Republic of the Philippines

Department of Education
Region VIII – Eastern Visayas
Schools Division of Leyte
LEYTE II DISTRICT

RPMS-PPST BASED EVALUATION CHECKLIST

FOR PROFICIENT TEACHERS
(Teacher I – III)
S.Y. 2021-2022
Name of Teacher : _________________________________________ District : LEYTE II
Name of School : _________________________________ Date of Evaluation : ________________

RPMS objective Rating Scale

based on the PPST Means of Verification Remarks
3 2 1 0
priority indicator
Part 1
l. Applied knowledge of  Classroom Observation Package
content within and across 1. Video Lesson (raw / edited) / Demo
curriculum teaching areas 2. Lesson Plan
3. COT (Inter-Observer Agreement Form, Rating
Sheet, Observation Notes)

NOTE: 3 – CO rating of 7
2 – CO rating of 6 / 5
1 – CO rating of 4 / 3
0 – None
2. Used research-based  One (1) lesson plan with annotations identifying
knowledge and principles the research-based knowledge and/or principles
of teaching and learning of teaching and learning used as basis for
to enhance professional planning / designing the lesson
practice 1. Completeness (LP with annotation)
2. Relevance of the Annotation to the
objective
3. Displayed proficient use  Classroom Observation Package
of Mother Tongue, Filipino 1. Video Lesson (raw / edited) / Demo
and English to facilitate 2. Lesson Plan
teaching and learning 3. COT (Inter-Observer Agreement Form,
Rating Sheet, Observation Notes)

NOTE: 3 – CO rating of 7
2 – CO rating of 6 / 5
1 – CO rating of 4 / 3
0 – None
4. Used effective verbal  Classroom Observation Package
and nonverbal classroom 1. Video Lesson (raw / edited) / Demo
communication strategies 2. Lesson Plan
to support learner 3. COT (Inter-Observer Agreement Form,
understanding, Rating Sheet, Observation Notes)
participation, engagement
and achievement NOTE: 3 – CO rating of 7
2 – CO rating of 6 / 5
1 – CO rating of 4 / 3
0 – None
5. Established safe and  Classroom Observation Package
secure learning 1. Video Lesson (raw / edited) / Demo
environments to enhance 2. Lesson Plan
learning through the 3. COT (Inter-Observer Agreement Form,
consistent implementation Rating Sheet, Observation Notes)
of policies, guidelines and
procedures NOTE: 3 – CO rating of 7
2 – CO rating of 6 / 5
1 – CO rating of 4 / 3
0 – None
6. Maintained learning  Classroom Observation Package
environments that 1. Video Lesson (raw / edited) / Demo
promote fairness, respect 2. Lesson Plan
and care to encourage 3. COT (Inter-Observer Agreement Form,
learning Rating Sheet, Observation Notes)

NOTE: 3 – CO rating of 7
2 – CO rating of 6 / 5
1 – CO rating of 4 / 3
0 – None
7. Maintained learning Any supplementary material (in print/digital format)
environments that nurture made by the ratee* and used in the lesson delivery
and inspire learners to that highlights maintaining learning environments
participate, that nurture and inspire learners to participate,
cooperate and collaborate cooperate and collaborate in continued learning
in ● activity sheet/s
continued learning ● one lesson from a self-learning module (SLM)
● lesson plan (e.g., DLP, DLL, WHLP, WLP, WLL,
lesson exemplars, and the likes)
● video lesson
● audio lesson
● other learning materials in print/digital format
(please specify and provide annotations)
*with client/learner feedback on how the material
encouraged the learners to participate, cooperate,
and collaborate

NOTE: 1 – any supplementary material

2 – any supplementary material with client
feedback
3 – any quality assured supplementary
material with client feedback (school
or district level)
8. Applied a range of Any supplementary material (in print/digital
successful strategies that format) made by the ratee* and used in the lesson
maintain learning delivery that highlights maintaining learning
environments that environments that nurture and inspire learners to
motivate learners to work participate, cooperate and collaborate in continued
productively by assuming learning
responsibility for their ● activity sheet/s
own learning ● one lesson from a self-learning module (SLM)
● lesson plan (e.g., DLP, DLL, WHLP, WLP, WLL,
lesson exemplars, and the likes)
● video lesson
● audio lesson
● other learning materials in print/digital
format (please specify and provide annotations)
*specify and provide annotations of one’s
contribution

NOTE: 1 – any supplementary material

2 – any supplementary material with
annotations of one’s contribution
3 – any quality assured supplementary
material with annotations of one’s
contribution (school or district level)
9. Designed, adapted and Teacher Reflection Form (TRF) on designing,
Implemented teaching adapting, and/or implementing teaching strategies
Strategies that are that are responsive to learners with disabilities,
responsive to learners giftedness and talents and a certification from the
with disabilities, giftedness school head that the ratee’s classes have no
and talents identified learner/s with disabilities, giftedness
and/or talents

NOTE: 3 - rating of 4 & 5

2 – rating of 3
1 – rating of 1
0 – no TRF
10. Adapted and used  Classroom Observation Package
Culturally appropriate 1. Video Lesson (raw / edited) / Demo
Teaching strategies to 2. Lesson Plan
address the needs of 3. COT (Inter-Observer Agreement Form,
learners from indigenous Rating Sheet, Observation Notes)
groups
NOTE: 3 – CO rating of 7
2 – CO rating of 6 / 5
1 – CO rating of 4 / 3
0 – None
11. Adapted and 1. Proof of evaluation* on the implementation of the
implemented learning adapted / contextualized Learning program
programs that ensure 2. Progress report on the implementation of the
relevance and adapted / contextualized learning program
responsiveness to the 3. Accomplishment / completion / technical report
needs of all learners on the implementation of an adapted /
 contextualized learning program
4. Action plan / activity proposal / activity matrix
that shows an adapted / contextualized learning
program

NOTE: 3 – MOV 1
2 – MOV 2 & 3
1 – MOV 4
0 - NONE
12. Utilized assessment A list of identified least / most mastered skills based
data to inform the on the frequency of errors / correct responses with
modification of teaching any of the following supporting MOV:
and learning practices and 1. accomplishment report for remedial /
programs enhancement activities (e.g., remedial sessions,
Summer Reading Camp, Phil-IRI based reading
program)
2. intervention material used for remediation /
reinforcement / enhancement
3. lesson plan/activity log for remediation /
enhancement utilizing of assessment data to
modify teaching and learning practices or
programs

NOTE: 3 – MOV 1
2 – MOV 2
1 – MOV 3
0 - NONE
13. Maintained learning 1. Accomplishment report of a program / project /
Environments that are activity that maintains a learning environment
responsive to community 2. Program / Project / Activity plan on maintaining a
contexts learning environment
3. Minutes of a consultative meeting / community
stakeholders meeting about a program / project /
activity that maintains a learning environment with
proof of attendance
4. Communication letter about a program / project /
activity that maintains a learning environment

NOTE: 3 – MOV 1
2 – MOV 2 & 3
1 – MOV 4
0 - NONE
14. Reviewed regularly 1. Annotated video/audio recording of one’s
Personal teaching teaching that shows impact of regularly reviewing
practice using existing one's teaching practice/s
laws and regulations 2. Annotated teaching material that shows impact of
that apply to the teaching regularly reviewing one's teaching practice/s
profession and the  lesson plan
responsibilities specified  activity sheet
in the Code of Ethics  assessment materials
for Professional Teachers  others (please specify)
3. Personal reflection notes as outputs from
Participation in review of personal teaching practices
in any of the four (4) quarters
4. Proof of attendance (with date) in LAC or
coaching and mentoring sessions for review of
personal teaching practices

NOTE: 3 – MOV 1
2 – MOV 2 & 3
1 – MOV 4
0 - NONE
15. Complied with and 1. Proof of participation /involvement in a
Implemented school school-community partnership for the
policies and procedures implementation of a school policy / procedure (e.g.,
consistently to foster certificate as committee member, narrative report)
harmonious relationships 2. Minutes of parentteacher conference /
with learners, parents, and stakeholders’ meeting about an implemented
other stakeholders school policy / procedure with proof of attendance
3. Communication letter about an implemented
school policy / procedure sent to parent / guardian

NOTE: 3 – MOV 1
2 – MOV 2
1 – MOV 3
0 - NONE
16. Applied a personal One (1) lesson plan with annotations explaining the
philosophy of teaching application of a learner-centered teaching
that is learner-centered philosophy (e.g., constructivism, existentialism) used
as basis for planning / designing the lesson
NOTE: 3 – LP with annotations highlighting the
application of learner-centered
teaching philosophy in 3
components/parts of LP
2 – LP with annotations highlighting the
application of learner-centered
teaching philosophy in any
component/part of the LP
1 – LP with/without annotations
0 - NONE
17. Adopted practices that 1. Documented feedback from superiors, colleagues,
uphold the dignity of learners, parents / guardian, or other
teaching as a profession stakeholders directly reflecting the ratee’s good
by exhibiting qualities practices that uphold the dignity of teaching as a
such as caring attitude, profession
respect and integrity 2. Annotated evidence of practice indirectly linking
to the upholding of the dignity of teaching as a
profession by exhibiting qualities such as caring
attitude, respect and integrity
● Screenshot of text message / chat / email /any
 form of communication with parents / guardian or
learners (name or any identifier removed)
● Remarks from mentor /master teacher / school
head about one’s qualities (e.g., entries in
Performance Monitoring and Coaching Form [PMCF]
or in Mid-Year Review Form)
● Recognition from the school / school community
about one’s qualities
● Others (please specify)

NOTE: 3 – MOV 1
2 - any 2 of MOV #2
1 - any 1 of MOV #2
0 - NONE
18. Set professional 1. Updated IPCRF-DP from Phase II
Development goals based 2. Mid-year Review Form (MRF)
on the Philippine 3. IPCRF-DP
Professional Standards for 4. Certification from the ICT Coordinator / School
Teachers Head / Focal Person in charge of e- SAT

NOTE: 3 –MOV 1 or 2
2 –MOV 3
1 – MOV 4
0-NONE
19. Performed various Any proof of:
related works /activities ● committee involvement
that contribute to the ● advisorship of cocurricular activities
teaching learning process ● book or journal authorship / contributorship
● coordinatorship / chairpersonship
● coaching and mentoring learners in competitions
● serving as reliever of classes in the absence of
teachers
● mentoring pre-service teachers
● participation in demonstration teaching
● participation as technical working group member
● others (please specify and provide annotations)

NOTE: 3 – any 3 MOVs

2 – any 2 MOVs
1 – any 1 MOV
0 - NONE
Plus Factor Overall Rating of Classroom Observation/s

NOTE: 3 – CO rating of 7
2 – CO rating of 6/5
1 –CO rating of 4/3
0 – No CO

Evaluated by : __________________________
Date : __________________________
Conformed : ___________________________

Date : ___________________________