PAS Form B-3

PERFORMANCE APPRAISAL SYSTEM

FOR SCHOOLS DISTRICT SUPERVISORS AND
COORDINATING PRINCIPALS
(PASSA)
Name:______________________________________ District: ___________
Position/Designation__________________________ ESA :
_____________
Rating Period: _______________________________ Division: Bohol
School Year: !"-!"3 Region
: #$$
PERFORMANCE INDICATORS 1
0
8 6 4 2 Rati
!
1" OCCUPATIONAL COMPETENCE (#0$)
A. Planning
"% Prepared district development plan/supervisory and technical
assistance plan
B. Plan Implementation
"% Provided support to school heads/cluster heads in the
development of the School Improvement Plan
2. Implemented the district development plan, administrative,
supervisory and technical assistance plan
3% Supervised school heads on curriculum implementation and
instructional delivery.
C. Curriculum Development and Innovations
1. Provided leadership/technical assistance in the development /
redevelopment of teaching and learning resources.
2. Initiated innovations in curriculum implementation
3. Provided access and equitable distribution of !s from the !
Portal/"#$ modules %$IS&S"/'"S'( to schools )ithin the
district
D. Staff Development
1. Provided technical assistance and support for school*based
training and development activities.
2. +oordinated )ith the division to implement do)nloaded training
programs
E. Performance Assessment/Efficiency
Internal Efficiency Indicators of the district:
1. Increased ,"- $PS of the district by 2.
2. Increased promotion rate by 2.
3. #ecreased repetition rate by 2.
/. #ecreased drop*out rate by 2.
0. Increased survival rate 2.
1. Increased retention rate 2.
. !esearch and Data "anagement
"% +onducted action research, shared and used results
2. $anaged #istrict 2'IS
#. Supervision of Private Schools
1. Increased number/. of Private Schools %'lem./Sec.( in the
district )ith #ep'# recognition/permit to operate
TOTAL SCORE
TOTAL RATING (T%ta& S'%() *18 + #0$
II" PROFESSIONAL AND PERSONAL
CHARACTERISTICS , 20$
III" ATTENDANCE AND PUNCTUALITY -
10$
1
0

8

6

4

2
R 1
0
8 6 4 2 R
"% Decisiveness "% P&nct&alit'
% (onest'/$ntegrit' % Attendance
3% Dedication/)ommitment *otal Score
+% $nitiative/Reso&rce,&lnes
s
T%ta& Rati!
(TS*2+10$
-% )o&rtes'
.% (&man Relations
/% 0eadershi1
2% Stress *olerance
3% Fairness/4&stness
"!%Pro1er Attire/ 5ood
5rooming
*otal Score
T%ta& Rati! (TS*10+ 20$
P&./ Fa't%(/0 6!%- ,or each indicator 7&t not to e8ceed 1oints ,or the total9
"% )haired technical committee in the division/regional level
% )ond&cted seminars in the division/regional level
3% Acted as trainer/,acilitator in the division/regional level
+% Ac:&ired reso&rces/assistance ,or the school ,rom other so&rces
SUMMARY OF RATINGS0
$% ;cc&1ational )om1etence 6/!<9 _________
$$% Pro,essional and Personal )haracteristics 6!<9
_________
$$$% P&nct&alit' and Attendance 6"!<9 _________
*otal _________
Pl&s Factor _________
;ver-All Rating _________
Descri1tive Rating _________
RE=AR>S:
__________________________________________________________________________________
RA*EE: );NFERRED ?$*(:

________________________
____________________
Rater
);NF;R=E: __________________
Signat&re o, Ratee
____________________
Rater
____________________
Rater
RE#$E?ED @ RE);==END$N5 APPR;#A0:

_____________________
ESA (ead
APPR;#ED:
__________________________
Schools Division S&1erintendent
__________________________________________________________________________________
___
>e' to Descri1tive Rating
2%.! - "!%! - ;&tstanding
.%.! - 2%-3 - #er' Satis,actor'
+%.! - .%-3 - Satis,actor'
%.! - +%-3 - Ansatis,actor'
%-3 @ 7eloB - Poor