Department of Education: Republic of The Philippines

Republic of the Philippines
DEPARTMENT OF EDUCATION
Region IV-A CALABARZON
DIVISION OF RIZAL
PHP QMS 19 930014
INSTRUCTIONAL SUPERVISION MONITORING AND EVALUATION TOOL (ISME Tool)
Name of School Head:___________________________________ Name of IS Provider: ______________________________

School: _______________________________________________ Date of ISME: ____________________________________
Note to the Tool user:
1. This Tool will be accomplished by a Division personnel conducting ISME on a School Head.
2. MOVs other than identified in this Tool that are acceptable to the IS Provider may be used.
3. Remarks include the score obtained by the SH based on the MOV presented. It may also contain suggestion/s or note/s that may help the SH improve on the Indicator in focus.
4. A photocopy of this Tool may be given to the SH for future reference.
5. In the case of a newly transferred school head to a school, MOVs done in the previous school shall be presented.
Indicators Level 1 Level 2 Level 3 Level 4 Remarks
School-based review, Demonstrate knowledge and Assist teachers in the review, Work with the teams in the Share exemplary practice in
contextualization and understanding of school- contextualization and conduct of review, the review,
implementation of based review, implementation of learning contextualization and contextualization and
learning standards contextualization and standards to make the implementation of learning implementation of learning
implementation of learning curriculum relevant for standards to assist teachers standards to effectively
Sir Gerwin standards. learners. in making the curriculum assist teachers in making
Mam Bless relevant for learners. the curriculum relevant for
Mam Atila learners.
MOVs  Memo informing teachers  Notes in the COT Form,  Memo with TOR showing  Certificate of
about concept, legal, and  Screenshots or record of SH’s tasks in the conduct Recognition from other
philosophical basis of conversation with of review and educational leaders
review and teacher/s suggesting contextualization. who benchmarked on
contextualization specific activity/ies  Written outputs of SHs practice.
related to review and review, contextualization  Cert. as presenter in
contextualization and implementation conference on
schemes
DepEd Bldg., Cabrera Road, Brgy. Dolores Taytay, Rizal 1920 * Contact Numbers: SDS 571-4284 / ASDS 650-2615 / CID 650-2610 /
ADMIN 650-2639 / FINANCE 650-2612 / SUPPLY 695-3877 / SGOD 7061720
email: rizal@deped.gov.ph Facebook: DepEd Rizal Website: depedrizal.ph
Not to be reproduced or photocopied without prior authorization of SDO Rizal.

DIVISION OF RIZAL
PHP QMS 19 930014
 Program showing SHs as  Copy of School Program exemplary practices done

discussant to teachers on organized  Copy of published or
the concept of review and  Program of Activities unpublished materials
contextualization. sharing practices
Teaching standards and Demonstrate knowledge and Provide technical assistance Engage school personnel Exhibit best practice in
pedagogies understanding of teaching to teaching standards and such as MTs, HTs, and DHs in providing technical
standards and pedagogies pedagogies within and providing technical assistance to teachers for
Mam Beth within and across learning across learning areas to assistance to teachers on them to develop exemplary
Gina Galit areas to provide technical improve their teaching teaching standards and practices consistent with
Hanna Villegas assistance to teachers to practice. pedagogies within and teaching standards and
improve their teaching across learning areas to pedagogies within and
practice. improve their teaching across learning areas.
practice.
 Memo sharing standards  Notes on COTs or on  Memo assigning MTs,  Certificate of
and pedagogies POC with teachers HTs, and SHs to group of Recognition from
MOVs  Needs assessment result  Minutes of LAC/FGD teachers for TA provision higher Office
based on monitoring  Report on coaching  Minutes of Performance  Division/District Memo
 Legal and philosophical session Review recognizing best
basis  Supervisory Plan  Notice of Meeting and practices
 Data as basis for conduct its Output  Copy of
LAC/FGD published/unpublished
 LAC/FGD Plan materials sharing
practices

DIVISION OF RIZAL
PHP QMS 19 930014
Teachers Performance Demonstrate understanding Use validated feedback Collaborate with school Exhibit exemplary skills in
Feedback of the use of feedback obtained from learners, personnel in effectively using effectively using validated
obtained from learners, parents and other validated feedback obtained feedback obtained from
Mam Mace parents and stakeholders to stakeholders to help from learners, parents and learners, parents and other
Mam Lorie help teachers improve their teachers improve their other stakeholders to help stakeholders to help
Mam Sha performance performance teachers improve their teachers improve their
performance performance
 Feedback Mechanism  Analysis/Evaluation  School  Completion and
on performance of of gathered Memorandum Evaluation Report
MOVs teachers feedback on regarding on the Intervention
 Process Flow of performance of Intervention Activities
Feedback Gathering teachers Activities to be implemented
regarding  Plan of Actions implemented (with regarding
performance of based on MTs, HTs, DHs and improvement of
teachers Analysis/Evaluation Key Teachers) performance of
of Feedback  Minutes of Meeting teachers
with Attendance
Sheet
 Narrative & Pictorial
Report
Learner achievement Set achievable and Utilize learning Engage the wider Mentor fellow
and other performance challenging learning outcomes in school community in School Heads in
indicator outcomes to support developing data- developing data- sustaining learner
learner achievement based interventions based interventions achievement and
Mam Sarah and the attainment of to maintain learner to sustain learner in attaining other
Mam Rio other performance achievement and achievement and performance
Mam Sol indicators attain other attain other indicators to

DIVISION OF RIZAL
PHP QMS 19 930014
performance indicators performance indicators promote accountability

within and beyond school
contexts
ESIP-AIP Targets based on  Proposed  ESIP Proposed  Proof of coaching
previous performance Intervention Projects Interventions or provision of
achievements regarding which are based on Projects assistance/support
MOVs learner achievement (MPS, previous learning  School Planning to other SHs
PHIL-IRI) and other outcomes data Team (screenshots, signed simple
performance indicators List of Priority Needs – Involvement of other slip, certificate, sharing of
Prioritization Matrix stakeholders in the SPT best practices thru
(School Memorandum, meeting/conference with
Letter of Invitation, Memo)
Attendance of Meeting,
Narrative and Pictorial
Report)
Learning Assessment Demonstrate knowledge and Provide technical Work with personnel Lead initiatives on
understanding of learning assistance to involves in the innovative use
Mam Sonia assessment tools, strategies teachers in using evaluating teachers’ of learning
Mam Mona and utilization of results learning assessment use of learning assessment tools,
Sir Rodgen consistent with curriculum tools, strategies and assessment tools, strategies and
requirements results consistent strategies and result results consistent
with curriculum consistent with with curriculum
requirements to curriculum requirements to
ensure requirements to ensure
accountability in ensure accountability in
achieving higher accountability in achieving higher
learning outcomes achieving higher learning outcomes

DEPARTMENT OF EDUCATIONlearning outcomes
DIVISION OF RIZAL
PHP QMS 19 930014
 Memo on the use of  Memo on organizing  assessment tools  assessment tools

learning assessment various programs  assessment results vis  assessment results
tools, assessment involving school a vis summary of vis a vis summary of
MOVs results vis a vis personnel with needs needs/challenges to
summary of needs, specific terms of  Narrative/pictorial be addressed
intervention plan reference docs with the MTs,  intervention plan
 Notice of meeting  assessment tools, SHs, key teachers  Localized
 Conduct of Simple  assessment results vis while collaboratively assessment process
meeting discussing a vis summary of evaluating the based on the
the policy guidelines needs, teachers’ use of problems
on assessment  intervention plan, learning assessment encountered
 Narrative/pictorial tools  Narrative/pictorial
docs of the  Narrative/pictorial documentation of
coaching/mentoring documentation of LAC LAC sessions on the
conducted on the use sessions on the use of use of varied
of learning varied assessment assessment
assessment tool strategies strategies
COT demonstration  conduct of
teaching with POC demonstration
teaching with POC
 Approved Originally
crafted assessment
tool
 Approved Originally
crafted assessment
process addressing

DEPARTMENT OF EDUCATION the challenges
encountered
DIVISION OF RIZAL
PHP QMS 19 930014
Certificate of innovation of
Assessment process
Learning Demonstrate understanding of Manage a learner-friendly, Engage the wider school Empower the wider school
Environment managing of a learner- inclusive and healthy community in maintaining a community promoting and
friendly, inclusive and healthy environment. learner-friendly, inclusive and sustaining a learner-friendly,
Mam Eve learning environment. healthy learning environment. inclusive and healthy
Jed Gumban learning environment.
Janine Diaz
 Memo indicating the  Memo indicating the  Memo indicating the  Certificate of
activities to be activities to be activities to be partnership with the
MOVs conducted in conducted in conducted in external
managing a learner managing a learner managing a learner stakeholders,
friendly and healthy friendly and healthy friendly and healthy  MOA/MOU in terms
learning environment learning environment, learning environment, of school
E.g. observance of safe/health Accomplishment report vis –  Certificate of improvement;
protocols, provision of safety vis School Development plan partnership with the  Narrative /pictorial
measures/materials among external stakeholders, documentation of
the teachers /learners Accomplishment report vis – a the school personnel
vis School Development plan and community
engagement to the
school’s sustainable
development; plan
of activities,
 Accomplishment

DEPARTMENT OF EDUCATION report vis -a vis
school development
DIVISION OF RIZAL plan
PHP QMS 19 930014
Learning Demonstrating knowledge Implement learner discipline Ensure that the learner discipline Lead concerted efforts
Discipline and understanding of the policies that are developed policies developed with among stakeholders to
existing national and local collaboratively with stakeholders are integrated into develop and implement
Mam Mercy policies related to learner stakeholders including various school processes and are effective learner discipline
Jonalyn Cabuan discipline parents, school personnel applied consistently at all times, by policies to support student
Ellen Burgos and the community all school personnel at all levels growth and whole school
improvement
 Notice of Meeting  Memo on activities  Records/document  Copy of
with the information conducted like s showing child School Child
MOVs that Child Protection orientation, forum protection policies Protection
Policy will be one of etc. related to child are integrated in Policy
the agenda protection to school processes  Child
 Minutes of learners, parents and Protection
meeting/s stakeholders  COT with notations Committee
Pictures  Narrative report relative to child  Minutes of
 Pictures rights and child Meetings
Compilation of Intake protection  Records of
Sheets/Conference with Solved Child
Parents Protection
Cases
 Decreased
or 0 number

DEPARTMENT OF EDUCATION of child
abuse/bullyi
DIVISION OF RIZAL ng cases
PHP QMS 19 930014
Agreement/s:
_______________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________
___________________________________________________________________________________________________.
Prepared by IS Monitor and Evaluator: Evaluation and Agreements Conformed:

_________________________ ___________________________
(Signature above name) (Signature above name)
Date: ________________ Date: ________________

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Republic of the Philippines

INSTRUCTIONAL SUPERVISION MONITORING AND EVALUATION TOOL (ISME Tool)

Name of School Head:_____ Name of IS Provider:

Not to be reproduced or photocopied without prior authorization of SDO Rizal.

 Program showing SHs as  Copy of School Program exemplary practices done

Not to be reproduced or photocopied without prior authorization of SDO Rizal.

Not to be reproduced or photocopied without prior authorization of SDO Rizal.

performance indicators performance indicators promote accountability

Not to be reproduced or photocopied without prior authorization of SDO Rizal.

 Memo on the use of  Memo on organizing  assessment tools  assessment tools

Not to be reproduced or photocopied without prior authorization of SDO Rizal.

Not to be reproduced or photocopied without prior authorization of SDO Rizal.

Not to be reproduced or photocopied without prior authorization of SDO Rizal.

Prepared by IS Monitor and Evaluator: Evaluation and Agreements Conformed:

Not to be reproduced or photocopied without prior authorization of SDO Rizal.

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