Republic of the Philippines

Region I
Division of City Schools
San Carlos City District VII
ISLA ELEMENTARY SCHOOL
San Carlos City (Pangasinan

INDIVIDUAL PERFORMANCE COMMITMENT and REVIEW FORM

Name of Employee:

AURORA C. LIWANAG

Name of Rater

Position:

TEACHER II

Position:

Review Period:

JUNE 2015- MARCH 2016

Date of

Office:

ISLA ELEMENTARY SCHOOL

REVIEW

TO BE FILLED IN DURING PLANNING

MFOs

KRAs
1. Teaching
Learning Process

OBJECTIVES
1.Prepared well-constructed plans( LP)/ Daily Lesson
Log( DLL) reflecting the following
characteristics:
a. five parts
b.Objective is SMART,based on the desired learning
competencies
c.It has adequate nd appropriate instructional
materials
d.Develop Higher Order Thinking Skills(HOTS)
e. Developing 21st Century Skills
2.Facilitated learning in the school as shown by:
a. Teaching methods and interactive methods and
strategies elicit interaction from a class
b.Participative learning-project-based
c.Cooperative Learning strategies
d.Information and Communication Technology(ICT)
integration(i.e. Multimedia etc.)
e.Provision of individualized interaction

TIMELINE

Weight
per KRA

15%
JUNE, 2015-MARCH,
2016

JUNE, 2015-MARCH,
2016

15%

2.Learners
Outcomes

3. Community
Involvement

1. Monitored evaluated and maintained pupils

progress
Required Evidences:
a.Class Record/E-Class Record
b.Learners Portfolio
c.Table of Specificatios (TOS) of Test Questions(TQ)
d.Assessment Tools and Analysis Reports
e.Test Bank
f.Updated School forms ( SF-2,SF-3 etc.)
2.Monitored attendance,diversity appreciation,safe,
positive and motivating environment,overall physical
atmosphere, cleanliness and orderliness of
classrooms including proper waste disposal.
Required Evdences:
a.Inclusive/multi-cultural/accepting environment:
stress free classroom setting
b.Well-structured well kept,orderly, and well
vintilated classroom
c.Presence of bins for waste segregation
d.Updated attentance chart
3. Analyzed/ test learners' Performance
Required Evdences:
a. RRE/ICL program`& schedule
b.Individual case discription
c.Program and schedule of RRE/ICL
d.Attendance duly signed by students,department
heads & principal
e.List of intervention Activities and Materials
f.Evaluation Report(see D.O. no. 8,-s.2015)
1. Conducted regular/periodic PTA meetings and
conferences:
a. Notice/letter to parents/guardians
b.Agenda/Schedule
c.Minutes of the meeting
d.Attendance Record duly signed by attendees
e.Documentation
2.Visited parents of students needing academic
monitoring/ follow -up
Required Evidences
a. Letter to Parents/ Guardians & Principal's
Permission for home visitation

JUNE, 2015-MARCH,
2016

10%

JUNE, 2015-MARCH,
2016

10%

JUNE, 2015-MARCH,
2016

10%

JUNE, 2015-MARCH,
2016

10%

JUNE, 2015-MARCH,
2016

4.Professional
Growth and
Development

b.Anecdotal Records
c.Home Visitation Form
d. Attendance record
e.Feedback/ Progress Report with documentation
1. Conducted Action Research classroom-based focusing on

2016

10%

-negative learning environment

-learning behavior

JUNE, 2015-MARCH,
2016

5%

2. Earned relevant professional trainings, earned units

or graduated from a higher relevant degree.

3. Attended trainings, seminars,workshops , or

conferences
Required Evidences:
a. Certificate of Appearance/Participation
b.Official Receipt
c.Memorandum
d.Travel Order/Authority to travel
e.Pictures/Official Documentation
f. Narrative Reort
e.Echo Seminar

JUNE, 2015-MARCH,
2016

5%

JUNE, 2015-MARCH,
2016

10%

* To get the score, the

rating is multiplied by
the weight assigned
TOTAL (Excluding Plus Factor)

100%

PLUS FACTOR

5%

AURORA C. LIWANAG
Ratee
NOTED:
JUAN R. CRISTOBAL
Principal I

NT and REVIEW FORM

MRS. ZENAIDA C. CRUZ
MASTER TEACHER I
MARCH,2016

TO BE FILLED DURING EVALUATION

PERFORMANCE INDICATORS
(Quality, Efficiency, Timeliness)

5-OUTSTANDING.Has met the five(5)

characteristics of a LP/DLL
4-Very Satisfactory.Has met the
four(4)characteristics of a LP/DLL
3- Satisfactory.Has met the three(3)
characteristics of a LP/DLL
2- UnSatisfactory.Has met the two(2)
characteristics of a LP/DLL
1-Poor.Has met the one(1) characteristics
of a LP/DLL
5-OUTSTANDING.Has met the five(5)
characteristics of Facilitated Learning
4-Very Satisfactory.Has met the four(4)
characteristics of a Facilitaed Learning
3- Satisfactory.Has met the three(3)
characteristics of Facilitated Learning
2- UnSatisfactory.Has met the two(2)
characteristics of Facilitated Learning
1-Poor.Has met one(1) characteristics of
Facilitated Learning

ACTUAL
RESULTS

RATING

SCORE

4.33

0.65

0.6

Q E

5-OUTSTANDING.Presence of all five(5)

evidences
4-Very Satisfactory. Presence of four(4)
evidences
3- Satisfactory. Presence of three (3)
evidences
2- UnSatisfactory. Presence of two (2)
evidences
1-Poor. Presence of one( 1)evidence
5-OUTSTANDING.Presence of all five(5)
evidences
4-Very Satisfactory. Presence of four(4)
evidences
3- Satisfactory. Presence of three (3)
evidences
2- UnSatisfactory. Presence of two (2)
evidences
1-Poor. Presence of one( 1)evidence

5-OUTSTANDING.Presence of all five(5)

evidences
4-Very Satisfactory. Presence of four(4)
evidences
3- Satisfactory. Presence of three (3)
evidences
2- UnSatisfactory. Presence of two (2)
evidences
1-Poor. Presence of one( 1)evidence
5-Outstanding*Presence of all five(5)
evidences
4-VS*Presence of all four(4) evidences
3- Satisfactory. Presence of three (3)
evidences
2-US* Presence of two (2) evidences
1-P* Presence of one( 1)evidence
5-OUTSTANDING.Presence of all five(5)
evidences
4-Very Satisfactory. Presence of four(4)
evidences
3- Satisfactory. Presence of three (3)

0.5

0.4

3.33

0.33

0.4

evidences
2- UnSatisfactory. Presence of two (2)
evidences
1-Poor. Presence of one( 1)evidence
5-OS* Conducted one ( 1) duly
approved and adopted action research by
the whole Division/District/Cluster
4-VS*Conducted one(1) duly approved
action research by the whole school.
3-S*Conducted two(2) duly approved action
researches by the Schools Division Office
(classroom)
2.-US*Conducted one(1) duly approved
action research by the Schools Division
Office.(Classroom)
1-P* Never conducted any action
5-OS*Earned at least 30 units in MA degree
4-VS*Earned at least 27 units in MA degree
3-S*Earned at least 18 units in MA degree
2-US*Earned at least 9 units in MA degree
1-P*Earned at least 6 units in MA degree
5-Oustanding.Atleast one(1) training /
seminar abroad
4-Very Satisfactory. At least one(1) national
and Regional seminar/training/conference
3-Satisfactory. Atleast one(1) school
seminar/training/conference
2-Unsatisfactory. At least one (1) school
seminar/training/conference
1-Poor. No Seminar/training/conference
attended

0.4

0.05

0.15

3.67

0.37

34 37 38 36.333333
Weighted
Average
Mean

3.85

36.33

OVER-ALL RATING OF ASSESSMENT

3.85

ADJECTIVAL RATING

Very Satisfactory

ZENAIDA C. CRUZ
Rater