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INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM

Name of Employee:
Position Title:
Review Period:
Bureau/Center/Service/Division:

ARMI J. CALANTOG
Teacher III
June, 2015 March, 2016
DepEd - Tarlac Province
Camiling West District
Bobon First-Palimbo Proper Elementary School

Name of Rater: FERNANDO B. JOSE, JR.


Position:
Principal I
Date of Review:

TO BE FILLED DURING
EVALUATION

TO BE FILLED DURING PLANNING


MFOs

KRAs

Teaching
Learning
Process

OBJECTIVES

Prepared lesson plans/


daily logs of activities

TIMELINE

June,
2015 to
April,
2016

WEIGHT
PER KRA

PERFORMANCE INDICATORS
(Quality, Efficiency, Timeliness)

20%

5-Prepared lesson plans/ daily logs


complete and properly filled up
based on the standard learning
competencies with appropriate/
customized/ innovative instruction
materials and delivered appropriate
summative assessment, its
interpretation for instructional
decision making and the teacher
has prepared one year lesson
guides, instructional materials and
summative assessment tools.
4-Prepared lesson plans/ daily logs
complete and properly filled up
based on the standard learning
competencies with appropriate/
customized/ instructional materials
and delivered appropriate
summative assessment.
3-Prepared lesson plans/ daily logs
based on the standard learning
competencies with appropriate/

ACTUAL
RESULTS

RATING SCORE

TO BE FILLED DURING
EVALUATION

TO BE FILLED DURING PLANNING


MFOs

KRAs

OBJECTIVES

TIMELINE

WEIGHT
PER KRA

PERFORMANCE INDICATORS
(Quality, Efficiency, Timeliness)

customized/ instructional
materials and delivered
appropriate formative/
summative assessment.
2-Prepared lesson plans/ daily logs
based on the standard learning
competencies with appropriate
and customized instructional
materials.
1-Prepared incomplete lesson
plans based on the standard
learning competencies.
Facilitated learning
through innovative
teaching strategies thru
ICT aided instruction.

June,
2015 to
April,
2016

5%

5-Facilitated learning through


innovative teaching strategies
with complete and variety of
computer aided instructional
materials.
4-Facilitated learning through
innovative teaching startegies
with complete computer aided
instructional materials.
3-Facilitated learning through
innovative teaching startegies
with complete computer aided
instructional materials.

ACTUAL
RESULTS

RATING SCORE

TO BE FILLED DURING
EVALUATION

TO BE FILLED DURING PLANNING


MFOs

KRAs

OBJECTIVES

TIMELINE

WEIGHT
PER KRA

PERFORMANCE INDICATORS
(Quality, Efficiency, Timeliness)

2-Facilitated some of the learning


activities through innovative
teaching startegies with computer
aided instructional materials.
1-Facilitated at least one of the
learning activities through
innovative teaching strategies with
computer aided instructional
materials.
Initiated discipline of
pupils.

June,
2015 to
April,
2016

5%

5-Safe, orderly and clean classroom,


toilets and proper waste disposal
were maintained with updated and
properly structured bulletin board.
Monitored attendance of pupils daily
with classroom rules strictly
followed.
4-Safe, orderly and clean classroom,
toilets and proper waste disposal
were maintained with updated
bulletin board. Monitored
attendance of pupils daily with
classroom rules strictly followed.
3- Safe, orderly and clean classroom,
toilets and proper waste disposal
were maintained with bulletin board.
Monitored attendance of pupils daily
with classroom rules strictly
followed.
2- Safe, orderly and clean classroom,
toilets and proper waste disposal

ACTUAL
RESULTS

RATING SCORE

TO BE FILLED DURING
EVALUATION

TO BE FILLED DURING PLANNING


MFOs

KRAs

OBJECTIVES

TIMELINE

WEIGHT
PER KRA

PERFORMANCE INDICATORS
(Quality, Efficiency, Timeliness)

were maintained with bulletin board.


Monitored attendance of pupils
daily.
1- Safe, orderly and clean classroom,
toilets and proper waste disposal
were maintained. Monitored
attendance daily.
Pupils
Outcomes

Monitored/ evaluated
and maintaned pupils
progress

June, 2015
to April,
2016

20%

5-Has informed parents/ feedbacking


on pupils academic performance
thru F138, has conducted 4 card
days, has monitored the
performance of the pupils all
throughout the 4 grading periods
with display show casing the
peformance outputs and
achivement rate.
4-Has informed parents/ feedbacking
on pupils academic performance
thru F138, has conducted 4 card
days and has monitored the
performance of the pupils all
throughout the 4 grading periods.
3-Has informed parents/ feedbacking
on pupils academic performance
thru F138, has conducted at least 2
card days and has monitored the
performance of the pupils all
throughout the 4 grading periods.
2-Has informed parents/ feedbacking
on pupils academic performance

ACTUAL
RESULTS

RATING SCORE

TO BE FILLED DURING
EVALUATION

TO BE FILLED DURING PLANNING


MFOs

KRAs

OBJECTIVES

TIMELINE

WEIGHT
PER KRA

PERFORMANCE INDICATORS
(Quality, Efficiency, Timeliness)

thru F138, has conducted at least 1


card day and has monitored the
performance of the pupils all
throughout the 4 grading periods.
1-Has informed parents/ feedbacking
on pupils academic performance
thru F138 and has monitored the
performance of the pupils all
throughout the 4 grading periods.
Conducted remediation/
enrichment programs to
improve performance
indicators.

June,
2015 to
April,
2016

5%

5-Conducted remedial/ enrichment


programs to improve performance
indicators for all pupils in all
learning areas.
4-Conducted remedial/ enrichment
programs to improve performance
indicators at least 50% of pupils in
all learning areas.
3-Conducted remedial/ enrichment
programs to improve performance
indicators at least 50% of pupils in
major learning areas.
2-Conducted remedial/ enrichment
programs to improve performance
indicators in at least 2 major
subjects.
1-Conducted remedial/ enrichment
programs to improve performance
indicators in at least 1 major
subjects.

ACTUAL
RESULTS

RATING SCORE

TO BE FILLED DURING
EVALUATION

TO BE FILLED DURING PLANNING


MFOs

KRAs

OBJECTIVES

TIMELINE

Maintained and updated


Pupils School Records.

WEIGHT
PER KRA

PERFORMANCE INDICATORS
(Quality, Efficiency, Timeliness)

5%

5-Maintained and updated Pupils


School Records such as SF1, SF2,
SF5, EHCP/ Nutritional Status, 4Fs,
numerates non-numerates, Phil-IRI,
Form 137, Form 138 and Class
Record/Granding Sheet in all
learning areas.
4-Maintained and updated Pupils
School Records in all learning
areas.
3-Maintained and updated pupils
basic School Records.
2-Maintaned pupils basic school
records.
1-Incomplete pupils school records.

Community
Involvement

Conducted regular/
periodic PTA meetings.

June,
2015 to
April,
2016

20%

5-Conducted 8 homeroom meetings.


4- Conducted 6 homeroom meetings.
3- Conducted 4 homeroom meetings.
2- Conducted 2 homeroom meetings.
1- 0 homeroom meetings.

Visited Parents of Pupils


needing academic
monitoring/ follow up.

June,
2015 to
April,
2016

5%

5-Conducted 8 home visits to pupils


needing academic monitoring/
follow up.
4-Conducted 6 home visits to pupils

ACTUAL
RESULTS

RATING SCORE

TO BE FILLED DURING
EVALUATION

TO BE FILLED DURING PLANNING


MFOs

KRAs

OBJECTIVES

TIMELINE

WEIGHT
PER KRA

PERFORMANCE INDICATORS
(Quality, Efficiency, Timeliness)

needing academic monitoring/


follow-up.
3- Conducted 4 home visits to pupils
needing academic monitoring/
follow-up.
2- Conducted 2 home visits to pupils
needing academic monitoring/
follow-up.
1- 0 Home visits.
Undertaken/Initiated
projects with external
sponsorship.

June,
2015 to
April,
2016

5%

5-Undertaken/ Initiated 5 projects with


external sponsorship.
4-Undertaken/ Initiated 4 projects with
external sponsorship.
3- Undertaken/ Initiated 3 projects with
external sponsorship.
2- Undertaken/ Initiated 2 projects with
external sponsorship.
1- Undertaken/ Initiated 1 projects with
external sponsorship.

Professional
Growth and
Development

Enrolled to higher
program of education
such as
masteral/doctoral.

June,
2015 to
April,
2016

5%

5-Has finished doctoral education.


4- Has finished masteral education.
3-Has finished Academic Requirement.
2-Has MA units

ACTUAL
RESULTS

RATING SCORE

TO BE FILLED DURING
EVALUATION

TO BE FILLED DURING PLANNING


MFOs

KRAs

OBJECTIVES

TIMELINE

WEIGHT
PER KRA

PERFORMANCE INDICATORS
(Quality, Efficiency, Timeliness)

1-no MA units
Participated in seminars,
workshops and trainings
within the schoolyear.

June,
2015 to
April,
2016

3%

5-Participated international or national


seminars/ workshops and trainings
within the school year.
4-Participated regional seminars/
workshops and trainings within the
school year.
3-Participated division seminars/
workshops and trainings within the
school year.
2-Participated district seminars/
workshops and trainings within the
school year.
1-No trainings

Conducted action
Research

June,
2015 to
April,
2016

2%

5- 3 Action Research conducted with


full documentation on completion of
interventions.
4-2 Action Research conducted with
documentation on completion of
interventions.
3-1 Action Research conducted with
documentation on completion
interventions.
2-Identified classroom/ learning
problems

ACTUAL
RESULTS

RATING SCORE

TO BE FILLED DURING
EVALUATION

TO BE FILLED DURING PLANNING


MFOs

KRAs

OBJECTIVES

TIMELINE

WEIGHT
PER KRA

PERFORMANCE INDICATORS
(Quality, Efficiency, Timeliness)

ACTUAL
RESULTS

1-No learning problems/ issues


identified.
*To get the score, the rating is multiplied by the weight assigned.

FERNANDO B. JOSE, JR.


Principal I
Rater

OVERALL RATING FOR


ACCOMPLISHMENTS

ARMI J. CALANTOG
Teacher III
Ratee

PAULINO D. DE PANO, Ph. D.


Chief Education Supervisor, Curriculum Implementation Division
Approving Authority

RATING SCORE