Republic of the Philippines
Department of Education
REGION ____, _____________________
SCHOOLS DIVISION OF __________________
___________________ DISTRICT
[enter school name here]
PERFORMANCE MONITORING AND COACHING FORM
Rating Period: 3rd Quarter
DATE
CRITICAL INCIDENCE
DESCRIPTION
The teacher used
differentiated activities
during the formative
assessment of the
students
The teacher made a
successful relation of
the current lesson to
the lesson in Araling
Panlipunan Grade 5
OUTPUT
The RPMS
indicator was
attained, and the
objective of the
lesson was also
attained
RPMS indicator
number 1 was
attained
IMPACT ON JOB/ ACTION
PLAN
The students actively
participated in the lesson and
enjoyed the differentiated
activities set by the teacher
Students were able to
connect the current lesson
to the lesson in Araling
Panlipunan
The teacher made a strong
connection between the
subject matter that may
enhance retention
[you can continue to add pages for the other quarters to observe]
SIGNATURE
Ratee
Rater