Peer Evaluation Checklist

Name of Peer: ____________________________

Directions: Please put a check of the following attributes with 5 as the highest and 1 as the lowest.
Scale
1. Attitude: 5 4 3
- Positive attitude towards the discipline.
- Openness to feedback and constructive criticism.
- Willingness to participate in Trainings/Rehearsals/Practice.
- Respectful behavior towards teachers and peers.
- Responsibility and accountability for their actions.
Total 0
2. Peer Relationship:
- Ability to work collaboratively with peers.
- Respectful and considerate towards others.
- Effective communication skills.
- Conflict resolution and problem-solving abilities.
- Supportive and encouraging towards activities relating to the discipline.
Total 0
3. Expertise/ Skills in the Discipline:
- Understanding of key concepts and principles.
- Application of knowledge in practical situations.
- Critical thinking and analytical skills.
- Consistent academic performance.
- Eagerness to learn and explore new ideas.
Total 0
4. Attributions:
- Recognition of personal strengths and weaknesses.
- Willingness to take on challenges and learn from failures.
- Self-motivation and perseverance.
- Ability to set goals and work towards achieving them.
- Reflective thinking and self-awareness.
Total 0
Total from 4 Domains: 0
Average 0
Score 0.00

___________________________________________________
Signature of Peer over Printed Name

___________________________________________________
Signature over Printed Name of the Club Adviser/Team Coach
est.
Scale
2 1

0
0
0
0.00
 Points for Wins and Awards

Areas/ Activities

Official Contests and Competitions

sanctioned by a DepEd Order or Memorandum
issued by the National, Regional, Division and
District offices. Other Non-DepEd contests and
competitions must have a Communication
Letter or Invitation.

Campus Journalism

Officership and Membership in a Club/Team

Points for Wins and Awards
Points Given
Level of Participation First Second Third
Participation
Gold Silver Bronze
International 20 19 18 17
National 17 16 15 14
Regional 14 13 12 11
Division 11 10 9 8
District 8 7 6 5
School 5 4 3 2

Editor-in-Chief 5
Contributors 4
Others 3

President or Equivalent 5
Vice President
Secretary, or Equivalent
Treasurer and 4
other officers or 3
equivalent
Members 2
 Republic of the Philippines
Department of Education
SCHOOLS DIVISION OFFICE OF DINAGAT ISLANDS
DON RUBEN E. ECLEO SR. MEMORIAL NATIONAL HIGH SCHOOL

REPORTS ON AWARDS AND RECOGNITION OF STUDENTS

GRADE LEVEL 12, SY 2024-2025
OUTSTANDING PERFORMANCE IN SPICIFIC DISCIPLINES IN _______________
NAME OF STUDENT

POINTS
CRITERIA Points MEANS OF VERIFICATION
EARNED

Encode Final Grade here:

ACADEMIC RATING (20%) Final Grade in the learning area or average of the final grades in subject 0 MAPEH Grade

5 4 3 2 1

The average scores in The average scores in The average scores in The average scores in The average scores in
A. Papers (related to the discipline)under written works with a
the Written works the Written works from the Written works from the Written works from the Written works from
score not lower than 75% of the total number of items from
from quarter 1 to 4 is quarter 1 to 4 is 90% - quarter 1 to 4 is 85% - quarter 1 to 4 is 80% - quarter 1 to 4 is 75% -
Quarter 1 to Quarter 4.
95% and above. 94%. 89%. 84%. 79%.
A. Output ( Oral/Written/Projects/
Etc. The average scores in
The average scores in The average scores in The average scores in The average scores in
the Performance B. Performance tasks (of the discipline) with a grade/rating/score
the Performance Tasks the Performance Tasks the Performance Tasks the Performance Tasks
Tasks from quarter 1 not lower than 75% of the total number of items as inidcated in the
from quarter 1 to 4 is from quarter 1 to 4 is from quarter 1 to 4 is from quarter 1 to 4 is
to 4 is 95% and Rubrics (if available) from Quarter 1 to Quarter 4.
90% - 94%. 85% - 89%. 80% - 84%. 75% - 79%.
above.
A. Official Designation from the Club/ Team duly signed by the Club
B. Membership in a Club / Team Refer to the Rubrics in giving points to membership in a club/ team.
Adviser or Coach.
B. Performance tasks (of the discipline) with a grade/rating/score
The average scores in not lower than 75% of the total number of items as inidcated in the
The average scores in The average scores in The average scores in The average scores in Rubrics (if available) from Quarter 1 to Quarter 4.
the Performance
Skills in Discipline (40%) the Performance Tasks the Performance Tasks the Performance Tasks the Performance Tasks
Tasks from quarter 1
from quarter 1 to 4 is from quarter 1 to 4 is from quarter 1 to 4 is from quarter 1 to 4 is B. Pictures of the applicant during rehearsal/ practice/ training
C. Class or School Presentation to 4 is 95% and
90% - 94%. Pictures 85% - 89%. Pictures 80% - 84%. Pictures 75% - 79%. Pictures with annotations/ captions.
above. Pictures and
and Certificates are and Certificates are and Certificates are and Certificates are
Certificates are also
also provided. also provided. also provided. also provided. A. Certifacate of Participation/ attendance if the applicant presents in
provided.
school level.

20 18 16 14 12

A. Certificate of Commendation/ Participation/ Attendance

D. Winnings and Awards Refer to the Rubrics in giving points to winnings and awards. Pictures with annotations must be affixed.
B. Pictures of the applicant during competition with annotations/
captions.

Total 0
5 4 3 2 1

The Checklist has an The Checklist has an The Checklist has an The Checklist has an The Checklist has an Peer Evaluation checklist duly signed by the peer and noted by the
A. Peer Evaluation
average of 4.50-5. average of 4.00-4.49 average of 3.50-3.59 average of 3.00-3.49 average of 1.00-2.59 Club Adviser/ Team Coach.

15 13 11 10 9
Attitude Toward the
Discipline (20%) The applicant A. Certificate of Good Moral Character duly signed by Club Adviser/
The applicant The apllicant
The applicant Team Coach.
The applicant submitted Good Moral submitted 2 submitted MOVs but
B. Commendation from Coach submitted Good Moral
submitted all MOVs. Character and only 1 commendations did not able to meet
Character only. B. Certificate of Commendation duly signed by Club Adviser/ Team
commendation. only. the deadline.
Coach.
 Total 0
5 4 3 2 1

A. Attendance Sheets of individuals and/or peer as recepient of the

tutorial/ coaching activity.
B. Pictures of the applicant with individuals and/or peers as
recepient of the tutorial/coaching activity with annotations/
The apllicant captions.
The applicant The applicant The applicant
The applicant submitted MOVs but
A. Tutorials /Coaching submitted any 3 of the submitted any 2 of the submitted any 1 of the C. Outputs of individuals and/or peers as recepient of the
submitted all MOVs. did not able to meet
MOVs. MOVs. MOVs. tutorial/coaching activity duly noted by the Club Adviser/ Team
the deadline.
Coach.

D. Certification that the Applicant has conducted Tutorials duly

signed by the club adviser/team Coach.

The applicant A. Attendance Sheets during school events.

The applicant The applicant The applicant The applicant
submitted all MOVs.
submitted all MOVs. submitted all MOVs. submitted any 2 MOVs. submitted any 1 MOVs.
The applicant also has
B. Performance in school's The applicant also has The applicant also has The applicant also has The applicant also has B. Certificate of Commendation duly signed by Club Adviser/ Team
various events
attended/ participated
attended/ participated attended/ participated attended/ participated attended/ participated Coach.
4 or more school
Contribution to the 3 activities related to 3 activities related to 2 activities related to 1 activity related to
activities related to
School related to the the discipline. the discipline. the discipline. the discipline. C. Pictures of the applicant during participation in school events
the discipline.
Discipline(20%) with annotations/ captions.
A. Papers (related to the discipline)under written works with a
The average scores in score not lower than 75% of the total number of items from
The average scores in The average scores in The average scores in
the Written works and The average scores in Quarter 1 to Quarter 4.
the Written works and the Written works and the Written works and
in Performance Tasks the Written works and
in Performance Tasks in Performance Tasks in Performance Tasks B. Performance tasks (of the discipline) with a grade/rating/score
from quarter 1 to 4 is in Performance Tasks
C. Products from quarter 1 to 4 is from quarter 1 to 4 is from quarter 1 to 4 is not lower than 75% of the total number of items as inidcated in the
95% and above. from quarter 1 to 4 is
90%- 94%. Pictures 85% - 89%. Pictures 80% - 84%. Pictures Rubrics (if available) from Quarter 1 to Quarter 4.
Pictures with 75% - 79% and has no
with annotations must with annotations must with annotations must
annotations must also pictures at all. C. Pictures of the applicant during participation in events or
also be attached. also be attached. also be attached.
be attached. products related to the discipline with annotations/ captions.

A. Serve as volunteer including but not limited to flag raising and

lowering, maintaing orderliness and cleanliness during
Render 5 or more training/rehearsal/practice, and clean-up drives and tree planting
Render 4 volunteer Render 3 volunteer Render 2 volunteer Render 1 volunteer
volunteer works with with the presence of the members of the club/team.
D. Volunteer Work works with attendance works with attendance works with attendance work with attendance
attendance sheets
sheets and pictures. sheets and pictures. sheets and pictures. sheets and pictures.
and pictures. B. Attendance sheet during the activities.

C. Pictures with annottations.

Total 0

TOTAL POINTS 0
REMARKS

Note: Late MOVs can be accepted 3 days after the dedline of portfolio submission.

Certified and verified by :

School Awards Committee

EMELY S. GIMENA
Chairman

GEMMA P. VELEZ NILGEN S. CUATON JOHN KENNETH M. VILLAREAL

Member Member Member Member

Approved: Noted by:

Approved: Noted by:
EUZEL PATRONINIA C. ESPINOSA ELIAS S. DURERO
 Republic of the Philippines
Department of Education
DIVISION OF DINAGAT ISLANDS
DON RUBEN E. ECLEO SR. MEMORIAL NATIONAL HIGH SCHOOL

REPORTS ON AWARDS AND RECOGNITION OF STUDENTS

GRADE LEVEL 12, SY 2024-2025
B. OUTSTANDING PERFORMANCE IN SPECIFIC DISCIPLINES IN _________

Academic Attitude Toward the Contribution to the School related to the

Skills in Discipline (40%)
Rating(20%) Discipline (20%) Discipline(20%)
TOTAL
Name of Candidates
POINTS
REMARKS
Final

Points
A B C D A B A B C D

Total

Total

Total
Passing
Grade 10 5 5 5 15 5 5 5 5
1 0 0 0 0 0.00
2 0 0 0 0 0.00
3 0 0 0 0 0.00
4 0 0 0 0 0.00
5 0 0 0 0 0.00
6 0 0 0 0 0.00
7 0 0 0 0 0.00
8 0 0 0 0 0.00
9 0 0 0 0 0.00
10 0 0 0 0 0.00

Certified and verified by :

School Awards Committee

MARIETA P. RABE
Chairman

HOLIDAY GLADDYS R. GALLOGO JOHN KENNETH M. VILLAREAL GEMMA P. VELEZ NILGEN S. CUATON
Member Member Member Member

Approved:

EUZEL PATRONINIA C. ESPINOSA

Secondary School Principal II

Noted by:

ELIAS S. DURERO
Public Schools District Supervisor- San Jose

Checked By: Attested:

RUCIEN WILLA A. GALINATO, PhD. LOPE C. PAPELERAS , PhD.

Education Program Supervisor I Chief Education Supervisor
Monitoring Supervisor Curriculum Implementation Division

e-mail: [email protected]
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