DEPARTMENT OF EDUCATION

Region VII, Central Visayas

DIVISION OF CEBU PROVINCE
District of Tudela
Tudela, Cebu

INSTRUCTIONAL SUPERVISION, OFFICE STRUCTURING AND SCHOOL PLANT RATING

SHEET FOR SCHOOL HEADS BASED ON RPMS
SCHOOL YEAR 20_____ - 20_____

Name of School Head: _____________________________School: __________________________

Designation: _____________________ Date: ___________________

AVERAGE PSDS
INDICATORS
RATING RATING
A. INSTRUCTIONAL SUPERVISION
1. Observation Notes
2. LAC Sessions
3. Monitoring and Feedback
4. Logbook
5. Conference Notebook
6. Form 14, 15, 16 - Loading of Classes
7. IPCRF
8. School Policy
9. School Child Protection Policy
10. Monthly Accomplishment Report
B. RECORD MANAGEMENT
1. Pupil MIS
2. Personnel MIS
3. Financial MIS
4. Curriculum MIS
5. Physical Facilities MIS
6. Community Extension / Linkage
7. Educational Planning and Research MIS
8. Legislative MIS
9. Performance Indicators
10. SOB
11. School Form 4 - June to present
12. SMEA - 1st and 2nd Quarter
13. Form XV
14. Excuse Letters of Teachers
15. School Memo
16. PTA Board of Directors
C. OFFICE STRUCTURING
1. Cleanliness and Orderliness
2. Updated Data Board
3. Whereabouts Board
4. Day to Day Activities
5. Performance Indicators
6. EMIS
7. School Organizational Structure
8. School Activities in Pictures
9. School Profile
10. Form 48 Holder
D. SCHOOL PLANT
1. Well fenced school campus
2. Well painted school buildings and fences
3. Gulayan sa Paaralan
a. Nursery
b. Urban Gardening
c. Medicinal Garden
4. Transparency Board
5. Bulletin Board
6. Compost Pits/Heaps
7. MRF
8. Solid Waste Management
9. Signages
10. Earthquake Evacuation Plan
11. Welcome Board with School ID
12. Citizen Charter
13. Organizational Structure
14. Landscaping with WOW Effect
15. Cleanliness & Beautification
16. Grade Level Name of Classrooms
17. Congratulations Board
TOTAL
AVERAGE

Conforme by: ______________________________________

School Head's Signature

EVALUATED BY:

EDWINA M. CAMPOMAYOR
District Supervisor
 DEPARTMENT OF EDUCATION
Region VII, Central Visayas
DIVISION OF CEBU PROVINCE
District of Tudela
Tudela, Cebu

INSTRUCTIONAL SUPPORT SYSTEM AND CLASSROOM STRUCTURING RATING SHEET

FOR TEACHERS BASED ON RPMS
SCHOOL YEAR 2018-2019

Name of Teacher: AMELIA L. GONZALES School: BUENAVISTA E/S

Teaching Assignment: GRADE III Date of Visit: Feb. 14, 2019

AVERAGE EVALUATOR'S
INDICATORS
RATING RATING
A. FOR TEACHERS AND MASTER TEACHERS
I. LESSON PLANNING
A. Daily lesson plan/ Iplan prepared had Objectives (KSA) and Procedures (3P's & 2A's) 10
B. Learning units/competencies were arranged sequentially with reasonable time allotment 10
C. Learning objectives used were aligned with PELC/K to 12 Curriculum 10
D. 75% of the pupils observed classroom rules, guidelines, individual and group tasks within 8
the rating period as evidenced by descriptive ratings in report card or journals 9.5
II. PUPILS OUTCOMES
A. Conducted Pre - Test and Post - Test in 75% of subject areas with analysis of results 8
B. Class Records reflected developmental test results in subject areas per grading period 10
C. Report Cards or Journals were issued two weeks after the Periodical Tests 10
D. Pupils accomplishments were contained in his/her portfolio 8 9.33
III. ACTIVITIES TO IMPROVE PERFORMANCE INDICATORS
A. Conducted remediation/enrichment activities/programs to 75% of the pupils that need it 10
B. Attained the required NAT MPS 8
C. Maintained a clean, safe and orderly classroom conducive to learning 8
D. Participated in 75% of the school, district and division curricular & non-curricular activities 10 9
IV. GUIDANCE AND COUNSELING
A. Pupils observed classroom rules, guidelines on individual & group tasks within the rating 8
period as evidenced by descriptive ratings in report cards or journals
B. Organized functional Homeroom PTA 10
C. Conducted periodic PTA meetings/conferences 10
D. Undertake/initiated projects/events/activities with external funding/sponsorship w/in 10
the target date
E. Participated/ Attended in at least 75% of LGU initiated activities/festivals 10
F. Conducted home visitation 10 9.67
V. PROFESSIONAL GROWTH AND DEVELOPMENT
A. Conducted at least one action research in a school year 4
B. Produced publication/creative work for school paper/ division/ regional/national publication 2
C. Participated in trainings, seminars, conferences and LAC sessions conducted on the level 10
D. Graduate studies 10 6.5
VI. RECORD MANAGEMENT (All should be in Folder properly labeled, with signature of the
School Head and with pictorials of all activities conducted) 10
A. Teacher's Instructional Improvement Plan (T.I.I.P.) updated 10
B. Teacher's Action Plan 10
C. Nutritional Status Report 10
D. Monthly Supplementary Feeding Report 10
E. Health Records/ Clinic Records/ Dental Records of Pupils w/ schedules & list of recipients 10
F. Monthly Tree Planting Record / Gulayan sa Paaralan 10
G. BSP Registrations and Monthly Activities Report (for BSP/ KAB/ KAWAN Leaders only) 10
H. GSP Registrations & Monthly Activities Report (for GSP/STAR/TWINKLER Leaders only) 10
I. Academic Festivals/ Contests & Activities (attach programs, attendance & pictorials) 10
 J. Minutes/ Attendance and Pictorials of Homeroom PTA Meetings conducted 10
K. Trainings/ Seminars/ Workshops attended with Certificate of Appearance/ Participation 10
L. Guidance Records/ Anecdotal Records by class 10
M. Community Involvement (Programs/Activities & Celebrations) attach programme & pictorials 10
N. New Guidance Forms 10
O. Form 201 File 10
P. Curriculum Implementation Monitoring Form Learning Competencies by Rating Period 10 10
VII. DRRE - DISASTER RISK REDUCTION & MANAGEMENT
A. Integrated in the Lesson Plan 8
B. Report on Earthquake Drill 10
C. Earthquake Evaluation Plan 10 9.33
VIII. SMET/ M&E TOOL
A. Record of SMET
First Quarter 10
Second Quarter 10
Third Quarter 10 10
ADDITIONAL FOR MASTER TEACHERS ONLY (In Folders properly Labeled)
A. Record of Assistance Given to Teachers
B. Monthly Accomplishment Report with Pictorials of Activities
C. Compilation of Test Made for Grade Level Assigned
D. Community Linkages (PUROK Involvement) with Pictorials of Activities
TOTAL 73.33
AVERAGE 9.17

Conforme by:

AMELIA L. GONZALES
Teacher's/ Master Teacher's Signature

Evaluated bY;

ELIA N. ESTREMOS
Evaluator 1 Evaluator 2

Attested by:

EDWINA M. CAMPOMAYOR
District Supervisor
 Republic of the Philippines
Department of Education
REGION VII, CENTRAL VISAYAS
Schools Division of CEBU PROVINCE
DISTRICT OF TUDELA
Tudela, Cebu
INSTRUCTIONAL SUPPORT SYSTEM AND CLASSROOM STRUCTURING RATING SHEET
FOR TEACHERS BASED ON RPMS
SCHOOL YEAR 2020-2021
Name of Teacher: School:
Teaching Assignment: Date of Visit:
AVERAGE EVALUATOR'S
INDICATORS
RATING RATING
A. FOR TEACHERS AND MASTER TEACHERS
I. Classroom Surroundings 0
A. Well-Lighted and Well-Ventilated 0 0
B. Beautifucation/ Landscaping 0
Maintenance of Landscaping Area (Edible & Ornamental)
1. With parent/community involvement 0
2. Use of varied and attractive plants 0
3. Creative arrangement of plants 0
4. Well maintained 0
C. Cleanliness/Beautification/Maintenance and Waste Management 0
1. Solid Waste Depository (4 Compartments with Label, well-segregated 0
2. Broom Stand (with stick brooms and soft brooms) 0
3. Duster/Dust Remover 0
4. Potted plants (at least 10) 0
AVERAGE RATING 0
II. Classroom Furniture 0
A. Teacher's Table and Chair 0
B. Visitor's Table and Chair 0
C.Demonstration Table with Instructional Aids/Devices Shelf 0
D. Cabinets and Lockers 0
AVERAGE RATING 0 0
III. Health and Sanitation :
1. Health and Sanitation Facilities/Supplies 0
A. Handwashing/Hand Sanitation 0
B. Foot Bath 0
C. Signages 0
D. Avalability of masks/shields 0
E. Soap/Disinfectants 0
2. Drinking Facility 0
A. With supply of potable water 0
B. With enough drinking glassess 0
C. Glassess enclosed in a close rack/cabinet 0
D. Well- maintained 0
G. Disenfectants 0
AVERAGE RATING 0.00
IV. Instructional Materials 0
A. Posted Computerized Class Programs duly signed by School Head and PSDS 0
B .Lined-Blackboards with Curtain 0
C. Supervisory Corner placed near the door 0
D. Subject Arean Display Boards (within the rating Period) 0
E.Teacher's Manual/PELC/Budget/ Teacher's Guide 0
J. Vissions, Mission & Core Values 0
AVERAGE RATING 0
V. Charts and Poters (should be well-written and readable) 0
A. Framed DepEd Officials Pictures 0
B. Framed Philippine Heroes (at least five) 0
C. NDEP Coner 0
D. Reading Quadrant (Reading Progress Chart per Rating Period) 0
E. Word Wall (Cebuano, Filipino, English, Sentence) 0
F. Monthly Values Poster (updated) 0
G. PTA Corner 0
AVERAGE RATING 0
TOTAL 0.00
AVERAGE 0.00
Conforme by:
Teacher's/ Master Teacher's Signature
Evaluated by:

Evaluator 1 Evaluator 2
Attested by:
MERCEDITA M. ARQUILLANO
District Supervisor