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NAME OF RATEE: CRISTINA L. DIAZ NAME OF RATER: MYRNA B. LAZARRA

POSITION: Teacher I POSITION: HEAD TEACHER I
RATING PERIOD: 2020-2021

PERFROMANCE MONITORING AND COACHING FORM

SIGNATURE
DATE CRITICAL INCIDENCE OUTPUT IMPACT ON JOB/ ACTION PLAN
RATER/RATEE
Work tasks and schedules to  Submitted school  Serves as role model to
December 15, achieve goals as evident in her forms/reports ahead of time colleagues / peers
2020 checklist must be prioritized.
February 12, 2021 Insights in her monitoring is  Logbook serves as evidence  Could easily address the
regularly done with a reflection for anecdotal records and learners needs.
every week. journals of best practices
April 16, 2021 Learning Activity Sheets in all the  Track records of learner’s  Least learned
subjects are in lined with the performance competencies are
MELCS. identified, and
intervention needed is
applied.
June 25, 2021 The use of ICT in all her reports are  Records of all online tools and  Timeliness of all reports.
utilized forms

Prepared by:

MYRNA B. LAZARRA
School Head
NAME OF RATEE: ANGEL B. LADEZA NAME OF RATER: MYRNA B. LAZARRA
POSITION: Teacher I POSITION: HEAD TEACHER I
RATING PERIOD: 2020-2021

PERFROMANCE MONITORING AND COACHING FORM

SIGNATURE
DATE CRITICAL INCIDENCE OUTPUT IMPACT ON JOB/ ACTION PLAN
RATER/RATEE
Conducts monitoring regularly with  MOV’s of conducted  Serves as role model to
December 15, instructional materials to give interventions to targeted colleagues / peers
2020 intervention to targeted learners learners with reflection
February 12, 2021 Prints regularly all the modules  Contextualize learning activity  Could easily address the
needed for the week with sheets and monitoring tools learners needs.
contextualized Learning Activity
Sheets
April 16, 2021 Learning Activity Sheets in all the  Track records of learners  Least learned
subjects are in lined with the performance competencies are
MELCS. identified, and
intervention needed is
applied.
June 25, 2021 The use of ICT in all her reports are  Records of all online tools and  Timeliness of all reports.
utilized forms
July 13, 2021 Maintains cleanliness of classroom  Clean and well maintained  Well maintained and
despite the non-face-to-face mode classroom with updated Face-to-face ready
of learning bulletin boards classrooms

Prepared by:

MYRNA B. LAZARRA
School Head
NAME OF RATEE: MARICEL C. MACHATE NAME OF RATER: MYRNA B. LAZARRA
POSITION: Teacher III POSITION: HEAD TEACHER I
RATING PERIOD: 2020-2021

PERFROMANCE MONITORING AND COACHING FORM

SIGNATURE
DATE CRITICAL INCIDENCE OUTPUT IMPACT ON JOB/ ACTION PLAN
RATER/RATEE
Actively participates in module  Ready made SLM’s and Video  Quality assured learning
December 15, script writing and TBI Anchor in the Lessons delivery modality.
2020 Division to provide SLMs and
Instructional video lessons.
February 12, 2021 Prints regularly all the modules  Contextualize learning activity  Could easily address the
needed for the week with sheets and monitoring tools learners needs.
contextualized Learning Activity
Sheets
April 16, 2021 Conducts monitoring regularly with  MOV’s of conducted  Serves as role model to
instructional materials to give interventions to targeted colleagues / peers
intervention to targeted learners learners with reflection
June 25, 2021 Regularly conducts and  Programs and activities are  Efficient and effective in
implements all her assigned conducted with activity assigned responsibilities
programs. completion reports
July 13, 2021 Maintains cleanliness of classroom  Clean and well maintained  Well maintained and
despite the non-face-to-face mode classroom with updated Face-to-face ready
of learning bulletin boards classrooms

Prepared by:

MYRNA B. LAZARRA
School Head
NAME OF RATEE: AILEEN L. OBSUNAR NAME OF RATER: MYRNA B. LAZARRA
POSITION: Teacher III POSITION: HEAD TEACHER I
RATING PERIOD: 2020-2021

PERFROMANCE MONITORING AND COACHING FORM

SIGNATURE
DATE CRITICAL INCIDENCE OUTPUT IMPACT ON JOB/ ACTION PLAN
RATER/RATEE
Creates contextualize reading  Contextualize reading  Promotes learners
December 15, materials to students who are slow materials literacy
2020 readers
February 12, 2021 Prints regularly all the modules  Contextualize learning activity  Could easily address the
needed for the week with sheets and monitoring tools learners needs.
contextualized Learning Activity
Sheets
April 16, 2021 Conducts monitoring regularly with  MOV’s of conducted  Serves as role model to
instructional materials to give interventions to targeted colleagues / peers
intervention to targeted learners learners with reflection
June 25, 2021 Regularly conducts and  Programs and activities are  Efficient and effective in
implements all her assigned conducted with activity assigned responsibilities
programs. completion reports
July 13, 2021 Maintains cleanliness of classroom  Clean and well maintained  Well maintained and
despite the non-face-to-face mode classroom with updated Face-to-face ready
of learning bulletin boards classrooms

Prepared by:

MYRNA B. LAZARRA
School Head