Republic of the Philippines

Department of Education
Cordillera Administrative Region
TABUK CITY DIVISION
Tabuk City
TUGA NATIONAL HIGH SCHOOL
Tuga, Tabuk City

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM

Name of Employee GAY ROSE M. CANAO Name of Rater SALLY B. ULLALIM, CESO V

Position Master Teacher I Position Schools Division Superintendent

Review Period June - April Date of Review April , 2017

Bureau/ Center Department of Education School Tuga National High School

I, GAY ROSE M. CANAO, Master Teacher I of Tuga National High School, Tuga , Tabuk City, Klinga commit to deliver and agree
and be rated on the attainment of the following targets in accordance with the indicated measures for the period of June 2017 – April 2018.

RATEE : RATER : APPROVED :

GAY ROSE M. CANAO IMELDA B. VELO SALLY B. ULLALIM, CESO V

Master Teacher I Principal I Schools Division Superintendent
 TO BE FILLED DURING PLANNING TO BE FILLED DURING EVALUATION
PERFORMANCE
INDICATORS ACTUAL PERFORMANCE
MFO

KRA’s OBJECTIVES TIMELINE WEIGTH/KRA (QUALITY, EFFICIENCY,

TIMELINESS)
Average RATING SCORE M O V
Q T E
1. Handled 30-50% teaching loads every Year 5% 5-Handled 5 or more teaching loads
B year.(5%) Round 4- 4 teaching loads
A I 3- 3 teaching loads
S N 2- 2 teaching loads
I S 1-1 teaching load
T
C
R 2. Achieved at least 1.5 pts increase of the Year 5% 5 - Attained an increase of 1.5 points of the 5
U Round subjects taught
E C students GWA in all subject s taught within
4- 4 subjects taught by 1.5 pts
D T the school year.(5%)
I 3- 3 subjects by 1pt.
U
O 2- 2 subjects by 1 pt
C N
A A
1-1 subject by 1 pt
T L
3.Attained 85% of the required learning Year 10% 5- Completed 85% of the required learning
I Round competencies with at least 85% level of
C competencies in every subject area by the
O O mastery every grading period..
N M
students every quarter/grading period. 4- Completed 83% of the required learning
P Base from the ff:(10%) competencies with at least 85% level of
E
S
T
a. E-class record mastery every grading period
E E b. Item Analysis 3- Completed 80% of the required learning
R N competencies with at least 80% level of
V C
mastery every grading period
I
I 2- Completed 78% of the required learning
E
C S competencies with at least 75% level of
E mastery every grading period
S 30%
1 -Completed 75% of the required learning
competencies with at least 75% level of
mastery every grading period
4.Initiated/conducted innovations that will Year 10% 5- conducted Remedial Classes/Intervention .
increase Round Class supported by complete
a. Approved activity request
GWA performance.(10%) b. Complete documentation
a. Remedial classes c. Terminal Report
 b. School Level Intervention Program 4-conducted Remedial Classes/Intervention
Class supported by complete
a. Approved activity request
b. Complete documentation
3-- conducted Remedial Classes/Intervention
Class supported by complete
a. Approved activity request
2- conducted Remedial Classes/Intervention
Class supported by request letter
1-- conducted Remedial Classes/Intervention
Class supported but no documentation

P
1.Conducted action research related to Year 10% 5- One School Based Action Research
B school concerns /problems within the Round conducted supported
R
A by the following evidences submitted
S
O
F
year.(10%) after 2 weeks of the defined time frame in the
I F plan of action:
E
C a)Approved research proposal
S
S b)Approved Research report
E I c)Approved IMS/Intervention based from
D O results
N
U 4- One School Based Action Research
A
C L conducted supported
A by the following evidences and
T G submitted after 3 weeks of the defined time
R
I frame in the plan of action:
O
O W a)Approved research proposal
N T b)Approved Research report
H 3- One School Based Action Research
S conducted supported
and
E by the following evidences submitted
R D after 1 month of the defined time frame in the
V E plan of action:
V
I a)Approved research proposal
E
C L 2- One on going School Based Action
E O 1 – One Action Research Submitted
P
S M
E
2.Conducted seminars/workshops/trainings Year 10% 5-Conducted at least 1 data-based INSET .
for Round with
N
The following evidences and submitted
T teachers in specific learning areas.(10%) reports after 2 weeks of implementation:
30% a. Approved proposal
b. Approved memorandum
c. Terminal report
4-Conducted one data based INSET proposal
with approved memorandum and submitted 3
weeks of implementation
3-Approved INSET Proposal for
implementation
2-Submitted an INSET for proposal
1.-Conceptualize INSET proposal

3. Served as Demonstration Teacher.(10%) Year 10% 5- 4 demonstration lesson served within a .

Round year.
4- 3 demo teaching lesson served within a
year
3-3 demo teaching lesson served within a
year
3- 2 demo teaching lesson served within a
year
2- 1 demo teaching lesson served within a
year
1-No demonstration served

1. Observed Math – Science teachers in the Year 10% 5- Math – Science teachers were . .
school annually.(10%) Round observed annually with the foll owing
B evidences:
A I 1.Pre-conference
S N 2.Comments/ suggestions//recommend/
S
I agreement
T
C R 3.Technical Assistance
U 4.Portfolio of observation.
E C 5.Observatiion checklist.
D T 4- Math – Science teachers were
I
U observed annually with the foll owing
O
C N evidences:
A A 1.Pre-conference
T L 2.Comments/ suggestions//recommend/
I agreement
O 3.Technical Assistance
N S 4.Portfolio of observation.
U
P
3- Math – Science teachers were
S observed annually with the foll owing
E
E R evidences:
R V 1.Pre-conference
V I
2.Comments/ suggestions//recommend/
S
I agreement
I
C O 3.Technical Assistance
E N 2 -Math – Science teachers were
S observed annually with the f ollowing
30%
evidences:
1.Pre-conference
2.Comments/ suggestions//recommend/
agreement
1 -Math – Science teachers were
observed annually with the foll owing
evidences:
1.Pre-conference

2.Conducted at least 2 mentoring/coaching Year 10% 5- 100% of the Math & Science teachers were
activities with teachers.(10%) Round provided with coaching and
mentoring sessions with the
following evidences.
1. Agreement
2. Report of SLAC session
3. Session guide
4. Journal(record of progress
of the teachers)
4-90% of the Math and Science teacher were
provided with coaching and
mentoring sessions with the
following evidences.
1. Agreement
2. Report of SLAC session
3. Session guide
4. Journal(record of progress
of the teachers)

3- 80% of the teacher were

provided with coaching and
mentoring sessions with the
following evidences.
1. Agreement
2. Report of SLAC session
3. Session guide
4. Journal(record of progress
of the teachers)

2 - 70% of the teacher were

provided with coaching and
mentoring sessions with the
following evidences.
1. Agreement
2. Report of SLAC session
3. Session guide
4. Journal(record of progress
of the teachers)
 1 - 50-60% of the teacher were
provided with coaching and
mentoring sessions with the
following evidences.
1. Agreement
2. Report of SLAC session
3. Session guide
4. Journal(record of progress
of the teachers)

3.Evaluate performance of teachers following Year 10% 5- Evaluated 100 % of the Math – Science
the RPMS cycle annually.(10%) Round teachers' performance
evaluated following the
RPMS cycle

4 - Evaluated 90% of the Math – Science

teachers' performance
evaluated following the
RPMS cycle

3 - Evaluated 80% of the Math - Science

teachers' performance
evaluated following the
RPMS cycle

2 - Evaluated 70% of the Math - Science

teachers' performance
evaluated following the
RPMS cycle
 1 - Evaluated 50-60% of the Math - Science
teachers' performance
evaluated following the
RPMS cycle

1.Receive recognition/participation in any Year 10% 5 – Received an award from the

activity in any level. Round Regional Level .

B P 4 – Received an award from the Division

A
Level
S L
I
C U 3-Received an award from the District
Level
E S
D
U 2- Received an award from the School
C Level
A 1-No award received
T F
I
O A
2.Consultancy/Facilitator/Proctor/Resource 5- Served 5 as Resource
N Speaker speaker/facilitator/in the school ,district,
C Division
S
E
4- Served 4 as Resource
T
R speaker/facilitator/in the school ,district,
V O Division
I 3-Served 3 as Resource
C R
E
speaker/facilitator/in the school ,district,
S Division *
10%
r 2- Served 2 as Resource
10% speaker/facilitator/in the school ,district,
Division
1-Served 1 as Resource .

3.Chairmanship/Coordinator /Adviser/ member
in any Educational Organization
4. Source out funds/in kind for school
improvement.
5.Conduct home visitation/Homeroom PTA
meetings
speaker/facilitator/in the school ,district,
Division
5- Served 5 as chairman, coordinator,
adviser, member in any Educational
Organization
4- Served 4 as chairman, coordinator,
adviser, member in any Educational
Organization
3 -Served 3 as chairman, coordinator,
adviser, member in any Educational
Organization
2-Served 2 as chairman, coordinator,
adviser, member in any Educational
Organization
1-Served 1 as chairman, coordinator,
adviser, member in any Educational
Organization
5- Solicited an amount of 10,000-15,000
4- Solicited an amount of 7,500-10,000
3- Solicited an amount of 5,000-7,500
2- Solicited an amount of 2,500-5,000
1-Solicited an amount of 500-2,500
5- Conducted at least 5 Home Visitation
Report / HPTA with narrative report,
agreement and documentation
4- Conducted at least 4 Home Visitation
Report / HPTA with narrative report,
agreement and documentation
3 -Conducted at least 3 Home Visitation
Report / HPTA with narrative report,
agreement and documentation
2-Conducted at least 2 Home Visitation
Report / HPTA with narrative report,
agreement and documentation
1-Conducted at least 1 Home Visitation
Report / HPTA with narrative report,
 agreement and documentation

Over – All Rating

GAY ROSE M. CANAO

Master Teacher I
Ratee IMELDA B. VELO SALLY B. ULLALIM , CESO V
Principal I Approving Authority
(Rater)