Republic of the Philippines
Department of Education
Caraga Region
SCHOOLS DIVISION OF AGUSAN DEL SUR
Prosperidad District III
PATIN-AY NATIONAL HIGH SCHOOL
School ID 304730
PERFORMANCE MONITORING AND COACHING FORM
SY 2022-2023
CRITICAL INCIDENCE SIGNATURE
DATE OUTPUT IMPACT ON JOB/ACTION PLAN
DESCRIPTION (RATER/RATEE)
March 18, 2022 Tackle the KRA1 Objective2. Made a lesson reflected in - The teacher understands how to
Evaluated with colleagues the WHLP and LAS and Lesson Plan present the learning competency
effectiveness of teaching that promote learner addressing the learner’s literacy and
strategies that promote learner achievement in literacy and numeracy achievement. IRENE G. SININING / CHERYL P. PLAZA
achievement in literacy and numeracy
numeracy - Able to deliver the learning competency
reflected in the lesson addressing
literacy and numeracy
JAMES MARK G. BALABA / CHERYL P. PLAZA
Prepared by: Noted:
CHERYL P. PLAZA, MT-II NENITA C. GELACIO, MT-II MARILOU P. CURUGAN, DM-HRM
Subject Group Head -SPORTS Assistant Principal/ SHS Coordinator School Principal IV
Republic of the Philippines
Department of Education
Caraga Region
SCHOOLS DIVISION OF AGUSAN DEL SUR
Prosperidad District III
PATIN-AY NATIONAL HIGH SCHOOL
School ID 304730
PERFORMANCE MONITORING AND COACHING FORM
SY 2022-2023
CRITICAL INCIDENCE SIGNATURE
DATE OUTPUT IMPACT ON JOB/ACTION PLAN
DESCRIPTION (RATER/RATEE)
-
Prepared by: Noted:
NECESARIO F. TULOD, P-III
Republic of the Philippines
Department of Education
Caraga Region
SCHOOLS DIVISION OF AGUSAN DEL SUR
Prosperidad District III
PATIN-AY NATIONAL HIGH SCHOOL
School ID 304730
PERFORMANCE MONITORING AND COACHING FORM
SY 2022-2023
Instructional supervisor SHS Coordinator / TVL / Academic Coordinator School Head
CRITICAL INCIDENCE SIGNATURE
DATE OUTPUT IMPACT ON JOB/ACTION PLAN
DESCRIPTION (RATER/RATEE)
March 23, 2022 Tackle the KRA2 Objective7. Made a lesson reflected in - The teacher understands how to make strategies
Worked with colleagues to share WHLP and LAS and Lesson Plan that sustain supportive learning environments
successful strategies that sustain highlighting strategies that that nurture and inspire learners to
supportive learning sustain supportive learning participate, cooperate and collaborate in
environments that nurture and environments that nurture continued learning Able to deliver the learning IRENE G. SININING /
inspire learners to participate, and inspire learners to competency reflected in the lesson addressing
cooperate and collaborate in participate, cooperate and literacy and numeracy
collaborate in continued - Able to deliver the learning competency reflected in CHERYL P. PLAZA
continued learning
learning the lesson highlighting strategies that sustain
supportive learning environments that nurture
and inspire learners to participate, cooperate
JAMES MARK G. BALABA /
and collaborate in continued learning
Republic of the Philippines
Department of Education
Caraga Region
SCHOOLS DIVISION OF AGUSAN DEL SUR
Prosperidad District III
PATIN-AY NATIONAL HIGH SCHOOL
School ID 304730
PERFORMANCE MONITORING AND COACHING FORM
SY 2022-2023
CHERYL P. PLAZA
Prepared by: Noted:
CHERYL P. PLAZA, MT-II NENITA C. GELACIO, MT-II MARILOU P. CURUGAN, DM-HRM
Subject Group Head -SPORTS Assistant Principal/ SHS Coordinator School Principal IV
CRITICAL INCIDENCE SIGNATURE
DATE OUTPUT IMPACT ON JOB/ACTION PLAN
DESCRIPTION (RATER/RATEE)
Republic of the Philippines
Department of Education
Caraga Region
SCHOOLS DIVISION OF AGUSAN DEL SUR
Prosperidad District III
PATIN-AY NATIONAL HIGH SCHOOL
School ID 304730
PERFORMANCE MONITORING AND COACHING FORM
SY 2022-2023
March 30, 2022 Tackle the KRA2 Objective8. Made a lesson reflected in - The teacher understands how to make
Modelled successful strategies WHLP and LAS and Lesson Plan strategies that promoting learning
and supported colleagues in highlighting strategies that environments that effectively
promoting learning environments promoting learning motivate learners to work IRENE G. SININING / CHERYL P. PLAZA
that effectively motivate learners environments that effectively productively by assuming
to work productively by assuming motivate learners to work responsibility for their own learning
responsibility for their own productively by assuming - Able to deliver the learning competency
learning responsibility for their own reflected in the lesson with strategies
learning promoting learning environments
JAMES MARK G. BALABA / CHERYL P. PLAZA
that effectively motivate learners
to work productively by assuming
responsibility for their own learning
Prepared by: Noted:
CHERYL P. PLAZA, MT-II NENITA C. GELACIO, MT-II MARILOU P. CURUGAN, DM-HRM
Subject Group Head -SPORTS Assistant Principal/ SHS Coordinator School Principal IV
Republic of the Philippines
Department of Education
Caraga Region
SCHOOLS DIVISION OF AGUSAN DEL SUR
Prosperidad District III
PATIN-AY NATIONAL HIGH SCHOOL
School ID 304730
PERFORMANCE MONITORING AND COACHING FORM
SY 2022-2023
CRITICAL INCIDENCE SIGNATURE
DATE OUTPUT IMPACT ON JOB/ACTION PLAN
DESCRIPTION (RATER/RATEE)
March 28, 2022 Tackle the KRA 3 Objective 11. Made a lesson reflected in - The teacher understands how to make
Modelled successful strategies WHLP and LAS and Lesson Plan strategies of learning programs
and supported colleagues in highlights design of learning that develop the knowledge and
promoting learning environments programs that develop the skills of learners at different ability IRENE G. SININING / CHERYL P. PLAZA
that effectively motivate learners knowledge and skills of levels
to work productively by assuming learners at different ability
responsibility for their own levels - Able to deliver the learning competency
learning reflected in the lesson with strategies
highlights design of learning
JAMES MARK G. BALABA / CHERYL P. PLAZA
programs that develop the
knowledge and skills of learners at
different ability levels
Prepared by: Noted:
CHERYL P. PLAZA, MT-II NENITA C. GELACIO, MT-II MARILOU P. CURUGAN, DM-HRM
Republic of the Philippines
Department of Education
Caraga Region
SCHOOLS DIVISION OF AGUSAN DEL SUR
Prosperidad District III
PATIN-AY NATIONAL HIGH SCHOOL
School ID 304730
PERFORMANCE MONITORING AND COACHING FORM
SY 2022-2023
Subject Group Head -SPORTS Assistant Principal/ SHS Coordinator School Principal IV
CRITICAL INCIDENCE SIGNATURE
DATE OUTPUT IMPACT ON JOB/ACTION PLAN
DESCRIPTION (RATER/RATEE)
April 26, 2022 KRA 4 Objective 13. - Complied with and - Able to comply activity that maintains
learning environments that are implemented school policies the learning environment
responsive to community and procedures consistently responsive to community contexts
contexts. to foster harmonious - IRENE G. SININING / CHERYL P. PLAZA
relationships with learners, - Provision of supply, material and
-Gathering of donations for the parents, and other equipment necessity on WinS program
necessities such as ventilation, stakeholders. thru donation.
disinfectant facilities,
handwashing facilities, - Able to conduct a HRPTA
bench/sofa (rest) or monetary JAMES MARK G. BALABA / CHERYL P. PLAZA
meeting addressing the school
donations of any amount to agenda on gathering donation in
purchase the required relation to WinS program.
essentials in relation to Water
and Hygiene in School
(WinS) program
Republic of the Philippines
Department of Education
Caraga Region
SCHOOLS DIVISION OF AGUSAN DEL SUR
Prosperidad District III
PATIN-AY NATIONAL HIGH SCHOOL
School ID 304730
PERFORMANCE MONITORING AND COACHING FORM
SY 2022-2023
Prepared by: Noted:
CHERYL P. PLAZA, MT-II NENITA C. GELACIO, MT-II MARILOU P. CURUGAN, DM-HRM
Subject Group Head -SPORTS Assistant Principal/ SHS Coordinator School Principal IV
ACTIVITY: LAC on RA 6713
CRITICAL INCIDENCE SIGNATURE
DATE OUTPUT IMPACT ON JOB/ACTION PLAN
DESCRIPTION (RATER/RATEE)
March 21, 2022 KRA4: Obj 14: Discussed with - Subject Group in Sports - The LAC on Code of Ethics made self-
colleagues teaching and learning attended the LAC session on the reflection on everyday action which
practices that apply existing Code of Conduct exhibited an improved practice
codes, laws and regulations that through one’s teaching as impact of IRENE G. SININING / CHERYL P. PLAZA
apply to the teaching profession, - Re-orientation of code of ethics regularly reviewing one’s teaching
and the responsibilities specified needed as government practice/s using laws and regulations
in the Code of Ethics for employee
Professional Teachers - The teacher reflects series of rules
related to the way professional
acts towards the learners and JAMES MARK G. BALABA / CHERYL P. PLAZA
stakeholder with whom he/she
relates professionally.
Republic of the Philippines
Department of Education
Caraga Region
SCHOOLS DIVISION OF AGUSAN DEL SUR
Prosperidad District III
PATIN-AY NATIONAL HIGH SCHOOL
School ID 304730
PERFORMANCE MONITORING AND COACHING FORM
SY 2022-2023
Prepared by: Noted:
CHERYL P. PLAZA, MT-II NENITA C. GELACIO, MT-II MARILOU P. CURUGAN, DM-HRM
Subject Group Head -SPORTS Assistant Principal/ SHS Coordinator School Principal IV
CRITICAL INCIDENCE SIGNATURE
DATE OUTPUT IMPACT ON JOB/ACTION PLAN
DESCRIPTION (RATER/RATEE)
March 28, 2022 Tackle the KRA 4 Objective 15.
Teacher are committed to school - The teacher exhibited commitment
Exhibited commitment to and policy by abiding rules, attending to and supported teachers in the
supported teachers in the meetings and seminar/ LAC, implementation of school policies IRENE G. SININING / CHERYL P. PLAZA
implementation of school policies commitment to committee and procedures to foster
and procedures to foster harmonious relationships with
harmonious relationships with learners, parents and other
learners, parents and other stakeholders
stakeholders
JAMES MARK G. BALABA / CHERYL P. PLAZA
Republic of the Philippines
Department of Education
Caraga Region
SCHOOLS DIVISION OF AGUSAN DEL SUR
Prosperidad District III
PATIN-AY NATIONAL HIGH SCHOOL
School ID 304730
PERFORMANCE MONITORING AND COACHING FORM
SY 2022-2023
Prepared by: Noted:
CHERYL P. PLAZA, MT-II NENITA C. GELACIO, MT-II MARILOU P. CURUGAN, DM-HRM
Subject Group Head -SPORTS Assistant Principal/ SHS Coordinator School Principal IV
CRITICAL INCIDENCE SIGNATURE
DATE OUTPUT IMPACT ON JOB/ACTION PLAN
DESCRIPTION (RATER/RATEE)
Republic of the Philippines
Department of Education
Caraga Region
SCHOOLS DIVISION OF AGUSAN DEL SUR
Prosperidad District III
PATIN-AY NATIONAL HIGH SCHOOL
School ID 304730
PERFORMANCE MONITORING AND COACHING FORM
SY 2022-2023
May 23, 2022 Tackle the KRA 4 Objective 16.
-Made a lesson reflected in - The teacher understands how to make
Lesson Planning manifested a WHLP and LAS and Lesson Plan lesson plan align in the MELC s. The
learner-centered teaching highlights design of learning lesson plan manifested a learner- IRENE G. SININING / CHERYL P. PLAZA
philosophy in various aspects of programs that develop the centered teaching philosophy in
practice and support colleagues knowledge and skills of various aspects of practice and
in enhancing their own learner- learners at different ability support colleagues in enhancing
centered teaching philosophy levels their own learner-centered teaching
philosophy
JAMES MARK G. BALABA / CHERYL P. PLAZA
-
Prepared by: Noted:
CHERYL P. PLAZA, MT-II NENITA C. GELACIO, MT-II MARILOU P. CURUGAN, DM-HRM
Subject Group Head -SPORTS Assistant Principal/ SHS Coordinator School Principal IV
Republic of the Philippines
Department of Education
Caraga Region
SCHOOLS DIVISION OF AGUSAN DEL SUR
Prosperidad District III
PATIN-AY NATIONAL HIGH SCHOOL
School ID 304730
PERFORMANCE MONITORING AND COACHING FORM
SY 2022-2023
___
ACTIVITY: LAC on RA 6713
CRITICAL INCIDENCE SIGNATURE
DATE OUTPUT IMPACT ON JOB/ACTION PLAN
DESCRIPTION (RATER/RATEE)
March 21, 2022 KRA4: Obj 14: Discussed with - The LAC on Code of Ethics made
colleagues teaching and learning - Subject Group in Sports self-reflection on everyday action
practices that apply existing attended the LAC session on the which exhibited an improved
codes, laws and regulations that Code of Conduct practice through one’s teaching IRENE G. SININING / CHERYL P. PLAZA
apply to the teaching profession, as impact of regularly reviewing
and the responsibilities specified - Re-orientation of code of ethics one’s teaching practice/s using
in the Code of Ethics for needed as government laws and regulations
employee
Professional Teachers
- The teacher reflects series of rules
related to the way professional
acts towards the learners and
stakeholder with whom he/she
relates professionally.
Prepared by: Noted:
Republic of the Philippines
Department of Education
Caraga Region
SCHOOLS DIVISION OF AGUSAN DEL SUR
Prosperidad District III
PATIN-AY NATIONAL HIGH SCHOOL
School ID 304730
PERFORMANCE MONITORING AND COACHING FORM
SY 2022-2023
CHERYL P. PLAZA, MT-II NENITA C. GELACIO, MT-II MARILOU P. CURUGAN, DM-HRM
Subject Group Head -SPORTS Assistant Principal/ SHS Coordinator School Principal IV
ACTIVITY: LAC on RA 6713
CRITICAL INCIDENCE SIGNATURE
DATE OUTPUT IMPACT ON JOB/ACTION PLAN
DESCRIPTION (RATER/RATEE)
March 21, 2022 KRA4: Obj 14: Discussed with - Subject Group in Sports -The LAC on Code of Ethics made self-
colleagues teaching and learning attended the LAC session on the reflection on everyday action which
practices that apply existing Code of Conduct exhibited an improved practice through
codes, laws and regulations that one’s teaching as impact of regularly
apply to the teaching profession, - Re-orientation of code of ethics reviewing one’s teaching practice/s JAMES MARK G. BALABA / CHERYL P. PLAZA
and the responsibilities specified needed as government employee using laws and regulations
in the Code of Ethics for
Professional Teachers -The teacher reflects series of rules
related to the way professional acts
towards the learners and stakeholder
with whom he/she relates
professionally.
Prepared by: Noted:
Republic of the Philippines
Department of Education
Caraga Region
SCHOOLS DIVISION OF AGUSAN DEL SUR
Prosperidad District III
PATIN-AY NATIONAL HIGH SCHOOL
School ID 304730
PERFORMANCE MONITORING AND COACHING FORM
SY 2022-2023
CHERYL P. PLAZA, MT-II NENITA C. GELACIO, MT-II MARILOU P. CURUGAN, DM-HRM
Subject Group Head -SPORTS Assistant Principal/ SHS Coordinator School Principal IV
ACTIVITY: LAC on RA 6713
CRITICAL INCIDENCE SIGNATURE
DATE OUTPUT IMPACT ON JOB/ACTION PLAN
DESCRIPTION (RATER/RATEE)
June 8, 2022 The teacher approached by - The scenario made the teacher -The teacher maintains his harmonious and
colleague in the presence of the emotionally and mentally pleasant personal and official relations with
parent and learner that he felt/ disturbed. As the subject group other professionals.
look incompetent. head (SGH), the teacher validated
and supported to let the anger JAMES MARK G. BALABA / CHERYL P. PLAZA
calm down before raising this
concern to the year level for a
confrontation and settlement of
misinterpretation/
miscommunication
Republic of the Philippines
Department of Education
Caraga Region
SCHOOLS DIVISION OF AGUSAN DEL SUR
Prosperidad District III
PATIN-AY NATIONAL HIGH SCHOOL
School ID 304730
PERFORMANCE MONITORING AND COACHING FORM
SY 2022-2023
Prepared by: Noted:
CHERYL P. PLAZA, MT-II NENITA C. GELACIO, MT-II MARILOU P. CURUGAN, DM-HRM
Subject Group Head -SPORTS Assistant Principal/ SHS Coordinator School Principal IV
