SCHOOL: _____________________________ ) SY 20__-20__

SENIOR HIGH SCHOOL AWARDS COMMITTEE )

AWARD FOR OUTSTANDING PERFORMANCE IN SPECIFIC DISCIPLINE

Evaluation Form

Discipline:
Name of Nominee:
POINTS
CRITERIA
EARNED
1. Academic Rating in the subject/s related to the discipline
Final grade or average in the subject/s is between 98-100 30
Final grade or average in the subject/s is between 95-97 28
Final grade or average in the subject/s is between 90-94 25
2. Skill in the Discipline
a. Output in a subject related to the discipline
Teacher’s grade is 98-100 15
Teacher’s grade is 95-97 12
Teacher’s grade is 90-94 10
Teacher’s grade is below 90 7
b. Club/Organization membership related to the discipline (accredited)
Member of a club/team in the community/officer in school 10
Member of a club/team in the school 8
c. Attendance in symposium/training, etc. related to the discipline
Division & beyond 3
Municipal/Zonal 2
School 1
d. Winning and Awards in a contest related to the discipline
Winner or Awardee in Division/Participant in Region and beyond 3
Winner or Awardee in Municipality or Zone/Participant in Division 2
Winner or Awardee in School 1
3. Attitude Toward the Discipline
Corroborated by peer/s and commended by coach/adviser 20
4. Contribution to the School Related to the Discipline
Acknowledged by the person in-charge 20
Date of Evaluation: TOTAL POINTS
A nominee must obtain 90 total points or higher to be qualified for the award.

_____________________________
Signature over printed name of Evaluator
Verified by:

______________________________
Signature over printed name

CONFIRMATION

This is to confirm that _____________________________________ earned a total points of

______ and is QUALIFIED | NOT QUALIFIED to receive an award for outstanding performance in
______________________________ for SY 20__-20__.

_____________________________
Chairman, SHS Awards Committee
Approved:

________________________
School Head