Department of Education: Republic of The Philippines
Department of Education: Republic of The Philippines
Department of Education
Caraga Region
SCHOOLS DIVISION OF SURIGAO DEL SUR
Annex 1
I. PROFILE
Name of School: __________________________District: ______________________________
Name of School Head: _________________________________________________________
Sex:(Male) ____ (Female) _____Age: (25-30) ___ (30-35) ____ (36-40) ____
(41-50) ___ (51-55) ____ (55-above)______
No. of years as a School Head: (0-5) ___ (6-10) ___ (1 1-15) ____ (16-20) ___
(21 above) ______
Direction: Please check the rating based on your observation then compute the
mean below. Also, write observations to support your rating.
B. CONDUCT OF CLASSES
5 4 3 2 1
Outstanding Very Satisfactory Needs Poor
Satisfactory Improvement
1. Presence of class
program approved by the
division office one week
before the actual classes.
2. Flag ceremony and
short orientation was
conducted shown with
complete documents.
3. Inventory of learning
materials (books, SLMS,
LAS) is present with
samples..
4. 100% attendance of
learners during the 1st
day of classes.
5. Support of parents and
stakeholders are evident
during the opening of
classes with documents.
6. Lesson plans of the
teachers for the week are
checked and compiled at
the school heads’ office.
7. Supervisory plan of
school heads is present
and approved by the
district.
8. Learning Recovery and
Continuity Plan is present
approved by the district.
9. Teacher orientation and
LAC are conducted prior
to the opening of classes
with complete documents.
10. School calendar of
activities is prepared and
approved by the district.
1. Minimum health
protocols are followed.
2. Alcohol and
disinfectants are present
at the gate and
classrooms.
3, WINS is prioritized with
the presence of the
required facilities
(handwashing, toilets
availability of free potable
drinking water, etc.).
D. OVERALL READINESS
5 4 3 2 1
Outstanding Very Satisfactory Needs Poor
Satisfactory Improvement
1. Approved ESIP is
present.
2. List of enrollments per
grade level is present in
the principal’s office.
3. Brigada Pagbasa is
conducted and well-
documented.
(NOTE: After the event, the supervisor assigned to rate this tool will give a DEBRIEFING to
the school heads. Mentoring and Coaching follows. The schools shall be categorized based
on rubrics as GOLD, SILVER, and BRONZE. All rated tool will be given to the CID
EPS/Coordinator assigned in the district and it will be handed to the CID Chief for analyses
as bases of interventions.)
Prepared by:
_________________________
4.21 - 5.0 - GOLD
3.41 - 4.20 - SILVER
2.61 - 3.40 - BRONZE