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INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM

Regular Teacher I, II & III (Secondary)
Name of Employee : Name of Ratee :
Position : Teacher I Position :
Review Period : SY. 2015-2016 Date of Review : _____________________
Bureau/Center/Service/Division: MANILA

TO BE FILLED DURING PLANNING
WEIGHT PERFORMANCE INDICATORS ACTUAL TO BE FILLED DURING
MFO KRA's OBJECTIVES TIMELINE PER (Quality, Efficiency, Timeliness) RESULTS EVALUATION
KRA Q

1. Prepared 160 lesson plans/daily June- 20% 100% of lesson plans have complete parts
logs of activities with complete parts March with SMART objectives submitted on time.
* Lesson Plans/Daily log of activities
Delivery of * Complete LP Parts
Basic * Checklist 5
Education 1. Teaching-Learning 2. Facilitated four (8) engaging lessons June- 10% 8 engaging lessons using ICT were
Services Process using ICT within the rating period March executed within the rating period
40% * Compiled LPs with ICT integration
* Portfolio 4
100% of pupils’ attendance and classroom’s
safety, cleanliness and orderliness are completely
monitored and evaluated within the rating
3. Monitored pupils’ attendance, and ensure June- period.
10%
classroom’s safety, cleanliness and orderliness March * Attendance Notebook
* Checklist
* Evaluation Sheet
4
100% submission of complete and accurate
pupils’ progress.
1. Monitored, evaluated and maintained pupils’ June- (class record/grading sheet, graphical
5%
progress March presentation of test results, pupils’ profile, item
analysis report , Quarterly Summary of Final
2. Pupils’ Outcomes 30% Ratings) 5
2. Conducted remediation/enrichment/ June-
intervention program to improve performance 10% 100% implementation of the prepared
March
remediation/ enrichment/intervention program. 3
100% submission of school forms.
June-
3. Maintained updated pupils school record 5% ( SF1,SF2,Form 137, F137,STS)
March
5
: _____________________________________

TO BE FILLED DURING
EVALUATION AVE RATING SCORE
E T

5 5 5 1 1

3 5 4 0.3 0.4

4 5 4.33333 0.4 0.4333333

5 5 5 0.25 0.25

4 4 3.66667 0.3 0.3666667

5 5 5 5 0.25
4. Attained the required General Scholastic 100% attainment of the required General
June-
Average for the Grade Level at the end of the 10% Scholastic Average for the Grade Level at the end
March
School Year of the SY. 3
1. Conducted regular meetings/ 100% of regular meetings/conferences
conferences with parents Quarterly 4% were actively participated by parents
within the school year 5
3. Community 2. Conducted individual counselling 100% of students needing academic
Involvement with the parents of students Quarterly 3% monitoring/follow-up were properly
10% needing academic monitoring/ identified and counselled within a quarter
follow-up 4
3. Participated in projects, events, 100% of school projects, events and activities
Year
activies initiated/undertaken 3% initiated/undertaken by the school stakeholders
round
by the school stakeholders were actively participated within the time table 3
1. Prepared one action plan related to June
school work/activity within the year 2015- 5% Submitted one action plan with 100% project
4. Professional Feb. implementation within the given period of time.
Growth and 2016 2
Development 2. Joined/ participated in profesional June Actively involved in the activities/Programs
20% organizations/ club within the rating 2015- 10% of 3 professional organizations or club
period. Feb.
2016 4
3. Attended and apply In-Service Trainings May Attended and applied 4 Inset/ demonstration
(INSET)/Demonstration Lessons required 2015- 5% lessons and 7 professional meetings required by
by the principal and supervisor. March the principal and supervisor
2016 5
May
Received Deped recognized special awards
Received special awards/ recognition for 2015 -
5. Plus Factor 5% 5% categorized as National, Regional, Divisions,
exemplary performance within the year March
District and School level
2016 4
TOTAL 56
ADJECTIVAL RATINGS
RANGE ADJECTIVAL RATING
4.500-5.000 Outstanding
3.500-4.499 Very Satisfactory
2.500-3.499 Satisfactory
1.500-2.499 Unsatisfactory
Below 1.999 Poor
Approving Authority:

Rater Ratee Principal/ Schoo
3 5 3.66667 0.4 0.3666667

1 5 3.66667 0.16 0.1466667

4 5 4.33333 0.12 0.13

4 4 3.66667 0.12 0.11

2 1 1.66667 0.25 0.0833333

4 4 4 0.4 0.4

5 5 5 0.25 0.25

4 4 4 0.05 0.2
53 62 57 9 4.1866667

3.69
VS

Approving Authority:

Principal/ School Head