INDIVIDUAL PERFORMANCE COMMITM

Name of Employee:
Position:

EVANGELINE B. FOLLOSO
Teacher II
TO BE FILLED IN DURING

Major Final Outputs

MFOs

Key Results Areas KRAs

Teaching Learning Process

Pupil/ Student Outcome

Community Involvement

Community Involvement

Professional Growth

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM

TO BE FILLED IN DURING PLANNING

Objectives

Adopt Modified Daily lesson Log (DLL) of activities with the required
parts and appropriate instructional materials within the rating period.

Observe classroom/ school rules and regulations.

Monitor attendance and conduct home visitation if necessary.

Achieve at least 80% of the 39 pupils can read Complete Sentences,

and Simple Paragraphs in Filipino at the end of the school year
Achieve at least 50% of the 39 pupils can read CVC words, Basic Sight
Words, Complete Sentences and Simple Paragraphs in English at the end of
the school year

Increase by 10% either by Instructional or Numerate Level over NonNumerates after the Numeracy Post Test for School Year 2015-2016
Maintain updated pupil's/ student's progress throughout the School Year
sssssNutritional Status
sssssMPS
Conduct remediation/ enrichment to improve learning performance
performance indicators
Conduct regularly/ periodic PTA meeting/ conferences

Participate in community civic and non- civic activities and services

Participate in trainings/ workshop and seminars

Conduct action research on Disadvantages and Advantages of Adopting
Ready- made Modified Daily Lesson Log (DLL)
Consolidate report and disseminate information in the assigned
coordinatorship in various learning areas and co- curricular activities

D REVIEW FORM
Name of Rater: ANABELLE F. EMPLEO
Position: PRINCIPAL II

NG
Outputs
Modified Daily Lesson log (DLL) using 4A's
Curriculum Guide (CG)
Teacher's Guide (TG)
Learners Material (LM)
Records of Index of Mastery
Teacher's Portfolio
Compilation of Downloaded Materials
Classroom and school rules and regulation
Clean and orderly classroom
School form 2
Home Visitation
Parent- teacher agreement
Case study/ Narrative report
Rating Sheet/ Grading Sheet
Pre.and post test reading in Filipino
Rating Sheet/ Grading Sheet
Pre.and post test reading in English
Rating Sheet/ Grading Sheet
Pre.and post test in Numeracy
Rating Sheet/ Grading Sheet
Form 138
Form 137
Baseline, Midline, Endline of nutritional Status
MPS in all learning areas in every rating period
Action Plan
Details of remediation program/ Accomplishment Report
Attendance
Agenda
Minutes of the meeting

Documentation/ Pictures
Certificate of Participation of civic and non- civic activities/ services
Documentation/ pictures
Certificate of Participation
Matrix and training design if available
Action Research
Narrative reports
Accomplishment reports
Documentation/ pictures

INDIVIDUAL PERFORMANCE COMMIT

Name of Employee: EVANGELINE B. FOLLOSO
Position: TEACHER II
Review Period:
Bureau/ Center/ Service/ Division: DEPARTMENT OF EDUCATION/ QUEZON

MFOs

KRAs

OBJECTIVES

TIMELINE

Adopt Modified Daily lesson Log (DLL)

of activities with the required parts and
appropriate instructional materials within
the rating period.

June to March

Observe classroom/ school rules and

regulations.

June to March

Monitor attendance and conduct home

visitation if necessary.

June to March

Teaching Learning
Process

visitation if necessary.

June to March

Achieve at least 80% of the 40 pupils can

read Complete Sentences, and Simple
Paragraphs in Filipino at the end of the
school year

June to March

Achieve at least 50% of the 40 pupils can

read CVC words, Basic Sight Words,
Complete Sentences and Simple
Paragraphs in English at the end of the
school year

June to March

Increase by 10% by Numerate Level over

Non-Numerates after the Numeracy Post Test
for School Year 2015-2016

June to March

Pupil/ Student
Outcome

Maintain updated pupil's /student's progress

throughout the School Year
lNutritional Status
lMPS

June to March

Conduct remediation/ enrichment to

improve learning performance

June to March

Conduct regular/ periodic PTA

meetings/conferences

June to March

Participate in civic and non- civic

activities and services

Year Round

Community
Involvement

activities and services

Year Round

Participate in trainings/ workshop and

seminars

Year Round

Conduct action research on Disadvantages

and Advantages of Adopting Ready- made
Modified Daily Lesson Log (DLL)

Year Round

Professional Growth

Consolidate report and disseminate

Consolidate report and disseminate

information in the assigned coordinatorship
in various learning areas.

Year Round

100%
**To get the score, the rating is multiplied by the weight assigned.
Rater:

ANABELLE F. EMPLEO
Principal II

CELSO A. LICAS
District Supervisor

FORMANCE COMMITMENT AND REVIEW FORM

Name of Rater: ANABELLE F. EMPLEO
Position: PRINCIPAL II
Date of Review:

WIEGHTED per PERFORMANCE INDICATORS (Quality, Efficiency,

KRA
Timeliness)
5 - Adopted Modified DLL everyday with complete parts:
subject matter objectives, procedure using 4A's and remarks
using appropriate instruction materials throughout the rating
period with the following evidences; DLL, Curriculum Guide
(CG), Teacher's Guide (TG), Learner's Materials (LM), with the
compilation of evidences, teacher's portfolio, file of hard and
soft copy of downloaded materials.

10%

4 - lacked one evidence

3 - lacked two evidences
2 - lacked three evidences
1 - lacked four evidences
5 - Classroom was designed in a student-safety first measures.
Orderliness and cleanliness of desks/armchairs, chairs, floor and
toilet were regularly maintained. Proper waste segregation from
"nabubulok" at "di-nabubulok" was sustained regularly.

10%
4 - lacked one indicator
3 - lacked two indicators
2 - lacked three indicators
1 - lacked four indicators

5 - Daily attendance using SF2 was checked, 100% of identified

pupils who needed visitation/PTC had undergone such.
4 - Daily attendance using SF2 was checked, 90% of identified
pupils who needed visitation/PTC had undergone such.

10%

3 - Daily attendance using SF2 was checked, 80% of identified

pupils who needed visitation/PTC had undergone such.
2 - Daily attendance using SF2 was checked, 70% of identified
pupils who needed visitation/PTC had undergone such.

TO BE FILLED DURING EVALUAT

RATING
ACTUAL
RESULTS
Q E T Ave.

2 - Daily attendance using SF2 was checked, 70% of identified

pupils who needed visitation/PTC had undergone such.
1 - No Home visitation/ PTC conducted

(30%)
Monitored and evaluated the pupils' progress in Filipino through
Pre- and Post test throughout the school year.
5 - 91%-100% readers or 36-40 pupils can read in Filipino
4 - 81%-90% readers or 32-35 pupils can read in Filipino

10%
3 - 71%-80% readers or 28-31 pupils can read in Filipino
2 - 51%-70% readers or 21-27 pupils can read in Filipino
1 - 50% and below are readers or 20 and below pupils can read
in Filipino
Monitored and evaluated the pupils' progress in English through
Pre- and Post test throughout the school year.

10%

5 - 70% and above or 28 and above of the 40 pupils

4 - 60%-69% or 24-27 of the 40 pupils

3 - 50%-59% or 20-23 of the 40 pupils
2 - 40%-49% or 16-19 of the 40 pupils
1 - 39% and below or 15 and below of the 40 pupils

Increased either in Numerate Level over Non-Numerates after

the Numeracy Post Test with the following indicators:

10%

10%

5 - 20% and above increased

4 - 15% - 19% increased
3 - 10% - 14% increased
2 - 5% - 9% increased
1 - Did not increase
5 - Grading sheets in all learning areas were prepared and
updated following the revised Grading System in every quarter.
Form 137 was prepared and form 138 was issued every quarter
to parents with proper signature. Teacher's portfolio was
regularly updated containing profile and pupil's records
throughout the year.
*Baseline, Midline, Endline
of Nutritional Status *MPS in all learning areas in every rating
period

4 - lacked one indicator

3 - lacked two indicators
2 - lacked three indicators

1 - lacked four indicators

5 - Regularly conducted remedial/enrichment activities to 100%
of those pupils who need such with action plan, details of the
remediation program and accomplishment report.
4 - Regularly conducted remedial/enrichment activities to 90%
of those pupils who need such with action plan, details of the
remediation program and accomplishment report.

5%

3 - Regularly conducted remedial/enrichment activities to 80%

of those pupils who need such with action plan, details of the
remediation program and accomplishment report.
2 - Regularly conducted remedial/enrichment activities to 70%
of those pupils who need such with action plan, details of the
remediation program and accomplishment report.
1 - No Remedial/enrichment activities were conducted

(45%)
5 - PTA meetings conducted with minutes of the meeting and
attendance with agenda showing 86-100% of the parents have
attended every quarter.
4 - PTA meetings conducted with minutes of the meeting and
attendance with agenda showing 80-85% of the parents have
attended every quarter.

5%

3 - PTA meetings conducted with minutes of the meeting and

attendance with agenda showing 75-79% of the parents have
attended every quarter.
2 - PTA meetings conducted with minutes of the meeting and
attendance with agenda showing 70-74% of the parents have
attended every quarter.
1 - PTA meetings conducted with minutes of the meeting and
attendance with agenda showing below 70% of the parents have
attended every quarter.
5 - Four or more participations or direct involvement in the civic
and
non-civic
activities/
services
with
proper
documentation/narrative report/certificate of participation.

5%

4 - Three participations or direct involvement in the civic and

non-civic
activities
or
services
with
proper
documentation/narrative report/certificate of participation.
3 - Two participations or direct involvement in the civic and
non-civic
activities
or
services
with
proper

5%
3 - Two participations or direct involvement in the civic and
non-civic
activities
or
services
with
proper
documentation/narrative report/certificate of participation.

2 - One participation or direct involvement in the civic and noncivic activities or services with proper documentation/narrative
report/certificate of participation.

1 - did not participate or involve in

community/civic/non-civic activities and services.

any

(10%)
Participated/ attended/ trainings/ workshops/ seminars
within the rating period.
5 - 1 National or equivalent of 2 Regional Levels or 5
frequencies in either District or School- based levels.

5%

4 - 1 Regional or equivalent of 2 Division Levels or 4

frequencies in either District or School- based levels.
3 - 1 Division or equivalent of 2 District Levels or 3
frequencies in either District or School- based levels.
2 - 1 District Level or equivalent of 2 frequencies in
School- based level.
1 - 1 School Based/ LAC Session
5 - Action research conducted with complete documentation/
Letter of Approval/ Action Plan/ Research Proposal/ Narrative
Report with result findings/ Recommendation and Suggestions/
pictures and submitted to proper authority.

5%
4 - lacked one indicator
3 - lacked two indicators
2 - lacked three indicators
1 - lacked four indicators

5 - Consolidated reports in the assigned learning areas with proper

documentation, accomplishment/ Narrative Report, Action Plan,
Program/ Calendar of Activities with pictures submitted to and
signed by proper authorities. Information concerning the assigned
learning areas was properly disseminated to all concerned.

5%

Program/ Calendar of Activities with pictures submitted to and

signed by proper authorities. Information concerning the assigned
learning areas was properly disseminated to all concerned.

5%
4 - lacked one indicator
3 - lacked two indicators
2 - lacked three indicators
1 - lacked four indicators
(15%)
OVERALL RATING FOR ACCOMPLISHMENTS

100%
Ratee:

EVANGELINE B. FOLLOSO

Approving Authority:
GERLIE M. ILAGAN, Ed.D.
OIC - ASDS

VALUATION
SCORE