blankPAS FORM B-2PERFORMANCE APPRAISAL SYSTEM FOR THE SCHOOL ADMINISTRATORS (PASSA)Name: _________________________________ School: __________________________District/Division: ___________________________ Region: IRating Period: ____ 1st Sem. ____ 2nd Sem School Year:__________________PERFORMANCE INDICATOR108642RATINGI. INSTRUCTIONAL COMPETENCE (70%)______________________________________________________________________________________________________________________________________________________________________________________A. Instructional Supervision_________________________________________________________________________________1. Prepares school year instructional Supervisory plan2. Implements the instructional Supervisory planB. Development Implementation of Education Program1. Pupil/Student Developmenta. Increased School MPS by 2% over the previous yearb. Decreased droup out rate by 2% or maintained for those who have zero dropoutc. Increased participation rate by 2%d. Increased survival rate by 2%e. Increased retention rate by 2%f. Health and Nutrition Program/Supplementary Diet2. Curriculum Development3. Staff Developmenta. Assesses training needs of teachersb. Prepares school based training designc. Conducts in service trainings (INSET)d. Provides opportunities for professional/personal enhancementC. Administrative Management1. Resource Managementa. Management of human resourcesb. Management of Physical Facilitiesc. Fiscal Management (for high school principals only)2. Data Management3. Conflict Management4. Linkage ManagementD. ResearchE. Performance AssessmentTotal ScoreTotal Rating for 1 [(Total Score/20) x 70%]II. PERSONAL CHARACTERISTICS (20%)1. Decisiveness2. Honesty/Integrity3. Dedication/Commitment4. Initiative/Resourcefulness5. Courtesy6. Human Relations7. Leadership8. Stress Tolerance9. Fairness/Justice10. Proper Attire/Good GroomingTotal ScoreTotal Rating for II [(Total Score/10) x 20%]III. PUNCTUALITY/ATTENDANCE (10%)Punctuality - no. of times tardyAttendance - no. of days absentTotal ScoreTotal Rating for II [(Total Score/2) x 10%]GRAND TOTALPLUS FACTOR(.5 for each indicator but not to exceed 2 points for the total)1. Chaired technical committee in the division/regional level2. Conducted seminars in the division/regional/national level3. Acted as trainer/facilitator in the division/regional/national level4. Acquired resources/assistance for the school from other sourcesSUMMARY RATINGSI. Instructional Competence (70%)II. Professional and Personal Characteristics (20%)III. Attendance/Punctuality (10%)TOTALPLUS FACTOROVER-ALL RATINGDescriptive RatingRemarks: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________.RATEE:CONFERRED WITH:CARLO L. TROPAROSIE B. REYESPublic School District SupervisorImmediate Supervisor/RaterCONFORME:____________________________________Signature of RateeRECOMMENDING APPROVAL:KEY TO DESCRIPTIVE RATING8.60 - 10.00 - Outstanding6.60 - 8.50 - Very Satisfactory4.60 - 6.50 - Satisfactory2.60 - 4.50 - UnSatisfactory2.50 & below - Poor

APPROVED BY:Dr. ERNESTO F. SERVILLO, JR., MNSAAsst. Schools Division SuperintendentDr. JESSE M. GOMEZ, CESO VSchools Division Superintendent