Sample 1

PERFORMANCE MONITORING AND COACHING FORM

DATE CRITICAL INCIDENCE DESCRIPTION OUTPUT IMPACT ON JOB/ SIGNATURE

ACTION PLAN (RATER/RATEE)
Developing learning activity sheets (LAS) Complete and Teacher must create and
based on the most essential learning Contextualized develop LAS and meet the
competencies as a tool for evaluating a LAS required most essential
student's academic achievement learning competences for
learners to learn the
needed learning and
performance standards
Preparation of a weekly home learning Complete WHLP The teacher must produce a
plan (WHLP) that will serve as a blueprint full guide for the learners
for learners, parents, learning facilitators, that includes all of the
and stakeholders to follow to fulfill the essential elements of a
needed competencies in the Modular WHLP, such as date and
Learning Modality. time, learning area, learning
competency, learning tasks,
and modalities of delivery
to help parents and
guardians in their child's
teaching and learning
process.
Preparation of an assessment tool with a Assessment Tool The teacher must construct
table of specifications (TOS) to ensure with TOS a TOS that is consistent
that each domain of the taxonomy of with the assessment tool or
learning is covered by the learner. test, including learning
competencies, number of
 days taught, taxonomy of
learning, and item
placement. These TOS will
assure that a test or
assessment assesses the
content and thinking skills
of the learners that the test
is intended to measure.
Submission and consolidation of learning Template LOA The teacher must submit
outcome assessment (LOA) results per result per subject and consolidate the LOA
grade level and subject area and grade level results to address the needs
of the students in a specific
learning competency where
most of the students had a
low score or where the
least mastered skills need
to be addressed.
Completion of the learning delivery Complete LDM The teacher must attend
modality (LDM) portfolio to meet the Portfolio with and actively participate in
academic challenges of distance learning Means of the virtual orientation or
in this new normal educational setup. Verification through learning action cell
(MOVs), (LAC) about the
annotations, and implementation of distance
reflective learning with the help of
summary the LAC leader and
facilitator. They must
submit all course
requirements to complete
the course.
Preparation and collection of Means of Complete MOVs Teachers must compile and
Verification (MOVs) to evaluate the compiled in RPMS present their MOVs in an e-
teacher's performance, which is compiled e-Portfolio Portfolio that is organized
in an e-Portfolio called the Result-Based by Key Result Areas (KRAs)
Performance Management System and objectives to evaluate
Portfolio. their performance and
address their needs and
weaknesses to improve for
the next academic year.
Planning and submitting an activity Activity proposal, The teacher must create an
proposal, an action research proposal, an action innovation or present a
and an innovation proposal to support research suggestion for an action or
the school's learning continuity plan (LCP) proposal, and an activity to solve the school's
innovation needs and problems,
proposal whether in management,
teaching and learning, or
other areas.
 Sample 2
PERFORMANCE MONITORING AND COACHING FORM

DATE CRITICAL INCIDENCE DESCRIPTION OUTPUT IMPACT ON JOB/ SIGNATURE

ACTION PLAN (RATER/RATEE)
Improved instructional techniques Lesson
that will increase student enthusiasm and Plan/Exemplar The teaching and learning
interest of the learners in teaching the incorporating the process was activated and
most essential learning competencies teaching ignited and the students
strategies and were engaged.
approach use
Interactive and
differentiated
activities

A well-developed test should be Table of The test aims to assess the

anchored in Bloom's taxonomy and Specifications student's skills and
matched with the learning competencies. Final revised Test knowledge on a certain
in the subject topic and at a particular
period.
The appropriate intervention program Action The number of students no
must be given to students with low test Plan/Intervention longer in school (NLS) has
scores and at risk of dropping out. Program reduced, while the
Accomplishment performance of pupils with
Report poor test scores has
improved.
The teacher must make the best use of PowerPoint The students are interested
ICT in the classroom using PowerPoint presentation in discovering new
presentations, offline games, free app Mobile app/game information about the
quizzes, and tests to make learning more aligned in the subject and enthusiastically
engaging and make progress evident. MELCs use their mobile devices to
learn.
Teachers must use a variety of teaching Lesson The students were
techniques to foster critical and creative Plan/Exemplar challenged, helped build
thinking as well as other higher order highlighting their 21st-century skills,
thinking abilities. critical, creative, and shown how to apply
and higher order those skills to real-world
thinking skills situations.
The teacher must consistently and Sample MOVs or The teacher's efficacy and
regularly collect data, reports, and other artifacts per KRA efficiency are clearly
artifacts to track success in the many and objectives demonstrated through
instructional areas or aspects. evidence and artifacts
presented utilizing a
portfolio-based approach

Sample 3
 PERFORMANCE MONITORING AND COACHING FORM

DATE CRITICAL INCIDENCE DESCRIPTION OUTPUT IMPACT ON JOB/ SIGNATURE

ACTION PLAN (RATER/RATEE)
The teacher must provide a to-do list and School The teacher will act as an
schedule with priority assignments. forms/reports example for his or her peers
and coworkers.
Logbook The problems were
The teacher must keep an incident report Incident report addressed, making it simple
logbook and reflect on it by making to meet the needs of the
recommendations. students.
The teacher must have a summative test Summative Test The teacher regularly
notebook that matches the lesson Notebook monitors the learners'
plan/exemplar and keep the scores of the Lesson academic performance in
learner and the index of mastery. Plan/Exemplar the subject, which will serve
with Index of as the basis for the topic or
Mastery lessons, and they may
Class Record intervene or adjust as
necessary.
Several indications in the classroom Improved Lesson The teacher improved the
observation tool need to be addressed to Plan/Exemplar rating on the following
get an outstanding rating. based on classroom observation by
comments/ considering comments and
suggestions suggestions for
improvement.