INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM

Name of Employee: JUVY A. DIAZ

Position: Teacher III
Review Period: School Year 2015-2016
Bureau/ Center/Service/ Division: Legazpi City

Name of Rater: MARITES B. TONGCO

Position: Principal I
Date of Review: June____ 2015
TO BE FILLED DURING
EVALUATION

PERFORMANCE INDICATORS
KRAs

Teachi
ng
Learni
ng
Proces
s
40%

OBJECTIVE
S

-Prepared
daily lesson
plans/lesso
n logs
aligned
with the
standards
set.

Prepared
appropriate
relevant
and
updated
instruction
al
materials.

TIMELIN
E

Weig
ht
per
KRA

Daily

5%

Daily

10%

Year
round

20%

Target
Performance
Indicator

Prepared
complete daily
LP/DLL as
required aligned
with the standards using at
least 100%

Prepared
appropriate,
relevant and
updated
instructional
materials every
lesson/topic/
Atleast 6 in 3
learning areas
Pupils /students
achieved at

5
(Outstandi
ng)
Had
prepared
complete
daily lesson
plans
aligned with
the
standards
and with the
required
parts /
components
Prepared
and utilized
130% and
above of the
instl.matls.

4
(Very
Satisfact
ory)

3
(Satisfact
ory)

2
(Unsatisfact
ory)

Incurred
an
average of
2
instances
of nonpreparatio
n of LPs/
DLL within
the
year

Incurred
an
average of
3
instances
of non
preparatio
n of
LPs/ DLL
within the
year

Incurred an
average of 4
instances of
non
preparation of
LPs/ DLL
within the
year

Incurred an
average of 5
instances of
non
preparation
of
LPs/ DLL
within the
year

Prepared and
utilized 5199% of the
instl. matls.

Prepared
and utilized
50% and
below of the
instrl. Matls.

Students
achieved an

Students
achieved an

Prepared
and
utilized
115129%of
the instl.
matls.

Prepared
and
utilized
100-114%
of the
instl.
matls.

1
(Poor)

ACTUAL
RESULT
S

RATING

SCORE

Facilitated
daily
learning of
pupils/stud
ents
through the
use of
appropriate
strategies
and proper
time
manageme
nt
Conducted
wholistic
assessment
s to all
classes
every
grading
period.

Maintained
clean and
orderly
classroom
conducive
for
learning.

Year
round

4%

4%
Daily

least 80%
mastery level of
the target
competencies in
every lesson
using varied
teaching
strategies.

Conducted
formative and
summative
assessment in
every lesson.

Maintained
clean and
orderly
classroom
conducive for
learning.

Students
achieved an
average of
91-100%
mastery
level of the
target
competenci
es during
daily
formative
assessment
s.
Conducted
formative
assessment
s during
every
lesson.

Safety
orderliness
of floors ,
toilet and
proper
waste
disposal
were 130%
and above
maintained.

Students
achieved
an
average of
81-90%
mastery
level of
the target
competen
cies during
daily
formative
assessme
nts.

Students
achieved
an
average of
75=80%
mastery
level of
the target
competen
cies during
daily
formative
assessmen
ts.

Demonstr
ated five
(5) of the
indicators.

Demonstr
ated
Four (4) of
the
indicators.

Safety
orderliness
of floors,
toilet and
Proper
waste
disposal
were 115129%
maintaine
d.

Safety
orderliness
of floors,
toilet and
proper
waste
disposal
were 100114%
maintaine
d.

average of
71-74%
mastery level
of the target
competencies
during daily
formative
assessments.
Demonstrate
d three (3) of
the indicators

Safety
orderliness of
floors, toilet
and proper
disposal were
51-99%
maintained.

average of
70% and
below
mastery
level of the
target
competenci
es during
daily
formative
assessment
s.
Demonstrat
ed two
(2)and
below of the
indicators.

Safety
orderliness
of floors,
toilet and
proper
disposal
were 50%
and below
consistently
maintained.

Pupils/
Stude
nts
Learni
ng
Outco
mes
30%

Prepared
and
administere
d periodic
assessment
s on
schedule
according
to the four
levels of
assessment
s.

Year
Round

4%

5%
Year
round
-Maintained
records of
learners
profiles,
permanent
records of
pupils,
portfolio
and school
forms
-Conducted
remediatio
n/
programs
to improve
performanc
e indicators

15%
Year
Round

Conducted
regular
assessments in
every lesson and
promptly
prepared,
submitted and
administered
quarterly
assessments
every grading
period following
the prescribed
distribution of
weights per
level of
assessment
Maintained
updated records
of learners
profiles by
_____permanent
records by
____pupils/stude
nt portfolio.
.
Conducted
remediation
programs to
improve
performance.

Promptly
prepared
and
submitted
periodic test
items with
the
correspondi
ng Table of
Specificatio
ns to the
school head
including
product/
performanc
e for
checking
and
revisions.
Updated all
entries on
the
permanent
records of
pupils( Form
137) at the
end of the
first grading
period.
Remediation
/Enrichment
Program is
offered to
130% and
above of
pupils who

Demonstr
ates at
least
four(4) of
the
indicators.

Updated
all entries
on the
permanent
records of
pupils( For
m 137) by
October
Remediati
on
/Enrichme
nt
Program is
offered to
115-129%
of pupils
who need
it.

Demonstr
ates at
least three
(3) of the
indicators.

Updated
all entries
on the
permanent
records of
pupils( For
m 137) by
November
Remediati
on
/Enrichme
nt
Program is
offered to
100-114%
of pupils
who need
it.

Demonstrates
at least two
(2) of the
indicators.

Demonstrat
es at least
one (1) of
the
indicators.

Updated all
entries on the
permanent
records of
pupils( Form
137) by
January

Updated all
entries on
the
permanent
records of
pupils( Form
137) by
February

Remediation /
Enrichment
Program is
offered to 5199% of pupils
who need it.

Remediation
/Enrichment
Program is
offered to
50% and
below of
pupils who
need it.

need it.

-Promptly
submitted
required
reports to
the school
head/
concerned
official

Year
round

2%

3%
Reduced
dropout,
failure and
improved
completion
and
promotion
rates

School
,
Home

-Organized
and
maintained

Promptly
submitted
required reports
and school
forms to the
school head and
/or concerned
official on or
before due date.

Year
Round
Achieved 2%
dropout and 0%
failure rates and
attained 100%
promotion rate
within the school
year.

Quarterl
y

4%

Involved 75% of
parents in class
and school

Prepared
clean,
validated
and
accurate
monthly
reports (ie.
SF-2) and
submitted
on or before
the due
date.
Achieved
0% dropout,
failure and
promotion/g
raduation
rates within
the shool
year.

Involved
130% of
parents in

Prepared
clean,
validated
and
accurate
monthly
reports(ie.
SF-2) and
submitted
them on
time.
Achieved
115129%drop
out, failure
and
promotion/
graduation
rates
within the
school
year.

Prepared
clean,
validated
and
accurate
monthly
reports(ie.
SF-2) and
submitted
them on
time

Prepared
clean,
validated and
accurate
monthly
reports(ie. SF2) and
submitted
them after
the due date

Achieved
100-114%
dropout,
failure and
promotion/
graduation
rates
within the
school
year.

Achieved 5199% dropout,

failure and
promotion/
graduation
rates within
the school
year.

Involved
115-129%
of parents

Involved
100-114%
of parents

Involved 5199% of
parents in

Prepared
clean,
validated
and
accurate
monthly
reports(ie.
SF-2) and
submitted

Achieved
50% and
below
completion/
graduation
rates within
the school
year.

Involved
50% or less
of parents in

and
Comm
unity
Involv
ement
20%

a functional
HRPTA and
involved
parents in
classroom
and school
activities.
-Conducted
periodic
PTA
meetings

activities.

HRPTA
Meetings

Conducted 4
periodic PTA
meetings.

130% and
above
accomplish
ment with
set
agreements
met.

2%
Quarterl
y

2%
Participate
d activities
in school
and
community
projects
and civic
organizatio
n

Year
Round

Attended and
actively
participate in all
school activities.

Maintained
harmonious
relationship
with coworkers,
parents and
community
leaders and
no
involvement
in conflict
recorded in
the school
and
community.

in HRPTA
Meetings

in HRPTA
Meetings

115-129%
of planned
meetings
conducted
producing
only set
agreement
s and
partial
accomplis
hments of
these

100-114%
of planned
meetings
conducted
producing
set of
agreement
s

Maintaine
d
harmoniou
s
relationshi
p with coworkers,
parents
and
communit
y leaders
and no
involveme
nt in
conflict
recorded
in the
school and

Maintaine
d
harmoniou
s
relationshi
p with coworkers,
parents
and
communit
y leaders
and no
involveme
nt in
conflict
recorded
in the
school and
community

HRPTA
Meetings

51-99% of
planned
meetings
conducted
with minimal
results

Maintained
relationship
with coworkers,
parents and
community
leaders with
at least one
(1) conflict
recorded in
the school
and
community
within the
school year.

HRPTA
Meetings

50% and
below of
planned
meetings
conducted
with no
results

Maintained
relationship
with coworkers,
parents and
community
leaders with
two or more
conflicts
recorded in
the school
and
community
within the
school year.

Person
al and
Profes
sional
Growt
h and
Develo
pment
3%

-Attended
LAC
Session
and related
activities

Sept.Feb.

4%

Attended at
least 6 LAC
sessions/meetin
gs and related
activities

Promptly
attended
130% or
more
professional
meetings
and related
activities.

Progra
m
Planni
ng and
Imple
menta
tion
7%

Maintained
productive
school
garden.

Within
school
year

10%

Maintained
productive
School garden
and produced at
least 4 harvest
within the school
year

. Maintained
productive
School
garden and
produced at
least six (6)
harvest
within the
school year

Additi
onal
KRAs

Property
Custodian

Year
Round

6%

Acquired,
released books
per grade level
and prepares
reports quarterly
to school head
and / or
concerned
official on time

Promptly
acquired,
released
books per
grade level
and
submitted
clean &
accurate
quarterly
reports
before/1

community
.
Promptly
attended
115-129%
of
profession
al
meetings
and
related
activities.
.
Maintaine
d
productive
School
garden
and
produced
at least
five (5)
harvest
within the
school
year

.
Promptly
attended
100-114%
of
profession
al
meetings
and
related
activities.
.
Maintaine
d
productive
School
garden
and
produced
at least
four (4)
harvest
within the
school
year

Promptly
attended 5199% of
professional
meetings and
related
activities.

Promptly
attended
50% or less
of
professional
meetings
and related
activities.

. Maintained
productive
School garden
and produced
at least three
(3) within the
school year

. Maintained
productive
School
garden and
produced at
least onetwo (1-2)
harvest
within the
school year

Promptly
acquired,
released
books per
grade
level &
submitted
clean and
accurate
quarterly
reports
before the

Promptly
acquired,
released
books per
grade
level &
submitted
clean and
accurate
quarterly
reports on
time

Promptly
acquired,
released
books per
grade level
and
submitted
accurate
quarterly
reports 2
days after
due date.

Promptly
acquired,
released
books per
grade level
and
submitted
inaccurate
quarterly
reports 5
days after
due date.

week before
the due
date.

due date

Prepared by:

Noted by:

Overall
Rating of
Accomplis
hments

JUVY A. DIAZ
MARITES B. TONGCO
Teacher III
ESP-1

SPATRES
Name of Employee: JUVY A. DIAZ
Position: Teacher I
Review Period: School Year 2015-2016
Bureau/ Center/Service/ Division: Legazpi City
KRAs
Teaching
Learning
Process

OBJECTIVES
-Prepared daily lesson
plans/lesson logs
aligned with the
standards set.

Prepared appropriate
relevant and updated
instructional materials.

Name of Rater: MARITES B. TONGCO

Position: Principal I
Date of Review: June____ 2015

STRATEGY/IES

PROGRAMS
& PROJECTS

Preparing complete
daily LP/ DLL as
required aligned
with the standards
set.
Preparing appropriate,
relevant and updated
instructional materials
every

ACTIVITIES/
TASKS

FINANCIA
L

RESOURCES
HUMAN
MATERIALS

Lesson planning

Teacher

Lesson Plans I

Preparation of
instructional
materials

Teacher

Instructional
materials( chart
s, pictures/
illustrations,
manila paper)

Teacher,

Facilitated daily
learning of
pupils/students through
the use of appropriate
strategies and proper
time management
Conducted wholistic
assessment to all
classes every grading
period.

Pupils/ Students
Outcomes

Facilitates daily
learning of
pupils/students
through
cooperative
learning
strategies.
Conducting
summative,
formative
assessments at
the end of every
lesson.

-Maintained clean and

orderly classroom
conducive for learning

-Structuring of
bulletin boards,
classrooms
cleanliness and
orderliness is
maintained.

Prepared and
administered periodic
assessments on
schedule according to
the four levels of
assessments

Preparing test
questions every
grading period
and submitting
periodic test with
table of
specifications to
the school head.

Maintained records of

Updating all

Preparing
individual and
group activities
to all classes

Pupils

Teacher,
Pupils

Preparing of
periodical test,
summative and
formative test

Teacher,
Pupils

Structuring of
bulletin board.
classrooms
cleanliness and
orderliness is
maintained.

Test questions
with table of
specifications

Recording the
updates of the
permanent

Charge
from MOOE

Manila paper,
cartolina,
pentel pen,
illustrations

Papers, ball
pens, test
notebooks

Cartolina ,
colored papers,
illustration

Teacher,
School Head

Test papers

Teacher

Portfolio, Form
-137, Sf-1, SF2,etc.

learners profiles,
permanent records of
pupils, portfolio and
school form
-Conducts remediation/
enrichment programs
to improve
performance indicators
-Promptly submits
required reports to the
school head/ concerned
official.

Improved dropout,
failure and completion
School, Home
and Community
Involvement

-Organizes and
maintains a functional
HRPTA and involved
parents in classroom
and school activities.

Conducted periodic PTA

meetings
-Participates actively in
school and community
projects and civic
organizations

entries in the
Permanent
Records of Pupils
at the end of
every grading
period.

records of the
pupils every
grading period
-Remediation
based from MPL
-no. Of pupils
who needs
remediation/
reinforcement.
Preparing and
submitting
accurate reports
on or before due
date.

Conducting
remediation/
enrichment
program.
Preparing and
submitting clean
and validated
and accurate
reports and able
to submit it on or
before due date.
Improving
dropout, failure
and completion.
Organizing and
maintaining a
functional HRPTA
and involved
parents in
classroom and
school activities.
Conducting PTA
meetings every
end of grading
period.
Participating
actively in school
and community
projects and civic

Home visitation
Involved parents
in all school
activities.

Brigada
Eskwela

Teacher,
Pupils

Papers, ball
pens, test
notebooks

Teacher
,School
Head,
Concerned
Official

Teacher,
Parents,
Pupils

Journal,
Agreement
forms

Teacher,
Parents

Follow up pupils
performance

Teacher,
Parents

Participated in
school and
community
projects

Teacher,
Parents,
School Head,
Concerned
Official

Cleaning
materials

organizations
Personal and
Professional
Growth and
Development

Additional KRAs

Maintained productive
school garden

Maintaining a
productive
school garden

Gulayan sa
paaralan

Regular cleaning
and watering

Acquired, released
books per grade level
and prepares reports
quarterly to school
head and / or
concerned official

Acquiring,
releasing books
per grade level
and preparing
reports quarterly
to school head
and / or
concerned
official

Property
custodia

Acquiring.
releasing,
updating
records and
submitting
reports.

Prepared by:

JUVY A. DIAZ
Teacher III

Charge
from MOOE

Teacher,
Pupils,
Parents,
School Head

Seedlings,
fertilizer,
cleaning
materials

Teacher,
School Head

Books, instrl.
Matls..equipme
nts

Noted by:

MARITES B. TONGCO
ESP-1