PRIVATE&CONFIDENTIAL

LABUANINTERNATIONALSCHOOL
TEACHERS SELF EVALUATION FORM
Anotetoteachers:
Please complete this form as clearlyaspossible.Thisformalongwithevaluationfrom
the Management will form the basis for your annual appraisal. Please include
examplesifrelevant.

1.YearofEvaluation:
2.NameofTeacher:
3. DateofBirth:
4.MaritalStatus:
5.DateEmployed:
6.YearsofServiceasof31stDecember2013.
a)Lessthan1Year
b)Between1to2Years
c)Between2to5Years
d)Morethan5Years
7.DetailsofChildrenStudyinginLISin2013:
a)Name/Standard/Form:
i.

_____________________________________________

ii.

_____________________________________________

iii.

_____________________________________________

iv.

_____________________________________________

v.

_____________________________________________

8.PositionsofResponsibilityHeldin2013
(StateyourappointmentasSubjectCoordinator,DutyLeader,HeadofSociety,
KSSR,KSSMPBSLeaderetc.)
_____________________________________________________________________
_____________________________________________________________________

9.Class/ClassesTaught
a)ExaminationClass
_______________________________________________________
b)NonExaminationClass
_______________________________________________________
10.Subject/SubjectsTaught:
_______________________________________________________

SECTION 1 : ACADEMIC
1. Have your students improved in their academic performance over

the past year? State the progress from your Target GPM to the Final
GPM of your subject in allCentralisedMajorExaminationandPublic
Examination (UPSR, PMR, SPM and IGCSE)? Did you achieve your
target this year? (If yes, specify methods used like Remedial
Classes/Tutorials/Monitoring Card / teaching Methods used etc.) Attach Marklists for
verification.Ifnotpleasespecifythereasonwhytargetisnotachievethisyear.)

_________________________________________________________
________________________________________________________________________
__
________________________________________________________________________
__
________________________________________________________________________
__
________________________________________________________________________
__
*VerificationbyPrincipal

2.HowhaveyoumaintainedyourSARBFile?
(Pleasecircleonlyonerelevantanswer)
(JanuaryMidJune2013)
a)Regular.AssoonasIvefinishthelastlesson
b)Notregular.Takessometimeafterthelastlesson
c)Havingproblemdoingitontimeandsometimesforgottenaboutit
altogether
(MidJuneNovember2013)
a)Regular.AssoonasIvefinishthelastlesson
b)NotregularinupdatingSARB.Takessometimeafterthelastlesson
c)Havingproblemdoingitontimeandsometimesforgottenaboutit
altogether.

3.Howdoyouassessandmonitoryourstudents?
(Statemethodsofassessmentandmonitoring)
a)_____________________________________
b)_____________________________________
c)_____________________________________
d)_____________________________________
*VerificationbyPrincipal/VicePrincipal

4.LessonPlans
a)HowhaveyoumaintainedyourLessonPlanFile?
i)(JanuaryJune2013)
a)Alllessonareinoneweekinadvance
b)Lessonareinonthedaybeforeperiodofthelesson
c)Updatethelessonplaninthesiteafterthelessonhasbeen
conducted
d)Neverdidupdateit.Lessonsinclassareconductedwithoutproper
properlessonplanning
ii)(JulyNovember2013)
a)Alllessonareinoneweekinadvance
b)Lessonareinonthedaybeforeperiodofthelesson
c)Updatethelessonplaninthesiteafterthelessonhasbeen
conducted
d)Neverdidupdateit.Lessonsinclassareconductedwithoutproper
properlessonplanning

b)Howdetailedareyourlessonplans?
Chooseonlytherelevantitemspresentinyourlessonplan.
a)RelevantInductionSet
b)Phasesaredividedclearlybytimeofinteraction
c)PhasesfromInductionprogressiontoSummaryareclearly
outlined
d)TeachingContentsofeachphasestated
e)LearningObjectives/Outcomes/Theme
f)SummaryofLearningOutcomes/Objectives
g)Assessment
h)Reflection
c)Statethefrequencyofupdatingyourlessonplanfileand
submissionforverificationandapprovalbyPrincipal
i.Weekly
ii.Onceamonth
iii.Once/Twiceinmanymonths
iv.IrregularorNever
5.UsageofTechnology
a)HowmuchIT(ResourceMaterials)haveyouusedin2013?
i.Lessthan20%
ii.20to40%
iii.40to60%
iv.Morethan60%
b)Whichwebsiteshaveyouvisitedforyourlesson?Haveyouused
themasasourceofsubjectreference?
______________________________________________________
______________________________________________________

c)SchoologySubjectSiteandEducationTechnology
i)WhatistheaddressofyourSchoologySubjectPage?
_______________________________________________________
ii)Howoftendoyouposthomework,quizzes,discussionactivitiesthrough
SchoologySubjectPage?

Morethan5timeaweek
5timesaweek
3timesaweek
Onceornoneaweek

iii)DoyouuseteachingaidsotherthanMimio?Yes/No
iv)Statetypeofteachingaidsusedandhowoftendoyouuseit?
______________________________________________________
______________________________________________________
d)DoyouincorporatetheuseofMacbooksandMimioinyour
teaching?Yes/No
e)StatethedetailsonhowyouincorporatetheuseofMacbooksand
Mimioinyourteaching(Attachexampleof2013DailyLessonPlan).

_______________________________________________
________________________________________________________________

f)AreyourSchoologyCoursePageuptodateinthesefollowing

items?PleasechecktheitemsthatyouvecompletedasofNovember
2013.
i)AnnualSchemeofWork2013____
ii)WeeklySchemeofWork2013____
iii)CourseMaterialsof2013____
iv)SubjectResourcesof2013____
v)HSP2013____
vi)Syllabus2013____
vii)Enrolallstudentsinallyourcourses____
g)Howoftenthatyoupostcontentupdatesinyoursubjectpage?
i)57Timesperweek
ii)34Timesperweek
iii)Lessthan3timesperweek
iv)Onceawhileinafewweeks
v)NeverpostanyupdatesinSchoology
h)HowoftendoyouuseSchoologyinyourteaching?i.eFlipped
Classroom,Discussion,YouTubeMediaetc.
i)57Timesperweek
ii)34Timesperweek
iii)Lessthan3timesperweek
iv)Onceawhileinafewweeks
v)Neverincorporateanyoftheabovebecausemystudentsareinthe
ReceptionandLowerPrimarybutuseittoposthomeworkor
announcementforparents
vi)Neverincorporateanyoftheabove

SECTION 2 :
LIS AWARDS SCHEME
1.HowhaveyoucontributedtothegrowthofLISsthroughextra
curricularactivitiesintheschool?
(StatehowyoucontributedduringSportsDay/Gamescarnival/SwimmingGala/YearEnd
Concert/Expeditionsetcanddutiesperformed)

*VerificationbyPrincipal

2.Whatdidyoudotoinspireyourstudentstoexcelinthefield/gameof
theirchoiceandhowdidyoulendyourpersonalsupport?

*VerificationbyPrincipal

SECTION 3 :

GENERAL RESPONSIBILITY
1.DoyouconsideryourselfaRoleModel?Yes/No
IfYespleasespecify:
_________________________________________________________
_________________________________________________________
_________________________________________________________
2.DoyouconsideryourselfaDisciplinarian?Yes/No
IfYes,howhaveyouinstilleddisciplineamongstyourstudents.
________________________________________________________
________________________________________________________
________________________________________________________
3.RoleasaPersonalTutor
a)Howhaveyouestablishedcontactwithyourwardsbesidesthe
weeklyTutorsTime?
i)Normallessoninteraction
ii)Breakandlunch
iii)ClassParty
iv)Other
b)Howmanytimeshaveyoumetyourwardsparentsin2013?

i)57ormoretimesperyear
ii)34timesperyear
iii)Lessthan3timesperyear
iv)Nevermettheparentsbutstayintouchthroughemailandphone
calls
v)Nevercontacttheparents.Juststaycloseandintouchwiththe
children
c)Haveanyofyourwardsrunintoanydisciplinaryproblems?
Yes/No
Ifyes,Statethenatureoftheproblem?
______________________________________________________
Howdidyousolvethisproblem?
______________________________________________________
d)LISConfidentialReport(LISCR)
AsaPersonalTutorareyourcommentsproactive,analyticaland
focusedonthedetailsofyourwardsprogress.
i.Yes
ii.No

SECTION 4 : TEAM EFFORT

1.Whathasyourattendancebeenlikeinthepastyear?(Pleasetick)
a.100%attendance

10

b.absentbetween35days
c.absentbetween510days
d.absentformorethan10days
ChoosereasonsofAbsenteeism
a)MaternityLeave
b)SickLeave
c)PersonalorFamilyrelatedmatters
d)Other
2.Areyoupunctualtoclass?Yes/No
IfNostatereason:__________________________________
*VerificationbyPrincipal
3.WhathasyourcontributionbeentowardstheLifeoftheSchool?
(DuringSports/CommunityService/Expeditions/Schooltrips/Schoolevents/Academic
Events
Statescopeofresponsibilityattheseevents)

*VerificationbyPrincipal

4.Haveyoueverbeengivenaverbal/writtenwarninginthecourse
ofthisyear?Yes/No
IfYesstatethereason:
_________________________________________________________

11

_________________________________________________________
Whathaveyoulearntfromthis:
_________________________________________________________
_________________________________________________________

SECTION 5 :
PERSONAL DEVELOPMENT & PROGRESS
1.Stateyourmostnotablecontribution/sthisyear.(Internal
SeminarSpeakers,RepresentingSchooli.eCompetitionetc.)
_______________________________________________________
_______________________________________________________
_______________________________________________________

2.Stateyourmostnotableachievement/slastyear/thisyear
(AcademicandNonAcademic).
_______________________________________________________
_______________________________________________________
3.Statealltrainings/coursesprovidedbytheschool/otherorganisation
thatyouveattendedtodevelopyourknowledgeandenhanceyour
skillsinteachingprofessionthisyear.

12

a)_________________________________________________
b)_________________________________________________
c)_________________________________________________
d)_________________________________________________
4.Whatdoyoulearnfromallcourses/trainingthatyouveattended?
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
5.Stateyourpersonalgoalsfor(2014ifany):
_________________________________________________________
_________________________________________________________

.
Signature:
Date:_________________

13