Republic of the Philippines

Department of Education
REGION V
SCHOOLS DIVISION OF MASBATE PROVINCE
San Pascual South District

District Evaluation of the Implementation of the Seal of Exemplary Leadership and School Governance (SY 2020-2021)
District Evaluation Tool for Classroom Teachers
Revised as of April 29, 2021
Name:
School:

I. IMPLEMENTATION OF DEPED PROGRAMS AND PROJECTS (25%) POINT SCORE

A. SCHOOL SAFETY AND PREPAREDNESS
1. No damage in the classroom/Evidences of minor repairs in the classroom 1
2. Availability of fire supression equipment 1
3. Presence of directory of emergency contact number of relevant government agencies 1
4. Availability of first aid kits and other necessary supplies in times of emergencies
a. Medicine Cabinet/Box has first aid supplies 1
b. Presence of emergency supplies such as flashlight or any early warning device (bell, whistle, etc.) 1
5. Posting of safety measures for disaster (earthquake/fire) and evacuation plan 1
6. Wearing of complete official uniform with school identification card 1
7. Establishment of database of pupils and their family contact details (SF 1) 1
8. Organized and secured vital records, textbooks, teaching manuals, computers and other school equipment
a. Inventory of textbooks, teaching manuals and other school equipment 1
b. Organized retrieved SLMs/LAS, manuals, textbooks and other supplementary materials 1
9. Observance of the required health standards and protocols
a. Posting of AITF health standards/protocols 1
b. Presence of sanitation/disinfection against COVID-19 1
B. WASH IN SCHOOLS (WINS) PROGRAM
1. Safe drinking water
a. Availability of drinking water with glass 1
b. Glass rack/tray 1
C. SANITATION
1. Presence of segregated trash bins
a. Presence of at least two (2) segregated trash bins 1
b. Trash bins are covered 1
c. Trash bins are properly labeled 1
D. HYGIENE
1. Presence of Instructions for proper handwashing 1
2. Presence of hygiene supplies (soap, hand towel, etc.) and cleaning materials 1
3. Posting of hygiene signage 1
E. Project WATCH
1. Filed attendance sheet during SLM/LAS distribution and retrieval 1
2. Attendance to seminars/webinars/LAC sessions 1
F. READING PROGRAM
1. Employed reading innovation/action research for pupils'/students' reading development
a. Conceptualized 1
b. Approved Proposal by School Head 1
c. Implemented 1
d. Documented ( pictures with caption) 1
SUBTOTAL 26
PERCENTAGE SCORE
WEIGHTED PERCENTAGE SCORE
II. PARTNERSHIPS AND LINKAGES (15%) POINT SCORE
1. Evidences of parents' participation to Brigada Eskwela 2020-2021
a. Partnership Letter 1
b. Attendance Sheet
b.1. Attendance of parents is at least 85% 3
b.2.Attendance of parents is 84% - 75% 2
b.3. Attendance of parents is 74% - 50% 1
c. Narrative Report 1
d. Pictures with caption 1
2. HRPTA Records
a. HRPTA Meetings conducted 1
b. Notice of Meeting 1
c. Minutes 1
d. Pictures 1
3. Evidences of participation to school outreach programs/activities
a. Memorandum/Letter 1
b. Attendance Sheet 1
c. Pictures 1
d. Frequency of participation
d.1. Participated to four or more community programs/activities 4
d.2. Participated to three community programs/activities 3
d.3. Participated to two community programs/activities 2
d.4. Participated to one community programs/activities 1
4. Evidences of resource generated ( In Kind/Cash)
a. Financial Report 1
b. Deed of Donation 1
c. Deed of Acceptance 1
d. Pictures with captions 1
e. Amount in cash/in-kind solicited/generated
e.1. Above 10,000 pesos 4
e.2. 10,000 - 6,001 pesos 3
e.3. 3,001 - 6,000 pesos 2
e.4. Below 3,000 pesos 1
SUBTOTAL 25
PERCENTAGE SCORE
WEIGHTED PERCENTAGE SCORE

III. LEADERSHIP AND GOVERNANCE (50%) POINT SCORE

1. RECORD MANAGEMENT
a.Class Record
a.1. neatly compiled 1
a.2. properly labeled 1
a.3. accurate 1
a.4. updated 1
a.5. complete 1
b. Grading Sheets
b.1. neatly compiled 1
b.2. properly labeled 1
b.3. accurate 1
b.4. updated 1
b.5. complete 1
c. Individual Monitoring Plan ( Pupils)
c.1. neatly compiled 1
c.2. properly labeled 1
c.3. accurate 1
c.4. updated 1
c.5. complete 1
d. Form 137/ SF10
d.1. neatly compiled 1
d.2. properly labeled 1
d.3. accurate 1
d.4. updated 1
d.5. complete 1
e. Form 138/ SF9
e.1. neatly compiled 1
e.2. properly labeled 1
e.3. accurate 1
e.4. updated 1
e.5. complete 1
f. Signing of Report Cards (1st & 2nd)
f.1. signed report cards 1
f.2. notice to parents 1
f.3. attendance sheet 1
f.4. Pictures with captions 1
g. Summative Assesment Files ( Quarter 1)
g.1. Written Test/Task ( week 1-8)
g.1.1. neatly compiled (per learning area) 5
g.1.2. properly labeled (per learning area) 5
g.1.3. quality assured by a master teacher/school head (per learning area) 5
g.1.4. complete (per learning area) 5
 g.1.5. with table of specification (per learning area) 5
g.2. Performance/Product Task (week 1-8)
g.2.1. neatly compiled (per learning area) 5
g.2.2. properly labeled (per learning area) 5
g.2.3. quality assured by a master teacher/school head (per learning area) 5
g.2.4. complete (per learning area) 5
g.2.5 with rubrics (per learning area 5
h. Summative Assesment Files ( Quarter 2)
h.1. Written Test/Task ( week 1-8)
h.1.1. neatly compiled (per learning area) 5
h.1.2. properly labeled (per learning area) 5
h.1.3. quality assured by a master teacher/school head (per learning area) 5
h.1.4. complete (per learning area) 5
h.1.5. with table of specification (per learning area) 5
h.2. Performance/Product Task (week 1-8)
h.2.1. neatly compiled (per learning area) 5
h.2.2. properly labeled (per learning area) 5
h.2.3. quality assured by a master teacher/school head (per learning area) 5
h.2.4. complete (per learning area) 5
h.2.5 with rubrics (per learning area 5
i. Self Learning Modules (Quarter 1)
h.1. neatly compiled (per learning area) 5
h.2. properly labeled (per learning area) 5
h.3. complete (per learning area) 5
j. Self Learning Modules (Quarter 2)
h.1. neatly compiled (per learning area) 5
h.2. properly labeled (per learning area) 5
h.3. complete (per learning area) 5
k. Teacher-made Learning Activity Sheets (Quarter 3, Week 1-4)
i.1. neatly compiled 5
i.2. properly labeled 5
1.3. quality assured by a master teacher/school head 5
i.4. complete 5
l. Home Visitation Records
k.1. Anecdotal Record 1
k.2. Pictures with caption 1
k.3. neatly compiled 1
m. IPCRF Portfolio
l.1. signed IPCRF 1
l.2. school memorandum of signing 1
l.3. pictures 1
l.4. properly labeled 1
n. SAT
n.1. complete ( 2 phases) 1
n.2. properly labeled 1
o. COT
n.1. at least one COT filed 1
n.2. properly labeled 1
2. CLASSROOM STRUCTURING
a. Presence of subject display board
a.1. Updated 1
a.2. Neat 1
a.3. Creatively presented 1
a.4. durable 1
b. Chalkboard
b.1. in good condition 1
b.2. with curtain 1
b.3. with chalk/eraser bank 1
c. Teacher's table and chair
c.1. in good condition 1
c.2. well-painted 1
c.3. with top cover 1
d. Pupils' chair/desks/tables
d.1. in good condition 1
d.2. well-painted 1
d.3. no vandal 1
d.4. pupil-seat ratio is 1:1 1
e. Cabinet/Shelves for safekeeping of records, instructional materials, projects and portfolios
e.1. with one or more cabinets/shelves ( wooden/plastic) 1
e.2. in good condition 1
e.3. properly labeled 1
 f. Presence of SBM Corner
f.1. SBM Corner
f.1.1. Updated 1
f.1.2. Neat 1
f.1.3. Creatively presented 1
f.1.4. durable 1
3. CLEANLINESS AND ORDERLINESS
a. Classroom
a.1. well-painted 1
a.2. well-structured 1
a.3. with storage for cleaning tools 1
a.4. with at least two (2) trash bins 1
a.5. well-ventilated 1
a.6. with window curtains that do not block ventilation 1
a.7. with adequate instructional materials 1
a.8. with door mats 1
a.9. with display boards 1
a.10. instructional material organizers are properly labeled 1
a.11. print-rich
a.11.1. Presence of Lupang Hinirang, Panunumpa, SDO Hymn, Bicol March/Masbate March 1
a.11.2. Opening and Closing Prayer 1
a.11.3. Quotations displayed are legible and within the level of understanding of the pupils 1
a.11.4. Pictures of DepED officials posted 1
a.12. clock 1
b. front yard
b.1. clean and orderly façade 1
b.2. ornamental or edible plants are evidently well-attended to 1
c. backyard
c.1. clean 1
c.2. orderly 1
SUBTOTAL 230
PERCENTAGE SCORE
WEIGHTED PERCENTAGE SCORE

IV. LEARNING RESOURCE MANAGEMENT (10%) POINT SCORE

1. Presence of functional classroom library
a. Reading Corner/mini library (Reading materials are in one area/organized in a cabinet) 1
b. Reading materials are adequate 1
c. Reading materials are functional/in good condition 1
d. Reading corner shows creativity 1
2. Presence of quality assured contextualized instructional materials approved by LRMDS
a. conceptualized 1
b. quality-assured by the school head/ master teacher 1
c. approved by LRMDS 1
d. number of approved instructional materials by LRMDS
d.1. three or more 3
d.2. two 2
d.3. one 1
3. Presence of downloaded instructional materials from the LRMDS portal
a. Proof of DepEd Account in LRMDS Portal (Printed Screenshot) 1
b. Presence of downloaded instructional materials fro the LRMDS portal 1
SUBTOTAL 12
PERCENTAGE SCORE
WEIGHTED PERCENTAGE SCORE
TOTAL SCORE
V. PLUS FACTOR (maximum of 5 points) for SY 2020-2021
1. School Coordinatorship (Accomplishment Report with pictures) 1
2. District Coordinatorship (Accomplishment Report with pictures) 1
3. Outstanding Employee Award 1
4. Resource Speakership/Demo Teacher (District, Division, Regional and National Level) 1
5. Coaching/Trainer 1
6. Attendance to training/seminars (District, Division, Regional and National Level) 1
7. Presence of handwashing facility in the classroom 1
8. Presence of functional and clean comfort room in the classroom 1
9. Phil-IRRI Test Result for English & Filipino 1
10. MPS per Quarter by subject area 1
11. Reading Profile 1
12. Numeracy Profile 1
PLUS POINTS
FINAL RATING
 ADJECTIVAL RATING

90 - 100% OUTSTANDING
80 - 89% VERY SATISFACTORY
70 - 79% SATISFACTORY
60 - 69% UNSATISFACTORY
BELOW 60% POOR/NEEDS IMPROVEMENT

SIGNATURE OF TEACHER

NAME & SIGNATURE OF EVALUATOR

Noted by:

SCHOOL HEAD