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INDIVIDUAL PERFORMANCE

Review Period:
Name of Employee: COMMITMENT AND REVIEW FORM
APRIL 2016 TO MARCH 2017
EDWIN P. ABUL Name of Rater: MYRNA P. CHOLIN
Position: TEACHER III Position: HEAD TEACHER III
TO BE FILLED IN DURING PLANNING TO BE FILLED IN DURING EVALUATION
TARGET PERFOMANCE Actual Results
WEIGHT
TIMEL INDICATORS
MFOs KRAs OBJECTIVES PER Rating MOVs
INE (QUALITY, EFFICIENCY,
KRA Q E T A
TIMELINESS)
BASIC Teaching Prepared and June 15% Quality June July Aug Sep Oct
EDUCATIO and submitted for 2016- Indicators
N Learning review ___ to March a. Complete parts
SERVICES process ___ daily lesson 2017 b. Followed correct format
(Curriculum (40%) logs from June to c. Alignment of all parts
Implementa March d. Updated
tion) e. Synchronized
5 - All indicators met
4 - Four indicators met in at
least 90% of DLL reviewed
3 - Three indicators met in at
least 80% of DLL reviewed
2 - Two indicators met in at
least 70% of DLL reviewed
1 - One indicator met in 69%
or less of DLL reviewed

Efficiency
5- Prepared and submitted at
least ___ or more daily lesson
logs per learning area.
4- Prepared and submitted ___
daily lesson logs per learning
area.
3- Prepared and submitted ___
daily lesson logs per learning
area.
2- Prepared and submitted ___ Nov Dec Jan Feb March
daily lesson logs per learning
area.
1- Prepared and submitted ___
or less daily lesson logs per
learning area.
Timeliness
5-Submitted all DLL on
schedule at all times
4-Failed to submit DLL on
schedule at least 5 times
3- Failed to submit DLL on
schedule at least 10 times
2- Failed to submit DLL on
schedule at least 15 times
1- Failed to submit DLL on
schedule at least 20 times
Formal and non- June 10% QUALITY 3 Pre conference form
formal class 2016- Indicators: 3 Post conference form
observations at March a. Teaching-learning 3 Observation form
least 3 rating 2017 process analyzed
periods for the b. Pre-conference
SY 2016-2017 requested
c. Post conference
requested with TA
provided
d. Follow-up class
observation requested
e. Suggestions/options
given accepted and
implemented
5 - All indicators met in all
formal observations conducted
4 - Four indicators met
3 - Three indicators met
2 - Two indicators met
1 - One indicator met
EFFICIENCY
5 At least 7 formal
observations conducted per
semester
4 At least 6 formal
observations conducted per
semester
3 At least 5 formal
observations conducted per
semester
2 At least 4 formal
observations conducted per
semester
1 At least 3 formal
observations conducted per
semester
Utilized varied June 10% Quality IMs 1 IMs 2 IMs 3 IMs 4 IMs 5
appropriate IMs 2015- Indicators
(Teacher March a. Appropriateness/Relevanc
made/Ready- 2016
e
made) and
b. Durability
strategies per
c. Considers Aesthetic Value
subject daily/per
d. ICT based
lesson within the
e. Localized
school year.
f. Interactive
g. Learner centered

5 - At least five indicators met


in all observations
4 - At least four indicators met
in all observations
3 - At least three indicators
met in all observations
2 - At least two indicators met
in all observations
1 - One indicator met in all
observations

Efficiency
5- Utilized 4 appropriate IMs
per subject.
4- Utilized 3 appropriate IMs
per subject.
3- Utilized 2 appropriate IMs
per subject.
2- Utilized 1 appropriate IM per
subject.
1- Did not utilize any Strate Strate Strate Strate Strate
appropriate IMs per subject. gy 1 gy 2 gy 3 gy 4 gy 5

Timeliness
5- UtilizedIMs at all times
4-Failed to utilize IMs 5 times
within the rating period
3- Failed to utilize IMs 10
times within the rating period
2- Failed to utilize IMs 15
times within the rating period
1- Failed to utilize IMs 20
times within the rating period
Maintained June 5% Quality/Efficiency/Timeline 2 4 6 8 10
classroom 2015- ss (1 (2 (3 (4 (5
conducive for April Indicators indicat indicat indicat indicat indicat
learning 1, Well ventilated or) ors) ors) ors) ors)
2016 Hazard free
Updated, complete,
relevant subject
area/bulletin board
Clean and orderly
classroom
Nicely/properly structured

5 - All indicators met in all


observations
4 - At least four indicators met
in all observations
3 - At least three indicators
met in all observations
2 - At least two indicators met
in all observations
1 - One indicator met in all
observations
TO BE FILLED IN DURING PLANNING TO BE FILLED IN DURING EVALUATION

TARGET PERFOMANCE Actual Results


WEIGHT
TIMEL INDICATORS
MFOs KRAs OBJECTIVES PER Rating MOVs
INE (QUALITY, EFFICIENCY,
KRA
TIMELINESS) Q E T A

BASIC Achieved at least April 15% Quality


EDUCATIO 75% promotion 2016 Indicators:
N rate during the to a. Prepared intervention
SERVICES rating period. March plan
(Learning Students 2017 b. Implemented
Outcomes) Learning intervention plan
Outcome c. Monitoring and
s Evaluation conducted
(30%) d. Involvement of other
school personnel,
stakeholders in the
implementation of
intervention plan.
e. Increased promotion
rate or maintained 100%
promotion rate SF5 of present and previous as of March
SF6
5-All indicators met Intervention Plan
4-Four indicators met M & E Form
3-Three indicators met
2-Two indicators met
1-One indicator met

Efficiency
5- Achieved 91-100%
promotion rate
4- Achieved 76-90% promotion
rate
3- Achieved 75% promotion
rate
2- Achieved 60-74% promotion
rate
1- Achieved 59% and below
promotion rate
Achieved 2.99- Quality
3.12% drop out Indicators:
rate during the a. Prepared intervention
rating period. April plan
2016 b. Implemented
to 5% intervention plan
March c. Monitoring and
2017 Evaluation conducted
d. Involvement of other
school personnel,
stakeholders in the
implementation of
intervention plan.
e. Decreased dropout rate/
Maintained 0% drop out rate

5-All indicators met


4-Four indicators met SF2 of present and previous as of March
3-Three indicators met Intervention Plan
2-Two indicators met Monitoring and Evaluation Form
1-One indicator met

Efficiency
5- Achieved 0-2% drop out
rate
4- Achieved 2.1-4% drop out
rate
3- Achieved 4.1-6% drop out
rate
2- Achieved 6.1-8% drop out
rate
1- Achieved 8.1% and above
dropout rate
Summary grading sheets per grading
Achieved at least April 10% Quality period
3% failure rate 2016 Indicators:
during the rating to a. Prepared
period March intervention plan
2017 b. Implemented
intervention plan
c. Monitoring and
Evaluation conducted
d. Involvement of other
school personnel,
stakeholders in the
implementation of
intervention plan.
e. Decreased failure rate

5-All indicators met


4-Four indicators met
3-Three indicators met
2-Two indicators met
1-One indicator met

Efficiency
5- Achieved 0-2% failure rate
4- Achieved 2.1-4% failure rate
3- Achieved 4.1-6% failure rate
2- Achieved 6.1-10% failure
rate
1- Achieved 10.1% & above
failure rate

TO BE FILLED IN DURING PLANNING TO BE FILLED IN DURING EVALUATION


TARGET PERFOMANCE
WEIGHT Actual Results
TIMEL INDICATORS
MFOs KRAs OBJECTIVES PER Rating MOVs
INE (QUALITY, EFFICIENCY,
KRA Q E T A
TIMELINESS)
BASIC Professio Attended at least April 5% Quality TSNA
EDUCATIO nal 3 staff 2016 Indicators: IPDP
N Growth development to a. Aligned with TSNA/IPDP Observation Reports
SERVICES and activities during March b. Improved performance Certificate of Attendance
Develop the rating 2017 c. KSA gained from staff Certification of TA provided to colleagues
ment period/enrolled development activities
(20%) in the post attended were
graduate implemented and utilized
d. Provided TA to colleagues
e. Complete attendance
during staff development
activities

5-All indicators met


4-Four indicators met
3-Three indicators met
2-Two indicators met
1-One indicator met

Efficiency
5 Attended at least 5 or more
staff development activities
4 Attended at least 4 staff
development activities
3 Attended at least 3 staff
development activities
2 Attended at least 2 staff
development activities
1 Attended at least 1 staff
development activities
IPDP April 5% Quality
Implementation 2016 Indicators
-Implemented to a. IPDP reviewed
71-80% of the March b. Aligned with TSNA
activities 2017 c. Varied activities to
identified in the implement TSNA
IPDP d. Improved performance IPDP
e. KSA gained from the Observation Reports
IPDP activities Certificate of Attendance
implemented

5-All indicators met


4-Four indicators met
3-Three indicators met
2-Two indicators met
1-One indicator met

Efficiency/

5- 91-100% implemented
4- 81-90% implemented
3- 71-80% implemented
2- 61-70% implemented
1- 60% and below
implemented

Timeliness
5- Accomplished development
activities two weeks earlier
than the target date of
completion
4-Accomplished development
activities one week earlier than
the target date of completion
3- Accomplished development
activities on the target date of
completion
2- Accomplished development
activities one week after the
target date of completion
1- Accomplished development
activities two week earlier the
target date of completion
Trained or June 5% Quality
coached 2016- 5-Trainer/coach/member of
participants/me March technical
mber of technical 2017 committee/consultant/resource Certificates
committee/consu speaker/proponent in the
ltant/resource Regional Level in at least one
speaker/propone event
nt in 3 4- Trainer/coach/member of
school/barangay, technical
district/municipal committee/consultant/resource
,division/provinci speaker/proponent in the
al, regional or Division Level in at least one
national event
competitions/trai 3- Trainer/coach/member of
nings/planning technical
workshops within committee/consultant/resource
the school year. speaker/proponent in the
District Level in at least one
event
2- Trainer/coach/member of
technical
committee/consultant/resource
speaker/proponent in the
School Level in at least one
event
1- Trainer/coach/member of
technical
committee/consultant/resource
speaker/proponent in the
Barangay Level in at least one
event
Efficiency

5- Trainer/coach/member of
technical
committee/consultant/resource
speaker/proponent in 5 or
more different
competitions/trainings/planning
workshops in any level
4- Trainer/coach/member of
technical
committee/consultant/resource
speaker/proponent in 4
different
competitions/trainings/planning
workshops in any level
3- Trainer/coach/member of
technical
committee/consultant/resource
speaker/proponent in 3
different
competitions/trainings/planning
workshops in any level
2- Trainer/coach/member of
technical
committee/consultant/resource
speaker/proponent in 2
different
competitions/trainings/planning
workshops in any level
1-Trainer/coach/member of
technical
committee/consultant/resource
speaker/proponent in 1
competition/training/planning
workshop in any level
Coordinated the April 5% QUALITY Designation
implementation 2016 Indicators: Action Plan
of assigned to a. Approved action plans Accomplishment Reports w/
school based co- March prepared for all co- Pictorials
curricular and 2017 curricular Certification of the School Head
extra-curricular programs/activities
activity during b. All learners are involved
the rating period in at least one co-
curricular activity of
their interest
c. Assigned co-curricular
activities implemented
as planned
d. Assigned co-curricular
activities evaluated/
assessed upon
completion of activity
e. Submitted
accomplishment reports
to higher office
5 - All indicators met
4 - 4 indicators met
3 - 3 indicators met
2 - 2 indicators met
1 - 1 indicator met
Timeliness
5 Implemented co-and extra-
curricular activities on the
scheduled period and
submitted required reports two
days after the full
implementation
4 - Implemented co-and extra-
curricular activities on the
scheduled period and
submitted required reports 3
days after the full
implementation
3 Implemented co-and extra-
curricular activities on the
scheduled period and
submitted required reports 4
days after the full
implementation
2 Implemented co-and extra-
curricular activities on the
scheduled period and
submitted required reports 5
days after the full
implementation
1 Implemented co-and extra-
curricular activities on the
scheduled period and
submitted required reports 6
days and above after the full
implementation

TO BE FILLED IN DURING PLANNING TO BE FILLED IN DURING EVALUATION


TARGET PERFOMANCE
WEIGHT Actual Result
TIMEL INDICATORS
MFOs KRAs OBJECTIVES PER Rating MOVs
INE (QUALITY, EFFICIENCY,
KRA Q E T A
TIMELINESS)
April Quality
2016 5- 90-100% attendance in all
to meetings
March 4- 80-89% attendance in all
Led in the
2017 meetings
conduct of 4
3- 70-79% attendance in all
Homeroom PTA
meetings
meetings within
2- 60-69% attendance in all
the school
meetings
School, year/led in the
1- 59% and below attendance
Home conduct of the
BASIC in all meetings
and implementation
EDUCATIO Efficiency Attendance Sheet
Commun of all school-
N 2.5% 5- Led in the conduct of 6 Minutes of Meeting
ity based co-
SERVICES Homeroom PTA meetings
Involvem curricular and
within the school year
ent extra-curricular
4- Led in the conduct of 5
(10%) like labor
Homeroom PTA meetings
services during
within the school year
activities in
3- Led in the conduct of 4
Brigada Eskwela
Homeroom PTA meetings
etc. during the
within the school year
rating period.
2- Led in the conduct of 3
Homeroom PTA meetings
within the school year
1- Led in the conduct of 2
Homeroom PTA meetings
within the school year
Timeliness
5- Led in the conduct of
Homeroom PTA meetings on
schedule
4- Led in the conduct of
Homeroom PTA meetings one
week after the schedule
3- Led in the conduct of
Homeroom PTA meetings two
weeks after the schedule
2- Led in the conduct of
Homeroom PTA meetings three
weeks after the schedule
1- Led in the conduct of
Homeroom PTA meetings four
weeks after the schedule
Obtained support April 2.5% Quality Deed of Donation
or resources 2016 5- Received 20,000.00 and Deed of Acceptance
through to above Acknowledgement receipt
partnership with March 4- Received 10,000-19,999.99 Attendance
external 2017 3- Received 5,000-9,999.99 Pictorials
stakeholders 2- Received 3,000-4,999.99
within the rating 1- Received 2,999.99 and
period. (Includes below
monetary, labor,
materials,
supplies, and Efficiency
equipment 5- Five or more PPAs
donated, implemented
projects 4- Four PPAs implemented
sponsored by 3- Three PPAs implemented
other 2- Two PPAs implemented
government 1- One
agencies, NGOs, Program/Project/Activity
Private implemented
individuals/
Companies and
free services like
labor services
during activities
like Brigada
Eskwela Plus,
etc.).
April 2.5% Quality/Efficiency/Timeline CPP Anti-Bullying Policy
2016 ss
Implemented 71- to 5- 91-100% implementation 71-80 90-100 71-80 90-100
80% of School March within the prescribed period
Based Child 2017 4- 81-90% implementation
Protection/ Anti- within the prescribed period
bullying policy 3- 71-80% implementation
checklist within within the prescribed period
the rating period 2- 61-70% implementation
within the prescribed period
1- 60% and below
implementation within the
prescribed period
Implemented 71- April 2.5% Quality/Efficiency/Timeline Fire Drill Earthquake Drill
80% school DRR 2016 ss
action plan to 5- 91-100% implementation 71-80 90-100 71-80 90-100
March within the prescribed period
2017 4- 81-90% implementation
within the prescribed period
3- 71-80% implementation
within the prescribed period
2- 61-70% implementation
within the prescribed period
1- 60% and below
implementation within the
prescribed period

OVER ALL RATING FOR ACCOMPLISHMENTS

Rater Ratee Approving Authority

MYRNA P. CHOLIN EDWIN P. ABUL PABLO A. KHAYOG JR.


Head Teacher III Teacher III Principal IV

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