Republic of The Philippines Department of Education Region I Pangasinan Division Ii

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Republic of the Philippines

DEPARTMENT OF EDUCATION
Region I
PANGASINAN DIVISION II

EVALUATION TOOL FOR GUIDANCE PROGRAM IMPLEMENTATION

District / Municipality: ________________________ School: ______________________________________________


School Head: _______________________________________________________ Date of Evaluation: __________
Guidance Counselor/Designate: _________________________________________ Position: __________________

Rating Scale: 5 – Outstanding 4 – Very Satisfactory 3 – Satisfactory 2 – Fair 1 – Poor

I. Guidance Program / Work Plan / Action Plan (10%)

5 – Crafted the Work Plan with the following indicators:


a. Objectives are SMART and anchored to DepEd’s Mission, Vision, and Core Values
b. Provided program/s for each of the services specified in Roman Numeral II
c. Programs cater to the needs of the learners
d. Strategies are age-appropriate
e. Activities facilitates development of 21st Century Skills
4 – Crafted the Work Plan with four (4) of the specified indicators
3 - Crafted the Work Plan with three (3) of the specified indicators
2 - Crafted the Work Plan with two (2) of the specified indicators
1 - Crafted the Work Plan with one (1) of the specified indicators

Rating: ________ x 0.1 = __________________ (round off to two decimal places)

II. Guidance Services and Programs (70%)

A. Counseling / Coaching / Conference / Interview (20%)

5 – Conducted counseling / coaching / conference / interview with the following indicators:


a. Provided warm and friendly atmosphere thus, earned the trust and confidence of learners
b. Attended to 75% - 100% of learners with “concerns”
c. Managed cases accordingly and treated information with utmost confidentiality
d. Communication procedures between guidance counselors / designates and teachers are satisfactory
e. With up-to-date counseling / coaching / conference log and other related forms
4 – Conducted counseling / coaching / conference / interview with four (4) of the specified indicators
3 – Conducted counseling / coaching / conference / interview with three (3) of the specified indicators
2 – Conducted counseling / coaching / conference / interview with two (2) of the specified indicators
1 – Conducted counseling / coaching / conference / interview with one (1) of the specified indicators

Rating: ________ x 0.2 = __________________ (round off to two decimal places)

B. Inventory Record (10%)

5 – Established Learner’s Inventory Record with the following indicators:


a. Complete and updated Learner’s Individual Inventory record
b. Security of files that ensures confidentiality of records
c. Systematic filing of records
d. The forms used are sufficient and appropriate
e. The records are used for program development
4 – Established Learner’s Inventory Record with four (4) of the specified indicators
3 - Established Learner’s Inventory Record with three (3) of the specified indicators
2 - Established Learner’s Inventory Record with two (2) of the specified indicators
1 - Established Learner’s Inventory Record with one (1) of the specified indicators

Rating: ________ x 0.1 = __________________ (round off to two decimal places)

C. Homeroom Guidance Program (10%)

5 – Conducted Homeroom Guidance Program with the following indicators:


a. With HGP (CGP for SHS) modules / curriculum guide
b. Reflected in the advisers’ Class Program
c. Conducted Homeroom Guidance (up-to-date HGP / CGP Log)
d. Learner’s journal / output
e. Guidance Counselor / Designate provided technical assistance to class advisers in the conduct of HGP
4 – Conducted Homeroom Guidance Program with four (4) of the specified indicators
3 - Conducted Homeroom Guidance Program with three (3) of the specified indicators
2 - Conducted Homeroom Guidance Program with two (2) of the specified indicators
1 - Conducted Homeroom Guidance Program with one (1) of the specified indicators

Rating: ________ x 0.1 = __________________ (round off to two decimal places)

D. Career Guidance (10%)

5 – Conducted Career Guidance with the following indicators:


a. Conducted Career Guidance Activities during the celebration of Career Guidance Week
b. Involved stakeholders in the conduct of Career Guidance activities
c. Submitted narrative report on the conduct of Career Guidance Week
d. Conducted career coaching / counseling to learners
e. Incorporated Career Guidance concepts in the HGP
4 – Conducted Career Guidance with four (4) of the specified indicators
3 – Conducted Career Guidance with three (3) of the specified indicators
2 – Conducted Career Guidance with two (2) of the specified indicators
1 – Conducted Career Guidance with one (1) of the specified indicators

Rating: ________ x 0.1 = __________________ (round off to two decimal places)

E. Child Protection and Anti-Bullying (10%)

5 – Provision of the following indicators for Child Protection and Anti-Bullying Program implementation:
a. School-based Child Protection and Anti-Bullying Policy approved by the CPC (reviewed and revised)
b. Established Child Protection Committee (CPC); directory printed in tarpaulin, posted in strategic place
c. Integrated CPP and Anti - Bullying concepts in the HGP
d. Managed cases accordingly (e.g.filled-up Intake Sheets, treated cases with utmost confidentiality)
e. Employed positive discipline approach
4 – Provision of four (4) of the specified indicators
3 – Provision of three (3) of the specified indicators
2 – Provision of two (2) of the specified indicators
1 – Provision of one (1) of the specified indicators

Rating: ________ x 0.1 = __________________ (round off to two decimal places)

F. Drop Out Reduction Program (10%)

5 – Provision of the following indicators for the School’s Drop Out Reduction Program:
a. Reduced the number of drop outs by 2% for the last two years
b. Conducted home visitation
c. Implemented prevention / intervention programs for PARDO / SARDO
d. Prepared / Furnished copy of report on DORP
4 – Provision of three (3) of the specified indicators
3 – Provision of two (2) of the specified indicators
2 – Provision of one (1) of the specified indicators
1–

Rating: ________ x 0.1 = __________________ (round off to two decimal places)

III. Physical Structure (10%)

5 – Provision of the following indicators:


a. Room or space for Guidance Office / Guidance Corner / Guidance Nook
b. Room or space for Counseling / Coaching / Conference Nook with privacy for confidentiality
c. Filing cabinets for Guidance files and records
d. Different forms used for the different Guidance services
e. Bulletin / Information Board
4 – Provision of four (4) of the specified indicators
3 – Provision of three (3) of the specified indicators
2 – Provision of two (2) of the specified indicators
1 – Provision of one (1) of the specified indicators

Rating: ________ x 0.1 = __________________ (round off to two decimal places)

IV. Linkages (5%)

5 – Provision of the following indicators:


a. Directory of internal stakeholders
b. Directory of external stakeholders
c. Referral system
d. Communication procedures between guidance counselor / designate and stakeholders are satisfactory
e. Support of stakeholders to the School’s Guidance Program is evident
4 – Provision of four (4) of the specified indicators
3 – Provision of three (3) of the specified indicators
2 – Provision of two (2) of the specified indicators
1 – Provision of one (1) of the specified indicators

Rating: ________ x 0.05 = __________________ (round off to two decimal places)

V. Training of Guidance Counselor / Designate (5%)

For the last three (3) years, Guidance Counselor / Designate attended seminars / training:

5 – At least one (1) Guidance-related International Seminar / Training


4 – At least one (1) Guidance-related National Seminar / Training
3 – At least one (1) Guidance-related Regional Seminar / Training
2 – At least two (2) Guidance-Related Division Seminar / Training
1 – At least two (2) District / School Guidance-related Seminar / Training

Rating: ________ x 0.05 = __________________ (round off to two decimal places)

VI. Plus Factors (not to exceed 10%)

Rating to be given is upon the discretion of the Evaluators

A. Guidance Corner in every classroom (2%)


B. Case Study / Research (2%)
C. Interventions / Preventions Program (2%)
D. Outreach / Community Program (2%)
E. Resource Person / Facilitator in a Guidance-Related Training (LAC, DLAC, INSET, Division, others) (2%)
F. Conduct of activities for Adolescent Health (2%)
G. Organized Peer Facilitators (2%)

Summary of Rating:

Multiplied by
Criteria Rating Weight in Score
Decimal
I. Guidance Program / Work Plan / Action Plan (10%) 0.1
II. Guidance Services and Programs (70%)
A. Counseling / Coaching / Conference / Interview (20%) 0.2
B. Inventory Record (10%) 0.1
C. Homeroom Guidance Program (10%) 0.1
D. Career Guidance (10%) 0.1
E. Child Protection and Anti-Bullying (10%) 0.1
F. Drop Out Reduction Program (10%) 0.1
III. Physical Structure (10%) 0.1
IV. Linkages (5%) 0.05
V. Training of Guidance Counselor / Designate (5%) 0.05
VI. Plus Factors (10%) 0.1
TOTAL RATING

_________________________________________
Evaluator’s Signature Above Printed Name

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