENT :
DESIGNATION : DATE OF APPOINTMENT:
DEPARTMENT/CENTRE/SECTION :

CATEGORY 1 2 3 5 NA
4

1 ATTITUDE TOWARD TEACHERS & SCHOOL

PRINCIPAL
1.1 Is she/he is cooperative to the needs of the school
principal, teachers & the school ?
1.2 Is she/he is sincere to the needs of the school
principal, teachers & the school ?
1.3 Is she/he is dedicated to the needs of the school
principal, teachers & the school ?

2 PERFORMANCE & JOB KNOWLEDGE

2.1 Meet work standards and complete all works
always on time and focus on his/her work only.

2.2 Visibly seen in the school premises/post area

during official time.
2.3 Is the principal’s office is cleaned?(Front, back,
comfort room is odor- free, cabinets & windows is dust
– free)

2.4 Completion of work on schedule

2.5 Diligence and sense of responsibility

3. PERSONAL CHARACTERISTICS &

DEPENDABILITY

3.1 Attendance ( School principal is given prior notice in

advance of absence).

3.2 Punctuality ( Report in school on prescribe official

time)
3.3 Do you carry through your tasks/ areas of
management assigned to you in a responsible manner?

3.5 Integrity and behavior (Wear proper dress code in

reporting in school)

4. RESPONSE TO SUPERVISION -
4.Is she/he positively respond to any instruction,
guidance, correction and discipline by the superiors?
General Comments: ____________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
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I understand that my signature indicates that I have had the opportunity to review the completed form and my school
principal has discussed the evaluation with me and I strongly understand it.

_________________________________ _______________________________
Employee School Principal