1. Republic of the Philippines
Department of Education
Caraga Region
SCHOOLS DIVISION OF SURIGAO DEL SUR
Tagbina I District
MAGLAMBING INTEGRATED School
Balilahan, Mabua, Tandag City, Surigao del Sur, 8300
(086) 211-3225
surigaodelsur.division@deped.gov.ph Date: 11/18/2022 | Version: V3 | DC No: I-OSDS-003
Name of Employee: _______________________________ Name of Rater: _________________________________
Position: _________________________________ Position: ______________________________________
Rating Period: _________________________________ Date of Review: ________________________________
CONTEXTUALIZED MID-YEAR PERFORMANCE REVIEW AND EVALUATION TOOL
SY 2023-2024
THEME/AREA OF
FOCUS
INDICATORS
PERFORMANCE INDICATORS
(ACTUAL PERFORMANCE)
(NO-1/MO-2/HO-3)
MID-YEAR REVIEW
REMARKS
Quarter 1 Quarter 2
NO (1) MO (2) HO (3) NO (1) MO (2) HO (3)
A. Content/Strategies/
Classroom Management/
Assessment
Evident or Not Evident based
on the indicators identified on
each theme.
B. Learner Achievement
and Assessment
1. Lesson Plans
2. Table of Specifications (TOS)
3. Diagnostic Test/Pre- and
Post-Test/Quarterly Test
4. Item Analysis
5. Learners’ Test Answer
Sheets scored and signed by
parents
2. Republic of the Philippines
Department of Education
Caraga Region
SCHOOLS DIVISION OF SURIGAO DEL SUR
Tagbina I District
MAGLAMBING INTEGRATED School
Balilahan, Mabua, Tandag City, Surigao del Sur, 8300
(086) 211-3225
surigaodelsur.division@deped.gov.ph Date: 11/18/2022 | Version: V3 | DC No: I-OSDS-003
Quarter 1 Quarter 2 MID-YEAR REVIEW
REMARKS
NO (1) MO (2) HO (3) NO (1) MO (2) HO (3)
6. Class Record
7. MS/MPS, Proficiency Level,
GPA
8. Learner Intervention
Materials with LLCs
9. Individual Learner Monitoring
Plan (ILMP)
10. Learner Intervention
Monitoring Report (LIMR)
11. Other Intervention Reports
12. Learners’ Materials,
Contextualized LMs/Quality-
Assured Teacher-Made
Materials/Contextualized
Videos
13. Rubrics
14. Formative and Summative
Feedback Documents
15. Report on
SARDO/Dropped-Out learners
16. HRPTA Documents
3. Republic of the Philippines
Department of Education
Caraga Region
SCHOOLS DIVISION OF SURIGAO DEL SUR
Tagbina I District
MAGLAMBING INTEGRATED School
Balilahan, Mabua, Tandag City, Surigao del Sur, 8300
(086) 211-3225
surigaodelsur.division@deped.gov.ph Date: 11/18/2022 | Version: V3 | DC No: I-OSDS-003
Evaluated by:
_____________________ _______________________
Name of Ratee MT-I/Instructional Supervisor
Noted by:
MA LIZA T. BANDOLA
SH
Quarter 1 Quarter 2
NO (1) MO (2) HO (3) NO (1) MO (2) HO (3)
C. Professional
Development
1. Previous IDP with tracking
2. Reflection Journal/Notes
D. Other Value-Added
Areas
