MAPEH MONITORING AND EVALUATION FORM

(For Teachers)
SY _____________

District: ____________________________ School Head: ___________________________

School: _____________________________ Date of Monitoring: ______________________

Components FOCUS NOT OBSERVED REMARKS

OBSERVED
MUSIC A. DLL aligned with the budgeted lesson

A. Utilization of CD’s Songs(Minus One &

Plus One), Songs found in the book
B. Presence of Instructional Materials
like improvised Musical Instrument,
etc.
C. Test Banks with TOS, Rubrics
D. Portfolio Winnings/Participation
ARTS A. DLL aligned with the Budgeted
Lessons
B. Artworks properly displayed
C. Presence of Instructional Materials
like sample artworks, art materials,
etc.
D. Test Banks with TOS, Rubrics
E. Portfolio
PHYSICAL A. DLL aligned with the Budgeted
EDUCATION Lesson
B. PFT Records (Gr. IV –VI; VII-XII)
C. Presence of Instructional Materials
like PE Equipment, game
apparatus, etc…
D. Test Banks with TOS ,Rubrics
E. Portfolio
HEALTH A. DLL aligned with the Budgeted
lessons
B. Presence of Instructional Materials
lie pictures, Charts, etc.
C. Functional Health Corner
D. Presence of First Aid kit
E. Test banks with TOS

CONFORME:_________________________________
Signature Over Printed Name
TEACHER

NOTED:

_______________________________ Evaluator:

School Head LILIBETH A. DAUS

Education Program Supervisor-MAPEH
 MAPEH MONITORING AND EVALUATION FORM
(For Department Head/s/Chairman/Coordinator/District MAPEH Coordinator)
SY _____________

School/District: ____________________________ School Head: ___________________________

Municipality:_______________________ Date of Monitoring: _____________________

PARTICULARS OBSERVED NOT REMARKS

OBSERVED
Supervisory Plan
Supervisory Reports (at least one per
month or as the need arises)
Reports Management:
A. Financial Statement of Fund
Raisings- RECITALS,etc.
B. Accomplishment Reports
/Narrative reports of
activities/programs vis-a vis
Action plan and MAPEH Calendar
of Activities
C. Seminars/Trainings attended by
teachers (Xerox copy of
certificates, topics )
D. SLAC Session Narrative Reports
(1 per quarter)
Development Programs/Work
Plan/Action Plan
Office Management
Curriculum Audit Report
Test Results:
A. Quarterly test
B. PFT Test

Findings/Comments/Recommendations/Agreement
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________

Conforme:

_________________________________
Signature Over Printed Name
Dep’t .Head/s/ Chairman/Coordinator/Dist. MAPEH Coordinator

Evaluator:

LILIBETH A. DAUS
Education Program Supervisor-MAPEH
 MAPEH CLASSROOM/SCHOOL MONITORING & SUPERVISION REPORT

(To be submitted by the EPS to the District Supervisor (Elem)/Principal (Sec.)

School Visited: _____________________________ Date: _______________

District/Municipality: ________________

Findings:

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Technical Assistance Given/AGREEMENT:

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

CONFORME:

___________________________
Teacher/ Head Teacher/Principal
LILIBETH A. DAUS
EPS-MAPEH