Evaluation Form

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Department of Education

Schools Division Office, Manila


MANUEL A. ROXAS HIGH SCHOOL
Pres. Quirino Ave. Ext., Paco, Manila

Evaluation Form
Boys and Girls Week 2019

Name: ____________________________________
Grade and Section: ________________________

MOTIVATIONAL SKILLS – (40%)

Written Communication Skills (15%)

- Variety (10%) max. 10


points

- Level (5%) max. 5 points

Club/ Organization Affiliation – (25%)

- Variety (10%) 2 points per


indicator

- Level (15%) choose the


highest level

TOTAL POINTS:

PLANNING AND ORGANIZATIONAL SKILLS – (40%)

Workshops/Seminars/ Skills Training Attended/ Participated (20%)

- Variety (10%) 1 point per


indicator and max. 10
points

- Level (10%) choose the


highest level and max. 10
points

Proof of Technical Skills – (20%)

- Action Plan, Budget


Proposal and etc. 2
points per indicator

Bastion of Faith and Wisdom for God and


Country
Department of Education
Schools Division Office, Manila
MANUEL A. ROXAS HIGH SCHOOL
Pres. Quirino Ave. Ext., Paco, Manila

TOTAL POINTS:

CONTRIBUTION TO THE SCHOOL AND/OR COMMUNITY – (20%)

Implemented Programs/Projects to the School/ Community (20%)

- Variety (14%) 2 point per


indicator and max. 14
points

- Level/ Capacity (6%)


choose the highest level
and max. 6 points

TOTAL POINTS:

PLUS FACTORS – 30%

- Recipient of Outstanding
Organization Award/
Special Citation for Best
Program/ Project (20%).
choose the highest level
and max. 20 points

- Recipient of Outstanding
Leadership / Service
Award (10%). choose the
highest level and max. 10
points

TOTAL POINTS:

GRAND TOTAL:

Evaluated by:

__________________________________
Name and Signature

Bastion of Faith and Wisdom for God and


Country

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