(To be filled up by SA/SDA/DA/STA and a copy each in class file and school master file)
SCHOOL:
__________________________________________________
SCHOOL CODE:
_________________
SUBJECT:
_____________________________
SUBJECT CODE:
_________________
4
5
Student Particulars
Name
IC No.
Index No.
Name
IC No.
Index No.
Name
IC No.
Index No.
Name
IC No.
Index No.
Name
IC No.
Index No.
ELEMENT
I
SDA/
SA
DA/
STA
ELEMENT
III
SDA/
SA
DA/
STA
ELEMENT
IV
SDA/
SA
DA/
STA
Remarks
Mmm
Mean Deviation,
Note : A copy to be kept in the Master File.
* SA
- School Assessor
SDA - Senior District Assessor
DA - District Assessor
STA - State Assessor
- Deviation * if there is deviation and if there is no deviation
Name :.........................................................................
Signature:..............................................................
33
SCHOOL CODE:
TITLE : ________________________________________________________________
Student Particular
1. Name
SDA
/DA
/STA
FORM
Element I
S
5
_________________
Element III
PI 1
1
_________________
PI 1
1
PI 2
1
Element IV
S
PI 1
PI 2
4
PI
3
SA
IC No :
DA
2. Name :
SA
IC No :
3. Name :
SA
IC No :
4. Name :
SA
IC No :
5. Name :
SA
IC No :
6. Name :
SA
IC No :
34
Student Particular
7. Name :
SDA
/DA
/STA
Element I
Element III
PI 1
1
S
5
PI 1
1
PI 2
1
Element IV
S
PI 1
PI 2
4
PI
3
SA
IC No :
8. Name :
SA
IC No :
9. Name :
SA
IC No :
10. Name :
SA
IC No :
Mean Deviation = (Sum of ) 10
Note : A copy to be kept in the Master File.
(S : Score / SA : School Assessor / SDA : School District Assessor / DA : District Assessor / STA : State Assessor )
Comment : ..........................................................................................................................................................................................................................................................
Signature of SA : ................................................................................
(
)
Date : ..................................................
Name
Form
Year
Center No.
School Assessor
School
Signature
Principal
School Seal
ELEMENTS
E1
Date
Title
E2
PLANNING SKILL
EXPERIMENTING
SKILL
PP2
SCORE
PP1
E3
E4
E5
DATA SKILL
INTERPRETING &
CONCUSION SKILL
PP1
SCORE
PP1
PP2
PP3
SCORE
PP1
PP2
PP3
SCORE
PP1
PP2
PP3
PP4
SCORE
SCORE
GRADE
SCORE
GRADE
SCORE
GRADE
SCORE
GRADE
SCORE
GRADE
8-9
8-9
8-9
8-9
8-9
5-7
5-7
5-7
5-7
5-7
3-4
3-4
3-4
3-4
3-4
1-2
1-2
1-2
1-2
1-2
Note : A copy in the Individual File and another in the Class File
36
School
Form
Year
Principal
Center No.
School Seal
Grade
No.
Name
IC No.
Index
No.
E1
PLANNING
SKILL
E2
E3
E4
E5
EXPERIMENTING
SKILL
DATA SKILL
INTERPRETING
& CONCUSION
SKILL
SCIENTIFIC
ATTITUDES &
MORAL VALUES
District:...............................................
NO.
SCHOOL
Percentage of
scores with
deviation
E1 E3 E4
SCORING PROCESS
Does the
Does the
teacher
teacher keep
understand
to the scoring
the scoring
procedure? *
procedure? *
Remarks
Is the teacher
consistent in
giving scores?
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Total
Note : A copy for all schools assessed to be sent to STA.
District Assessor:..................................................
Date:......................................................................
* Enter Yes or No
38
School
Particulars
Assessment Committee
Organization Meeting
Annual
Chart
&
calendar
Minutes
Circulars
Documents
Manuals
Letters of
appointment
Standardization form
Candidates
from other
schools
Special cases
Transferred
out
candidates
others
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Total and
Total
Percentage
Indicators of administrative effectiveness
80% - 100%
60% - 79%
40%-69%
Very effective
Effective
Moderately effective
Note : 1. A copy for the school assessed and to be kept in the Master File.
2. A master copy for all schools assessed, to be sent to STA
39
40
THANK YOU
41