F1B: Student Evaluation Form

Basic Details:

Student Name
Tutor
Student ID
Date
School Level
Subject Evaluated
Previous exam marks
Confirmation class : _____________________________________________
(Please discuss with guardian about class for the whole month and state the date here)

**I hereby agree to enroll the students as stated above under SifuTutor tuition service.
Guardian name:
IC no:
Signature:
Date:

Part I: Knowledge

Criteria: Recalls/regurgitates facts (without having to understand). Exhibits previously learned material by recalling
facts, terms, basic concepts and answers

Instruction: Find out the knowledge level of the student. Do not just concentrate only in finding out what
the student is lacking.

Keywords: Define, who, what, where, list, label, locate

1 2 3 4 5 6 7 Not observed
Developing performance Good performance Superior performance
Able to recall basic facts after giving Able to recall some basic facts Able to recall basic facts with ease
hints about the subject matter independently and little error
Comments:
Part II: Understanding

Criteria: Shows understanding of facts and ideas. Explains or demonstrates facts by answering follow up
questions, finding information from a text, comparing and contrasting concepts.

Instruction: Ask the student to show or explain in their own words the concepts/ideas mentioned in Part I. Ask
simple follow up questions to find out how much they know.

Keywords: Explain, interpret, outline, discuss, distinguish, predict, restate, compare, describe

1 2 3 4 5 6 7 Not observed
Developing performance Good performance Superior performance
Able to explain/demonstrate facts Able to explain/demonstrate facts Able to explain/demonstrate facts
with difficulty with some error concisely with little error
Comments:
Part III: Application

Criteria: Uses facts and concepts in new situations. Solves basic problems by applying acquired knowledge, facts,
techniques, and rules in a different way

Instruction: Evaluate the student’s ability to apply their understanding from Part III. Task the student to answer
several basic questions based on what was discussed in Part III.

Keywords: Solve, sketch, operate, apply, build, choose, construct, develop, interview, make use of, identify, plan,
select, model

1 2 3 4 5 6 7 Not observed
Developing performance Good performance Superior performance
Able to solve different types of basic Able to solve different types of basic Able to solve different types of basic
problems with guidance problems with some hints problems with ease
Comments:
Part IV: Analysis.
Criteria: Draws connections among ideas. Examines and breaks information into parts by identifying motives or
causes; making inferences and finding evidence to support generalizations and identifying patterns. Instruction: Task
the student to answer questions that are linked together by similar or related concepts/ideas. Test the student by
their ability to relate the questions together. Ask the students the theme of the questions.

1 2 3 4 5 6 7 Not observed
Developing performance Good performance Superior performance
Able to solve different types of Able to solve different types of Able to solve problems with
problems with guidance problems with some hints different type of
Comments:
Part V: Summary

Instruction: Provide a brief summary of the student, concentrate on the student’s strengths. From there, point
out areas where the student can improve upon.