This document contains a teacher performance evaluation form called the CB-PAST (Competency-Based Performance Appraisal System for Teachers). It evaluates a teacher across three main criteria: instructional competence, home/school/community involvement, and personal/professional development. Each criteria contains several standards that are rated on a scale from below basic to highly proficient. The form provides the teacher's self-ratings for each standard. It also calculates weighted averages for each criteria and an overall performance rating. The teacher received a summative performance rating of "very satisfactory".