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DIVISION OF VALENZUELA CITY

Pio Valenzuela St., Marulas, Valenzuela City

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (Form 1.E)


School Year 2015-16
Name of Employee: _____________________________
Position:
Rating Period:

Name of Rater:
Position:
Date of Review:
TO BE FILLED IN DURING PLANNING

TO BE FILLED IN DURING EVALUATION


PERFORMANCE INDICATORS

MFOs

KRAs

Basic Education Services

A. Planning and
Implementation
(20%)

B. Resource
Management
(10%)

C. Curriculum
and Instruction
(35%)

OBJECTIVES

OUTPUT

Weight
per
TIME LINE
KRA

1. Created a responsive 2015


Department Action Plan (DAP) based on
gaps and accomplishments of the
school's Annual Implementation Plan.

Department Action Plan /


April- May
School's Annual
2015
Implementation Plan

2. Implemented all of the


activities/programs in the Department
Action Plan on time and properly
documented

Department Action Plan


(DAP) Monitoring and
Evaluation Report /
Department
Accomplishment Report

1. Managed and improved teachinglearning materials in the department


evident of the following:
a. updated records of inventories of
facilities/ materials in the department
b. identified/prioritized facilities/ materials
needed by the department
c. acquired or requested needed
materials from higher authorities or other
sources
d. improved materials vis--vis the
previous school year

JuneMarch

Learning Materials
Inventory Report/
Department
Accomplishment Report

June March

2. Acquired resources for the Department


Department
through legitimate procedures amounting
Accomplishment Report
to P20,000 properly recorded and
(SAR)
utilized.

JuneMarch

1. Attained an average of 60% MPS on


learners achievement of the subject
area for the School Year

JuneMarch

NAT Results School /


Department
Accomplishment Report

RATING
Outstanding
(5)

Very Satisfactory
(4)

Satisfactory
(3)

Unsatisfactory
(2)

Poor
(1)

DAP created, submitted


and accepted by June
which contains 2 of the
essential elements

DAP created, submitted


and accepted by June
which contains 1 of the
essential elements

5%

DAP created, submitted DAP created, submitted DAP created, submitted


and accepted by June
and accepted by June and accepted by June
which contains all of the 5 which contains 4 of the which contains 3 of the
essential elements
essential elements
essential elements

15%

All 15 expected outputs 11-14 expected outputs 6-10 expected outputs in 3-5 expected outputs in
2 and below expected
in the Department Action in the Department Action the Department Action
the Department Action outputs in the Department
Plan achieved and
Plan achieved and
Plan achieved and
Plan achieved and
Action Plan achieved and
documented by March 31 documented by March 31 documented by March 31 documented by March 31 documented by March 31

5%

All of the 4 criteria are


present in the
management and
improvement of the
Department's teachinglearning materials by
March 31

3 of the 4 criteria are


present in the
management and
improvement of
Department's teachinglearning materials by
March 31

5%

Acquired P 20,000 and


Acquired P 15,000 Acquired P 10,000 Acquired P 5,000 - 9,000
above resources for the 19,000 resources for the 14,000 resources for the
resources for the
Department properly
Department properly
Department properly
Department properly
recorded and utilized by recorded and utilized by recorded and utilized by recorded and utilized by
March 31
March 31
March 31
March 31

8%

Attained an average of Attained an average of Attained an average of Attained an average of 54- Attained an average of
60% MPS and above on
58-59% MPS on
56-57% MPS on
55% MPS on learners 53% and below MPS on
learners achievement by learners achievement for learners achievement for
achievement for the
learners achievement for
the end of School Year
the School Year
the School Year
School Year
the School Year

Page 1 of 3

2 of the 4 criteria are


present in the
management and
improvement of
Department's teachinglearning materials by
March 31

1 of the 4 criteria are


present in the
management and
improvement of
Department's teachinglearning materials by
March 31

None of the 4 criteria are


present in the
management and
improvement of
Department's teachinglearning materials by
March 31

Acquired P 4,000 and


below resources for the
Department properly
recorded and utilized by
March 31

ACTUAL
RESULTS

Ave.

SCORE

TO BE FILLED IN DURING PLANNING

TO BE FILLED IN DURING EVALUATION


PERFORMANCE INDICATORS

MFOs

KRAs

OBJECTIVES

2. Achieved 99% Promotion Rate of


learners in the subject area by the end of
School Year

3. Created remediation program for 200


students with subject deficiencies that
resulted to students' completion
/improved achievements by the end of
School Year

Basic Education Services

C. Curriculum
and Instruction
(35%)

OUTPUT

Department
Accomplishment Report

Remediation/ Reading
or Program Reports

Weight
per
TIME LINE
KRA

June March

June March

4. Achieved award/ recognition for the


department in participation to
competition, camps, etc. by March 31

Award/Recognition
Document

5. Initiated/ led in the planning and


implementation of 3 co-curricular
program/activities in the department by
the end of School Year

Co-curricular program
plan implementation/
Department
Accomplishment Report

June March

6. Conducted weekly curriculum


monitoring and evaluation, within the
School Year

Curriculum
Implementation,
Monitoring and Evaluation
Report

June March

1. Developed competency of 10 Teachers


in the department in the conduct of
Performance Assessment through RPMS
per rating period.

D. Human
Resource
Management and
Development
2. Performed instructional supervision/
(25%)
mentoring/ assistance/ observation to 10
teachers every grading period in the
Department to improve learning
outcomes

IPCRF / Consolidated
Performance Report

Supervision/ Observation
Report Summary

June March

JuneMarch

June March

RATING
Outstanding
(5)

Very Satisfactory
(4)

Satisfactory
(3)

Unsatisfactory
(2)

Poor
(1)

8%

Achieved 99% and


above Promotion Rate of
learners in the subject
area by the end of School
Year

Achieved 95- 98%


Achieved 90 -95%
Achieved 85 - 89%
Achieved 84% and below
Promotion Rate of
Promotion Rate of
Promotion Rate of
Promotion Rate of
learners in the subject
learners in the subject
learners in the subject
learners in the subject
area by the end of
area by the end of School area by the end of School area by the end of School
School Year
Year
Year
Year

5%

200 and above students 150-199 students with


100-149 students with
50-99 students with
with subject deficiencies
subject deficiencies
subject deficiencies
subject deficiencies
remediated and achieved remediated and achieved remediated and achieved
remediated and achieved
subject completion
subject completion
subject completion
subject completion
/improved achievements /improved achievements /improved achievements
/improved achievements
by the end of School
by the end of School
by the end of School
by the end of School Year
Year
Year
Year

50 and below students


with subject deficiencies
remediated and achieved
subject completion
/improved achievements
by the end of School Year

5%

Achieved International
Achieved National
Achieved Regional
Achieved Division
awards/recognitions in
awards/recognitions in
awards/recognitions in
awards/recognitions in
students'/ teachers'
students'/ teachers'
students'/ teachers'
students'/ teachers'
/department's
/department's
/department's
/department's
participation in contest, participation in contest, participation in contest, participation in contest,
camps, etc. by March 31 camps, etc. by March 31 camps, etc. by March 31 camps, etc. by March 31

Achieved District
awards/recognitions in
students'/ teachers'
/department's
participation in contest,
camps, etc. by March 31

5%

Co-curricular program of Co-curricular program of


the department planned, the department planned,
implemented and 10
implemented and 8-9
objectives achieved by objectives achieved by
the end of School Year the end of School Year

4%

Conducted 45-49 weekly Conducted 40-45 weekly


Conducted 34 and below
Conducted 50 weekly
Conducted 35-39 weekly
monitoring and
monitoring and
weekly monitoring and
monitoring and evaluation
monitoring and evaluation
evaluation of the subject evaluation of the subject
evaluation of the subject
of the subject curriculum
of the subject curriculum
curriculum by end of
curriculum by end of
curriculum by end of
by end of School Year
by end of School Year
School Year
School Year
School Year

7%

7-9 Teachers assisted


6-7 Teachers assisted
10 Teachers assisted and
and oriented in the
and oriented in the
oriented in the conduct of
conduct of performance conduct of performance
performance assessment
assessment through
assessment through
through RPMS by the
RPMS by the end of the RPMS by the end of the
end of the rating period
rating period
rating period

7%

Instructional supervision/ Instructional supervision/ Instructional supervision/ Instructional supervision/ Instructional supervision/
mentoring/ assistance/ mentoring/ assistance/ mentoring/ assistance/
mentoring/ assistance/
mentoring/ assistance/
observation performed to observation performed to observation performed to observation performed to observation performed to
10 teachers every
8-9 teachers every
6-7 teachers every
4-5 teachers every
3 or less teachers every
grading period in the
grading period in the
grading period in the
grading period in the
grading period in the
Department to improve Department to improve Department to improve Department to improve
Department to improve
learning outcomes
learning outcomes
learning outcomes
learning outcomes
learning outcomes

Page 2 of 3

Co-curricular program of Co-curricular program of Co-curricular program of


the department planned, the department planned, the department planned,
implemented and 6-7
implemented and 4-5 implemented and 3 or less
objectives achieved by
objectives achieved by objectives achieved by the
the end of School Year the end of School Year
end of School Year

4-5 Teachers assisted


3 and below Teachers
and oriented in the
assisted and oriented in
conduct of performance
the conduct of
assessment through
performance assessment
RPMS by the end of the through RPMS by the end
rating period
of the rating period

ACTUAL
RESULTS

Ave.

SCORE

TO BE FILLED IN DURING PLANNING

TO BE FILLED IN DURING EVALUATION


PERFORMANCE INDICATORS

MFOs

KRAs

OBJECTIVES

OUTPUT

3. Prevented conflict, and when occurred,


School Grievance
managed conflict and arrived at
Committee (SGC) Conflict
resolution at the department level.
and Resolution Report

Basic Education Services

D. Human
Resource
Management and
Development
(25%)

4. Established professional development


of teachers based on needs and
recognition through:
a. Bi-monthly Departmental Meetings
b. Need-based Training and Seminars
c. Monitoring, evaluation and feedback
d. Assisting teachers for promotions,
awards and other legitimate incentives
annually.
1. Established data base for researches
and studies and encourage conduct of
CBAR resulting to 2 completed research
works and studies by the end of school
year

Department
Accomplishment Report
(DAR)

List of Submitted
Research Works and
Studies

RATING

Weight
per
TIME LINE
KRA

June March

JuneMarch

JuneMarch

2. Involved the department in functional


linkage with GO's and NGO's evident by:
a. partnership or linkage documents
b. Involvement of GO's and NGO's to
activities/ programs of the department
Department
c. GO's and NGO's provided
Accomplishment Report
(DAR)
E. Special Tasks/ materials/non-material supports to
program and activities of the department
Other
d. Supports /contributions of link
Assignments
groups/partners were acknowledge and
(10%)
recorded.

JuneMarch

3. Performed 1 Special Task/Assignment


to help school in Program Implementation

Program Implementation
by March 31
Report

June March

4. Participated in SHS preparation and


advocacy campaigns to gain supports
from different stakeholders both from the
public and private sectors

SHS Preparation and


Advocacy Campaign
Report

JuneMarch

Outstanding
(5)

Very Satisfactory
(4)

Satisfactory
(3)

Unsatisfactory
(2)

Poor
(1)

4%

0-2 conflict occurrences


and all resolved at the
department level by
March 31

3-5 conflict occurrences


1 unresolved conflict
2-4 unresolved conflicts
and all resolved at the
elevated to the School
elevated to the School
department level by
Grievance Committee by Grievance Committee by
March 31
March 31
March 31

7%

Conducted all of the 4


activities in managing
professional
development of
teachers by the end of
School Year

Conducted 3 of the 4
Conducted 1 of the 4 Conducted none of the 4
Conducted 2 of the 4
activities in managing
activities in managing
activities in managing
activities in managing
professional
professional
professional
professional
development of
development of teaching development of teaching
development of
teaching and nonand non-teaching
and non-teaching
teaching and nonteaching personnel by
personnel by the end of personnel by the end of
teaching personnel
the end of School Year
School Year
School Year

2%

Attained 2 or more
completed research
works and studies in the
department by the end of
school year

2%

All of the 4 criteria are


3 of the 4 criteria are
2 of the 4 criteria are
1 of the 4 criteria are
None of the 4 criteria are
evident in the established evident in the established evident in the established evident in the established evident in the established
functional linkage with
functional linkage with
functional linkage with
functional linkage with
functional linkage with
GO's and NGO's by the GO's and NGO's by the GO's and NGO's by the GO's and NGO's by the GO's and NGO's by the
end of school year
end of school year
end of school year
end of school year
end of school year

3%

Special Task/Assignment
Special Task/Assignment Special Task/Assignment Special Task/Assignment No objectives achieved
Completed, with 5 and
Completed with 4
Completed with 3
Completed with 1-2
and without
above documented
documented objectives documented objectives documented objectives documentation by March
objectives achieved by
achieved by March 31 achieved by March 31
achieved by March 31
31
March 31

3%

Participated in 5
Participated in 1-2
Participated in 6 or more
Participated in 4 activities Participated 3 activities in
activities in SHS
activities in SHS
activities in SHS
in SHS preparation and
SHS preparation and
preparation and
preparation and SHS
preparation and advocacy
advocacy campaigns by
advocacy campaigns
advocacy campaigns by
advocacy campaigns by
campaigns by March 31
by March 31
byby March 31
by March 31
by March 31

Attained 1 completed
research works and
studies by the end of
school year

Attained 1 or more action


researches defended in
Division CBAR by the
end of school year

ACTUAL
RESULTS

5 or more unresolved
conflicts elevated to the
School Grievance
Committee by March 31

Attained 1 or more action


researches, proposal
No research works /
presented to Division
studies initiated by the end
CBAR, data gathering onof school year
going by the end of
school year

OVER ALL
RATING
Ratee

Rater

Approving Authority
Page 3 of 3

Ave.

SCORE

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