Performance Monitoring and Coaching Form

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PERFORMANCE MONITORING AND COACHING FORM

SIGNIFICANT INCIDENT SIGNATURE


DATE OUTPUT/OUTCOME ACTION PLAN IMPACT ON JOB
DESCRIPTION RATEE RATER
May 25, Brigada Eskwela 2015 was attended Clean and safe school for School is ready enough for
2015 by many stakeholders preparing the SY 2015-2016 opening of classes.
school for the opening of classes Acknowledge all who
comes June 2015 participated in the Brigada.

June 10, Governor Carmen Rosales requested Confidence of LGU earned With the support of chief
2015 that Principal Amadeo Rei Bucasas executives, development of
remains in his assigned school the school is fast and easy.
Keep up the good work

July 11, 2015 A teacher died on arrival at a hospital All teachers in the school All staff in the school have
due to an accident. Principal Bucasas were unified in supporting high morale and sense of
led in the effort to raise money for the bereaved family belongingness.
the decent burial of the teacher in a
Memorial Park

August 25, Its the birthday of Principal Bucasas Life saving blood was Donors have self-fulfillment
2015 and was celebrated through blood assured to Red Cross as their donation could save
donation activity to Red Cross life. Secure a blood donor ID
collecting 300 bags of blood from Red Cross

September A strong typhoon hit the school, School was safe from Building were not damaged
11, 2015 SDRRM were at work clearing the hazards of falling trees by falling trees saving money
school from hazards of falling trees for repair. Make a report of
and electrical wire the activities done

DCS-PASAY Oct 2015


Action Plan for Coaching

Name of Coach: Office: Date:

Observed Positive Developmental Steps/ Action Steps


Effect on Unit's
Name of Employee Behaviors/ Concerns and
Performance What By When Measures of
Issues
Success

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