OFFICE / INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

Name of Employee : DIANE L. VERGARA Name of Rater JULIUS A. VILLAVICENCIO, Ed. D.

Position: Teacher I Position PRINCIPAL I
Review Period: June 2017-April 2018 Date of Review
Region/Division : IV-A CALABARZON/ BATANGAS
District/School: AGONCILLO/ BANYAGA NATIONAL HIGH SCHOOL
TO BE FILLED IN DURING PLANNING TO BE FILLED IN DURING EVALUATION
PERFORMANCE INDICATORS RATING
MFOs

KRAs

WEIGHT ACTUAL
OBJECTIVES MOVs TIMELINE SCORE
PER KRA (QUALITY, EFFICIENCY, TIMELINESS) RESULTS Q E T AVE.
Teaching Learning
BASIC

5- Evidences showed that the teacher properly prepared 100 % of the well-prepared and prescribed
lesson plans/DLL using the proper format and 100 % of the competencies of the learning areas were
Prepared at least 100%
used/met in a school year
(140) Lesson Plans or Daily
4- Evidences showed that the teacher prepared 80%- 99% of the 140 prepared lesson plans/DLL using
Lesson Logs (DLLs) in
the proper format and the 100 % of the competencies of the learning areas were used/met in a school
subject/s taught using
Lesson Plans/DLL year
proper and appropriate
with Instructional June 2017 to 3- Evidences showed that the teacher prepared 60%-79% of the 140 prepared lesson plans/DLL per
1 format Q and all 10% 0.000 0.000
Materials April 2018 month using the proper format and some of the competencies of the learning areas were used/met in a
competencies of the
school year
learning areas were
2- Evidences showed that the teacher prepared 40%-59% of the 140 lesson plans/DLL using the proper
used/met E in a school year
format and competencies of the learning areas were used/met in a school year
T
1- Evidences showed that the teacher prepared 20%-39% and below of the 140 lesson plans/DLL
using proper format and competencies of the learning areas were used/met in a school year
EDUCATION SERVICES

5-Evidences showed that the teacher met all of the following expectations
Process (30%)

:• Achieved 75% CPL in every class to show mastery of the subject matter (Non negotiable)
Lesson Plans/ DLL
Demonstrated suitable •Implemented required curriculum per subject area all the time (Non negotiable)
with
content knowledge and its
application Q within and •Integrated lessons in other subject areas as reflected in DLL/LP 4 times a month
Instructional June 2017 to
2 across the curriculum E 10% •Engaged and sustained learner’s interest in the subject 4 times a week by making content meaningful 0.000 0.000
Materials April 2018
areas on actual daily to them
teaching T. 4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations

Lesson Plans/DLL
Facilitated learning in the 5- Facilitated learning in the asigned area utilizing 5 teaching approaches in whole year round
assigned subject area E Instructional 4- Facilitated learning in the asigned area utilizing 4 teaching approaches in whole year round
focusing on the different Materials June 2017 to 3- Facilitated learning in the asigned area utilizing 3 teaching approaches in whole year round
3 10% 0.000 0.000
teaching approaches (2C2I1R) April 2018 2- Facilitated learning in the asigned area utilizing 2 teaching approaches in whole year round
Q in whole year round T. Observation 1-Facilitated learning in the asigned area utilizing 1 teaching approach in whole year round
Forms/Sheets

Sub-Total 0.000

Page 1 of 318
BASIC EDUCATION

Students’ Outcomes (30%)
Properly monitored and
evaluated students’
progress Q through their
1 updated and complete
records or results of their
activities/discussions E
transpired quarterly T.
5- The teacher monitored and evaluated students’ progress through their updated and complete
Print out of records or results of their activities/discussions transpired daily with complete MOVs
Summary of 4- The teacher monitored and evaluated students’ progress through their updated and complete
Grades per Quarter records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
3- The teacher monitored and evaluated students’ progress through their updated and complete
June 2017 to
Daily Attendance 10% records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed 0.000 0.000
April 2018
Records per 2- The teacher monitored and evaluated students’ progress through their outdated and incomplete
Quarter records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
1- The teacher monitored and evaluated students’ progresss through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed

5- Evidences showed that the teacher met all the following expectations:
SERVICES

Analyzed/ validated
students’ learning outcomes Item Analysis • Prepared item analysis in respective subject area periodically
as basis for future reference • Analyzed and interpreted the result periodically
E and prepared appropriate Periodic Test • Made inventory of least mastered skills
intervention materials for Results • Provided intervention materials for the least mastered skills
2 10% 10% 4. Evidences showed that the teacher met 3 out of 4 expectations 0.000 0.000
the least mastered skill/s Q List of Students
five days after the test Intervention 3- Evidences showed that the teacher met 2 out of 4 expectations
Needing Remediation 2- Evidences showed that the teacher met 1 out of 4 expectations
administration T . Materials
1-The teacher did not meet any of the expectations
Enrichment Activities

5- 17 to 20 times of remediation activities were done in the whole school year

Conducted well-planned
remediation activities Q to
4- 13
students whom the teacher
to 16 times of remediation activities were done in the whole school year
foresees having difficulty in June 2017 to
3 10% 3- 9 to 12 times of remediation activities were done in 0.000
the subject they are teaching April 2018
the whole school year 2- 5
with complete documents E
to 8 times of remediation activities were done in the whole school year
monthly T.
1- 0 to 4 times of remediation activities were
Narrative Report and done in the whole school year
attendance during the
remediation Sub-Total 0.000
Conducted regular periodic
PTA meetings/ conferences Remediation/Enrichm
BASIC

as scheduled in the school ent Materials

calendar;Q supported with 5- The teacher conducted 4 PTA meetings/conferences with complete supporting documents(1.
complete documents E attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4. pictures) submitted two
Attendance Sheets
(attendance sheet, program days after the meeting/conference. 4- The teacher conducted 3 PTA
of the meeting, minutes of meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
Minutes of the
the meeting, and pictures) parents 3. minutes of the meeting and 4. pictures) submitted three days after the
Meeting
submitted two days after the meeting/conference. 3- The teacher conducted 2 PTA
June 2017 to
1 T meeting/conference. 5% meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of 0.000 0.000
Pictures April 2018
(*non-advisers/ special parents 3. minutes of the meeting and 4. pictures) submitted four days after the meeting/conference.
teachers may join the 2. The teacher conducted 1 PTA meeting/conference with complete
Testimonies of
teacher-adviser in the supporting documents (1. attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4.
Parents
conduct of the activity and pictures) submitted four days after the meeting/conference. 1- The
may serve as facilitator in teacher conducted 1 PTA meeting/conference without supporting documents submitted
any meeting in the
club/organization he/she is
into)
nity Involvement (15%)
CATION SERVICES

Page 2 of 318
 Community Involvement (15%)
EDUCATION SERVICES

5- Conducted home visits/parent-teacher conferences per semester to at least 5 parents/guardians with

Conducted well-
planned home visits/
parent- teacher conferences
Q per semester T to at least
5 parents/ guardians of
2 5%
students with academic
and/or behavioural
problems with complete
records submitted E
academic and/or behavioral problems with complete records submitted
4- Conducted home visits/parent-teacher conferences per semester to at least 4 parents/guardians
with academic and/or behavioral problems with complete records submitted
Home Visitation/
3- Conducted home visits/parent-teacher conferences per semester to at least 3 parents/guardians
Parent-Teacher June 2017 to
with academic and/or behavioral problems with complete records submitted 0.000 0.000
Conference Form April 2018
2- Conducted home visits/parent-teacher conferences per semester to at least 2 parents/guardians
Pictures
with academic and/or behavioral problems with complete records submitted
1- Conducted home visits/parent-teacher conferences per semester to at least 1 parents/guardians
with academic and/or behavioral problems with complete records submitted

Certificates
Participated in two (2) civic 5- Participated in two (2) civic activities in the community with complete documents (attendance,
activities in the community Attendance during certificates, narrative reports, pictures taken during the activity)
like coastal clean-up drive, the activity
community maintenance and May 2017 to 4- Participated in two (2) civic activities in the community with at least 3 supporting documents
3 5% 0.000 0.000
the like Q with complete Narrative April 2018
supporting documents E in Reports 3- Participated in one (2) civic activities in the community with at least 2 supporting documents
whole year round T . 2- Participated in one (2) civic activities in the community with at least 1 supporting document
Pictures 1- Participated in one (2) civic activiies in the community without supporting documents

Sub-Total 0.000

Pictures taken 5- Evidences showed that the teacher met all the following expectations:
during seminar • Certificate/s of Participation issued by the person in authority was received
attended • Served as demonstration teacher/facilitator
Partipated actively Q in at • Enhanced learning through attending professional seminars/ trainings with an accumulated 24 hours
least 5 trainings/seminars/ Certificates of in a year
May 2017 to
1 conferences E to ensure Participation 10% • Attended mentoring program/ INSET in the school at least twice a year 0.000 0.000
April 2018
Professional Growth And Development (20%)

professional growth yearly. 4- Evidences showed that the teacher met 3 out of 4 expectations
T Program of 3- Evidences showed that the teacher met 2 out of 4 expectations
BASIC EDUCATION SERVICES

Activities/Training 2- Evidences showed that the teacher met 1 out of 4 expectations

Matrix 1- The teacher did not meet any of the expectations

5- Received at least 1 recognition award from Division/Regional/National level to recognize

exemplary performance in a year
Certificates/
Received special 4- Received at least 1 Recognition award from the Area to recognize exemplary performance in a
Plaques or any
awards/citations/ recognitions year
mode of
from school level or higher May 2017 to 3- Received at least 1 Recognition award from the District to recognize exemplary performance in a
2 recognition 5% 0.000 0.000
levels E for exemplary April 2018 year
performance Q in a year T 2- Received at least 1 Recognition award from the school principal to recognize exemplary
Pictures
performance in a year
1- The teacher did not receive any award.

Page 3 of 318
 BAS

Professional
Conducted one (1) action
research/ CI E with complete research/
results Q and submitted on
3 due date T.
Copy of the finished
Intervention/
CIP (Continued All Year Round
Improvement
Program)- Stages 1,2
3 content and organization and the results were communicated, the plans were implemented with narrative
5 - A copy of the research was submitted a week before the due date with no errors in structure, content and
organization and the results were communicated, the plans were implemented with very well-prepared
narrative and pictorial report of accomplishment.
4 - A copy of the research was submitted 3 days before the due date with 1-5 errors in structure,
content and organization and the results were communicated, the plans were implemented with well-
prepared narrative and pictorial report of accomplishment.
3 - A copy of the research was submitted on the due date with
5% 6-10 errors in structure, content and organization and the results were communicated, the plans were 0.000 0.000
implemented with prepared narrative and pictorial report of accomplishment.
2 - A copy of the research was submitted 1-5 days after the due date with 11-15 errors in structure,
and pictorial report of accomplishment.
1 - A copy of the research was submitted 6 days and more after the due date
with 16 or more errors in structure, content and organization and the results were communicated, the plans
were implemented with narrative and pictorial report of accomplishment.

Sub-Total 0.000
BASIC EDUCATION SERVICES

5 - served as facilitator/trainer/coordinator/ chairman/ member in 5 and above

Served as facilitator / trainer training/seminars/ancillary services in any level within the school school year with complete
/coordinator/chairman of supporting documents
Plus Factor (5%)

committee in School and
other higher levels and
enthusiastically performed
other ancillary services Q with
complete supporting
documents E whole year
round T
Letter of Appointment 4 - served as facilitator/trainer/coordinator/ chairman/ member in 4 training/seminars/ancillary services
Certificate in any level within the school school year with complete supporting documents
of Recognition Year round 5% 3 - served as facilitator/trainer/coordinator/ chairman/ member in 3 training/seminars/ancillary services 0.000 0.000
in any level within the school school year with complete supporting documents
Memorandum 2 - served as facilitator/trainer/coordinator/ chairman/ member in 2 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
1 - served as facilitator/trainer/coordinator/ chairman/ member in a training/seminar/ancillary services
in any level within the school school year with complete supporting documents

Sub-Total 0.000

Total Rating/Average 100% TOTAL RATING 0.000

*To get the score, the rating is multiplied by the weight assigned ADJECTIVAL RATING

Page 4 of 318
Major Final Output Key Result Areas Rating

Teaching Learning Process (30%) 0.000

Students’ Outcomes (30%) 0.000
Community Involvement (15%) 0.000
Professional Growth And Development (20%) 0.000
Plus (5%) 0.000

Numerical Rating 0.000

Adjectival Rating

Rater: Approved:
Ratee:

DIANE L. VERGARA JULIUS A. VILLAVICENCIO, Ed. D

Teacher I Principal I

Page 5 of 318
 Category Description Range Adjectival Rating Scale Definition

The extent to which actual performance is compared 4.500- 5.000 Outstanding 5 Role Model
Effectiveness/Quality with targeted performance

The extent to which time or resources is used for the

intended task or purpose. Measures whether targets
are accomplished with a minimum amount or quantity
Consistently
of waste, expense, or unnecessary effort. 3.500 - 4.499 Very Satisfactory 4
Demonstrate
In management, efficiency relates to doing the things
right

Efficiency
Most of the
2.500 - 3.499 Satisfactory 3 time
demonstrate
Measures whether the deliverable was done on time
based on the requirements of the rules and regulations, Sometimes
Timeliness and/or clients/stakeholders. 1.500 - 2.499 Unsatisfactory 2
demonstrate
Time-related performance indicators evaluate such
things as project completion deadlines, time
management skills and other time-sensitive Rarely
1.499 & below Poor 1
expectations. demonstrate

Page 6 of 318
 OFFICE / INDIVIDUAL PERFORMA

Name of Employee : MELANI L. HIGUIT, Ed. D.

Position: Teacher III
Review Period: June 2017-April 2018
Region/Division : IV-A CALABARZON/ BATANGAS
District/School: AGONCILLO/ BANYAGA NATIONAL HIGH SCHOOL
TO BE FILLED IN DURING PLANNING
MFOs

KRAs

WEIGHT
OBJECTIVES MOVs TIMELINE
PER KRA
Teaching Learning
BASIC

Prepared at least 100%

(140) Lesson Plans or Daily
Lesson Logs (DLLs) in
subject/s taught using
Lesson Plans/DLL
proper and appropriate
with Instructional June 2017 to
1 format Q and all 10%
Materials April 2018
competencies of the
learning areas were
used/met E in a school year
T
EDUCATION SERVICES

Process (30%)

Lesson Plans/ DLL

Demonstrated suitable
with
content knowledge and its
application Q within and
Instructional June 2017 to
2 across the curriculum E 10%
Materials April 2018
areas on actual daily
teaching T.
 EDU
Lesson Plans/DLL
Facilitated learning in the
assigned subject area E Instructional
focusing on the different Materials June 2017 to
3 10%
teaching approaches (2C2I1R) April 2018
Q in whole year round T. Observation
Forms/Sheets
BASIC EDUCATION

Print out of
Students’ Outcomes (30%)

Properly monitored and Summary of

evaluated students’ Grades per Quarter
progress Q through their
June 2017 to
1 updated and complete Daily Attendance 10%
April 2018
records or results of their Records per
activities/discussions E Quarter
transpired quarterly T.
SERVICES

Analyzed/ validated
students’ learning outcomes Item Analysis
as basis for future reference
E and prepared appropriate Periodic Test
intervention materials for Results
2 10% 10%
the least mastered skill/s Q List of Students
five days after the test Intervention
Needing Remediation
administration T . Materials
Enrichment Activities

Conducted well-planned
remediation activities Q to
students whom the teacher
foresees having difficulty in June 2017 to
3 10%
the subject they are teaching April 2018
with complete documents E
monthly T.
Narrative Report and
attendance during the
remediation

Remediation/Enrichm
ent Materials
 Conducted regular periodic
PTA meetings/ conferences
BASIC

as scheduled in the school

calendar;Q supported with
complete documents E
Attendance Sheets
(attendance sheet, program
of the meeting, minutes of
Minutes of the
the meeting, and pictures)
Meeting
submitted two days after the
June 2017 to
1 T meeting/conference. 5%
Pictures April 2018
(*non-advisers/ special
teachers may join the
Testimonies of
teacher-adviser in the
Parents
conduct of the activity and
may serve as facilitator in
any meeting in the
club/organization he/she is
into)
Community Involvement (15%)
EDUCATION SERVICES

Conducted well-
planned home visits/
parent- teacher conferences
Q per semester T to at least Home Visitation/
5 parents/ guardians of Parent-Teacher June 2017 to
2 5%
students with academic Conference Form April 2018
and/or behavioural Pictures
problems with complete
records submitted E

Certificates
Participated in two (2) civic
activities in the community Attendance during
like coastal clean-up drive, the activity
community maintenance and May 2017 to
3 5%
the like Q with complete Narrative April 2018
supporting documents E in Reports
whole year round T .
Pictures
 Pictures taken
during seminar
attended
Partipated actively Q in at
least 5 trainings/seminars/ Certificates of
May 2017 to
1 conferences E to ensure Participation 10%
April 2018
Professional Growth And Development (20%)

professional growth yearly.

T Program of
BASIC EDUCATION SERVICES

Activities/Training
Matrix

Certificates/
Received special
Plaques or any
awards/citations/ recognitions
mode of
from school level or higher May 2017 to
2 recognition 5%
levels E for exemplary April 2018
performance Q in a year T
Pictures

Conducted one (1) action Copy of the finished

research/ CI E with complete research/
results Q and submitted on Intervention/
3 due date T. CIP (Continued All Year Round 5%
Improvement
Program)- Stages 1,2
3
 BASIC EDUCATION SERVICES

Served as facilitator / trainer

/coordinator/chairman of
Plus Factor (5%)

committee in School and Letter of Appointment

other higher levels and Certificate
enthusiastically performed of Recognition Year round 5%
other ancillary services Q with
complete supporting Memorandum
documents E whole year
round T

Total Rating/Average 100%

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

Major Final Output Key Result Areas

Teaching Learning Process

Students’ Outcomes (30
Community Involvement (
Professional Growth And Develop
Plus (5%)

Numerical Rating
Adjectival Rating

Rater:
Ratee:

MELANI L. HIGUIT, Ed. D.

Teacher III

Category Description

The extent to which time

actualorperformance
resources is is
used for the
compared
Effectiveness/Quality intended task or purpose.
with targeted performance Measures whether targets
are accomplished with a minimum amount or quantity
of waste, expense, or unnecessary effort.
In management, efficiency relates to doing the things
right
Efficiency

Measures whether the deliverable was done on time

based on the requirements of the rules and regulations,
Timeliness and/or clients/stakeholders.
Time-related performance indicators evaluate such
things as project completion deadlines, time
management skills and other time-sensitive
expectations.
IVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

D IN DURING PLANNING
PERFORMANCE INDICATORS

(QUALITY, EFFICIENCY, TIMELINESS)

5- Evidences showed that the teacher properly prepared 100 % of the well-prepared and prescribed
lesson plans/DLL using the proper format and 100 % of the competencies of the learning areas were
used/met in a school year
4- Evidences showed that the teacher prepared 80%- 99% of the 140 prepared lesson plans/DLL using
the proper format and the 100 % of the competencies of the learning areas were used/met in a school
year
3- Evidences showed that the teacher prepared 60%-79% of the 140 prepared lesson plans/DLL per
month using the proper format and some of the competencies of the learning areas were used/met in a
school year
2- Evidences showed that the teacher prepared 40%-59% of the 140 lesson plans/DLL using the proper
format and competencies of the learning areas were used/met in a school year
1- Evidences showed that the teacher prepared 20%-39% and below of the 140 lesson plans/DLL
using proper format and competencies of the learning areas were used/met in a school year

5-Evidences showed that the teacher met all of the following expectations
:• Achieved 75% CPL in every class to show mastery of the subject matter (Non negotiable)

•Implemented required curriculum per subject area all the time (Non negotiable)

•Integrated lessons in other subject areas as reflected in DLL/LP 4 times a month

•Engaged and sustained learner’s interest in the subject 4 times a week by making content meaningful
to them
4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations
5- Facilitated learning in the asigned area utilizing 5 teaching approaches in whole year round
4- Facilitated learning in the asigned area utilizing 4 teaching approaches in whole year round
3- Facilitated learning in the asigned area utilizing 3 teaching approaches in whole year round
2- Facilitated learning in the asigned area utilizing 2 teaching approaches in whole year round
1-Facilitated learning in the asigned area utilizing 1 teaching approach in whole year round

5- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/discussions transpired daily with complete MOVs
4- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
3- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed
2- The teacher monitored and evaluated students’ progress through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
1- The teacher monitored and evaluated students’ progresss through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed

5- Evidences showed that the teacher met all the following expectations:
• Prepared item analysis in respective subject area periodically
• Analyzed and interpreted the result periodically
• Made inventory of least mastered skills
• Provided intervention materials for the least mastered skills
4. Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1-The teacher did not meet any of the expectations

5- 17 to 20 times of remediation activities were done in the whole school year

4- 13
to 16 times of remediation activities were done in the whole school year
3- 9 to 12 times of remediation activities were done in
the whole school year 2- 5
to 8 times of remediation activities were done in the whole school year
1- 0 to 4 times of remediation activities were
done in the whole school year
 5- The teacher conducted 4 PTA meetings/conferences with complete supporting documents(1.
attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4. pictures) submitted two
days after the meeting/conference. 4- The teacher conducted 3 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
parents 3. minutes of the meeting and 4. pictures) submitted three days after the
meeting/conference. 3- The teacher conducted 2 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
parents 3. minutes of the meeting and 4. pictures) submitted four days after the meeting/conference.
2. The teacher conducted 1 PTA meeting/conference with complete
supporting documents (1. attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4.
pictures) submitted four days after the meeting/conference. 1- The
teacher conducted 1 PTA meeting/conference without supporting documents submitted

5- Conducted home visits/parent-teacher conferences per semester to at least 5 parents/guardians with

academic and/or behavioral problems with complete records submitted
4- Conducted home visits/parent-teacher conferences per semester to at least 4 parents/guardians
with academic and/or behavioral problems with complete records submitted
3- Conducted home visits/parent-teacher conferences per semester to at least 3 parents/guardians
with academic and/or behavioral problems with complete records submitted
2- Conducted home visits/parent-teacher conferences per semester to at least 2 parents/guardians
with academic and/or behavioral problems with complete records submitted
1- Conducted home visits/parent-teacher conferences per semester to at least 1 parents/guardians
with academic and/or behavioral problems with complete records submitted

5- Participated in two (2) civic activities in the community with complete documents (attendance,
certificates, narrative reports, pictures taken during the activity)

4- Participated in two (2) civic activities in the community with at least 3 supporting documents

3- Participated in one (2) civic activities in the community with at least 2 supporting documents
2- Participated in one (2) civic activities in the community with at least 1 supporting document
1- Participated in one (2) civic activiies in the community without supporting documents
 5- Evidences showed that the teacher met all the following expectations:
• Certificate/s of Participation issued by the person in authority was received
• Served as demonstration teacher/facilitator
• Enhanced learning through attending professional seminars/ trainings with an accumulated 24 hours
in a year
• Attended mentoring program/ INSET in the school at least twice a year
4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations

5- Received at least 1 recognition award from Division/Regional/National level to recognize

exemplary performance in a year
4- Received at least 1 Recognition award from the Area to recognize exemplary performance in a
year
3- Received at least 1 Recognition award from the District to recognize exemplary performance in a
year
2- Received at least 1 Recognition award from the school principal to recognize exemplary
performance in a year
1- The teacher did not receive any award.

5 - A copy of the research was submitted a week before the due date with no errors in structure, content and
organization and the results were communicated, the plans were implemented with very well-prepared
narrative and pictorial report of accomplishment.
4 - A copy of the research was submitted 3 days before the due date with 1-5 errors in structure,
content and organization and the results were communicated, the plans were implemented with well-
prepared narrative and pictorial report of accomplishment.
3 - A copy of the research was submitted on the due date with
6-10 errors in structure, content and organization and the results were communicated, the plans were
implemented with prepared narrative and pictorial report of accomplishment.
2 - A copy of the research was submitted 1-5 days after the due date with 11-15 errors in structure,
content and organization and the results were communicated, the plans were implemented with narrative
and pictorial report of accomplishment.
1 - A copy of the research was submitted 6 days and more after the due date
with 16 or more errors in structure, content and organization and the results were communicated, the plans
were implemented with narrative and pictorial report of accomplishment.
 5 - served as facilitator/trainer/coordinator/ chairman/ member in 5 and above
training/seminars/ancillary services in any level within the school school year with complete
supporting documents
4 - served as facilitator/trainer/coordinator/ chairman/ member in 4 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
3 - served as facilitator/trainer/coordinator/ chairman/ member in 3 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
2 - served as facilitator/trainer/coordinator/ chairman/ member in 2 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
1 - served as facilitator/trainer/coordinator/ chairman/ member in a training/seminar/ancillary services
in any level within the school school year with complete supporting documents

TOTAL RATING

ADJECTIVAL RATING

Key Result Areas

Teaching Learning Process (30%)

Students’ Outcomes (30%)
Community Involvement (15%)
ssional Growth And Development (20%)
Plus (5%)

JULIUS A. VILLAVICENCIO, Ed. D

 Principal I

s is is
nce used for the
compared
whether targets
mount or quantity
fort.
doing the things

as done on time
es and regulations,

evaluate such
es, time
nsitive
Name of Rater JULIUS A. VILLAVICENCIO, Ed. D.
Position PRINCIPAL I
Date of Review

TO BE FILLED IN DURING EVALUATION

RATING
ACTUAL
SCORE
RESULTS Q E T AVE.

0.000 0.000

0.000 0.000
 0.000 0.000

Sub-Total 0.000

0.000 0.000

0.000 0.000

0.000

Sub-Total 0.000
 0.000 0.000

0.000 0.000

0.000 0.000

Sub-Total 0.000
 0.000 0.000

0.000 0.000

0.000 0.000

Sub-Total 0.000
 0.000 0.000

Sub-Total 0.000

0.000

Rating

0.000
0.000
0.000
0.000
0.000

0.000

Approved:
 Range Adjectival Rating Scale Definition

4.500- 5.000 Outstanding 5 Role Model

Consistently
3.500 - 4.499 Very Satisfactory 4
Demonstrate

Most of the
2.500 - 3.499 Satisfactory 3 time
demonstrate

Sometimes
1.500 - 2.499 Unsatisfactory 2
demonstrate

Rarely
1.499 & below Poor 1
demonstrate
 OFFICE / INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

Name of Employee : NATALIA C. PORDUNZALAN Name of Rater ELLEN P. TOLDANES

Position: Teacher III Position PRINCIPAL I
Review Period: June 2018-October 2018 Date of Review
Region/Division : IV-A CALABARZON/ BATANGAS
District/School: AGONCILLO/ BANYAGA NATIONAL HIGH SCHOOL
TO BE FILLED IN DURING PLANNING TO BE FILLED IN DURING EVALUATION
PERFORMANCE INDICATORS RATING
MFOs

KRAs

WEIGHT ACTUAL
OBJECTIVES MOVs TIMELINE SCORE
PER KRA (QUALITY, EFFICIENCY, TIMELINESS) RESULTS Q E T AVE.
Teaching Learning
BASIC

5- Evidences showed that the teacher properly prepared 100 % of the well-prepared and prescribed
lesson plans/DLL using the proper format and 100 % of the competencies of the learning areas were
Prepared at least 100%
used/met in a school year
(140) Lesson Plans or Daily
4- Evidences showed that the teacher prepared 80%- 99% of the 140 prepared lesson plans/DLL using
Lesson Logs (DLLs) in
the proper format and the 100 % of the competencies of the learning areas were used/met in a school
subject/s taught using
Lesson Plans/DLL year
proper and appropriate
with Instructional June 2017 to 3- Evidences showed that the teacher prepared 60%-79% of the 140 prepared lesson plans/DLL per
1 format Q and all 10% 0.000 0.000
Materials April 2018 month using the proper format and some of the competencies of the learning areas were used/met in a
competencies of the
school year
learning areas were
2- Evidences showed that the teacher prepared 40%-59% of the 140 lesson plans/DLL using the proper
used/met E in a school year
format and competencies of the learning areas were used/met in a school year
T
1- Evidences showed that the teacher prepared 20%-39% and below of the 140 lesson plans/DLL
using proper format and competencies of the learning areas were used/met in a school year
EDUCATION SERVICES

5-Evidences showed that the teacher met all of the following expectations
Process (30%)

:• Achieved 75% CPL in every class to show mastery of the subject matter (Non negotiable)
Lesson Plans/ DLL
Demonstrated suitable •Implemented required curriculum per subject area all the time (Non negotiable)
with
content knowledge and its
application Q within and •Integrated lessons in other subject areas as reflected in DLL/LP 4 times a month
Instructional June 2017 to
2 across the curriculum E 10% •Engaged and sustained learner’s interest in the subject 4 times a week by making content meaningful 0.000 0.000
Materials April 2018
areas on actual daily to them
teaching T. 4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations
 Proces
EDUCATIO

Lesson Plans/DLL
Facilitated learning in the 5- Facilitated learning in the asigned area utilizing 5 teaching approaches in whole year round
assigned subject area E Instructional 4- Facilitated learning in the asigned area utilizing 4 teaching approaches in whole year round
focusing on the different Materials June 2017 to 3- Facilitated learning in the asigned area utilizing 3 teaching approaches in whole year round
3 10% 0.000 0.000
teaching approaches (2C2I1R) April 2018 2- Facilitated learning in the asigned area utilizing 2 teaching approaches in whole year round
Q in whole year round T. Observation 1-Facilitated learning in the asigned area utilizing 1 teaching approach in whole year round
Forms/Sheets

Sub-Total 0.000
BASIC EDUCATION

5- The teacher monitored and evaluated students’ progress through their updated and complete
Students’ Outcomes (30%)

Properly monitored and
evaluated students’
progress Q through their
1 updated and complete
records or results of their
activities/discussions E
transpired quarterly T.
Print out of records or results of their activities/discussions transpired daily with complete MOVs
Summary of 4- The teacher monitored and evaluated students’ progress through their updated and complete
Grades per Quarter records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
3- The teacher monitored and evaluated students’ progress through their updated and complete
June 2017 to
Daily Attendance 10% records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed 0.000 0.000
April 2018
Records per 2- The teacher monitored and evaluated students’ progress through their outdated and incomplete
Quarter records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
1- The teacher monitored and evaluated students’ progresss through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed

5- Evidences showed that the teacher met all the following expectations:
SERVICES

Analyzed/ validated
students’ learning outcomes Item Analysis • Prepared item analysis in respective subject area periodically
as basis for future reference • Analyzed and interpreted the result periodically
E and prepared appropriate Periodic Test • Made inventory of least mastered skills
intervention materials for Results • Provided intervention materials for the least mastered skills
2 10% 10% 4. Evidences showed that the teacher met 3 out of 4 expectations 0.000 0.000
the least mastered skill/s Q List of Students
five days after the test Intervention 3- Evidences showed that the teacher met 2 out of 4 expectations
Needing Remediation 2- Evidences showed that the teacher met 1 out of 4 expectations
administration T . Materials
1-The teacher did not meet any of the expectations
Enrichment Activities

5- 17 to 20 times of remediation activities were done in the whole school year

Conducted well-planned
remediation activities Q to
4- 13
students whom the teacher
to 16 times of remediation activities were done in the whole school year
foresees having difficulty in June 2017 to
3 10% 3- 9 to 12 times of remediation activities were done in 0.000
the subject they are teaching April 2018
the whole school year 2- 5
with complete documents E
to 8 times of remediation activities were done in the whole school year
monthly T.
1- 0 to 4 times of remediation activities were
Narrative Report and done in the whole school year
attendance during the
remediation Sub-Total 0.000

Remediation/Enrichm
ent Materials
 Conducted regular periodic
PTA meetings/ conferences
BASIC
as scheduled in the school
calendar;Q supported with
complete documents E
(attendance sheet, program
of the meeting, minutes of
the meeting, and pictures)
submitted two days after the
1 T meeting/conference.
(*non-advisers/ special
teachers may join the
teacher-adviser in the
conduct of the activity and
may serve as facilitator in
any meeting in the
club/organization he/she is
into)
Community Involvement (15%)
EDUCATION SERVICES
Conducted well-
planned home visits/
parent- teacher conferences
Q per semester T to at least
5 parents/ guardians of
2 5%
students with academic
and/or behavioural
problems with complete
records submitted E
Participated in two (2) civic
activities in the community
like coastal clean-up drive,
community maintenance and
3 5%
the like Q with complete
supporting documents E in
whole year round T .
5- The teacher conducted 4 PTA meetings/conferences with complete supporting documents(1.
attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4. pictures) submitted two
Attendance Sheets
days after the meeting/conference. 4- The teacher conducted 3 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
Minutes of the
parents 3. minutes of the meeting and 4. pictures) submitted three days after the
Meeting
meeting/conference. 3- The teacher conducted 2 PTA
June 2017 to
5% meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of 0.000 0.000
Pictures April 2018
parents 3. minutes of the meeting and 4. pictures) submitted four days after the meeting/conference.
2. The teacher conducted 1 PTA meeting/conference with complete
Testimonies of
supporting documents (1. attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4.
Parents
pictures) submitted four days after the meeting/conference. 1- The
teacher conducted 1 PTA meeting/conference without supporting documents submitted
5- Conducted home visits/parent-teacher conferences per semester to at least 5 parents/guardians with
academic and/or behavioral problems with complete records submitted
4- Conducted home visits/parent-teacher conferences per semester to at least 4 parents/guardians
with academic and/or behavioral problems with complete records submitted
Home Visitation/
3- Conducted home visits/parent-teacher conferences per semester to at least 3 parents/guardians
Parent-Teacher June 2017 to
with academic and/or behavioral problems with complete records submitted 0.000 0.000
Conference Form April 2018
2- Conducted home visits/parent-teacher conferences per semester to at least 2 parents/guardians
Pictures
with academic and/or behavioral problems with complete records submitted
1- Conducted home visits/parent-teacher conferences per semester to at least 1 parents/guardians
with academic and/or behavioral problems with complete records submitted
Certificates
5- Participated in two (2) civic activities in the community with complete documents (attendance,
Attendance during certificates, narrative reports, pictures taken during the activity)
the activity
May 2017 to 4- Participated in two (2) civic activities in the community with at least 3 supporting documents
0.000 0.000
Narrative April 2018
Reports 3- Participated in one (2) civic activities in the community with at least 2 supporting documents
2- Participated in one (2) civic activities in the community with at least 1 supporting document
Pictures 1- Participated in one (2) civic activiies in the community without supporting documents
Sub-Total 0.000
 Pictures taken 5- Evidences showed that the teacher met all the following expectations:
during seminar • Certificate/s of Participation issued by the person in authority was received
attended • Served as demonstration teacher/facilitator
Partipated actively Q in at • Enhanced learning through attending professional seminars/ trainings with an accumulated 24 hours
least 5 trainings/seminars/ Certificates of in a year
May 2017 to
1 conferences E to ensure Participation 10% • Attended mentoring program/ INSET in the school at least twice a year 0.000 0.000
Professional Growth And Development (20%)

April 2018
professional growth yearly. 4- Evidences showed that the teacher met 3 out of 4 expectations
BASIC EDUCATION SERVICES

T Program of 3- Evidences showed that the teacher met 2 out of 4 expectations

Activities/Training 2- Evidences showed that the teacher met 1 out of 4 expectations
Matrix 1- The teacher did not meet any of the expectations

5- Received at least 1 recognition award from Division/Regional/National level to recognize

exemplary performance in a year
Certificates/
Received special 4- Received at least 1 Recognition award from the Area to recognize exemplary performance in a
Plaques or any
awards/citations/ recognitions year
mode of
from school level or higher May 2017 to 3- Received at least 1 Recognition award from the District to recognize exemplary performance in a
2 recognition 5% 0.000 0.000
levels E for exemplary April 2018 year
performance Q in a year T 2- Received at least 1 Recognition award from the school principal to recognize exemplary
Pictures
performance in a year
1- The teacher did not receive any award.

Conducted one (1) action Copy of the finished
research/ CI E with complete research/
results Q and submitted on Intervention/
3 due date T. CIP (Continued All Year Round
Improvement
Program)- Stages 1,2
3 content and organization and the results were communicated, the plans were implemented with narrative
5 - A copy of the research was submitted a week before the due date with no errors in structure, content and
organization and the results were communicated, the plans were implemented with very well-prepared
narrative and pictorial report of accomplishment.
4 - A copy of the research was submitted 3 days before the due date with 1-5 errors in structure,
content and organization and the results were communicated, the plans were implemented with well-
prepared narrative and pictorial report of accomplishment.
3 - A copy of the research was submitted on the due date with
5% 6-10 errors in structure, content and organization and the results were communicated, the plans were 0.000 0.000
implemented with prepared narrative and pictorial report of accomplishment.
2 - A copy of the research was submitted 1-5 days after the due date with 11-15 errors in structure,
and pictorial report of accomplishment.
1 - A copy of the research was submitted 6 days and more after the due date
with 16 or more errors in structure, content and organization and the results were communicated, the plans
were implemented with narrative and pictorial report of accomplishment.

Sub-Total 0.000
 BASIC EDUCATION SERVICES

5 - served as facilitator/trainer/coordinator/ chairman/ member in 5 and above

Served as facilitator / trainer training/seminars/ancillary services in any level within the school school year with complete
/coordinator/chairman of supporting documents
Plus Factor (5%)

committee in School and
other higher levels and
enthusiastically performed
other ancillary services Q with
complete supporting
documents E whole year
round T
Letter of Appointment 4 - served as facilitator/trainer/coordinator/ chairman/ member in 4 training/seminars/ancillary services
Certificate in any level within the school school year with complete supporting documents
of Recognition Year round 5% 3 - served as facilitator/trainer/coordinator/ chairman/ member in 3 training/seminars/ancillary services 0.000 0.000
in any level within the school school year with complete supporting documents
Memorandum 2 - served as facilitator/trainer/coordinator/ chairman/ member in 2 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
1 - served as facilitator/trainer/coordinator/ chairman/ member in a training/seminar/ancillary services
in any level within the school school year with complete supporting documents

Sub-Total 0.000

Total Rating/Average 100% TOTAL RATING 0.000

*To get the score, the rating is multiplied by the weight assigned ADJECTIVAL RATING

Major Final Output Key Result Areas Rating

Teaching Learning Process (30%) 0.000

Students’ Outcomes (30%) 0.000
Community Involvement (15%) 0.000
Professional Growth And Development (20%) 0.000
Plus (5%) 0.000

Numerical Rating 0.000

Adjectival Rating

Rater: Approved:
Ratee:

NATALIA C. PORDUNZALAN ELLEN P. TOLDANES

Teacher III Principal I

 Category Description Range Adjectival Rating Scale Definition

The extent to which time

actualorperformance
resources is is
used for the
compared 4.500- 5.000 Outstanding 5 Role Model
Effectiveness/Quality intended task performance
with targeted or purpose. Measures whether targets
are accomplished with a minimum amount or quantity
of waste, expense, or unnecessary effort.
In management, efficiency relates to doing the things Consistently
3.500 - 4.499 Very Satisfactory 4
right Demonstrate
Efficiency
Most of the
2.500 - 3.499 Satisfactory 3 time
demonstrate
Measures whether the deliverable was done on time
based on the requirements of the rules and regulations, Sometimes
Timeliness and/or clients/stakeholders. 1.500 - 2.499 Unsatisfactory 2
demonstrate
Time-related performance indicators evaluate such
things as project completion deadlines, time
management skills and other time-sensitive Rarely
1.499 & below Poor 1
expectations. demonstrate
 OFFICE / INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

Name of Employee : BRIGIDA M. ORTIZ Name of Rater ELLEN P. TOLDANES

Position: Teacher III Position PRINCIPAL I
Review Period: June 2018-October 2018 Date of Review
Region/Division : IV-A CALABARZON/ BATANGAS
District/School: AGONCILLO/ BANYAGA NATIONAL HIGH SCHOOL
TO BE FILLED IN DURING PLANNING TO BE FILLED IN DURING EVALUATION
PERFORMANCE INDICATORS RATING
MFOs

KRAs

WEIGHT ACTUAL
OBJECTIVES MOVs TIMELINE SCORE
PER KRA (QUALITY, EFFICIENCY, TIMELINESS) RESULTS Q E T AVE.
Teaching Learning
BASIC

5- Evidences showed that the teacher properly prepared 100 % of the well-prepared and prescribed
lesson plans/DLL using the proper format and 100 % of the competencies of the learning areas were
Prepared at least 100%
used/met in a school year
(140) Lesson Plans or Daily
4- Evidences showed that the teacher prepared 80%- 99% of the 140 prepared lesson plans/DLL using
Lesson Logs (DLLs) in
the proper format and the 100 % of the competencies of the learning areas were used/met in a school
subject/s taught using
Lesson Plans/DLL year
proper and appropriate
with Instructional June 2017 to 3- Evidences showed that the teacher prepared 60%-79% of the 140 prepared lesson plans/DLL per
1 format Q and all 10% 0.000 0.000
Materials April 2018 month using the proper format and some of the competencies of the learning areas were used/met in a
competencies of the
school year
learning areas were
2- Evidences showed that the teacher prepared 40%-59% of the 140 lesson plans/DLL using the proper
used/met E in a school year
format and competencies of the learning areas were used/met in a school year
T
1- Evidences showed that the teacher prepared 20%-39% and below of the 140 lesson plans/DLL
using proper format and competencies of the learning areas were used/met in a school year
EDUCATION SERVICES

5-Evidences showed that the teacher met all of the following expectations
Process (30%)

:• Achieved 75% CPL in every class to show mastery of the subject matter (Non negotiable)
Lesson Plans/ DLL
Demonstrated suitable •Implemented required curriculum per subject area all the time (Non negotiable)
with
content knowledge and its
application Q within and •Integrated lessons in other subject areas as reflected in DLL/LP 4 times a month
Instructional June 2017 to
2 across the curriculum E 10% •Engaged and sustained learner’s interest in the subject 4 times a week by making content meaningful 0.000 0.000
Materials April 2018
areas on actual daily to them
teaching T. 4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations
 Proces
EDUCATIO

Lesson Plans/DLL
Facilitated learning in the 5- Facilitated learning in the asigned area utilizing 5 teaching approaches in whole year round
assigned subject area E Instructional 4- Facilitated learning in the asigned area utilizing 4 teaching approaches in whole year round
focusing on the different Materials June 2017 to 3- Facilitated learning in the asigned area utilizing 3 teaching approaches in whole year round
3 10% 0.000 0.000
teaching approaches (2C2I1R) April 2018 2- Facilitated learning in the asigned area utilizing 2 teaching approaches in whole year round
Q in whole year round T. Observation 1-Facilitated learning in the asigned area utilizing 1 teaching approach in whole year round
Forms/Sheets

Sub-Total 0.000
BASIC EDUCATION

5- The teacher monitored and evaluated students’ progress through their updated and complete
Students’ Outcomes (30%)

Properly monitored and
evaluated students’
progress Q through their
1 updated and complete
records or results of their
activities/discussions E
transpired quarterly T.
Print out of records or results of their activities/discussions transpired daily with complete MOVs
Summary of 4- The teacher monitored and evaluated students’ progress through their updated and complete
Grades per Quarter records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
3- The teacher monitored and evaluated students’ progress through their updated and complete
June 2017 to
Daily Attendance 10% records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed 0.000 0.000
April 2018
Records per 2- The teacher monitored and evaluated students’ progress through their outdated and incomplete
Quarter records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
1- The teacher monitored and evaluated students’ progresss through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed

5- Evidences showed that the teacher met all the following expectations:
SERVICES

Analyzed/ validated
students’ learning outcomes Item Analysis • Prepared item analysis in respective subject area periodically
as basis for future reference • Analyzed and interpreted the result periodically
E and prepared appropriate Periodic Test • Made inventory of least mastered skills
intervention materials for Results • Provided intervention materials for the least mastered skills
2 10% 10% 4. Evidences showed that the teacher met 3 out of 4 expectations 0.000 0.000
the least mastered skill/s Q List of Students
five days after the test Intervention 3- Evidences showed that the teacher met 2 out of 4 expectations
Needing Remediation 2- Evidences showed that the teacher met 1 out of 4 expectations
administration T . Materials
1-The teacher did not meet any of the expectations
Enrichment Activities

5- 17 to 20 times of remediation activities were done in the whole school year

Conducted well-planned
remediation activities Q to
4- 13
students whom the teacher
to 16 times of remediation activities were done in the whole school year
foresees having difficulty in June 2017 to
3 10% 3- 9 to 12 times of remediation activities were done in 0.000
the subject they are teaching April 2018
the whole school year 2- 5
with complete documents E
to 8 times of remediation activities were done in the whole school year
monthly T.
1- 0 to 4 times of remediation activities were
Narrative Report and done in the whole school year
attendance during the
remediation Sub-Total 0.000

Remediation/Enrichm
ent Materials
 Conducted regular periodic
PTA meetings/ conferences
BASIC
as scheduled in the school
calendar;Q supported with
complete documents E
(attendance sheet, program
of the meeting, minutes of
the meeting, and pictures)
submitted two days after the
1 T meeting/conference.
(*non-advisers/ special
teachers may join the
teacher-adviser in the
conduct of the activity and
may serve as facilitator in
any meeting in the
club/organization he/she is
into)
Community Involvement (15%)
EDUCATION SERVICES
Conducted well-
planned home visits/
parent- teacher conferences
Q per semester T to at least
5 parents/ guardians of
2 5%
students with academic
and/or behavioural
problems with complete
records submitted E
Participated in two (2) civic
activities in the community
like coastal clean-up drive,
community maintenance and
3 5%
the like Q with complete
supporting documents E in
whole year round T .
5- The teacher conducted 4 PTA meetings/conferences with complete supporting documents(1.
attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4. pictures) submitted two
Attendance Sheets
days after the meeting/conference. 4- The teacher conducted 3 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
Minutes of the
parents 3. minutes of the meeting and 4. pictures) submitted three days after the
Meeting
meeting/conference. 3- The teacher conducted 2 PTA
June 2017 to
5% meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of 0.000 0.000
Pictures April 2018
parents 3. minutes of the meeting and 4. pictures) submitted four days after the meeting/conference.
2. The teacher conducted 1 PTA meeting/conference with complete
Testimonies of
supporting documents (1. attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4.
Parents
pictures) submitted four days after the meeting/conference. 1- The
teacher conducted 1 PTA meeting/conference without supporting documents submitted
5- Conducted home visits/parent-teacher conferences per semester to at least 5 parents/guardians with
academic and/or behavioral problems with complete records submitted
4- Conducted home visits/parent-teacher conferences per semester to at least 4 parents/guardians
with academic and/or behavioral problems with complete records submitted
Home Visitation/
3- Conducted home visits/parent-teacher conferences per semester to at least 3 parents/guardians
Parent-Teacher June 2017 to
with academic and/or behavioral problems with complete records submitted 0.000 0.000
Conference Form April 2018
2- Conducted home visits/parent-teacher conferences per semester to at least 2 parents/guardians
Pictures
with academic and/or behavioral problems with complete records submitted
1- Conducted home visits/parent-teacher conferences per semester to at least 1 parents/guardians
with academic and/or behavioral problems with complete records submitted
Certificates
5- Participated in two (2) civic activities in the community with complete documents (attendance,
Attendance during certificates, narrative reports, pictures taken during the activity)
the activity
May 2017 to 4- Participated in two (2) civic activities in the community with at least 3 supporting documents
0.000 0.000
Narrative April 2018
Reports 3- Participated in one (2) civic activities in the community with at least 2 supporting documents
2- Participated in one (2) civic activities in the community with at least 1 supporting document
Pictures 1- Participated in one (2) civic activiies in the community without supporting documents
Sub-Total 0.000
 Pictures taken 5- Evidences showed that the teacher met all the following expectations:
during seminar • Certificate/s of Participation issued by the person in authority was received
attended • Served as demonstration teacher/facilitator
Partipated actively Q in at • Enhanced learning through attending professional seminars/ trainings with an accumulated 24 hours
least 5 trainings/seminars/ Certificates of in a year
May 2017 to
1 conferences E to ensure Participation 10% • Attended mentoring program/ INSET in the school at least twice a year 0.000 0.000
Professional Growth And Development (20%)

April 2018
professional growth yearly. 4- Evidences showed that the teacher met 3 out of 4 expectations
BASIC EDUCATION SERVICES

T Program of 3- Evidences showed that the teacher met 2 out of 4 expectations

Activities/Training 2- Evidences showed that the teacher met 1 out of 4 expectations
Matrix 1- The teacher did not meet any of the expectations

5- Received at least 1 recognition award from Division/Regional/National level to recognize

exemplary performance in a year
Certificates/
Received special 4- Received at least 1 Recognition award from the Area to recognize exemplary performance in a
Plaques or any
awards/citations/ recognitions year
mode of
from school level or higher May 2017 to 3- Received at least 1 Recognition award from the District to recognize exemplary performance in a
2 recognition 5% 0.000 0.000
levels E for exemplary April 2018 year
performance Q in a year T 2- Received at least 1 Recognition award from the school principal to recognize exemplary
Pictures
performance in a year
1- The teacher did not receive any award.

Conducted one (1) action Copy of the finished
research/ CI E with complete research/
results Q and submitted on Intervention/
3 due date T. CIP (Continued All Year Round
Improvement
Program)- Stages 1,2
3 content and organization and the results were communicated, the plans were implemented with narrative
5 - A copy of the research was submitted a week before the due date with no errors in structure, content and
organization and the results were communicated, the plans were implemented with very well-prepared
narrative and pictorial report of accomplishment.
4 - A copy of the research was submitted 3 days before the due date with 1-5 errors in structure,
content and organization and the results were communicated, the plans were implemented with well-
prepared narrative and pictorial report of accomplishment.
3 - A copy of the research was submitted on the due date with
5% 6-10 errors in structure, content and organization and the results were communicated, the plans were 0.000 0.000
implemented with prepared narrative and pictorial report of accomplishment.
2 - A copy of the research was submitted 1-5 days after the due date with 11-15 errors in structure,
and pictorial report of accomplishment.
1 - A copy of the research was submitted 6 days and more after the due date
with 16 or more errors in structure, content and organization and the results were communicated, the plans
were implemented with narrative and pictorial report of accomplishment.

Sub-Total 0.000
 BASIC EDUCATION SERVICES

5 - served as facilitator/trainer/coordinator/ chairman/ member in 5 and above

Served as facilitator / trainer training/seminars/ancillary services in any level within the school school year with complete
/coordinator/chairman of supporting documents
Plus Factor (5%)

committee in School and
other higher levels and
enthusiastically performed
other ancillary services Q with
complete supporting
documents E whole year
round T
Letter of Appointment 4 - served as facilitator/trainer/coordinator/ chairman/ member in 4 training/seminars/ancillary services
Certificate in any level within the school school year with complete supporting documents
of Recognition Year round 5% 3 - served as facilitator/trainer/coordinator/ chairman/ member in 3 training/seminars/ancillary services 0.000 0.000
in any level within the school school year with complete supporting documents
Memorandum 2 - served as facilitator/trainer/coordinator/ chairman/ member in 2 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
1 - served as facilitator/trainer/coordinator/ chairman/ member in a training/seminar/ancillary services
in any level within the school school year with complete supporting documents

Sub-Total 0.000

Total Rating/Average 100% TOTAL RATING 0.000

*To get the score, the rating is multiplied by the weight assigned ADJECTIVAL RATING

Major Final Output Key Result Areas Rating

Teaching Learning Process (30%) 0.000

Students’ Outcomes (30%) 0.000
Community Involvement (15%) 0.000
Professional Growth And Development (20%) 0.000
Plus (5%) 0.000

Numerical Rating 0.000

Adjectival Rating

Rater: Approved:
Ratee:

BRIGIDA M. ORTIZ ELLEN P. TOLDANES

Teacher III Principal I

 Category Description Range Adjectival Rating Scale Definition

The extent to which time

actualorperformance
resources is is
used for the
compared 4.500- 5.000 Outstanding 5 Role Model
Effectiveness/Quality intended task performance
with targeted or purpose. Measures whether targets
are accomplished with a minimum amount or quantity
of waste, expense, or unnecessary effort.
In management, efficiency relates to doing the things Consistently
3.500 - 4.499 Very Satisfactory 4
right Demonstrate
Efficiency
Most of the
2.500 - 3.499 Satisfactory 3 time
demonstrate
Measures whether the deliverable was done on time
based on the requirements of the rules and regulations, Sometimes
Timeliness and/or clients/stakeholders. 1.500 - 2.499 Unsatisfactory 2
demonstrate
Time-related performance indicators evaluate such
things as project completion deadlines, time
management skills and other time-sensitive Rarely
1.499 & below Poor 1
expectations. demonstrate
 OFFICE / INDIVIDUAL PERFORMA

Name of Employee : TERESITA M. ANDAL

Position: Teacher II
Review Period: June 2017-April 2018
Region/Division : IV-A CALABARZON/ BATANGAS
District/School: AGONCILLO/ BANYAGA NATIONAL HIGH SCHOOL
TO BE FILLED IN DURING PLANNING
MFOs

KRAs

WEIGHT
OBJECTIVES MOVs TIMELINE
PER KRA
Teaching Learning
BASIC

Prepared at least 100%

(140) Lesson Plans or Daily
Lesson Logs (DLLs) in
subject/s taught using
Lesson Plans/DLL
proper and appropriate
with Instructional June 2017 to
1 format Q and all 10%
Materials April 2018
competencies of the
learning areas were
used/met E in a school year
T
EDUCATION SERVICES

Process (30%)

Lesson Plans/ DLL

Demonstrated suitable
with
content knowledge and its
application Q within and
Instructional June 2017 to
2 across the curriculum E 10%
Materials April 2018
areas on actual daily
teaching T.
 EDU
Lesson Plans/DLL
Facilitated learning in the
assigned subject area E Instructional
focusing on the different Materials June 2017 to
3 10%
teaching approaches (2C2I1R) April 2018
Q in whole year round T. Observation
Forms/Sheets
BASIC EDUCATION

Print out of
Students’ Outcomes (30%)

Properly monitored and Summary of

evaluated students’ Grades per Quarter
progress Q through their
June 2017 to
1 updated and complete Daily Attendance 10%
April 2018
records or results of their Records per
activities/discussions E Quarter
transpired quarterly T.
SERVICES

Analyzed/ validated
students’ learning outcomes Item Analysis
as basis for future reference
E and prepared appropriate Periodic Test
intervention materials for Results
2 10% 10%
the least mastered skill/s Q List of Students
five days after the test Intervention
Needing Remediation
administration T . Materials
Enrichment Activities

Conducted well-planned
remediation activities Q to
students whom the teacher
foresees having difficulty in June 2017 to
3 10%
the subject they are teaching April 2018
with complete documents E
monthly T.
Narrative Report and
attendance during the
remediation

Remediation/Enrichm
ent Materials
 Conducted regular periodic
PTA meetings/ conferences
BASIC

as scheduled in the school

calendar;Q supported with
complete documents E
Attendance Sheets
(attendance sheet, program
of the meeting, minutes of
Minutes of the
the meeting, and pictures)
Meeting
submitted two days after the
June 2017 to
1 T meeting/conference. 5%
Pictures April 2018
(*non-advisers/ special
teachers may join the
Testimonies of
teacher-adviser in the
Parents
conduct of the activity and
may serve as facilitator in
any meeting in the
club/organization he/she is
into)
Community Involvement (15%)
EDUCATION SERVICES

Conducted well-
planned home visits/
parent- teacher conferences
Q per semester T to at least Home Visitation/
5 parents/ guardians of Parent-Teacher June 2017 to
2 5%
students with academic Conference Form April 2018
and/or behavioural Pictures
problems with complete
records submitted E

Certificates
Participated in two (2) civic
activities in the community Attendance during
like coastal clean-up drive, the activity
community maintenance and May 2017 to
3 5%
the like Q with complete Narrative April 2018
supporting documents E in Reports
whole year round T .
Pictures
 Pictures taken
during seminar
attended
Partipated actively Q in at
least 5 trainings/seminars/ Certificates of
May 2017 to
1 conferences E to ensure Participation 10%
April 2018
Professional Growth And Development (20%)

professional growth yearly.

T Program of
BASIC EDUCATION SERVICES

Activities/Training
Matrix

Certificates/
Received special
Plaques or any
awards/citations/ recognitions
mode of
from school level or higher May 2017 to
2 recognition 5%
levels E for exemplary April 2018
performance Q in a year T
Pictures

Conducted one (1) action Copy of the finished

research/ CI E with complete research/
results Q and submitted on Intervention/
3 due date T. CIP (Continued All Year Round 5%
Improvement
Program)- Stages 1,2
3
 BASIC EDUCATION SERVICES

Served as facilitator / trainer

/coordinator/chairman of
Plus Factor (5%)

committee in School and Letter of Appointment

other higher levels and Certificate
enthusiastically performed of Recognition Year round 5%
other ancillary services Q with
complete supporting Memorandum
documents E whole year
round T

Total Rating/Average 100%

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

Major Final Output Key Result Areas

Teaching Learning Process

Students’ Outcomes (30
Community Involvement (
Professional Growth And Develop
Plus (5%)

Numerical Rating
Adjectival Rating

Rater:
Ratee:

TERESITA M. ANDAL
 Teacher II

Category Description

The extent to which time

Effectiveness/Quality
Efficiency
actualorperformance
resources is is
used for the
compared
intended task or purpose.
with targeted performance Measures whether targets
are accomplished with a minimum amount or quantity
of waste, expense, or unnecessary effort.
In management, efficiency relates to doing the things
right

Measures whether the deliverable was done on time

based on the requirements of the rules and regulations,
Timeliness and/or clients/stakeholders.
Time-related performance indicators evaluate such
things as project completion deadlines, time
management skills and other time-sensitive
expectations.
IVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

D IN DURING PLANNING
PERFORMANCE INDICATORS

(QUALITY, EFFICIENCY, TIMELINESS)

5- Evidences showed that the teacher properly prepared 100 % of the well-prepared and prescribed
lesson plans/DLL using the proper format and 100 % of the competencies of the learning areas were
used/met in a school year
4- Evidences showed that the teacher prepared 80%- 99% of the 140 prepared lesson plans/DLL using
the proper format and the 100 % of the competencies of the learning areas were used/met in a school
year
3- Evidences showed that the teacher prepared 60%-79% of the 140 prepared lesson plans/DLL per
month using the proper format and some of the competencies of the learning areas were used/met in a
school year
2- Evidences showed that the teacher prepared 40%-59% of the 140 lesson plans/DLL using the proper
format and competencies of the learning areas were used/met in a school year
1- Evidences showed that the teacher prepared 20%-39% and below of the 140 lesson plans/DLL
using proper format and competencies of the learning areas were used/met in a school year

5-Evidences showed that the teacher met all of the following expectations
:• Achieved 75% CPL in every class to show mastery of the subject matter (Non negotiable)

•Implemented required curriculum per subject area all the time (Non negotiable)

•Integrated lessons in other subject areas as reflected in DLL/LP 4 times a month

•Engaged and sustained learner’s interest in the subject 4 times a week by making content meaningful
to them
4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations
5- Facilitated learning in the asigned area utilizing 5 teaching approaches in whole year round
4- Facilitated learning in the asigned area utilizing 4 teaching approaches in whole year round
3- Facilitated learning in the asigned area utilizing 3 teaching approaches in whole year round
2- Facilitated learning in the asigned area utilizing 2 teaching approaches in whole year round
1-Facilitated learning in the asigned area utilizing 1 teaching approach in whole year round

5- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/discussions transpired daily with complete MOVs
4- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
3- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed
2- The teacher monitored and evaluated students’ progress through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
1- The teacher monitored and evaluated students’ progresss through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed

5- Evidences showed that the teacher met all the following expectations:
• Prepared item analysis in respective subject area periodically
• Analyzed and interpreted the result periodically
• Made inventory of least mastered skills
• Provided intervention materials for the least mastered skills
4. Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1-The teacher did not meet any of the expectations

5- 17 to 20 times of remediation activities were done in the whole school year

4- 13
to 16 times of remediation activities were done in the whole school year
3- 9 to 12 times of remediation activities were done in
the whole school year 2- 5
to 8 times of remediation activities were done in the whole school year
1- 0 to 4 times of remediation activities were
done in the whole school year
 5- The teacher conducted 4 PTA meetings/conferences with complete supporting documents(1.
attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4. pictures) submitted two
days after the meeting/conference. 4- The teacher conducted 3 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
parents 3. minutes of the meeting and 4. pictures) submitted three days after the
meeting/conference. 3- The teacher conducted 2 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
parents 3. minutes of the meeting and 4. pictures) submitted four days after the meeting/conference.
2. The teacher conducted 1 PTA meeting/conference with complete
supporting documents (1. attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4.
pictures) submitted four days after the meeting/conference. 1- The
teacher conducted 1 PTA meeting/conference without supporting documents submitted

5- Conducted home visits/parent-teacher conferences per semester to at least 5 parents/guardians with

academic and/or behavioral problems with complete records submitted
4- Conducted home visits/parent-teacher conferences per semester to at least 4 parents/guardians
with academic and/or behavioral problems with complete records submitted
3- Conducted home visits/parent-teacher conferences per semester to at least 3 parents/guardians
with academic and/or behavioral problems with complete records submitted
2- Conducted home visits/parent-teacher conferences per semester to at least 2 parents/guardians
with academic and/or behavioral problems with complete records submitted
1- Conducted home visits/parent-teacher conferences per semester to at least 1 parents/guardians
with academic and/or behavioral problems with complete records submitted

5- Participated in two (2) civic activities in the community with complete documents (attendance,
certificates, narrative reports, pictures taken during the activity)

4- Participated in two (2) civic activities in the community with at least 3 supporting documents

3- Participated in one (2) civic activities in the community with at least 2 supporting documents
2- Participated in one (2) civic activities in the community with at least 1 supporting document
1- Participated in one (2) civic activiies in the community without supporting documents
 5- Evidences showed that the teacher met all the following expectations:
• Certificate/s of Participation issued by the person in authority was received
• Served as demonstration teacher/facilitator
• Enhanced learning through attending professional seminars/ trainings with an accumulated 24 hours
in a year
• Attended mentoring program/ INSET in the school at least twice a year
4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations

5- Received at least 1 recognition award from Division/Regional/National level to recognize

exemplary performance in a year
4- Received at least 1 Recognition award from the Area to recognize exemplary performance in a
year
3- Received at least 1 Recognition award from the District to recognize exemplary performance in a
year
2- Received at least 1 Recognition award from the school principal to recognize exemplary
performance in a year
1- The teacher did not receive any award.

5 - A copy of the research was submitted a week before the due date with no errors in structure, content and
organization and the results were communicated, the plans were implemented with very well-prepared
narrative and pictorial report of accomplishment.
4 - A copy of the research was submitted 3 days before the due date with 1-5 errors in structure,
content and organization and the results were communicated, the plans were implemented with well-
prepared narrative and pictorial report of accomplishment.
3 - A copy of the research was submitted on the due date with
6-10 errors in structure, content and organization and the results were communicated, the plans were
implemented with prepared narrative and pictorial report of accomplishment.
2 - A copy of the research was submitted 1-5 days after the due date with 11-15 errors in structure,
content and organization and the results were communicated, the plans were implemented with narrative
and pictorial report of accomplishment.
1 - A copy of the research was submitted 6 days and more after the due date
with 16 or more errors in structure, content and organization and the results were communicated, the plans
were implemented with narrative and pictorial report of accomplishment.
 5 - served as facilitator/trainer/coordinator/ chairman/ member in 5 and above
training/seminars/ancillary services in any level within the school school year with complete
supporting documents
4 - served as facilitator/trainer/coordinator/ chairman/ member in 4 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
3 - served as facilitator/trainer/coordinator/ chairman/ member in 3 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
2 - served as facilitator/trainer/coordinator/ chairman/ member in 2 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
1 - served as facilitator/trainer/coordinator/ chairman/ member in a training/seminar/ancillary services
in any level within the school school year with complete supporting documents

TOTAL RATING

ADJECTIVAL RATING

Key Result Areas

Teaching Learning Process (30%)

Students’ Outcomes (30%)
Community Involvement (15%)
ssional Growth And Development (20%)
Plus (5%)

Rater:

JULIUS A. VILLAVICENCIO, Ed. D

 Principal I

s is is
nce used for the
compared
whether targets
mount or quantity
fort.
doing the things

as done on time
es and regulations,

evaluate such
es, time
nsitive
Name of Rater JULIUS A. VILLAVICENCIO, Ed. D.
Position PRINCIPAL I
Date of Review

TO BE FILLED IN DURING EVALUATION

RATING
ACTUAL
SCORE
RESULTS Q E T AVE.

0.000 0.000

0.000 0.000
 0.000 0.000

Sub-Total 0.000

0.000 0.000

0.000 0.000

0.000

Sub-Total 0.000
 0.000 0.000

0.000 0.000

0.000 0.000

Sub-Total 0.000
 0.000 0.000

0.000 0.000

0.000 0.000

Sub-Total 0.000
 0.000 0.000

Sub-Total 0.000

0.000

Rating

0.000
0.000
0.000
0.000
0.000

0.000

Approved:
 Range Adjectival Rating Scale Definition

4.500- 5.000 Outstanding 5 Role Model

Consistently
3.500 - 4.499 Very Satisfactory 4
Demonstrate

Most of the
2.500 - 3.499 Satisfactory 3 time
demonstrate

Sometimes
1.500 - 2.499 Unsatisfactory 2
demonstrate

Rarely
1.499 & below Poor 1
demonstrate
 OFFICE / INDIVIDUAL PERFORMA

Name of Employee : JUBERT C. MORTEL

Position: Teacher I
Review Period: June 2017-April 2018
Region/Division : IV-A CALABARZON/ BATANGAS
District/School: AGONCILLO/ BANYAGA NATIONAL HIGH SCHOOL
TO BE FILLED IN DURING PLANNING
MFOs

KRAs

WEIGHT
OBJECTIVES MOVs TIMELINE
PER KRA
Teaching Learning
BASIC

Prepared at least 100%

(140) Lesson Plans or Daily
Lesson Logs (DLLs) in
subject/s taught using
Lesson Plans/DLL
proper and appropriate
with Instructional June 2017 to
1 format Q and all 10%
Materials April 2018
competencies of the
learning areas were
used/met E in a school year
T
EDUCATION SERVICES

Process (30%)

Lesson Plans/ DLL

Demonstrated suitable
with
content knowledge and its
application Q within and
Instructional June 2017 to
2 across the curriculum E 10%
Materials April 2018
areas on actual daily
teaching T.
 EDU
Lesson Plans/DLL
Facilitated learning in the
assigned subject area E Instructional
focusing on the different Materials June 2017 to
3 10%
teaching approaches (2C2I1R) April 2018
Q in whole year round T. Observation
Forms/Sheets
BASIC EDUCATION

Print out of
Students’ Outcomes (30%)

Properly monitored and Summary of

evaluated students’ Grades per Quarter
progress Q through their
June 2017 to
1 updated and complete Daily Attendance 10%
April 2018
records or results of their Records per
activities/discussions E Quarter
transpired quarterly T.
SERVICES

Analyzed/ validated
students’ learning outcomes Item Analysis
as basis for future reference
E and prepared appropriate Periodic Test
intervention materials for Results
2 10% 10%
the least mastered skill/s Q List of Students
five days after the test Intervention
Needing Remediation
administration T . Materials
Enrichment Activities

Conducted well-planned
remediation activities Q to
students whom the teacher
foresees having difficulty in June 2017 to
3 10%
the subject they are teaching April 2018
with complete documents E
monthly T.
Narrative Report and
attendance during the
remediation

Remediation/Enrichm
ent Materials
 Conducted regular periodic
PTA meetings/ conferences
BASIC

as scheduled in the school

calendar;Q supported with
complete documents E
Attendance Sheets
(attendance sheet, program
of the meeting, minutes of
Minutes of the
the meeting, and pictures)
Meeting
submitted two days after the
June 2017 to
1 T meeting/conference. 5%
Pictures April 2018
(*non-advisers/ special
teachers may join the
Testimonies of
teacher-adviser in the
Parents
conduct of the activity and
may serve as facilitator in
any meeting in the
club/organization he/she is
into)
Community Involvement (15%)
EDUCATION SERVICES

Conducted well-
planned home visits/
parent- teacher conferences
Q per semester T to at least Home Visitation/
5 parents/ guardians of Parent-Teacher June 2017 to
2 5%
students with academic Conference Form April 2018
and/or behavioural Pictures
problems with complete
records submitted E

Certificates
Participated in two (2) civic
activities in the community Attendance during
like coastal clean-up drive, the activity
community maintenance and May 2017 to
3 5%
the like Q with complete Narrative April 2018
supporting documents E in Reports
whole year round T .
Pictures
 Pictures taken
during seminar
attended
Partipated actively Q in at
least 5 trainings/seminars/ Certificates of
May 2017 to
1 conferences E to ensure Participation 10%
April 2018
Professional Growth And Development (20%)

professional growth yearly.

T Program of
BASIC EDUCATION SERVICES

Activities/Training
Matrix

Certificates/
Received special
Plaques or any
awards/citations/ recognitions
mode of
from school level or higher May 2017 to
2 recognition 5%
levels E for exemplary April 2018
performance Q in a year T
Pictures

Conducted one (1) action Copy of the finished

research/ CI E with complete research/
results Q and submitted on Intervention/
3 due date T. CIP (Continued All Year Round 5%
Improvement
Program)- Stages 1,2
3
 BASIC EDUCATION SERVICES

Served as facilitator / trainer

/coordinator/chairman of
Plus Factor (5%)

committee in School and Letter of Appointment

other higher levels and Certificate
enthusiastically performed of Recognition Year round 5%
other ancillary services Q with
complete supporting Memorandum
documents E whole year
round T

Total Rating/Average 100%

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

Major Final Output Key Result Areas

Teaching Learning Process

Students’ Outcomes (30
Community Involvement (
Professional Growth And Develop
Plus (5%)

Numerical Rating
Adjectival Rating

Rater:
Ratee:

JUBERT C. MORTEL
 Teacher I

Category Description

The extent to which actual performance is compared

Effectiveness/Quality with targeted performance

The extent to which time or resources is used for the

intended task or purpose. Measures whether targets
are accomplished with a minimum amount or quantity
of waste, expense, or unnecessary effort.
In management, efficiency relates to doing the things
right

Efficiency

Measures whether the deliverable was done on time

based on the requirements of the rules and regulations,
Timeliness and/or clients/stakeholders.
Time-related performance indicators evaluate such
things as project completion deadlines, time
management skills and other time-sensitive
expectations.
IVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

D IN DURING PLANNING
PERFORMANCE INDICATORS

(QUALITY, EFFICIENCY, TIMELINESS)

5- Evidences showed that the teacher properly prepared 100 % of the well-prepared and prescribed
lesson plans/DLL using the proper format and 100 % of the competencies of the learning areas were
used/met in a school year
4- Evidences showed that the teacher prepared 80%- 99% of the 140 prepared lesson plans/DLL using
the proper format and the 100 % of the competencies of the learning areas were used/met in a school
year
3- Evidences showed that the teacher prepared 60%-79% of the 140 prepared lesson plans/DLL per
month using the proper format and some of the competencies of the learning areas were used/met in a
school year
2- Evidences showed that the teacher prepared 40%-59% of the 140 lesson plans/DLL using the proper
format and competencies of the learning areas were used/met in a school year
1- Evidences showed that the teacher prepared 20%-39% and below of the 140 lesson plans/DLL
using proper format and competencies of the learning areas were used/met in a school year

5-Evidences showed that the teacher met all of the following expectations
:• Achieved 75% CPL in every class to show mastery of the subject matter (Non negotiable)

•Implemented required curriculum per subject area all the time (Non negotiable)

•Integrated lessons in other subject areas as reflected in DLL/LP 4 times a month

•Engaged and sustained learner’s interest in the subject 4 times a week by making content meaningful
to them
4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations
5- Facilitated learning in the asigned area utilizing 5 teaching approaches in whole year round
4- Facilitated learning in the asigned area utilizing 4 teaching approaches in whole year round
3- Facilitated learning in the asigned area utilizing 3 teaching approaches in whole year round
2- Facilitated learning in the asigned area utilizing 2 teaching approaches in whole year round
1-Facilitated learning in the asigned area utilizing 1 teaching approach in whole year round

5- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/discussions transpired daily with complete MOVs
4- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
3- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed
2- The teacher monitored and evaluated students’ progress through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
1- The teacher monitored and evaluated students’ progresss through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed

5- Evidences showed that the teacher met all the following expectations:
• Prepared item analysis in respective subject area periodically
• Analyzed and interpreted the result periodically
• Made inventory of least mastered skills
• Provided intervention materials for the least mastered skills
4. Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1-The teacher did not meet any of the expectations

5- 17 to 20 times of remediation activities were done in the whole school year

4- 13
to 16 times of remediation activities were done in the whole school year
3- 9 to 12 times of remediation activities were done in
the whole school year 2- 5
to 8 times of remediation activities were done in the whole school year
1- 0 to 4 times of remediation activities were
done in the whole school year
 5- The teacher conducted 4 PTA meetings/conferences with complete supporting documents(1.
attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4. pictures) submitted two
days after the meeting/conference. 4- The teacher conducted 3 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
parents 3. minutes of the meeting and 4. pictures) submitted three days after the
meeting/conference. 3- The teacher conducted 2 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
parents 3. minutes of the meeting and 4. pictures) submitted four days after the meeting/conference.
2. The teacher conducted 1 PTA meeting/conference with complete
supporting documents (1. attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4.
pictures) submitted four days after the meeting/conference. 1- The
teacher conducted 1 PTA meeting/conference without supporting documents submitted

5- Conducted home visits/parent-teacher conferences per semester to at least 5 parents/guardians with

academic and/or behavioral problems with complete records submitted
4- Conducted home visits/parent-teacher conferences per semester to at least 4 parents/guardians
with academic and/or behavioral problems with complete records submitted
3- Conducted home visits/parent-teacher conferences per semester to at least 3 parents/guardians
with academic and/or behavioral problems with complete records submitted
2- Conducted home visits/parent-teacher conferences per semester to at least 2 parents/guardians
with academic and/or behavioral problems with complete records submitted
1- Conducted home visits/parent-teacher conferences per semester to at least 1 parents/guardians
with academic and/or behavioral problems with complete records submitted

5- Participated in two (2) civic activities in the community with complete documents (attendance,
certificates, narrative reports, pictures taken during the activity)

4- Participated in two (2) civic activities in the community with at least 3 supporting documents

3- Participated in one (2) civic activities in the community with at least 2 supporting documents
2- Participated in one (2) civic activities in the community with at least 1 supporting document
1- Participated in one (2) civic activiies in the community without supporting documents
 5- Evidences showed that the teacher met all the following expectations:
• Certificate/s of Participation issued by the person in authority was received
• Served as demonstration teacher/facilitator
• Enhanced learning through attending professional seminars/ trainings with an accumulated 24 hours
in a year
• Attended mentoring program/ INSET in the school at least twice a year
4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations

5- Received at least 1 recognition award from Division/Regional/National level to recognize

exemplary performance in a year
4- Received at least 1 Recognition award from the Area to recognize exemplary performance in a
year
3- Received at least 1 Recognition award from the District to recognize exemplary performance in a
year
2- Received at least 1 Recognition award from the school principal to recognize exemplary
performance in a year
1- The teacher did not receive any award.

5 - A copy of the research was submitted a week before the due date with no errors in structure, content and
organization and the results were communicated, the plans were implemented with very well-prepared
narrative and pictorial report of accomplishment.
4 - A copy of the research was submitted 3 days before the due date with 1-5 errors in structure,
content and organization and the results were communicated, the plans were implemented with well-
prepared narrative and pictorial report of accomplishment.
3 - A copy of the research was submitted on the due date with
6-10 errors in structure, content and organization and the results were communicated, the plans were
implemented with prepared narrative and pictorial report of accomplishment.
2 - A copy of the research was submitted 1-5 days after the due date with 11-15 errors in structure,
content and organization and the results were communicated, the plans were implemented with narrative
and pictorial report of accomplishment.
1 - A copy of the research was submitted 6 days and more after the due date
with 16 or more errors in structure, content and organization and the results were communicated, the plans
were implemented with narrative and pictorial report of accomplishment.
 5 - served as facilitator/trainer/coordinator/ chairman/ member in 5 and above
training/seminars/ancillary services in any level within the school school year with complete
supporting documents
4 - served as facilitator/trainer/coordinator/ chairman/ member in 4 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
3 - served as facilitator/trainer/coordinator/ chairman/ member in 3 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
2 - served as facilitator/trainer/coordinator/ chairman/ member in 2 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
1 - served as facilitator/trainer/coordinator/ chairman/ member in a training/seminar/ancillary services
in any level within the school school year with complete supporting documents

TOTAL RATING

ADJECTIVAL RATING

Key Result Areas

Teaching Learning Process (30%)

Students’ Outcomes (30%)
Community Involvement (15%)
ssional Growth And Development (20%)
Plus (5%)

Rater:

JULIUS A. VILLAVICENCIO, Ed. D

 Principal I

nce is compared

s is used for the

whether targets
mount or quantity
fort.
doing the things

as done on time
es and regulations,

evaluate such
es, time
nsitive
Name of Rater JULIUS A. VILLAVICENCIO, Ed. D.
Position PRINCIPAL I
Date of Review

TO BE FILLED IN DURING EVALUATION

RATING
ACTUAL
SCORE
RESULTS Q E T AVE.

0.000 0.000

0.000 0.000
 0.000 0.000

Sub-Total 0.000

0.000 0.000

0.000 0.000

0.000

Sub-Total 0.000
 0.000 0.000

0.000 0.000

0.000 0.000

Sub-Total 0.000
 0.000 0.000

0.000 0.000

0.000 0.000

Sub-Total 0.000
 0.000 0.000

Sub-Total 0.000

0.000

Rating

0.000
0.000
0.000
0.000
0.000

0.000

Approved:
 Range Adjectival Rating Scale Definition

4.500- 5.000 Outstanding 5 Role Model

Consistently
3.500 - 4.499 Very Satisfactory 4
Demonstrate

Most of the
2.500 - 3.499 Satisfactory 3 time
demonstrate

Sometimes
1.500 - 2.499 Unsatisfactory 2
demonstrate

Rarely
1.499 & below Poor 1
demonstrate
 OFFICE / INDIVIDUAL PERFORMA

Name of Employee : JUVY D. REYES

Position: Teacher I
Review Period: June 2017-April 2018
Region/Division : IV-A CALABARZON/ BATANGAS
District/School: AGONCILLO/ BANYAGA NATIONAL HIGH SCHOOL
TO BE FILLED IN DURING PLANNING
MFOs

KRAs

WEIGHT
OBJECTIVES MOVs TIMELINE
PER KRA
Teaching Learning
BASIC

Prepared at least 100%

(140) Lesson Plans or Daily
Lesson Logs (DLLs) in
subject/s taught using
Lesson Plans/DLL
proper and appropriate
with Instructional June 2017 to
1 format Q and all 10%
Materials April 2018
competencies of the
learning areas were
used/met E in a school year
T
EDUCATION SERVICES

Process (30%)

Lesson Plans/ DLL

Demonstrated suitable
with
content knowledge and its
application Q within and
Instructional June 2017 to
2 across the curriculum E 10%
Materials April 2018
areas on actual daily
teaching T.
 EDU
Lesson Plans/DLL
Facilitated learning in the
assigned subject area E Instructional
focusing on the different Materials June 2017 to
3 10%
teaching approaches (2C2I1R) April 2018
Q in whole year round T. Observation
Forms/Sheets
BASIC EDUCATION

Print out of
Students’ Outcomes (30%)

Properly monitored and Summary of

evaluated students’ Grades per Quarter
progress Q through their
June 2017 to
1 updated and complete Daily Attendance 10%
April 2018
records or results of their Records per
activities/discussions E Quarter
transpired quarterly T.
SERVICES

Analyzed/ validated
students’ learning outcomes Item Analysis
as basis for future reference
E and prepared appropriate Periodic Test
intervention materials for Results
2 10% 10%
the least mastered skill/s Q List of Students
five days after the test Intervention
Needing Remediation
administration T . Materials
Enrichment Activities

Conducted well-planned
remediation activities Q to
students whom the teacher
foresees having difficulty in June 2017 to
3 10%
the subject they are teaching April 2018
with complete documents E
monthly T.
Narrative Report and
attendance during the
remediation

Remediation/Enrichm
ent Materials
 Conducted regular periodic
PTA meetings/ conferences
BASIC

as scheduled in the school

calendar;Q supported with
complete documents E
Attendance Sheets
(attendance sheet, program
of the meeting, minutes of
Minutes of the
the meeting, and pictures)
Meeting
submitted two days after the
June 2017 to
1 T meeting/conference. 5%
Pictures April 2018
(*non-advisers/ special
teachers may join the
Testimonies of
teacher-adviser in the
Parents
conduct of the activity and
may serve as facilitator in
any meeting in the
club/organization he/she is
into)
Community Involvement (15%)
EDUCATION SERVICES

Conducted well-
planned home visits/
parent- teacher conferences
Q per semester T to at least Home Visitation/
5 parents/ guardians of Parent-Teacher June 2017 to
2 5%
students with academic Conference Form April 2018
and/or behavioural Pictures
problems with complete
records submitted E

Certificates
Participated in two (2) civic
activities in the community Attendance during
like coastal clean-up drive, the activity
community maintenance and May 2017 to
3 5%
the like Q with complete Narrative April 2018
supporting documents E in Reports
whole year round T .
Pictures
 Pictures taken
during seminar
attended
Partipated actively Q in at
least 5 trainings/seminars/ Certificates of
May 2017 to
1 conferences E to ensure Participation 10%
April 2018
Professional Growth And Development (20%)

professional growth yearly.

T Program of
BASIC EDUCATION SERVICES

Activities/Training
Matrix

Certificates/
Received special
Plaques or any
awards/citations/ recognitions
mode of
from school level or higher May 2017 to
2 recognition 5%
levels E for exemplary April 2018
performance Q in a year T
Pictures

Conducted one (1) action Copy of the finished

research/ CI E with complete research/
results Q and submitted on Intervention/
3 due date T. CIP (Continued All Year Round 5%
Improvement
Program)- Stages 1,2
3
 BASIC EDUCATION SERVICES

Served as facilitator / trainer

/coordinator/chairman of
Plus Factor (5%)

committee in School and Letter of Appointment

other higher levels and Certificate
enthusiastically performed of Recognition Year round 5%
other ancillary services Q with
complete supporting Memorandum
documents E whole year
round T

Total Rating/Average 100%

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

Major Final Output Key Result Areas

Teaching Learning Process

Students’ Outcomes (30
Community Involvement (
Professional Growth And Develop
Plus (5%)

Numerical Rating
Adjectival Rating

Rater:
Ratee:

JUVY D. REYES
 Teacher I

Category Description

The extent to which actual performance is compared

Effectiveness/Quality with targeted performance

The extent to which time or resources is used for the

intended task or purpose. Measures whether targets
are accomplished with a minimum amount or quantity
of waste, expense, or unnecessary effort.
In management, efficiency relates to doing the things
right

Efficiency

Measures whether the deliverable was done on time

based on the requirements of the rules and regulations,
Timeliness and/or clients/stakeholders.
Time-related performance indicators evaluate such
things as project completion deadlines, time
management skills and other time-sensitive
expectations.
IVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

D IN DURING PLANNING
PERFORMANCE INDICATORS

(QUALITY, EFFICIENCY, TIMELINESS)

5- Evidences showed that the teacher properly prepared 100 % of the well-prepared and prescribed
lesson plans/DLL using the proper format and 100 % of the competencies of the learning areas were
used/met in a school year
4- Evidences showed that the teacher prepared 80%- 99% of the 140 prepared lesson plans/DLL using
the proper format and the 100 % of the competencies of the learning areas were used/met in a school
year
3- Evidences showed that the teacher prepared 60%-79% of the 140 prepared lesson plans/DLL per
month using the proper format and some of the competencies of the learning areas were used/met in a
school year
2- Evidences showed that the teacher prepared 40%-59% of the 140 lesson plans/DLL using the proper
format and competencies of the learning areas were used/met in a school year
1- Evidences showed that the teacher prepared 20%-39% and below of the 140 lesson plans/DLL
using proper format and competencies of the learning areas were used/met in a school year

5-Evidences showed that the teacher met all of the following expectations
:• Achieved 75% CPL in every class to show mastery of the subject matter (Non negotiable)

•Implemented required curriculum per subject area all the time (Non negotiable)

•Integrated lessons in other subject areas as reflected in DLL/LP 4 times a month

•Engaged and sustained learner’s interest in the subject 4 times a week by making content meaningful
to them
4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations
5- Facilitated learning in the asigned area utilizing 5 teaching approaches in whole year round
4- Facilitated learning in the asigned area utilizing 4 teaching approaches in whole year round
3- Facilitated learning in the asigned area utilizing 3 teaching approaches in whole year round
2- Facilitated learning in the asigned area utilizing 2 teaching approaches in whole year round
1-Facilitated learning in the asigned area utilizing 1 teaching approach in whole year round

5- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/discussions transpired daily with complete MOVs
4- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
3- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed
2- The teacher monitored and evaluated students’ progress through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
1- The teacher monitored and evaluated students’ progresss through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed

5- Evidences showed that the teacher met all the following expectations:
• Prepared item analysis in respective subject area periodically
• Analyzed and interpreted the result periodically
• Made inventory of least mastered skills
• Provided intervention materials for the least mastered skills
4. Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1-The teacher did not meet any of the expectations

5- 17 to 20 times of remediation activities were done in the whole school year

4- 13
to 16 times of remediation activities were done in the whole school year
3- 9 to 12 times of remediation activities were done in
the whole school year 2- 5
to 8 times of remediation activities were done in the whole school year
1- 0 to 4 times of remediation activities were
done in the whole school year
 5- The teacher conducted 4 PTA meetings/conferences with complete supporting documents(1.
attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4. pictures) submitted two
days after the meeting/conference. 4- The teacher conducted 3 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
parents 3. minutes of the meeting and 4. pictures) submitted three days after the
meeting/conference. 3- The teacher conducted 2 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
parents 3. minutes of the meeting and 4. pictures) submitted four days after the meeting/conference.
2. The teacher conducted 1 PTA meeting/conference with complete
supporting documents (1. attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4.
pictures) submitted four days after the meeting/conference. 1- The
teacher conducted 1 PTA meeting/conference without supporting documents submitted

5- Conducted home visits/parent-teacher conferences per semester to at least 5 parents/guardians with

academic and/or behavioral problems with complete records submitted
4- Conducted home visits/parent-teacher conferences per semester to at least 4 parents/guardians
with academic and/or behavioral problems with complete records submitted
3- Conducted home visits/parent-teacher conferences per semester to at least 3 parents/guardians
with academic and/or behavioral problems with complete records submitted
2- Conducted home visits/parent-teacher conferences per semester to at least 2 parents/guardians
with academic and/or behavioral problems with complete records submitted
1- Conducted home visits/parent-teacher conferences per semester to at least 1 parents/guardians
with academic and/or behavioral problems with complete records submitted

5- Participated in two (2) civic activities in the community with complete documents (attendance,
certificates, narrative reports, pictures taken during the activity)

4- Participated in two (2) civic activities in the community with at least 3 supporting documents

3- Participated in one (2) civic activities in the community with at least 2 supporting documents
2- Participated in one (2) civic activities in the community with at least 1 supporting document
1- Participated in one (2) civic activiies in the community without supporting documents
 5- Evidences showed that the teacher met all the following expectations:
• Certificate/s of Participation issued by the person in authority was received
• Served as demonstration teacher/facilitator
• Enhanced learning through attending professional seminars/ trainings with an accumulated 24 hours
in a year
• Attended mentoring program/ INSET in the school at least twice a year
4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations

5- Received at least 1 recognition award from Division/Regional/National level to recognize

exemplary performance in a year
4- Received at least 1 Recognition award from the Area to recognize exemplary performance in a
year
3- Received at least 1 Recognition award from the District to recognize exemplary performance in a
year
2- Received at least 1 Recognition award from the school principal to recognize exemplary
performance in a year
1- The teacher did not receive any award.

5 - A copy of the research was submitted a week before the due date with no errors in structure, content and
organization and the results were communicated, the plans were implemented with very well-prepared
narrative and pictorial report of accomplishment.
4 - A copy of the research was submitted 3 days before the due date with 1-5 errors in structure,
content and organization and the results were communicated, the plans were implemented with well-
prepared narrative and pictorial report of accomplishment.
3 - A copy of the research was submitted on the due date with
6-10 errors in structure, content and organization and the results were communicated, the plans were
implemented with prepared narrative and pictorial report of accomplishment.
2 - A copy of the research was submitted 1-5 days after the due date with 11-15 errors in structure,
content and organization and the results were communicated, the plans were implemented with narrative
and pictorial report of accomplishment.
1 - A copy of the research was submitted 6 days and more after the due date
with 16 or more errors in structure, content and organization and the results were communicated, the plans
were implemented with narrative and pictorial report of accomplishment.
 5 - served as facilitator/trainer/coordinator/ chairman/ member in 5 and above
training/seminars/ancillary services in any level within the school school year with complete
supporting documents
4 - served as facilitator/trainer/coordinator/ chairman/ member in 4 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
3 - served as facilitator/trainer/coordinator/ chairman/ member in 3 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
2 - served as facilitator/trainer/coordinator/ chairman/ member in 2 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
1 - served as facilitator/trainer/coordinator/ chairman/ member in a training/seminar/ancillary services
in any level within the school school year with complete supporting documents

TOTAL RATING

ADJECTIVAL RATING

Key Result Areas

Teaching Learning Process (30%)

Students’ Outcomes (30%)
Community Involvement (15%)
ssional Growth And Development (20%)
Plus (5%)

Rater:

JULIUS A. VILLAVICENCIO, Ed. D

 Principal I

nce is compared

s is used for the

whether targets
mount or quantity
fort.
doing the things

as done on time
es and regulations,

evaluate such
es, time
nsitive
Name of Rater JULIUS A. VILLAVICENCIO, Ed. D.
Position PRINCIPAL I
Date of Review

TO BE FILLED IN DURING EVALUATION

RATING
ACTUAL
SCORE
RESULTS Q E T AVE.

0.000 0.000

0.000 0.000
 0.000 0.000

Sub-Total 0.000

0.000 0.000

0.000 0.000

0.000

Sub-Total 0.000
 0.000 0.000

0.000 0.000

0.000 0.000

Sub-Total 0.000
 0.000 0.000

0.000 0.000

0.000 0.000

Sub-Total 0.000
 0.000 0.000

Sub-Total 0.000

0.000

Rating

0.000
0.000
0.000
0.000
0.000

0.000

Approved:
 Range Adjectival Rating Scale Definition

4.500- 5.000 Outstanding 5 Role Model

Consistently
3.500 - 4.499 Very Satisfactory 4
Demonstrate

Most of the
2.500 - 3.499 Satisfactory 3 time
demonstrate

Sometimes
1.500 - 2.499 Unsatisfactory 2
demonstrate

Rarely
1.499 & below Poor 1
demonstrate
 OFFICE / INDIVIDUAL PERFORMA

Name of Employee : JOANE S. ALCANTARA

Position: Teacher I
Review Period: June 2017-April 2018
Region/Division : IV-A CALABARZON/ BATANGAS
District/School: AGONCILLO/ BANYAGA NATIONAL HIGH SCHOOL
TO BE FILLED IN DURING PLANNING
MFOs

KRAs

WEIGHT
OBJECTIVES MOVs TIMELINE
PER KRA
Teaching Learning
BASIC

Prepared at least 100%

(140) Lesson Plans or Daily
Lesson Logs (DLLs) in
subject/s taught using
Lesson Plans/DLL
proper and appropriate
with Instructional June 2017 to
1 format Q and all 10%
Materials April 2018
competencies of the
learning areas were
used/met E in a school year
T
EDUCATION SERVICES

Process (30%)

Lesson Plans/ DLL

Demonstrated suitable
with
content knowledge and its
application Q within and
Instructional June 2017 to
2 across the curriculum E 10%
Materials April 2018
areas on actual daily
teaching T.
 EDU
Lesson Plans/DLL
Facilitated learning in the
assigned subject area E Instructional
focusing on the different Materials June 2017 to
3 10%
teaching approaches (2C2I1R) April 2018
Q in whole year round T. Observation
Forms/Sheets
BASIC EDUCATION

Print out of
Students’ Outcomes (30%)

Properly monitored and Summary of

evaluated students’ Grades per Quarter
progress Q through their
June 2017 to
1 updated and complete Daily Attendance 10%
April 2018
records or results of their Records per
activities/discussions E Quarter
transpired quarterly T.
SERVICES

Analyzed/ validated
students’ learning outcomes Item Analysis
as basis for future reference
E and prepared appropriate Periodic Test
intervention materials for Results
2 10% 10%
the least mastered skill/s Q List of Students
five days after the test Intervention
Needing Remediation
administration T . Materials
Enrichment Activities

Conducted well-planned
remediation activities Q to
students whom the teacher
foresees having difficulty in June 2017 to
3 10%
the subject they are teaching April 2018
with complete documents E
monthly T.
Narrative Report and
attendance during the
remediation

Remediation/Enrichm
ent Materials
 Conducted regular periodic
PTA meetings/ conferences
BASIC

as scheduled in the school

calendar;Q supported with
complete documents E
Attendance Sheets
(attendance sheet, program
of the meeting, minutes of
Minutes of the
the meeting, and pictures)
Meeting
submitted two days after the
June 2017 to
1 T meeting/conference. 5%
Pictures April 2018
(*non-advisers/ special
teachers may join the
Testimonies of
teacher-adviser in the
Parents
conduct of the activity and
may serve as facilitator in
any meeting in the
club/organization he/she is
into)
Community Involvement (15%)
EDUCATION SERVICES

Conducted well-
planned home visits/
parent- teacher conferences
Q per semester T to at least Home Visitation/
5 parents/ guardians of Parent-Teacher June 2017 to
2 5%
students with academic Conference Form April 2018
and/or behavioural Pictures
problems with complete
records submitted E

Certificates
Participated in two (2) civic
activities in the community Attendance during
like coastal clean-up drive, the activity
community maintenance and May 2017 to
3 5%
the like Q with complete Narrative April 2018
supporting documents E in Reports
whole year round T .
Pictures
 Pictures taken
during seminar
attended
Partipated actively Q in at
least 5 trainings/seminars/ Certificates of
May 2017 to
1 conferences E to ensure Participation 10%
April 2018
Professional Growth And Development (20%)

professional growth yearly.

T Program of
BASIC EDUCATION SERVICES

Activities/Training
Matrix

Certificates/
Received special
Plaques or any
awards/citations/ recognitions
mode of
from school level or higher May 2017 to
2 recognition 5%
levels E for exemplary April 2018
performance Q in a year T
Pictures

Conducted one (1) action Copy of the finished

research/ CI E with complete research/
results Q and submitted on Intervention/
3 due date T. CIP (Continued All Year Round 5%
Improvement
Program)- Stages 1,2
3
 BASIC EDUCATION SERVICES

Served as facilitator / trainer

/coordinator/chairman of
Plus Factor (5%)

committee in School and Letter of Appointment

other higher levels and Certificate
enthusiastically performed of Recognition Year round 5%
other ancillary services Q with
complete supporting Memorandum
documents E whole year
round T

Total Rating/Average 100%

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

Major Final Output Key Result Areas

Teaching Learning Process

Students’ Outcomes (30
Community Involvement (
Professional Growth And Develop
Plus (5%)

Numerical Rating
Adjectival Rating

Rater:
Ratee:

JOANE S. ALCANTARA
 Teacher I

Category Description

The extent to which actual performance is compared

Effectiveness/Quality with targeted performance

The extent to which time or resources is used for the

intended task or purpose. Measures whether targets
are accomplished with a minimum amount or quantity
of waste, expense, or unnecessary effort.
In management, efficiency relates to doing the things
right

Efficiency

Measures whether the deliverable was done on time

based on the requirements of the rules and regulations,
Timeliness and/or clients/stakeholders.
Time-related performance indicators evaluate such
things as project completion deadlines, time
management skills and other time-sensitive
expectations.
IVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

D IN DURING PLANNING
PERFORMANCE INDICATORS

(QUALITY, EFFICIENCY, TIMELINESS)

5- Evidences showed that the teacher properly prepared 100 % of the well-prepared and prescribed
lesson plans/DLL using the proper format and 100 % of the competencies of the learning areas were
used/met in a school year
4- Evidences showed that the teacher prepared 80%- 99% of the 140 prepared lesson plans/DLL using
the proper format and the 100 % of the competencies of the learning areas were used/met in a school
year
3- Evidences showed that the teacher prepared 60%-79% of the 140 prepared lesson plans/DLL per
month using the proper format and some of the competencies of the learning areas were used/met in a
school year
2- Evidences showed that the teacher prepared 40%-59% of the 140 lesson plans/DLL using the proper
format and competencies of the learning areas were used/met in a school year
1- Evidences showed that the teacher prepared 20%-39% and below of the 140 lesson plans/DLL
using proper format and competencies of the learning areas were used/met in a school year

5-Evidences showed that the teacher met all of the following expectations
:• Achieved 75% CPL in every class to show mastery of the subject matter (Non negotiable)

•Implemented required curriculum per subject area all the time (Non negotiable)

•Integrated lessons in other subject areas as reflected in DLL/LP 4 times a month

•Engaged and sustained learner’s interest in the subject 4 times a week by making content meaningful
to them
4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations
5- Facilitated learning in the asigned area utilizing 5 teaching approaches in whole year round
4- Facilitated learning in the asigned area utilizing 4 teaching approaches in whole year round
3- Facilitated learning in the asigned area utilizing 3 teaching approaches in whole year round
2- Facilitated learning in the asigned area utilizing 2 teaching approaches in whole year round
1-Facilitated learning in the asigned area utilizing 1 teaching approach in whole year round

5- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/discussions transpired daily with complete MOVs
4- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
3- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed
2- The teacher monitored and evaluated students’ progress through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
1- The teacher monitored and evaluated students’ progresss through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed

5- Evidences showed that the teacher met all the following expectations:
• Prepared item analysis in respective subject area periodically
• Analyzed and interpreted the result periodically
• Made inventory of least mastered skills
• Provided intervention materials for the least mastered skills
4. Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1-The teacher did not meet any of the expectations

5- 17 to 20 times of remediation activities were done in the whole school year

4- 13
to 16 times of remediation activities were done in the whole school year
3- 9 to 12 times of remediation activities were done in
the whole school year 2- 5
to 8 times of remediation activities were done in the whole school year
1- 0 to 4 times of remediation activities were
done in the whole school year
 5- The teacher conducted 4 PTA meetings/conferences with complete supporting documents(1.
attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4. pictures) submitted two
days after the meeting/conference. 4- The teacher conducted 3 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
parents 3. minutes of the meeting and 4. pictures) submitted three days after the
meeting/conference. 3- The teacher conducted 2 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
parents 3. minutes of the meeting and 4. pictures) submitted four days after the meeting/conference.
2. The teacher conducted 1 PTA meeting/conference with complete
supporting documents (1. attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4.
pictures) submitted four days after the meeting/conference. 1- The
teacher conducted 1 PTA meeting/conference without supporting documents submitted

5- Conducted home visits/parent-teacher conferences per semester to at least 5 parents/guardians with

academic and/or behavioral problems with complete records submitted
4- Conducted home visits/parent-teacher conferences per semester to at least 4 parents/guardians
with academic and/or behavioral problems with complete records submitted
3- Conducted home visits/parent-teacher conferences per semester to at least 3 parents/guardians
with academic and/or behavioral problems with complete records submitted
2- Conducted home visits/parent-teacher conferences per semester to at least 2 parents/guardians
with academic and/or behavioral problems with complete records submitted
1- Conducted home visits/parent-teacher conferences per semester to at least 1 parents/guardians
with academic and/or behavioral problems with complete records submitted

5- Participated in two (2) civic activities in the community with complete documents (attendance,
certificates, narrative reports, pictures taken during the activity)

4- Participated in two (2) civic activities in the community with at least 3 supporting documents

3- Participated in one (2) civic activities in the community with at least 2 supporting documents
2- Participated in one (2) civic activities in the community with at least 1 supporting document
1- Participated in one (2) civic activiies in the community without supporting documents
 5- Evidences showed that the teacher met all the following expectations:
• Certificate/s of Participation issued by the person in authority was received
• Served as demonstration teacher/facilitator
• Enhanced learning through attending professional seminars/ trainings with an accumulated 24 hours
in a year
• Attended mentoring program/ INSET in the school at least twice a year
4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations

5- Received at least 1 recognition award from Division/Regional/National level to recognize

exemplary performance in a year
4- Received at least 1 Recognition award from the Area to recognize exemplary performance in a
year
3- Received at least 1 Recognition award from the District to recognize exemplary performance in a
year
2- Received at least 1 Recognition award from the school principal to recognize exemplary
performance in a year
1- The teacher did not receive any award.

5 - A copy of the research was submitted a week before the due date with no errors in structure, content and
organization and the results were communicated, the plans were implemented with very well-prepared
narrative and pictorial report of accomplishment.
4 - A copy of the research was submitted 3 days before the due date with 1-5 errors in structure,
content and organization and the results were communicated, the plans were implemented with well-
prepared narrative and pictorial report of accomplishment.
3 - A copy of the research was submitted on the due date with
6-10 errors in structure, content and organization and the results were communicated, the plans were
implemented with prepared narrative and pictorial report of accomplishment.
2 - A copy of the research was submitted 1-5 days after the due date with 11-15 errors in structure,
content and organization and the results were communicated, the plans were implemented with narrative
and pictorial report of accomplishment.
1 - A copy of the research was submitted 6 days and more after the due date
with 16 or more errors in structure, content and organization and the results were communicated, the plans
were implemented with narrative and pictorial report of accomplishment.
 5 - served as facilitator/trainer/coordinator/ chairman/ member in 5 and above
training/seminars/ancillary services in any level within the school school year with complete
supporting documents
4 - served as facilitator/trainer/coordinator/ chairman/ member in 4 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
3 - served as facilitator/trainer/coordinator/ chairman/ member in 3 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
2 - served as facilitator/trainer/coordinator/ chairman/ member in 2 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
1 - served as facilitator/trainer/coordinator/ chairman/ member in a training/seminar/ancillary services
in any level within the school school year with complete supporting documents

TOTAL RATING

ADJECTIVAL RATING

Key Result Areas

Teaching Learning Process (30%)

Students’ Outcomes (30%)
Community Involvement (15%)
ssional Growth And Development (20%)
Plus (5%)

Rater:

JULIUS A. VILLAVICENCIO, Ed. D

 Principal I

nce is compared

s is used for the

whether targets
mount or quantity
fort.
doing the things

as done on time
es and regulations,

evaluate such
es, time
nsitive
Name of Rater JULIUS A. VILLAVICENCIO, Ed. D.
Position PRINCIPAL I
Date of Review

TO BE FILLED IN DURING EVALUATION

RATING
ACTUAL
SCORE
RESULTS Q E T AVE.

0.000 0.000

0.000 0.000
 0.000 0.000

Sub-Total 0.000

0.000 0.000

0.000 0.000

0.000

Sub-Total 0.000
 0.000 0.000

0.000 0.000

0.000 0.000

Sub-Total 0.000
 0.000 0.000

0.000 0.000

0.000 0.000

Sub-Total 0.000
 0.000 0.000

Sub-Total 0.000

0.000

Rating

0.000
0.000
0.000
0.000
0.000

0.000

Approved:
 Range Adjectival Rating Scale Definition

4.500- 5.000 Outstanding 5 Role Model

Consistently
3.500 - 4.499 Very Satisfactory 4
Demonstrate

Most of the
2.500 - 3.499 Satisfactory 3 time
demonstrate

Sometimes
1.500 - 2.499 Unsatisfactory 2
demonstrate

Rarely
1.499 & below Poor 1
demonstrate
 OFFICE / INDIVIDUAL PERFORMA

Name of Employee : MARY GRACE C. MATIENZO

Position: Teacher I
Review Period: June 2017-April 2018
Region/Division : IV-A CALABARZON/ BATANGAS
District/School: AGONCILLO/ BANYAGA NATIONAL HIGH SCHOOL
TO BE FILLED IN DURING PLANNING
MFOs

KRAs

WEIGHT
OBJECTIVES MOVs TIMELINE
PER KRA
Teaching Learning
BASIC

Prepared at least 100%

(140) Lesson Plans or Daily
Lesson Logs (DLLs) in
subject/s taught using
Lesson Plans/DLL
proper and appropriate
with Instructional June 2017 to
1 format Q and all 10%
Materials April 2018
competencies of the
learning areas were
used/met E in a school year
T
EDUCATION SERVICES

Process (30%)

Lesson Plans/ DLL

Demonstrated suitable
with
content knowledge and its
application Q within and
Instructional June 2017 to
2 across the curriculum E 10%
Materials April 2018
areas on actual daily
teaching T.
 EDU
Lesson Plans/DLL
Facilitated learning in the
assigned subject area E Instructional
focusing on the different Materials June 2017 to
3 10%
teaching approaches (2C2I1R) April 2018
Q in whole year round T. Observation
Forms/Sheets
BASIC EDUCATION

Print out of
Students’ Outcomes (30%)

Properly monitored and Summary of

evaluated students’ Grades per Quarter
progress Q through their
June 2017 to
1 updated and complete Daily Attendance 10%
April 2018
records or results of their Records per
activities/discussions E Quarter
transpired quarterly T.
SERVICES

Analyzed/ validated
students’ learning outcomes Item Analysis
as basis for future reference
E and prepared appropriate Periodic Test
intervention materials for Results
2 10% 10%
the least mastered skill/s Q List of Students
five days after the test Intervention
Needing Remediation
administration T . Materials
Enrichment Activities

Conducted well-planned
remediation activities Q to
students whom the teacher
foresees having difficulty in June 2017 to
3 10%
the subject they are teaching April 2018
with complete documents E
monthly T.
Narrative Report and
attendance during the
remediation

Remediation/Enrichm
ent Materials
 Conducted regular periodic
PTA meetings/ conferences
BASIC

as scheduled in the school

calendar;Q supported with
complete documents E
Attendance Sheets
(attendance sheet, program
of the meeting, minutes of
Minutes of the
the meeting, and pictures)
Meeting
submitted two days after the
June 2017 to
1 T meeting/conference. 5%
Pictures April 2018
(*non-advisers/ special
teachers may join the
Testimonies of
teacher-adviser in the
Parents
conduct of the activity and
may serve as facilitator in
any meeting in the
club/organization he/she is
into)
Community Involvement (15%)
EDUCATION SERVICES

Conducted well-
planned home visits/
parent- teacher conferences
Q per semester T to at least Home Visitation/
5 parents/ guardians of Parent-Teacher June 2017 to
2 5%
students with academic Conference Form April 2018
and/or behavioural Pictures
problems with complete
records submitted E

Certificates
Participated in two (2) civic
activities in the community Attendance during
like coastal clean-up drive, the activity
community maintenance and May 2017 to
3 5%
the like Q with complete Narrative April 2018
supporting documents E in Reports
whole year round T .
Pictures
 Pictures taken
during seminar
attended
Partipated actively Q in at
least 5 trainings/seminars/ Certificates of
May 2017 to
1 conferences E to ensure Participation 10%
April 2018
Professional Growth And Development (20%)

professional growth yearly.

T Program of
BASIC EDUCATION SERVICES

Activities/Training
Matrix

Certificates/
Received special
Plaques or any
awards/citations/ recognitions
mode of
from school level or higher May 2017 to
2 recognition 5%
levels E for exemplary April 2018
performance Q in a year T
Pictures

Conducted one (1) action Copy of the finished

research/ CI E with complete research/
results Q and submitted on Intervention/
3 due date T. CIP (Continued All Year Round 5%
Improvement
Program)- Stages 1,2
3
 BASIC EDUCATION SERVICES

Served as facilitator / trainer

/coordinator/chairman of
Plus Factor (5%)

committee in School and Letter of Appointment

other higher levels and Certificate
enthusiastically performed of Recognition Year round 5%
other ancillary services Q with
complete supporting Memorandum
documents E whole year
round T

Total Rating/Average 100%

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

Major Final Output Key Result Areas

Teaching Learning Process

Students’ Outcomes (30
Community Involvement (
Professional Growth And Develop
Plus (5%)

Numerical Rating
Adjectival Rating

Rater:
Ratee:

MARY GRACE C. MATIENZO

 Teacher I

Category Description

The extent to which actual performance is compared

Effectiveness/Quality with targeted performance

The extent to which time or resources is used for the

intended task or purpose. Measures whether targets
are accomplished with a minimum amount or quantity
of waste, expense, or unnecessary effort.
In management, efficiency relates to doing the things
right

Efficiency

Measures whether the deliverable was done on time

based on the requirements of the rules and regulations,
Timeliness and/or clients/stakeholders.
Time-related performance indicators evaluate such
things as project completion deadlines, time
management skills and other time-sensitive
expectations.
IVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

D IN DURING PLANNING
PERFORMANCE INDICATORS

(QUALITY, EFFICIENCY, TIMELINESS)

5- Evidences showed that the teacher properly prepared 100 % of the well-prepared and prescribed
lesson plans/DLL using the proper format and 100 % of the competencies of the learning areas were
used/met in a school year
4- Evidences showed that the teacher prepared 80%- 99% of the 140 prepared lesson plans/DLL using
the proper format and the 100 % of the competencies of the learning areas were used/met in a school
year
3- Evidences showed that the teacher prepared 60%-79% of the 140 prepared lesson plans/DLL per
month using the proper format and some of the competencies of the learning areas were used/met in a
school year
2- Evidences showed that the teacher prepared 40%-59% of the 140 lesson plans/DLL using the proper
format and competencies of the learning areas were used/met in a school year
1- Evidences showed that the teacher prepared 20%-39% and below of the 140 lesson plans/DLL
using proper format and competencies of the learning areas were used/met in a school year

5-Evidences showed that the teacher met all of the following expectations
:• Achieved 75% CPL in every class to show mastery of the subject matter (Non negotiable)

•Implemented required curriculum per subject area all the time (Non negotiable)

•Integrated lessons in other subject areas as reflected in DLL/LP 4 times a month

•Engaged and sustained learner’s interest in the subject 4 times a week by making content meaningful
to them
4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations
5- Facilitated learning in the asigned area utilizing 5 teaching approaches in whole year round
4- Facilitated learning in the asigned area utilizing 4 teaching approaches in whole year round
3- Facilitated learning in the asigned area utilizing 3 teaching approaches in whole year round
2- Facilitated learning in the asigned area utilizing 2 teaching approaches in whole year round
1-Facilitated learning in the asigned area utilizing 1 teaching approach in whole year round

5- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/discussions transpired daily with complete MOVs
4- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
3- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed
2- The teacher monitored and evaluated students’ progress through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
1- The teacher monitored and evaluated students’ progresss through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed

5- Evidences showed that the teacher met all the following expectations:
• Prepared item analysis in respective subject area periodically
• Analyzed and interpreted the result periodically
• Made inventory of least mastered skills
• Provided intervention materials for the least mastered skills
4. Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1-The teacher did not meet any of the expectations

5- 17 to 20 times of remediation activities were done in the whole school year

4- 13
to 16 times of remediation activities were done in the whole school year
3- 9 to 12 times of remediation activities were done in
the whole school year 2- 5
to 8 times of remediation activities were done in the whole school year
1- 0 to 4 times of remediation activities were
done in the whole school year
 5- The teacher conducted 4 PTA meetings/conferences with complete supporting documents(1.
attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4. pictures) submitted two
days after the meeting/conference. 4- The teacher conducted 3 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
parents 3. minutes of the meeting and 4. pictures) submitted three days after the
meeting/conference. 3- The teacher conducted 2 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
parents 3. minutes of the meeting and 4. pictures) submitted four days after the meeting/conference.
2. The teacher conducted 1 PTA meeting/conference with complete
supporting documents (1. attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4.
pictures) submitted four days after the meeting/conference. 1- The
teacher conducted 1 PTA meeting/conference without supporting documents submitted

5- Conducted home visits/parent-teacher conferences per semester to at least 5 parents/guardians with

academic and/or behavioral problems with complete records submitted
4- Conducted home visits/parent-teacher conferences per semester to at least 4 parents/guardians
with academic and/or behavioral problems with complete records submitted
3- Conducted home visits/parent-teacher conferences per semester to at least 3 parents/guardians
with academic and/or behavioral problems with complete records submitted
2- Conducted home visits/parent-teacher conferences per semester to at least 2 parents/guardians
with academic and/or behavioral problems with complete records submitted
1- Conducted home visits/parent-teacher conferences per semester to at least 1 parents/guardians
with academic and/or behavioral problems with complete records submitted

5- Participated in two (2) civic activities in the community with complete documents (attendance,
certificates, narrative reports, pictures taken during the activity)

4- Participated in two (2) civic activities in the community with at least 3 supporting documents

3- Participated in one (2) civic activities in the community with at least 2 supporting documents
2- Participated in one (2) civic activities in the community with at least 1 supporting document
1- Participated in one (2) civic activiies in the community without supporting documents
 5- Evidences showed that the teacher met all the following expectations:
• Certificate/s of Participation issued by the person in authority was received
• Served as demonstration teacher/facilitator
• Enhanced learning through attending professional seminars/ trainings with an accumulated 24 hours
in a year
• Attended mentoring program/ INSET in the school at least twice a year
4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations

5- Received at least 1 recognition award from Division/Regional/National level to recognize

exemplary performance in a year
4- Received at least 1 Recognition award from the Area to recognize exemplary performance in a
year
3- Received at least 1 Recognition award from the District to recognize exemplary performance in a
year
2- Received at least 1 Recognition award from the school principal to recognize exemplary
performance in a year
1- The teacher did not receive any award.

5 - A copy of the research was submitted a week before the due date with no errors in structure, content and
organization and the results were communicated, the plans were implemented with very well-prepared
narrative and pictorial report of accomplishment.
4 - A copy of the research was submitted 3 days before the due date with 1-5 errors in structure,
content and organization and the results were communicated, the plans were implemented with well-
prepared narrative and pictorial report of accomplishment.
3 - A copy of the research was submitted on the due date with
6-10 errors in structure, content and organization and the results were communicated, the plans were
implemented with prepared narrative and pictorial report of accomplishment.
2 - A copy of the research was submitted 1-5 days after the due date with 11-15 errors in structure,
content and organization and the results were communicated, the plans were implemented with narrative
and pictorial report of accomplishment.
1 - A copy of the research was submitted 6 days and more after the due date
with 16 or more errors in structure, content and organization and the results were communicated, the plans
were implemented with narrative and pictorial report of accomplishment.
 5 - served as facilitator/trainer/coordinator/ chairman/ member in 5 and above
training/seminars/ancillary services in any level within the school school year with complete
supporting documents
4 - served as facilitator/trainer/coordinator/ chairman/ member in 4 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
3 - served as facilitator/trainer/coordinator/ chairman/ member in 3 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
2 - served as facilitator/trainer/coordinator/ chairman/ member in 2 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
1 - served as facilitator/trainer/coordinator/ chairman/ member in a training/seminar/ancillary services
in any level within the school school year with complete supporting documents

TOTAL RATING

ADJECTIVAL RATING

Key Result Areas

Teaching Learning Process (30%)

Students’ Outcomes (30%)
Community Involvement (15%)
ssional Growth And Development (20%)
Plus (5%)

Rater:

JULIUS A. VILLAVICENCIO, Ed. D

 Principal I

nce is compared

s is used for the

whether targets
mount or quantity
fort.
doing the things

as done on time
es and regulations,

evaluate such
es, time
nsitive
Name of Rater JULIUS A. VILLAVICENCIO, Ed. D.
Position PRINCIPAL I
Date of Review

TO BE FILLED IN DURING EVALUATION

RATING
ACTUAL
SCORE
RESULTS Q E T AVE.

0.000 0.000

0.000 0.000
 0.000 0.000

Sub-Total 0.000

0.000 0.000

0.000 0.000

0.000

Sub-Total 0.000
 0.000 0.000

0.000 0.000

0.000 0.000

Sub-Total 0.000
 0.000 0.000

0.000 0.000

0.000 0.000

Sub-Total 0.000
 0.000 0.000

Sub-Total 0.000

0.000

Rating

0.000
0.000
0.000
0.000
0.000

0.000

Approved:
 Range Adjectival Rating Scale Definition

4.500- 5.000 Outstanding 5 Role Model

Consistently
3.500 - 4.499 Very Satisfactory 4
Demonstrate

Most of the
2.500 - 3.499 Satisfactory 3 time
demonstrate

Sometimes
1.500 - 2.499 Unsatisfactory 2
demonstrate

Rarely
1.499 & below Poor 1
demonstrate
 OFFICE / INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

Name of Employee : MARK GIL J. ALTEZA Name of Rater ELLEN P. TOLDANEDS

Position: Teacher I Position PRINCIPAL I
Review Period: June 2018-October 2018 Date of Review
Region/Division : IV-A CALABARZON/ BATANGAS
District/School: AGONCILLO/ BANYAGA NATIONAL HIGH SCHOOL
TO BE FILLED IN DURING PLANNING TO BE FILLED IN DURING EVALUATION
PERFORMANCE INDICATORS RATING
MFOs

KRAs

WEIGHT ACTUAL
OBJECTIVES MOVs TIMELINE SCORE
PER KRA (QUALITY, EFFICIENCY, TIMELINESS) RESULTS Q E T AVE.
Teaching Learning
BASIC

5- Evidences showed that the teacher properly prepared 100 % of the well-prepared and prescribed
lesson plans/DLL using the proper format and 100 % of the competencies of the learning areas were
Prepared at least 100%
used/met in a school year
(140) Lesson Plans or Daily
4- Evidences showed that the teacher prepared 80%- 99% of the 140 prepared lesson plans/DLL using
Lesson Logs (DLLs) in
the proper format and the 100 % of the competencies of the learning areas were used/met in a school
subject/s taught using
Lesson Plans/DLL year
proper and appropriate
with Instructional June 2017 to 3- Evidences showed that the teacher prepared 60%-79% of the 140 prepared lesson plans/DLL per
1 format Q and all 10% 0.000 0.000
Materials April 2018 month using the proper format and some of the competencies of the learning areas were used/met in a
competencies of the
school year
learning areas were
2- Evidences showed that the teacher prepared 40%-59% of the 140 lesson plans/DLL using the proper
used/met E in a school year
format and competencies of the learning areas were used/met in a school year
T
1- Evidences showed that the teacher prepared 20%-39% and below of the 140 lesson plans/DLL
using proper format and competencies of the learning areas were used/met in a school year
EDUCATION SERVICES

5-Evidences showed that the teacher met all of the following expectations
Process (30%)

:• Achieved 75% CPL in every class to show mastery of the subject matter (Non negotiable)
Lesson Plans/ DLL
Demonstrated suitable •Implemented required curriculum per subject area all the time (Non negotiable)
with
content knowledge and its
application Q within and •Integrated lessons in other subject areas as reflected in DLL/LP 4 times a month
Instructional June 2017 to
2 across the curriculum E 10% •Engaged and sustained learner’s interest in the subject 4 times a week by making content meaningful 0.000 0.000
Materials April 2018
areas on actual daily to them
teaching T. 4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations
 Proces
EDUCATIO

Lesson Plans/DLL
Facilitated learning in the 5- Facilitated learning in the asigned area utilizing 5 teaching approaches in whole year round
assigned subject area E Instructional 4- Facilitated learning in the asigned area utilizing 4 teaching approaches in whole year round
focusing on the different Materials June 2017 to 3- Facilitated learning in the asigned area utilizing 3 teaching approaches in whole year round
3 10% 0.000 0.000
teaching approaches (2C2I1R) April 2018 2- Facilitated learning in the asigned area utilizing 2 teaching approaches in whole year round
Q in whole year round T. Observation 1-Facilitated learning in the asigned area utilizing 1 teaching approach in whole year round
Forms/Sheets

Sub-Total 0.000
BASIC EDUCATION

5- The teacher monitored and evaluated students’ progress through their updated and complete
Students’ Outcomes (30%)

Properly monitored and
evaluated students’
progress Q through their
1 updated and complete
records or results of their
activities/discussions E
transpired quarterly T.
Print out of records or results of their activities/discussions transpired daily with complete MOVs
Summary of 4- The teacher monitored and evaluated students’ progress through their updated and complete
Grades per Quarter records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
3- The teacher monitored and evaluated students’ progress through their updated and complete
June 2017 to
Daily Attendance 10% records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed 0.000 0.000
April 2018
Records per 2- The teacher monitored and evaluated students’ progress through their outdated and incomplete
Quarter records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
1- The teacher monitored and evaluated students’ progresss through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed

5- Evidences showed that the teacher met all the following expectations:
SERVICES

Analyzed/ validated
students’ learning outcomes Item Analysis • Prepared item analysis in respective subject area periodically
as basis for future reference • Analyzed and interpreted the result periodically
E and prepared appropriate Periodic Test • Made inventory of least mastered skills
intervention materials for Results • Provided intervention materials for the least mastered skills
2 10% 10% 4. Evidences showed that the teacher met 3 out of 4 expectations 0.000 0.000
the least mastered skill/s Q List of Students
five days after the test Intervention 3- Evidences showed that the teacher met 2 out of 4 expectations
Needing Remediation 2- Evidences showed that the teacher met 1 out of 4 expectations
administration T . Materials
1-The teacher did not meet any of the expectations
Enrichment Activities

5- 17 to 20 times of remediation activities were done in the whole school year

Conducted well-planned
remediation activities Q to
4- 13
students whom the teacher
to 16 times of remediation activities were done in the whole school year
foresees having difficulty in June 2017 to
3 10% 3- 9 to 12 times of remediation activities were done in 0.000
the subject they are teaching April 2018
the whole school year 2- 5
with complete documents E
to 8 times of remediation activities were done in the whole school year
monthly T.
1- 0 to 4 times of remediation activities were
Narrative Report and done in the whole school year
attendance during the
remediation Sub-Total 0.000

Remediation/Enrichm
ent Materials
 Conducted regular periodic
PTA meetings/ conferences
BASIC
as scheduled in the school
calendar;Q supported with
complete documents E
(attendance sheet, program
of the meeting, minutes of
the meeting, and pictures)
submitted two days after the
1 T meeting/conference.
(*non-advisers/ special
teachers may join the
teacher-adviser in the
conduct of the activity and
may serve as facilitator in
any meeting in the
club/organization he/she is
into)
Community Involvement (15%)
EDUCATION SERVICES
Conducted well-
planned home visits/
parent- teacher conferences
Q per semester T to at least
5 parents/ guardians of
2 5%
students with academic
and/or behavioural
problems with complete
records submitted E
Participated in two (2) civic
activities in the community
like coastal clean-up drive,
community maintenance and
3 5%
the like Q with complete
supporting documents E in
whole year round T .
5- The teacher conducted 4 PTA meetings/conferences with complete supporting documents(1.
attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4. pictures) submitted two
Attendance Sheets
days after the meeting/conference. 4- The teacher conducted 3 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
Minutes of the
parents 3. minutes of the meeting and 4. pictures) submitted three days after the
Meeting
meeting/conference. 3- The teacher conducted 2 PTA
June 2017 to
5% meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of 0.000 0.000
Pictures April 2018
parents 3. minutes of the meeting and 4. pictures) submitted four days after the meeting/conference.
2. The teacher conducted 1 PTA meeting/conference with complete
Testimonies of
supporting documents (1. attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4.
Parents
pictures) submitted four days after the meeting/conference. 1- The
teacher conducted 1 PTA meeting/conference without supporting documents submitted
5- Conducted home visits/parent-teacher conferences per semester to at least 5 parents/guardians with
academic and/or behavioral problems with complete records submitted
4- Conducted home visits/parent-teacher conferences per semester to at least 4 parents/guardians
with academic and/or behavioral problems with complete records submitted
Home Visitation/
3- Conducted home visits/parent-teacher conferences per semester to at least 3 parents/guardians
Parent-Teacher June 2017 to
with academic and/or behavioral problems with complete records submitted 0.000 0.000
Conference Form April 2018
2- Conducted home visits/parent-teacher conferences per semester to at least 2 parents/guardians
Pictures
with academic and/or behavioral problems with complete records submitted
1- Conducted home visits/parent-teacher conferences per semester to at least 1 parents/guardians
with academic and/or behavioral problems with complete records submitted
Certificates
5- Participated in two (2) civic activities in the community with complete documents (attendance,
Attendance during certificates, narrative reports, pictures taken during the activity)
the activity
May 2017 to 4- Participated in two (2) civic activities in the community with at least 3 supporting documents
0.000 0.000
Narrative April 2018
Reports 3- Participated in one (2) civic activities in the community with at least 2 supporting documents
2- Participated in one (2) civic activities in the community with at least 1 supporting document
Pictures 1- Participated in one (2) civic activiies in the community without supporting documents
Sub-Total 0.000
 Pictures taken 5- Evidences showed that the teacher met all the following expectations:
during seminar • Certificate/s of Participation issued by the person in authority was received
attended • Served as demonstration teacher/facilitator
Partipated actively Q in at • Enhanced learning through attending professional seminars/ trainings with an accumulated 24 hours
least 5 trainings/seminars/ Certificates of in a year
May 2017 to
1 conferences E to ensure Participation 10% • Attended mentoring program/ INSET in the school at least twice a year 0.000 0.000
Professional Growth And Development (20%)

April 2018
professional growth yearly. 4- Evidences showed that the teacher met 3 out of 4 expectations
BASIC EDUCATION SERVICES

T Program of 3- Evidences showed that the teacher met 2 out of 4 expectations

Activities/Training 2- Evidences showed that the teacher met 1 out of 4 expectations
Matrix 1- The teacher did not meet any of the expectations

5- Received at least 1 recognition award from Division/Regional/National level to recognize

exemplary performance in a year
Certificates/
Received special 4- Received at least 1 Recognition award from the Area to recognize exemplary performance in a
Plaques or any
awards/citations/ recognitions year
mode of
from school level or higher May 2017 to 3- Received at least 1 Recognition award from the District to recognize exemplary performance in a
2 recognition 5% 0.000 0.000
levels E for exemplary April 2018 year
performance Q in a year T 2- Received at least 1 Recognition award from the school principal to recognize exemplary
Pictures
performance in a year
1- The teacher did not receive any award.

Conducted one (1) action Copy of the finished
research/ CI E with complete research/
results Q and submitted on Intervention/
3 due date T. CIP (Continued All Year Round
Improvement
Program)- Stages 1,2
3 content and organization and the results were communicated, the plans were implemented with narrative
5 - A copy of the research was submitted a week before the due date with no errors in structure, content and
organization and the results were communicated, the plans were implemented with very well-prepared
narrative and pictorial report of accomplishment.
4 - A copy of the research was submitted 3 days before the due date with 1-5 errors in structure,
content and organization and the results were communicated, the plans were implemented with well-
prepared narrative and pictorial report of accomplishment.
3 - A copy of the research was submitted on the due date with
5% 6-10 errors in structure, content and organization and the results were communicated, the plans were 0.000 0.000
implemented with prepared narrative and pictorial report of accomplishment.
2 - A copy of the research was submitted 1-5 days after the due date with 11-15 errors in structure,
and pictorial report of accomplishment.
1 - A copy of the research was submitted 6 days and more after the due date
with 16 or more errors in structure, content and organization and the results were communicated, the plans
were implemented with narrative and pictorial report of accomplishment.

Sub-Total 0.000
 BASIC EDUCATION SERVICES

5 - served as facilitator/trainer/coordinator/ chairman/ member in 5 and above

Served as facilitator / trainer training/seminars/ancillary services in any level within the school school year with complete
/coordinator/chairman of supporting documents
Plus Factor (5%)

committee in School and
other higher levels and
enthusiastically performed
other ancillary services Q with
complete supporting
documents E whole year
round T
Letter of Appointment 4 - served as facilitator/trainer/coordinator/ chairman/ member in 4 training/seminars/ancillary services
Certificate in any level within the school school year with complete supporting documents
of Recognition Year round 5% 3 - served as facilitator/trainer/coordinator/ chairman/ member in 3 training/seminars/ancillary services 0.000 0.000
in any level within the school school year with complete supporting documents
Memorandum 2 - served as facilitator/trainer/coordinator/ chairman/ member in 2 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
1 - served as facilitator/trainer/coordinator/ chairman/ member in a training/seminar/ancillary services
in any level within the school school year with complete supporting documents

Sub-Total 0.000

Total Rating/Average 100% TOTAL RATING 0.000

*To get the score, the rating is multiplied by the weight assigned ADJECTIVAL RATING

Major Final Output Key Result Areas Rating

Teaching Learning Process (30%) 0.000

Students’ Outcomes (30%) 0.000
Community Involvement (15%) 0.000
Professional Growth And Development (20%) 0.000
Plus (5%) 0.000

Numerical Rating 0.000

Adjectival Rating

Rater: Approved:
Ratee:

MARK GIL J. ALTEZA ELLEN P. TOLDANES

Teacher I Principal I
 Category Description Range Adjectival Rating Scale Definition

The extent to which actual performance is compared 4.500- 5.000 Outstanding 5 Role Model
Effectiveness/Quality with targeted performance

The extent to which time or resources is used for the

intended task or purpose. Measures whether targets
are accomplished with a minimum amount or quantity
Consistently
of waste, expense, or unnecessary effort. 3.500 - 4.499 Very Satisfactory 4
Demonstrate
In management, efficiency relates to doing the things
right

Efficiency
Most of the
2.500 - 3.499 Satisfactory 3 time
demonstrate
Measures whether the deliverable was done on time
based on the requirements of the rules and regulations, Sometimes
Timeliness and/or clients/stakeholders. 1.500 - 2.499 Unsatisfactory 2
demonstrate
Time-related performance indicators evaluate such
things as project completion deadlines, time
management skills and other time-sensitive Rarely
1.499 & below Poor 1
expectations. demonstrate
 OFFICE / INDIVIDUAL PERFORMA

Name of Employee : FE CORAZON B. ALCANTARA

Position: Teacher I
Review Period: June 2017-April 2018
Region/Division : IV-A CALABARZON/ BATANGAS
District/School: AGONCILLO/ BANYAGA NATIONAL HIGH SCHOOL
TO BE FILLED IN DURING PLANNING
MFOs

KRAs

WEIGHT
OBJECTIVES MOVs TIMELINE
PER KRA
Teaching Learning
BASIC

Prepared at least 100%

(140) Lesson Plans or Daily
Lesson Logs (DLLs) in
subject/s taught using
Lesson Plans/DLL
proper and appropriate
with Instructional June 2017 to
1 format Q and all 10%
Materials April 2018
competencies of the
learning areas were
used/met E in a school year
T
EDUCATION SERVICES

Process (30%)

Lesson Plans/ DLL

Demonstrated suitable
with
content knowledge and its
application Q within and
Instructional June 2017 to
2 across the curriculum E 10%
Materials April 2018
areas on actual daily
teaching T.
 EDU
Lesson Plans/DLL
Facilitated learning in the
assigned subject area E Instructional
focusing on the different Materials June 2017 to
3 10%
teaching approaches (2C2I1R) April 2018
Q in whole year round T. Observation
Forms/Sheets
BASIC EDUCATION

Print out of
Students’ Outcomes (30%)

Properly monitored and Summary of

evaluated students’ Grades per Quarter
progress Q through their
June 2017 to
1 updated and complete Daily Attendance 10%
April 2018
records or results of their Records per
activities/discussions E Quarter
transpired quarterly T.
SERVICES

Analyzed/ validated
students’ learning outcomes Item Analysis
as basis for future reference
E and prepared appropriate Periodic Test
intervention materials for Results
2 10% 10%
the least mastered skill/s Q List of Students
five days after the test Intervention
Needing Remediation
administration T . Materials
Enrichment Activities

Conducted well-planned
remediation activities Q to
students whom the teacher
foresees having difficulty in June 2017 to
3 10%
the subject they are teaching April 2018
with complete documents E
monthly T.
Narrative Report and
attendance during the
remediation

Remediation/Enrichm
ent Materials
 Conducted regular periodic
PTA meetings/ conferences
BASIC

as scheduled in the school

calendar;Q supported with
complete documents E
Attendance Sheets
(attendance sheet, program
of the meeting, minutes of
Minutes of the
the meeting, and pictures)
Meeting
submitted two days after the
June 2017 to
1 T meeting/conference. 5%
Pictures April 2018
(*non-advisers/ special
teachers may join the
Testimonies of
teacher-adviser in the
Parents
conduct of the activity and
may serve as facilitator in
any meeting in the
club/organization he/she is
into)
Community Involvement (15%)
EDUCATION SERVICES

Conducted well-
planned home visits/
parent- teacher conferences
Q per semester T to at least Home Visitation/
5 parents/ guardians of Parent-Teacher June 2017 to
2 5%
students with academic Conference Form April 2018
and/or behavioural Pictures
problems with complete
records submitted E

Certificates
Participated in two (2) civic
activities in the community Attendance during
like coastal clean-up drive, the activity
community maintenance and May 2017 to
3 5%
the like Q with complete Narrative April 2018
supporting documents E in Reports
whole year round T .
Pictures
 Pictures taken
during seminar
attended
Partipated actively Q in at
least 5 trainings/seminars/ Certificates of
May 2017 to
1 conferences E to ensure Participation 10%
April 2018
Professional Growth And Development (20%)

professional growth yearly.

T Program of
BASIC EDUCATION SERVICES

Activities/Training
Matrix

Certificates/
Received special
Plaques or any
awards/citations/ recognitions
mode of
from school level or higher May 2017 to
2 recognition 5%
levels E for exemplary April 2018
performance Q in a year T
Pictures

Conducted one (1) action Copy of the finished

research/ CI E with complete research/
results Q and submitted on Intervention/
3 due date T. CIP (Continued All Year Round 5%
Improvement
Program)- Stages 1,2
3
 BASIC EDUCATION SERVICES

Served as facilitator / trainer

/coordinator/chairman of
Plus Factor (5%)

committee in School and Letter of Appointment

other higher levels and Certificate
enthusiastically performed of Recognition Year round 5%
other ancillary services Q with
complete supporting Memorandum
documents E whole year
round T

Total Rating/Average 100%

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

Major Final Output Key Result Areas

Teaching Learning Process

Students’ Outcomes (30
Community Involvement (
Professional Growth And Develop
Plus (5%)

Numerical Rating
Adjectival Rating

Rater:
Ratee:

FE CORAZON B. ALCANTARA
 Teacher I

Category Description

The extent to which actual performance is compared

Effectiveness/Quality with targeted performance

The extent to which time or resources is used for the

intended task or purpose. Measures whether targets
are accomplished with a minimum amount or quantity
of waste, expense, or unnecessary effort.
In management, efficiency relates to doing the things
right

Efficiency

Measures whether the deliverable was done on time

based on the requirements of the rules and regulations,
Timeliness and/or clients/stakeholders.
Time-related performance indicators evaluate such
things as project completion deadlines, time
management skills and other time-sensitive
expectations.
IVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

D IN DURING PLANNING
PERFORMANCE INDICATORS

(QUALITY, EFFICIENCY, TIMELINESS)

5- Evidences showed that the teacher properly prepared 100 % of the well-prepared and prescribed
lesson plans/DLL using the proper format and 100 % of the competencies of the learning areas were
used/met in a school year
4- Evidences showed that the teacher prepared 80%- 99% of the 140 prepared lesson plans/DLL using
the proper format and the 100 % of the competencies of the learning areas were used/met in a school
year
3- Evidences showed that the teacher prepared 60%-79% of the 140 prepared lesson plans/DLL per
month using the proper format and some of the competencies of the learning areas were used/met in a
school year
2- Evidences showed that the teacher prepared 40%-59% of the 140 lesson plans/DLL using the proper
format and competencies of the learning areas were used/met in a school year
1- Evidences showed that the teacher prepared 20%-39% and below of the 140 lesson plans/DLL
using proper format and competencies of the learning areas were used/met in a school year

5-Evidences showed that the teacher met all of the following expectations
:• Achieved 75% CPL in every class to show mastery of the subject matter (Non negotiable)

•Implemented required curriculum per subject area all the time (Non negotiable)

•Integrated lessons in other subject areas as reflected in DLL/LP 4 times a month

•Engaged and sustained learner’s interest in the subject 4 times a week by making content meaningful
to them
4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations
5- Facilitated learning in the asigned area utilizing 5 teaching approaches in whole year round
4- Facilitated learning in the asigned area utilizing 4 teaching approaches in whole year round
3- Facilitated learning in the asigned area utilizing 3 teaching approaches in whole year round
2- Facilitated learning in the asigned area utilizing 2 teaching approaches in whole year round
1-Facilitated learning in the asigned area utilizing 1 teaching approach in whole year round

5- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/discussions transpired daily with complete MOVs
4- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
3- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed
2- The teacher monitored and evaluated students’ progress through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
1- The teacher monitored and evaluated students’ progresss through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed

5- Evidences showed that the teacher met all the following expectations:
• Prepared item analysis in respective subject area periodically
• Analyzed and interpreted the result periodically
• Made inventory of least mastered skills
• Provided intervention materials for the least mastered skills
4. Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1-The teacher did not meet any of the expectations

5- 17 to 20 times of remediation activities were done in the whole school year

4- 13
to 16 times of remediation activities were done in the whole school year
3- 9 to 12 times of remediation activities were done in
the whole school year 2- 5
to 8 times of remediation activities were done in the whole school year
1- 0 to 4 times of remediation activities were
done in the whole school year
 5- The teacher conducted 4 PTA meetings/conferences with complete supporting documents(1.
attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4. pictures) submitted two
days after the meeting/conference. 4- The teacher conducted 3 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
parents 3. minutes of the meeting and 4. pictures) submitted three days after the
meeting/conference. 3- The teacher conducted 2 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
parents 3. minutes of the meeting and 4. pictures) submitted four days after the meeting/conference.
2. The teacher conducted 1 PTA meeting/conference with complete
supporting documents (1. attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4.
pictures) submitted four days after the meeting/conference. 1- The
teacher conducted 1 PTA meeting/conference without supporting documents submitted

5- Conducted home visits/parent-teacher conferences per semester to at least 5 parents/guardians with

academic and/or behavioral problems with complete records submitted
4- Conducted home visits/parent-teacher conferences per semester to at least 4 parents/guardians
with academic and/or behavioral problems with complete records submitted
3- Conducted home visits/parent-teacher conferences per semester to at least 3 parents/guardians
with academic and/or behavioral problems with complete records submitted
2- Conducted home visits/parent-teacher conferences per semester to at least 2 parents/guardians
with academic and/or behavioral problems with complete records submitted
1- Conducted home visits/parent-teacher conferences per semester to at least 1 parents/guardians
with academic and/or behavioral problems with complete records submitted

5- Participated in two (2) civic activities in the community with complete documents (attendance,
certificates, narrative reports, pictures taken during the activity)

4- Participated in two (2) civic activities in the community with at least 3 supporting documents

3- Participated in one (2) civic activities in the community with at least 2 supporting documents
2- Participated in one (2) civic activities in the community with at least 1 supporting document
1- Participated in one (2) civic activiies in the community without supporting documents
 5- Evidences showed that the teacher met all the following expectations:
• Certificate/s of Participation issued by the person in authority was received
• Served as demonstration teacher/facilitator
• Enhanced learning through attending professional seminars/ trainings with an accumulated 24 hours
in a year
• Attended mentoring program/ INSET in the school at least twice a year
4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations

5- Received at least 1 recognition award from Division/Regional/National level to recognize

exemplary performance in a year
4- Received at least 1 Recognition award from the Area to recognize exemplary performance in a
year
3- Received at least 1 Recognition award from the District to recognize exemplary performance in a
year
2- Received at least 1 Recognition award from the school principal to recognize exemplary
performance in a year
1- The teacher did not receive any award.

5 - A copy of the research was submitted a week before the due date with no errors in structure, content and
organization and the results were communicated, the plans were implemented with very well-prepared
narrative and pictorial report of accomplishment.
4 - A copy of the research was submitted 3 days before the due date with 1-5 errors in structure,
content and organization and the results were communicated, the plans were implemented with well-
prepared narrative and pictorial report of accomplishment.
3 - A copy of the research was submitted on the due date with
6-10 errors in structure, content and organization and the results were communicated, the plans were
implemented with prepared narrative and pictorial report of accomplishment.
2 - A copy of the research was submitted 1-5 days after the due date with 11-15 errors in structure,
content and organization and the results were communicated, the plans were implemented with narrative
and pictorial report of accomplishment.
1 - A copy of the research was submitted 6 days and more after the due date
with 16 or more errors in structure, content and organization and the results were communicated, the plans
were implemented with narrative and pictorial report of accomplishment.
 5 - served as facilitator/trainer/coordinator/ chairman/ member in 5 and above
training/seminars/ancillary services in any level within the school school year with complete
supporting documents
4 - served as facilitator/trainer/coordinator/ chairman/ member in 4 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
3 - served as facilitator/trainer/coordinator/ chairman/ member in 3 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
2 - served as facilitator/trainer/coordinator/ chairman/ member in 2 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
1 - served as facilitator/trainer/coordinator/ chairman/ member in a training/seminar/ancillary services
in any level within the school school year with complete supporting documents

TOTAL RATING

ADJECTIVAL RATING

Key Result Areas

Teaching Learning Process (30%)

Students’ Outcomes (30%)
Community Involvement (15%)
ssional Growth And Development (20%)
Plus (5%)

Rater:

JULIUS A. VILLAVICENCIO, Ed. D

 Principal I

nce is compared

s is used for the

whether targets
mount or quantity
fort.
doing the things

as done on time
es and regulations,

evaluate such
es, time
nsitive
Name of Rater JULIUS A. VILLAVICENCIO, Ed. D.
Position PRINCIPAL I
Date of Review

TO BE FILLED IN DURING EVALUATION

RATING
ACTUAL
SCORE
RESULTS Q E T AVE.

0.000 0.000

0.000 0.000
 0.000 0.000

Sub-Total 0.000

0.000 0.000

0.000 0.000

0.000

Sub-Total 0.000
 0.000 0.000

0.000 0.000

0.000 0.000

Sub-Total 0.000
 0.000 0.000

0.000 0.000

0.000 0.000

Sub-Total 0.000
 0.000 0.000

Sub-Total 0.000

0.000

Rating

0.000
0.000
0.000
0.000
0.000

0.000

Approved:
 Range Adjectival Rating Scale Definition

4.500- 5.000 Outstanding 5 Role Model

Consistently
3.500 - 4.499 Very Satisfactory 4
Demonstrate

Most of the
2.500 - 3.499 Satisfactory 3 time
demonstrate

Sometimes
1.500 - 2.499 Unsatisfactory 2
demonstrate

Rarely
1.499 & below Poor 1
demonstrate
 OFFICE / INDIVIDUAL PERFORMA

Name of Employee : JOHN REY P. MANDIGMA

Position: Teacher I
Review Period: June 2017-April 2018
Region/Division : IV-A CALABARZON/ BATANGAS
District/School: AGONCILLO/ BANYAGA NATIONAL HIGH SCHOOL
TO BE FILLED IN DURING PLANNING
MFOs

KRAs

WEIGHT
OBJECTIVES MOVs TIMELINE
PER KRA
Teaching Learning
BASIC

Prepared at least 100%

(140) Lesson Plans or Daily
Lesson Logs (DLLs) in
subject/s taught using
Lesson Plans/DLL
proper and appropriate
with Instructional June 2017 to
1 format Q and all 10%
Materials April 2018
competencies of the
learning areas were
used/met E in a school year
T
EDUCATION SERVICES

Process (30%)

Lesson Plans/ DLL

Demonstrated suitable
with
content knowledge and its
application Q within and
Instructional June 2017 to
2 across the curriculum E 10%
Materials April 2018
areas on actual daily
teaching T.
 EDU
Lesson Plans/DLL
Facilitated learning in the
assigned subject area E Instructional
focusing on the different Materials June 2017 to
3 10%
teaching approaches (2C2I1R) April 2018
Q in whole year round T. Observation
Forms/Sheets
BASIC EDUCATION

Print out of
Students’ Outcomes (30%)

Properly monitored and Summary of

evaluated students’ Grades per Quarter
progress Q through their
June 2017 to
1 updated and complete Daily Attendance 10%
April 2018
records or results of their Records per
activities/discussions E Quarter
transpired quarterly T.
SERVICES

Analyzed/ validated
students’ learning outcomes Item Analysis
as basis for future reference
E and prepared appropriate Periodic Test
intervention materials for Results
2 10% 10%
the least mastered skill/s Q List of Students
five days after the test Intervention
Needing Remediation
administration T . Materials
Enrichment Activities

Conducted well-planned
remediation activities Q to
students whom the teacher
foresees having difficulty in June 2017 to
3 10%
the subject they are teaching April 2018
with complete documents E
monthly T.
Narrative Report and
attendance during the
remediation

Remediation/Enrichm
ent Materials
 Conducted regular periodic
PTA meetings/ conferences
BASIC

as scheduled in the school

calendar;Q supported with
complete documents E
Attendance Sheets
(attendance sheet, program
of the meeting, minutes of
Minutes of the
the meeting, and pictures)
Meeting
submitted two days after the
June 2017 to
1 T meeting/conference. 5%
Pictures April 2018
(*non-advisers/ special
teachers may join the
Testimonies of
teacher-adviser in the
Parents
conduct of the activity and
may serve as facilitator in
any meeting in the
club/organization he/she is
into)
Community Involvement (15%)
EDUCATION SERVICES

Conducted well-
planned home visits/
parent- teacher conferences
Q per semester T to at least Home Visitation/
5 parents/ guardians of Parent-Teacher June 2017 to
2 5%
students with academic Conference Form April 2018
and/or behavioural Pictures
problems with complete
records submitted E

Certificates
Participated in two (2) civic
activities in the community Attendance during
like coastal clean-up drive, the activity
community maintenance and May 2017 to
3 5%
the like Q with complete Narrative April 2018
supporting documents E in Reports
whole year round T .
Pictures
 Pictures taken
during seminar
attended
Partipated actively Q in at
least 5 trainings/seminars/ Certificates of
May 2017 to
1 conferences E to ensure Participation 10%
April 2018
Professional Growth And Development (20%)

professional growth yearly.

T Program of
BASIC EDUCATION SERVICES

Activities/Training
Matrix

Certificates/
Received special
Plaques or any
awards/citations/ recognitions
mode of
from school level or higher May 2017 to
2 recognition 5%
levels E for exemplary April 2018
performance Q in a year T
Pictures

Conducted one (1) action Copy of the finished

research/ CI E with complete research/
results Q and submitted on Intervention/
3 due date T. CIP (Continued All Year Round 5%
Improvement
Program)- Stages 1,2
3
 BASIC EDUCATION SERVICES

Served as facilitator / trainer

/coordinator/chairman of
Plus Factor (5%)

committee in School and Letter of Appointment

other higher levels and Certificate
enthusiastically performed of Recognition Year round 5%
other ancillary services Q with
complete supporting Memorandum
documents E whole year
round T

Total Rating/Average 100%

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

Major Final Output Key Result Areas

Teaching Learning Process

Students’ Outcomes (30
Community Involvement (
Professional Growth And Develop
Plus (5%)

Numerical Rating
Adjectival Rating

Rater:
Ratee:

JOHN REY P. MANDIGMA

 Teacher I

Category Description

The extent to which actual performance is compared

Effectiveness/Quality with targeted performance

The extent to which time or resources is used for the

intended task or purpose. Measures whether targets
are accomplished with a minimum amount or quantity
of waste, expense, or unnecessary effort.
In management, efficiency relates to doing the things
right

Efficiency

Measures whether the deliverable was done on time

based on the requirements of the rules and regulations,
Timeliness and/or clients/stakeholders.
Time-related performance indicators evaluate such
things as project completion deadlines, time
management skills and other time-sensitive
expectations.
IVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

D IN DURING PLANNING
PERFORMANCE INDICATORS

(QUALITY, EFFICIENCY, TIMELINESS)

5- Evidences showed that the teacher properly prepared 100 % of the well-prepared and prescribed
lesson plans/DLL using the proper format and 100 % of the competencies of the learning areas were
used/met in a school year
4- Evidences showed that the teacher prepared 80%- 99% of the 140 prepared lesson plans/DLL using
the proper format and the 100 % of the competencies of the learning areas were used/met in a school
year
3- Evidences showed that the teacher prepared 60%-79% of the 140 prepared lesson plans/DLL per
month using the proper format and some of the competencies of the learning areas were used/met in a
school year
2- Evidences showed that the teacher prepared 40%-59% of the 140 lesson plans/DLL using the proper
format and competencies of the learning areas were used/met in a school year
1- Evidences showed that the teacher prepared 20%-39% and below of the 140 lesson plans/DLL
using proper format and competencies of the learning areas were used/met in a school year

5-Evidences showed that the teacher met all of the following expectations
:• Achieved 75% CPL in every class to show mastery of the subject matter (Non negotiable)

•Implemented required curriculum per subject area all the time (Non negotiable)

•Integrated lessons in other subject areas as reflected in DLL/LP 4 times a month

•Engaged and sustained learner’s interest in the subject 4 times a week by making content meaningful
to them
4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations
5- Facilitated learning in the asigned area utilizing 5 teaching approaches in whole year round
4- Facilitated learning in the asigned area utilizing 4 teaching approaches in whole year round
3- Facilitated learning in the asigned area utilizing 3 teaching approaches in whole year round
2- Facilitated learning in the asigned area utilizing 2 teaching approaches in whole year round
1-Facilitated learning in the asigned area utilizing 1 teaching approach in whole year round

5- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/discussions transpired daily with complete MOVs
4- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
3- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed
2- The teacher monitored and evaluated students’ progress through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
1- The teacher monitored and evaluated students’ progresss through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed

5- Evidences showed that the teacher met all the following expectations:
• Prepared item analysis in respective subject area periodically
• Analyzed and interpreted the result periodically
• Made inventory of least mastered skills
• Provided intervention materials for the least mastered skills
4. Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1-The teacher did not meet any of the expectations

5- 17 to 20 times of remediation activities were done in the whole school year

4- 13
to 16 times of remediation activities were done in the whole school year
3- 9 to 12 times of remediation activities were done in
the whole school year 2- 5
to 8 times of remediation activities were done in the whole school year
1- 0 to 4 times of remediation activities were
done in the whole school year
 5- The teacher conducted 4 PTA meetings/conferences with complete supporting documents(1.
attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4. pictures) submitted two
days after the meeting/conference. 4- The teacher conducted 3 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
parents 3. minutes of the meeting and 4. pictures) submitted three days after the
meeting/conference. 3- The teacher conducted 2 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
parents 3. minutes of the meeting and 4. pictures) submitted four days after the meeting/conference.
2. The teacher conducted 1 PTA meeting/conference with complete
supporting documents (1. attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4.
pictures) submitted four days after the meeting/conference. 1- The
teacher conducted 1 PTA meeting/conference without supporting documents submitted

5- Conducted home visits/parent-teacher conferences per semester to at least 5 parents/guardians with

academic and/or behavioral problems with complete records submitted
4- Conducted home visits/parent-teacher conferences per semester to at least 4 parents/guardians
with academic and/or behavioral problems with complete records submitted
3- Conducted home visits/parent-teacher conferences per semester to at least 3 parents/guardians
with academic and/or behavioral problems with complete records submitted
2- Conducted home visits/parent-teacher conferences per semester to at least 2 parents/guardians
with academic and/or behavioral problems with complete records submitted
1- Conducted home visits/parent-teacher conferences per semester to at least 1 parents/guardians
with academic and/or behavioral problems with complete records submitted

5- Participated in two (2) civic activities in the community with complete documents (attendance,
certificates, narrative reports, pictures taken during the activity)

4- Participated in two (2) civic activities in the community with at least 3 supporting documents

3- Participated in one (2) civic activities in the community with at least 2 supporting documents
2- Participated in one (2) civic activities in the community with at least 1 supporting document
1- Participated in one (2) civic activiies in the community without supporting documents
 5- Evidences showed that the teacher met all the following expectations:
• Certificate/s of Participation issued by the person in authority was received
• Served as demonstration teacher/facilitator
• Enhanced learning through attending professional seminars/ trainings with an accumulated 24 hours
in a year
• Attended mentoring program/ INSET in the school at least twice a year
4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations

5- Received at least 1 recognition award from Division/Regional/National level to recognize

exemplary performance in a year
4- Received at least 1 Recognition award from the Area to recognize exemplary performance in a
year
3- Received at least 1 Recognition award from the District to recognize exemplary performance in a
year
2- Received at least 1 Recognition award from the school principal to recognize exemplary
performance in a year
1- The teacher did not receive any award.

5 - A copy of the research was submitted a week before the due date with no errors in structure, content and
organization and the results were communicated, the plans were implemented with very well-prepared
narrative and pictorial report of accomplishment.
4 - A copy of the research was submitted 3 days before the due date with 1-5 errors in structure,
content and organization and the results were communicated, the plans were implemented with well-
prepared narrative and pictorial report of accomplishment.
3 - A copy of the research was submitted on the due date with
6-10 errors in structure, content and organization and the results were communicated, the plans were
implemented with prepared narrative and pictorial report of accomplishment.
2 - A copy of the research was submitted 1-5 days after the due date with 11-15 errors in structure,
content and organization and the results were communicated, the plans were implemented with narrative
and pictorial report of accomplishment.
1 - A copy of the research was submitted 6 days and more after the due date
with 16 or more errors in structure, content and organization and the results were communicated, the plans
were implemented with narrative and pictorial report of accomplishment.
 5 - served as facilitator/trainer/coordinator/ chairman/ member in 5 and above
training/seminars/ancillary services in any level within the school school year with complete
supporting documents
4 - served as facilitator/trainer/coordinator/ chairman/ member in 4 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
3 - served as facilitator/trainer/coordinator/ chairman/ member in 3 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
2 - served as facilitator/trainer/coordinator/ chairman/ member in 2 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
1 - served as facilitator/trainer/coordinator/ chairman/ member in a training/seminar/ancillary services
in any level within the school school year with complete supporting documents

TOTAL RATING

ADJECTIVAL RATING

Key Result Areas

Teaching Learning Process (30%)

Students’ Outcomes (30%)
Community Involvement (15%)
ssional Growth And Development (20%)
Plus (5%)

Rater:

JULIUS A. VILLAVICENCIO, Ed. D

 Principal I

nce is compared

s is used for the

whether targets
mount or quantity
fort.
doing the things

as done on time
es and regulations,

evaluate such
es, time
nsitive
Name of Rater JULIUS A. VILLAVICENCIO, Ed. D.
Position PRINCIPAL I
Date of Review

TO BE FILLED IN DURING EVALUATION

RATING
ACTUAL
SCORE
RESULTS Q E T AVE.

0.000 0.000

0.000 0.000
 0.000 0.000

Sub-Total 0.000

0.000 0.000

0.000 0.000

0.000

Sub-Total 0.000
 0.000 0.000

0.000 0.000

0.000 0.000

Sub-Total 0.000
 0.000 0.000

0.000 0.000

0.000 0.000

Sub-Total 0.000
 0.000 0.000

Sub-Total 0.000

0.000

Rating

0.000
0.000
0.000
0.000
0.000

0.000

Approved:
 Range Adjectival Rating Scale Definition

4.500- 5.000 Outstanding 5 Role Model

Consistently
3.500 - 4.499 Very Satisfactory 4
Demonstrate

Most of the
2.500 - 3.499 Satisfactory 3 time
demonstrate

Sometimes
1.500 - 2.499 Unsatisfactory 2
demonstrate

Rarely
1.499 & below Poor 1
demonstrate
 OFFICE / INDIVIDUAL PERFORMA

Name of Employee : DIANE L. VERGARA

Position: Teacher I
Review Period: June 2017-April 2018
Region/Division : IV-A CALABARZON/ BATANGAS
District/School: AGONCILLO/ BANYAGA NATIONAL HIGH SCHOOL
TO BE FILLED IN DURING PLANNING
MFOs

KRAs

WEIGHT
OBJECTIVES MOVs TIMELINE
PER KRA
Teaching Learning
BASIC

Prepared at least 100%

(140) Lesson Plans or Daily
Lesson Logs (DLLs) in
subject/s taught using
Lesson Plans/DLL
proper and appropriate
with Instructional June 2017 to
1 format Q and all 10%
Materials April 2018
competencies of the
learning areas were
used/met E in a school year
T
EDUCATION SERVICES

Process (30%)

Lesson Plans/ DLL

Demonstrated suitable
with
content knowledge and its
application Q within and
Instructional June 2017 to
2 across the curriculum E 10%
Materials April 2018
areas on actual daily
teaching T.
 EDU
Lesson Plans/DLL
Facilitated learning in the
assigned subject area E Instructional
focusing on the different Materials June 2017 to
3 10%
teaching approaches (2C2I1R) April 2018
Q in whole year round T. Observation
Forms/Sheets
BASIC EDUCATION

Print out of
Students’ Outcomes (30%)

Properly monitored and Summary of

evaluated students’ Grades per Quarter
progress Q through their
June 2017 to
1 updated and complete Daily Attendance 10%
April 2018
records or results of their Records per
activities/discussions E Quarter
transpired quarterly T.
SERVICES

Analyzed/ validated
students’ learning outcomes Item Analysis
as basis for future reference
E and prepared appropriate Periodic Test
intervention materials for Results
2 10% 10%
the least mastered skill/s Q List of Students
five days after the test Intervention
Needing Remediation
administration T . Materials
Enrichment Activities

Conducted well-planned
remediation activities Q to
students whom the teacher
foresees having difficulty in June 2017 to
3 10%
the subject they are teaching April 2018
with complete documents E
monthly T.
Narrative Report and
attendance during the
remediation

Remediation/Enrichm
ent Materials
 Conducted regular periodic
PTA meetings/ conferences
BASIC

as scheduled in the school

calendar;Q supported with
complete documents E
Attendance Sheets
(attendance sheet, program
of the meeting, minutes of
Minutes of the
the meeting, and pictures)
Meeting
submitted two days after the
June 2017 to
1 T meeting/conference. 5%
Pictures April 2018
(*non-advisers/ special
teachers may join the
Testimonies of
teacher-adviser in the
Parents
conduct of the activity and
may serve as facilitator in
any meeting in the
club/organization he/she is
into)
Community Involvement (15%)
EDUCATION SERVICES

Conducted well-
planned home visits/
parent- teacher conferences
Q per semester T to at least Home Visitation/
5 parents/ guardians of Parent-Teacher June 2017 to
2 5%
students with academic Conference Form April 2018
and/or behavioural Pictures
problems with complete
records submitted E

Certificates
Participated in two (2) civic
activities in the community Attendance during
like coastal clean-up drive, the activity
community maintenance and May 2017 to
3 5%
the like Q with complete Narrative April 2018
supporting documents E in Reports
whole year round T .
Pictures
 Pictures taken
during seminar
attended
Partipated actively Q in at
least 5 trainings/seminars/ Certificates of
May 2017 to
1 conferences E to ensure Participation 10%
April 2018
Professional Growth And Development (20%)

professional growth yearly.

T Program of
BASIC EDUCATION SERVICES

Activities/Training
Matrix

Certificates/
Received special
Plaques or any
awards/citations/ recognitions
mode of
from school level or higher May 2017 to
2 recognition 5%
levels E for exemplary April 2018
performance Q in a year T
Pictures

Conducted one (1) action Copy of the finished

research/ CI E with complete research/
results Q and submitted on Intervention/
3 due date T. CIP (Continued All Year Round 5%
Improvement
Program)- Stages 1,2
3
 BASIC EDUCATION SERVICES

Served as facilitator / trainer

/coordinator/chairman of
Plus Factor (5%)

committee in School and Letter of Appointment

other higher levels and Certificate
enthusiastically performed of Recognition Year round 5%
other ancillary services Q with
complete supporting Memorandum
documents E whole year
round T

Total Rating/Average 100%

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

Major Final Output Key Result Areas

Teaching Learning Process

Students’ Outcomes (30
Community Involvement (
Professional Growth And Develop
Plus (5%)

Numerical Rating
Adjectival Rating

Rater:
Ratee:

DIANE L. VERGARA
 Teacher I

Category Description

The extent to which actual performance is compared

Effectiveness/Quality with targeted performance

The extent to which time or resources is used for the

intended task or purpose. Measures whether targets
are accomplished with a minimum amount or quantity
of waste, expense, or unnecessary effort.
In management, efficiency relates to doing the things
right

Efficiency

Measures whether the deliverable was done on time

based on the requirements of the rules and regulations,
Timeliness and/or clients/stakeholders.
Time-related performance indicators evaluate such
things as project completion deadlines, time
management skills and other time-sensitive
expectations.
IVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

D IN DURING PLANNING
PERFORMANCE INDICATORS

(QUALITY, EFFICIENCY, TIMELINESS)

5- Evidences showed that the teacher properly prepared 100 % of the well-prepared and prescribed
lesson plans/DLL using the proper format and 100 % of the competencies of the learning areas were
used/met in a school year
4- Evidences showed that the teacher prepared 80%- 99% of the 140 prepared lesson plans/DLL using
the proper format and the 100 % of the competencies of the learning areas were used/met in a school
year
3- Evidences showed that the teacher prepared 60%-79% of the 140 prepared lesson plans/DLL per
month using the proper format and some of the competencies of the learning areas were used/met in a
school year
2- Evidences showed that the teacher prepared 40%-59% of the 140 lesson plans/DLL using the proper
format and competencies of the learning areas were used/met in a school year
1- Evidences showed that the teacher prepared 20%-39% and below of the 140 lesson plans/DLL
using proper format and competencies of the learning areas were used/met in a school year

5-Evidences showed that the teacher met all of the following expectations
:• Achieved 75% CPL in every class to show mastery of the subject matter (Non negotiable)

•Implemented required curriculum per subject area all the time (Non negotiable)

•Integrated lessons in other subject areas as reflected in DLL/LP 4 times a month

•Engaged and sustained learner’s interest in the subject 4 times a week by making content meaningful
to them
4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations
5- Facilitated learning in the asigned area utilizing 5 teaching approaches in whole year round
4- Facilitated learning in the asigned area utilizing 4 teaching approaches in whole year round
3- Facilitated learning in the asigned area utilizing 3 teaching approaches in whole year round
2- Facilitated learning in the asigned area utilizing 2 teaching approaches in whole year round
1-Facilitated learning in the asigned area utilizing 1 teaching approach in whole year round

5- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/discussions transpired daily with complete MOVs
4- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
3- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed
2- The teacher monitored and evaluated students’ progress through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
1- The teacher monitored and evaluated students’ progresss through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed

5- Evidences showed that the teacher met all the following expectations:
• Prepared item analysis in respective subject area periodically
• Analyzed and interpreted the result periodically
• Made inventory of least mastered skills
• Provided intervention materials for the least mastered skills
4. Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1-The teacher did not meet any of the expectations

5- 17 to 20 times of remediation activities were done in the whole school year

4- 13
to 16 times of remediation activities were done in the whole school year
3- 9 to 12 times of remediation activities were done in
the whole school year 2- 5
to 8 times of remediation activities were done in the whole school year
1- 0 to 4 times of remediation activities were
done in the whole school year
 5- The teacher conducted 4 PTA meetings/conferences with complete supporting documents(1.
attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4. pictures) submitted two
days after the meeting/conference. 4- The teacher conducted 3 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
parents 3. minutes of the meeting and 4. pictures) submitted three days after the
meeting/conference. 3- The teacher conducted 2 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
parents 3. minutes of the meeting and 4. pictures) submitted four days after the meeting/conference.
2. The teacher conducted 1 PTA meeting/conference with complete
supporting documents (1. attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4.
pictures) submitted four days after the meeting/conference. 1- The
teacher conducted 1 PTA meeting/conference without supporting documents submitted

5- Conducted home visits/parent-teacher conferences per semester to at least 5 parents/guardians with

academic and/or behavioral problems with complete records submitted
4- Conducted home visits/parent-teacher conferences per semester to at least 4 parents/guardians
with academic and/or behavioral problems with complete records submitted
3- Conducted home visits/parent-teacher conferences per semester to at least 3 parents/guardians
with academic and/or behavioral problems with complete records submitted
2- Conducted home visits/parent-teacher conferences per semester to at least 2 parents/guardians
with academic and/or behavioral problems with complete records submitted
1- Conducted home visits/parent-teacher conferences per semester to at least 1 parents/guardians
with academic and/or behavioral problems with complete records submitted

5- Participated in two (2) civic activities in the community with complete documents (attendance,
certificates, narrative reports, pictures taken during the activity)

4- Participated in two (2) civic activities in the community with at least 3 supporting documents

3- Participated in one (2) civic activities in the community with at least 2 supporting documents
2- Participated in one (2) civic activities in the community with at least 1 supporting document
1- Participated in one (2) civic activiies in the community without supporting documents
 5- Evidences showed that the teacher met all the following expectations:
• Certificate/s of Participation issued by the person in authority was received
• Served as demonstration teacher/facilitator
• Enhanced learning through attending professional seminars/ trainings with an accumulated 24 hours
in a year
• Attended mentoring program/ INSET in the school at least twice a year
4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations

5- Received at least 1 recognition award from Division/Regional/National level to recognize

exemplary performance in a year
4- Received at least 1 Recognition award from the Area to recognize exemplary performance in a
year
3- Received at least 1 Recognition award from the District to recognize exemplary performance in a
year
2- Received at least 1 Recognition award from the school principal to recognize exemplary
performance in a year
1- The teacher did not receive any award.

5 - A copy of the research was submitted a week before the due date with no errors in structure, content and
organization and the results were communicated, the plans were implemented with very well-prepared
narrative and pictorial report of accomplishment.
4 - A copy of the research was submitted 3 days before the due date with 1-5 errors in structure,
content and organization and the results were communicated, the plans were implemented with well-
prepared narrative and pictorial report of accomplishment.
3 - A copy of the research was submitted on the due date with
6-10 errors in structure, content and organization and the results were communicated, the plans were
implemented with prepared narrative and pictorial report of accomplishment.
2 - A copy of the research was submitted 1-5 days after the due date with 11-15 errors in structure,
content and organization and the results were communicated, the plans were implemented with narrative
and pictorial report of accomplishment.
1 - A copy of the research was submitted 6 days and more after the due date
with 16 or more errors in structure, content and organization and the results were communicated, the plans
were implemented with narrative and pictorial report of accomplishment.
 5 - served as facilitator/trainer/coordinator/ chairman/ member in 5 and above
training/seminars/ancillary services in any level within the school school year with complete
supporting documents
4 - served as facilitator/trainer/coordinator/ chairman/ member in 4 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
3 - served as facilitator/trainer/coordinator/ chairman/ member in 3 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
2 - served as facilitator/trainer/coordinator/ chairman/ member in 2 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
1 - served as facilitator/trainer/coordinator/ chairman/ member in a training/seminar/ancillary services
in any level within the school school year with complete supporting documents

TOTAL RATING

ADJECTIVAL RATING

Key Result Areas

Teaching Learning Process (30%)

Students’ Outcomes (30%)
Community Involvement (15%)
ssional Growth And Development (20%)
Plus (5%)

Rater:

JULIUS A. VILLAVICENCIO, Ed. D

 Principal I

nce is compared

s is used for the

whether targets
mount or quantity
fort.
doing the things

as done on time
es and regulations,

evaluate such
es, time
nsitive
Name of Rater JULIUS A. VILLAVICENCIO, Ed. D.
Position PRINCIPAL I
Date of Review

TO BE FILLED IN DURING EVALUATION

RATING
ACTUAL
SCORE
RESULTS Q E T AVE.

0.000 0.000

0.000 0.000
 0.000 0.000

Sub-Total 0.000

0.000 0.000

0.000 0.000

0.000

Sub-Total 0.000
 0.000 0.000

0.000 0.000

0.000 0.000

Sub-Total 0.000
 0.000 0.000

0.000 0.000

0.000 0.000

Sub-Total 0.000
 0.000 0.000

Sub-Total 0.000

0.000

Rating

0.000
0.000
0.000
0.000
0.000

0.000

Approved:
 Range Adjectival Rating Scale Definition

4.500- 5.000 Outstanding 5 Role Model

Consistently
3.500 - 4.499 Very Satisfactory 4
Demonstrate

Most of the
2.500 - 3.499 Satisfactory 3 time
demonstrate

Sometimes
1.500 - 2.499 Unsatisfactory 2
demonstrate

Rarely
1.499 & below Poor 1
demonstrate
 OFFICE / INDIVIDUAL PERFORMA

Name of Employee : VERGIE L. CABELLO

Position: Teacher I
Review Period: June 2017-April 2018
Region/Division : IV-A CALABARZON/ BATANGAS
District/School: AGONCILLO/ BANYAGA NATIONAL HIGH SCHOOL
TO BE FILLED IN DURING PLANNING
MFOs

KRAs

WEIGHT
OBJECTIVES MOVs TIMELINE
PER KRA
Teaching Learning
BASIC

Prepared at least 100%

(140) Lesson Plans or Daily
Lesson Logs (DLLs) in
subject/s taught using
Lesson Plans/DLL
proper and appropriate
with Instructional June 2017 to
1 format Q and all 10%
Materials April 2018
competencies of the
learning areas were
used/met E in a school year
T
EDUCATION SERVICES

Process (30%)

Lesson Plans/ DLL

Demonstrated suitable
with
content knowledge and its
application Q within and
Instructional June 2017 to
2 across the curriculum E 10%
Materials April 2018
areas on actual daily
teaching T.
 EDU
Lesson Plans/DLL
Facilitated learning in the
assigned subject area E Instructional
focusing on the different Materials June 2017 to
3 10%
teaching approaches (2C2I1R) April 2018
Q in whole year round T. Observation
Forms/Sheets
BASIC EDUCATION

Print out of
Students’ Outcomes (30%)

Properly monitored and Summary of

evaluated students’ Grades per Quarter
progress Q through their
June 2017 to
1 updated and complete Daily Attendance 10%
April 2018
records or results of their Records per
activities/discussions E Quarter
transpired quarterly T.
SERVICES

Analyzed/ validated
students’ learning outcomes Item Analysis
as basis for future reference
E and prepared appropriate Periodic Test
intervention materials for Results
2 10% 10%
the least mastered skill/s Q List of Students
five days after the test Intervention
Needing Remediation
administration T . Materials
Enrichment Activities

Conducted well-planned
remediation activities Q to
students whom the teacher
foresees having difficulty in June 2017 to
3 10%
the subject they are teaching April 2018
with complete documents E
monthly T.
Narrative Report and
attendance during the
remediation

Remediation/Enrichm
ent Materials
 Conducted regular periodic
PTA meetings/ conferences
BASIC

as scheduled in the school

calendar;Q supported with
complete documents E
Attendance Sheets
(attendance sheet, program
of the meeting, minutes of
Minutes of the
the meeting, and pictures)
Meeting
submitted two days after the
June 2017 to
1 T meeting/conference. 5%
Pictures April 2018
(*non-advisers/ special
teachers may join the
Testimonies of
teacher-adviser in the
Parents
conduct of the activity and
may serve as facilitator in
any meeting in the
club/organization he/she is
into)
Community Involvement (15%)
EDUCATION SERVICES

Conducted well-
planned home visits/
parent- teacher conferences
Q per semester T to at least Home Visitation/
5 parents/ guardians of Parent-Teacher June 2017 to
2 5%
students with academic Conference Form April 2018
and/or behavioural Pictures
problems with complete
records submitted E

Certificates
Participated in two (2) civic
activities in the community Attendance during
like coastal clean-up drive, the activity
community maintenance and May 2017 to
3 5%
the like Q with complete Narrative April 2018
supporting documents E in Reports
whole year round T .
Pictures
 Pictures taken
during seminar
attended
Partipated actively Q in at
least 5 trainings/seminars/ Certificates of
May 2017 to
1 conferences E to ensure Participation 10%
April 2018
Professional Growth And Development (20%)

professional growth yearly.

T Program of
BASIC EDUCATION SERVICES

Activities/Training
Matrix

Certificates/
Received special
Plaques or any
awards/citations/ recognitions
mode of
from school level or higher May 2017 to
2 recognition 5%
levels E for exemplary April 2018
performance Q in a year T
Pictures

Conducted one (1) action Copy of the finished

research/ CI E with complete research/
results Q and submitted on Intervention/
3 due date T. CIP (Continued All Year Round 5%
Improvement
Program)- Stages 1,2
3
 BASIC EDUCATION SERVICES

Served as facilitator / trainer

/coordinator/chairman of
Plus Factor (5%)

committee in School and Letter of Appointment

other higher levels and Certificate
enthusiastically performed of Recognition Year round 5%
other ancillary services Q with
complete supporting Memorandum
documents E whole year
round T

Total Rating/Average 100%

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

Major Final Output Key Result Areas

Teaching Learning Process

Students’ Outcomes (30
Community Involvement (
Professional Growth And Develop
Plus (5%)

Numerical Rating
Adjectival Rating

Rater:
Ratee:

VERGIE L. CABELLO
 Teacher I

Category Description

The extent to which actual performance is compared

Effectiveness/Quality with targeted performance

The extent to which time or resources is used for the

intended task or purpose. Measures whether targets
are accomplished with a minimum amount or quantity
of waste, expense, or unnecessary effort.
In management, efficiency relates to doing the things
right

Efficiency

Measures whether the deliverable was done on time

based on the requirements of the rules and regulations,
Timeliness and/or clients/stakeholders.
Time-related performance indicators evaluate such
things as project completion deadlines, time
management skills and other time-sensitive
expectations.
IVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

D IN DURING PLANNING
PERFORMANCE INDICATORS

(QUALITY, EFFICIENCY, TIMELINESS)

5- Evidences showed that the teacher properly prepared 100 % of the well-prepared and prescribed
lesson plans/DLL using the proper format and 100 % of the competencies of the learning areas were
used/met in a school year
4- Evidences showed that the teacher prepared 80%- 99% of the 140 prepared lesson plans/DLL using
the proper format and the 100 % of the competencies of the learning areas were used/met in a school
year
3- Evidences showed that the teacher prepared 60%-79% of the 140 prepared lesson plans/DLL per
month using the proper format and some of the competencies of the learning areas were used/met in a
school year
2- Evidences showed that the teacher prepared 40%-59% of the 140 lesson plans/DLL using the proper
format and competencies of the learning areas were used/met in a school year
1- Evidences showed that the teacher prepared 20%-39% and below of the 140 lesson plans/DLL
using proper format and competencies of the learning areas were used/met in a school year

5-Evidences showed that the teacher met all of the following expectations
:• Achieved 75% CPL in every class to show mastery of the subject matter (Non negotiable)

•Implemented required curriculum per subject area all the time (Non negotiable)

•Integrated lessons in other subject areas as reflected in DLL/LP 4 times a month

•Engaged and sustained learner’s interest in the subject 4 times a week by making content meaningful
to them
4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations
5- Facilitated learning in the asigned area utilizing 5 teaching approaches in whole year round
4- Facilitated learning in the asigned area utilizing 4 teaching approaches in whole year round
3- Facilitated learning in the asigned area utilizing 3 teaching approaches in whole year round
2- Facilitated learning in the asigned area utilizing 2 teaching approaches in whole year round
1-Facilitated learning in the asigned area utilizing 1 teaching approach in whole year round

5- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/discussions transpired daily with complete MOVs
4- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
3- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed
2- The teacher monitored and evaluated students’ progress through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
1- The teacher monitored and evaluated students’ progresss through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed

5- Evidences showed that the teacher met all the following expectations:
• Prepared item analysis in respective subject area periodically
• Analyzed and interpreted the result periodically
• Made inventory of least mastered skills
• Provided intervention materials for the least mastered skills
4. Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1-The teacher did not meet any of the expectations

5- 17 to 20 times of remediation activities were done in the whole school year

4- 13
to 16 times of remediation activities were done in the whole school year
3- 9 to 12 times of remediation activities were done in
the whole school year 2- 5
to 8 times of remediation activities were done in the whole school year
1- 0 to 4 times of remediation activities were
done in the whole school year
 5- The teacher conducted 4 PTA meetings/conferences with complete supporting documents(1.
attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4. pictures) submitted two
days after the meeting/conference. 4- The teacher conducted 3 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
parents 3. minutes of the meeting and 4. pictures) submitted three days after the
meeting/conference. 3- The teacher conducted 2 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
parents 3. minutes of the meeting and 4. pictures) submitted four days after the meeting/conference.
2. The teacher conducted 1 PTA meeting/conference with complete
supporting documents (1. attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4.
pictures) submitted four days after the meeting/conference. 1- The
teacher conducted 1 PTA meeting/conference without supporting documents submitted

5- Conducted home visits/parent-teacher conferences per semester to at least 5 parents/guardians with

academic and/or behavioral problems with complete records submitted
4- Conducted home visits/parent-teacher conferences per semester to at least 4 parents/guardians
with academic and/or behavioral problems with complete records submitted
3- Conducted home visits/parent-teacher conferences per semester to at least 3 parents/guardians
with academic and/or behavioral problems with complete records submitted
2- Conducted home visits/parent-teacher conferences per semester to at least 2 parents/guardians
with academic and/or behavioral problems with complete records submitted
1- Conducted home visits/parent-teacher conferences per semester to at least 1 parents/guardians
with academic and/or behavioral problems with complete records submitted

5- Participated in two (2) civic activities in the community with complete documents (attendance,
certificates, narrative reports, pictures taken during the activity)

4- Participated in two (2) civic activities in the community with at least 3 supporting documents

3- Participated in one (2) civic activities in the community with at least 2 supporting documents
2- Participated in one (2) civic activities in the community with at least 1 supporting document
1- Participated in one (2) civic activiies in the community without supporting documents
 5- Evidences showed that the teacher met all the following expectations:
• Certificate/s of Participation issued by the person in authority was received
• Served as demonstration teacher/facilitator
• Enhanced learning through attending professional seminars/ trainings with an accumulated 24 hours
in a year
• Attended mentoring program/ INSET in the school at least twice a year
4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations

5- Received at least 1 recognition award from Division/Regional/National level to recognize

exemplary performance in a year
4- Received at least 1 Recognition award from the Area to recognize exemplary performance in a
year
3- Received at least 1 Recognition award from the District to recognize exemplary performance in a
year
2- Received at least 1 Recognition award from the school principal to recognize exemplary
performance in a year
1- The teacher did not receive any award.

5 - A copy of the research was submitted a week before the due date with no errors in structure, content and
organization and the results were communicated, the plans were implemented with very well-prepared
narrative and pictorial report of accomplishment.
4 - A copy of the research was submitted 3 days before the due date with 1-5 errors in structure,
content and organization and the results were communicated, the plans were implemented with well-
prepared narrative and pictorial report of accomplishment.
3 - A copy of the research was submitted on the due date with
6-10 errors in structure, content and organization and the results were communicated, the plans were
implemented with prepared narrative and pictorial report of accomplishment.
2 - A copy of the research was submitted 1-5 days after the due date with 11-15 errors in structure,
content and organization and the results were communicated, the plans were implemented with narrative
and pictorial report of accomplishment.
1 - A copy of the research was submitted 6 days and more after the due date
with 16 or more errors in structure, content and organization and the results were communicated, the plans
were implemented with narrative and pictorial report of accomplishment.
 5 - served as facilitator/trainer/coordinator/ chairman/ member in 5 and above
training/seminars/ancillary services in any level within the school school year with complete
supporting documents
4 - served as facilitator/trainer/coordinator/ chairman/ member in 4 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
3 - served as facilitator/trainer/coordinator/ chairman/ member in 3 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
2 - served as facilitator/trainer/coordinator/ chairman/ member in 2 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
1 - served as facilitator/trainer/coordinator/ chairman/ member in a training/seminar/ancillary services
in any level within the school school year with complete supporting documents

TOTAL RATING

ADJECTIVAL RATING

Key Result Areas

Teaching Learning Process (30%)

Students’ Outcomes (30%)
Community Involvement (15%)
ssional Growth And Development (20%)
Plus (5%)

Rater:

JULIUS A. VILLAVICENCIO, Ed. D

 Principal I

nce is compared

s is used for the

whether targets
mount or quantity
fort.
doing the things

as done on time
es and regulations,

evaluate such
es, time
nsitive
Name of Rater JULIUS A. VILLAVICENCIO, Ed. D.
Position PRINCIPAL I
Date of Review

TO BE FILLED IN DURING EVALUATION

RATING
ACTUAL
SCORE
RESULTS Q E T AVE.

0.000 0.000

0.000 0.000
 0.000 0.000

Sub-Total 0.000

0.000 0.000

0.000 0.000

0.000

Sub-Total 0.000
 0.000 0.000

0.000 0.000

0.000 0.000

Sub-Total 0.000
 0.000 0.000

0.000 0.000

0.000 0.000

Sub-Total 0.000
 0.000 0.000

Sub-Total 0.000

0.000

Rating

0.000
0.000
0.000
0.000
0.000

0.000

Approved:
 Range Adjectival Rating Scale Definition

4.500- 5.000 Outstanding 5 Role Model

Consistently
3.500 - 4.499 Very Satisfactory 4
Demonstrate

Most of the
2.500 - 3.499 Satisfactory 3 time
demonstrate

Sometimes
1.500 - 2.499 Unsatisfactory 2
demonstrate

Rarely
1.499 & below Poor 1
demonstrate
 OFFICE / INDIVIDUAL PERFORMA

Name of Employee : CECILIA V. PORDONZALAN

Position: Teacher I
Review Period: June 2017-April 2018
Region/Division : IV-A CALABARZON/ BATANGAS
District/School: AGONCILLO/ BANYAGA NATIONAL HIGH SCHOOL
TO BE FILLED IN DURING PLANNING
MFOs

KRAs

WEIGHT
OBJECTIVES MOVs TIMELINE
PER KRA
Teaching Learning
BASIC

Prepared at least 100%

(140) Lesson Plans or Daily
Lesson Logs (DLLs) in
subject/s taught using
Lesson Plans/DLL
proper and appropriate
with Instructional June 2017 to
1 format Q and all 10%
Materials April 2018
competencies of the
learning areas were
used/met E in a school year
T
EDUCATION SERVICES

Process (30%)

Lesson Plans/ DLL

Demonstrated suitable
with
content knowledge and its
application Q within and
Instructional June 2017 to
2 across the curriculum E 10%
Materials April 2018
areas on actual daily
teaching T.
 EDU
Lesson Plans/DLL
Facilitated learning in the
assigned subject area E Instructional
focusing on the different Materials June 2017 to
3 10%
teaching approaches (2C2I1R) April 2018
Q in whole year round T. Observation
Forms/Sheets
BASIC EDUCATION

Print out of
Students’ Outcomes (30%)

Properly monitored and Summary of

evaluated students’ Grades per Quarter
progress Q through their
June 2017 to
1 updated and complete Daily Attendance 10%
April 2018
records or results of their Records per
activities/discussions E Quarter
transpired quarterly T.
SERVICES

Analyzed/ validated
students’ learning outcomes Item Analysis
as basis for future reference
E and prepared appropriate Periodic Test
intervention materials for Results
2 10% 10%
the least mastered skill/s Q List of Students
five days after the test Intervention
Needing Remediation
administration T . Materials
Enrichment Activities

Conducted well-planned
remediation activities Q to
students whom the teacher
foresees having difficulty in June 2017 to
3 10%
the subject they are teaching April 2018
with complete documents E
monthly T.
Narrative Report and
attendance during the
remediation

Remediation/Enrichm
ent Materials
 Conducted regular periodic
PTA meetings/ conferences
BASIC

as scheduled in the school

calendar;Q supported with
complete documents E
Attendance Sheets
(attendance sheet, program
of the meeting, minutes of
Minutes of the
the meeting, and pictures)
Meeting
submitted two days after the
June 2017 to
1 T meeting/conference. 5%
Pictures April 2018
(*non-advisers/ special
teachers may join the
Testimonies of
teacher-adviser in the
Parents
conduct of the activity and
may serve as facilitator in
any meeting in the
club/organization he/she is
into)
Community Involvement (15%)
EDUCATION SERVICES

Conducted well-
planned home visits/
parent- teacher conferences
Q per semester T to at least Home Visitation/
5 parents/ guardians of Parent-Teacher June 2017 to
2 5%
students with academic Conference Form April 2018
and/or behavioural Pictures
problems with complete
records submitted E

Certificates
Participated in two (2) civic
activities in the community Attendance during
like coastal clean-up drive, the activity
community maintenance and May 2017 to
3 5%
the like Q with complete Narrative April 2018
supporting documents E in Reports
whole year round T .
Pictures
 Pictures taken
during seminar
attended
Partipated actively Q in at
least 5 trainings/seminars/ Certificates of
May 2017 to
1 conferences E to ensure Participation 10%
April 2018
Professional Growth And Development (20%)

professional growth yearly.

T Program of
BASIC EDUCATION SERVICES

Activities/Training
Matrix

Certificates/
Received special
Plaques or any
awards/citations/ recognitions
mode of
from school level or higher May 2017 to
2 recognition 5%
levels E for exemplary April 2018
performance Q in a year T
Pictures

Conducted one (1) action Copy of the finished

research/ CI E with complete research/
results Q and submitted on Intervention/
3 due date T. CIP (Continued All Year Round 5%
Improvement
Program)- Stages 1,2
3
 BASIC EDUCATION SERVICES

Served as facilitator / trainer

/coordinator/chairman of
Plus Factor (5%)

committee in School and Letter of Appointment

other higher levels and Certificate
enthusiastically performed of Recognition Year round 5%
other ancillary services Q with
complete supporting Memorandum
documents E whole year
round T

Total Rating/Average 100%

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

Major Final Output Key Result Areas

Teaching Learning Process

Students’ Outcomes (30
Community Involvement (
Professional Growth And Develop
Plus (5%)

Numerical Rating
Adjectival Rating

Rater:
Ratee:

CECILIA V. PORDONZALAN
 Teacher I

Category Description

The extent to which actual performance is compared

Effectiveness/Quality with targeted performance

The extent to which time or resources is used for the

intended task or purpose. Measures whether targets
are accomplished with a minimum amount or quantity
of waste, expense, or unnecessary effort.
In management, efficiency relates to doing the things
right

Efficiency

Measures whether the deliverable was done on time

based on the requirements of the rules and regulations,
Timeliness and/or clients/stakeholders.
Time-related performance indicators evaluate such
things as project completion deadlines, time
management skills and other time-sensitive
expectations.
IVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

D IN DURING PLANNING
PERFORMANCE INDICATORS

(QUALITY, EFFICIENCY, TIMELINESS)

5- Evidences showed that the teacher properly prepared 100 % of the well-prepared and prescribed
lesson plans/DLL using the proper format and 100 % of the competencies of the learning areas were
used/met in a school year
4- Evidences showed that the teacher prepared 80%- 99% of the 140 prepared lesson plans/DLL using
the proper format and the 100 % of the competencies of the learning areas were used/met in a school
year
3- Evidences showed that the teacher prepared 60%-79% of the 140 prepared lesson plans/DLL per
month using the proper format and some of the competencies of the learning areas were used/met in a
school year
2- Evidences showed that the teacher prepared 40%-59% of the 140 lesson plans/DLL using the proper
format and competencies of the learning areas were used/met in a school year
1- Evidences showed that the teacher prepared 20%-39% and below of the 140 lesson plans/DLL
using proper format and competencies of the learning areas were used/met in a school year

5-Evidences showed that the teacher met all of the following expectations
:• Achieved 75% CPL in every class to show mastery of the subject matter (Non negotiable)

•Implemented required curriculum per subject area all the time (Non negotiable)

•Integrated lessons in other subject areas as reflected in DLL/LP 4 times a month

•Engaged and sustained learner’s interest in the subject 4 times a week by making content meaningful
to them
4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations
5- Facilitated learning in the asigned area utilizing 5 teaching approaches in whole year round
4- Facilitated learning in the asigned area utilizing 4 teaching approaches in whole year round
3- Facilitated learning in the asigned area utilizing 3 teaching approaches in whole year round
2- Facilitated learning in the asigned area utilizing 2 teaching approaches in whole year round
1-Facilitated learning in the asigned area utilizing 1 teaching approach in whole year round

5- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/discussions transpired daily with complete MOVs
4- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
3- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed
2- The teacher monitored and evaluated students’ progress through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
1- The teacher monitored and evaluated students’ progresss through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed

5- Evidences showed that the teacher met all the following expectations:
• Prepared item analysis in respective subject area periodically
• Analyzed and interpreted the result periodically
• Made inventory of least mastered skills
• Provided intervention materials for the least mastered skills
4. Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1-The teacher did not meet any of the expectations

5- 17 to 20 times of remediation activities were done in the whole school year

4- 13
to 16 times of remediation activities were done in the whole school year
3- 9 to 12 times of remediation activities were done in
the whole school year 2- 5
to 8 times of remediation activities were done in the whole school year
1- 0 to 4 times of remediation activities were
done in the whole school year
 5- The teacher conducted 4 PTA meetings/conferences with complete supporting documents(1.
attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4. pictures) submitted two
days after the meeting/conference. 4- The teacher conducted 3 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
parents 3. minutes of the meeting and 4. pictures) submitted three days after the
meeting/conference. 3- The teacher conducted 2 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
parents 3. minutes of the meeting and 4. pictures) submitted four days after the meeting/conference.
2. The teacher conducted 1 PTA meeting/conference with complete
supporting documents (1. attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4.
pictures) submitted four days after the meeting/conference. 1- The
teacher conducted 1 PTA meeting/conference without supporting documents submitted

5- Conducted home visits/parent-teacher conferences per semester to at least 5 parents/guardians with

academic and/or behavioral problems with complete records submitted
4- Conducted home visits/parent-teacher conferences per semester to at least 4 parents/guardians
with academic and/or behavioral problems with complete records submitted
3- Conducted home visits/parent-teacher conferences per semester to at least 3 parents/guardians
with academic and/or behavioral problems with complete records submitted
2- Conducted home visits/parent-teacher conferences per semester to at least 2 parents/guardians
with academic and/or behavioral problems with complete records submitted
1- Conducted home visits/parent-teacher conferences per semester to at least 1 parents/guardians
with academic and/or behavioral problems with complete records submitted

5- Participated in two (2) civic activities in the community with complete documents (attendance,
certificates, narrative reports, pictures taken during the activity)

4- Participated in two (2) civic activities in the community with at least 3 supporting documents

3- Participated in one (2) civic activities in the community with at least 2 supporting documents
2- Participated in one (2) civic activities in the community with at least 1 supporting document
1- Participated in one (2) civic activiies in the community without supporting documents
 5- Evidences showed that the teacher met all the following expectations:
• Certificate/s of Participation issued by the person in authority was received
• Served as demonstration teacher/facilitator
• Enhanced learning through attending professional seminars/ trainings with an accumulated 24 hours
in a year
• Attended mentoring program/ INSET in the school at least twice a year
4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations

5- Received at least 1 recognition award from Division/Regional/National level to recognize

exemplary performance in a year
4- Received at least 1 Recognition award from the Area to recognize exemplary performance in a
year
3- Received at least 1 Recognition award from the District to recognize exemplary performance in a
year
2- Received at least 1 Recognition award from the school principal to recognize exemplary
performance in a year
1- The teacher did not receive any award.

5 - A copy of the research was submitted a week before the due date with no errors in structure, content and
organization and the results were communicated, the plans were implemented with very well-prepared
narrative and pictorial report of accomplishment.
4 - A copy of the research was submitted 3 days before the due date with 1-5 errors in structure,
content and organization and the results were communicated, the plans were implemented with well-
prepared narrative and pictorial report of accomplishment.
3 - A copy of the research was submitted on the due date with
6-10 errors in structure, content and organization and the results were communicated, the plans were
implemented with prepared narrative and pictorial report of accomplishment.
2 - A copy of the research was submitted 1-5 days after the due date with 11-15 errors in structure,
content and organization and the results were communicated, the plans were implemented with narrative
and pictorial report of accomplishment.
1 - A copy of the research was submitted 6 days and more after the due date
with 16 or more errors in structure, content and organization and the results were communicated, the plans
were implemented with narrative and pictorial report of accomplishment.
 5 - served as facilitator/trainer/coordinator/ chairman/ member in 5 and above
training/seminars/ancillary services in any level within the school school year with complete
supporting documents
4 - served as facilitator/trainer/coordinator/ chairman/ member in 4 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
3 - served as facilitator/trainer/coordinator/ chairman/ member in 3 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
2 - served as facilitator/trainer/coordinator/ chairman/ member in 2 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
1 - served as facilitator/trainer/coordinator/ chairman/ member in a training/seminar/ancillary services
in any level within the school school year with complete supporting documents

TOTAL RATING

ADJECTIVAL RATING

Key Result Areas

Teaching Learning Process (30%)

Students’ Outcomes (30%)
Community Involvement (15%)
ssional Growth And Development (20%)
Plus (5%)

Rater:

JULIUS A. VILLAVICENCIO, Ed. D

 Principal I

nce is compared

s is used for the

whether targets
mount or quantity
fort.
doing the things

as done on time
es and regulations,

evaluate such
es, time
nsitive
Name of Rater JULIUS A. VILLAVICENCIO, Ed. D.
Position PRINCIPAL I
Date of Review

TO BE FILLED IN DURING EVALUATION

RATING
ACTUAL
SCORE
RESULTS Q E T AVE.

0.000 0.000

0.000 0.000
 0.000 0.000

Sub-Total 0.000

0.000 0.000

0.000 0.000

0.000

Sub-Total 0.000
 0.000 0.000

0.000 0.000

0.000 0.000

Sub-Total 0.000
 0.000 0.000

0.000 0.000

0.000 0.000

Sub-Total 0.000
 0.000 0.000

Sub-Total 0.000

0.000

Rating

0.000
0.000
0.000
0.000
0.000

0.000

Approved:
 Range Adjectival Rating Scale Definition

4.500- 5.000 Outstanding 5 Role Model

Consistently
3.500 - 4.499 Very Satisfactory 4
Demonstrate

Most of the
2.500 - 3.499 Satisfactory 3 time
demonstrate

Sometimes
1.500 - 2.499 Unsatisfactory 2
demonstrate

Rarely
1.499 & below Poor 1
demonstrate
 OFFICE / INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

Name of Employee : NOELLA JANEEL D. BROTONEL Name of Rater ELLEN P. TOLDANES

Position: Teacher I Position PRINCIPAL I
Review Period: June 2018-October 2018 Date of Review
Region/Division : IV-A CALABARZON/ BATANGAS
District/School: AGONCILLO/ BANYAGA NATIONAL HIGH SCHOOL
TO BE FILLED IN DURING PLANNING TO BE FILLED IN DURING EVALUATION
PERFORMANCE INDICATORS RATING
MFOs

KRAs

WEIGHT ACTUAL
OBJECTIVES MOVs TIMELINE SCORE
PER KRA (QUALITY, EFFICIENCY, TIMELINESS) RESULTS Q E T AVE.
Teaching Learning
BASIC

5- Evidences showed that the teacher properly prepared 100 % of the well-prepared and prescribed
lesson plans/DLL using the proper format and 100 % of the competencies of the learning areas were
Prepared at least 100%
used/met in a school year
(140) Lesson Plans or Daily
4- Evidences showed that the teacher prepared 80%- 99% of the 140 prepared lesson plans/DLL using
Lesson Logs (DLLs) in
the proper format and the 100 % of the competencies of the learning areas were used/met in a school
subject/s taught using
Lesson Plans/DLL year
proper and appropriate
with Instructional June 2017 to 3- Evidences showed that the teacher prepared 60%-79% of the 140 prepared lesson plans/DLL per
1 format Q and all 10% 0.000 0.000
Materials April 2018 month using the proper format and some of the competencies of the learning areas were used/met in a
competencies of the
school year
learning areas were
2- Evidences showed that the teacher prepared 40%-59% of the 140 lesson plans/DLL using the proper
used/met E in a school year
format and competencies of the learning areas were used/met in a school year
T
1- Evidences showed that the teacher prepared 20%-39% and below of the 140 lesson plans/DLL
using proper format and competencies of the learning areas were used/met in a school year
EDUCATION SERVICES

5-Evidences showed that the teacher met all of the following expectations
Process (30%)

:• Achieved 75% CPL in every class to show mastery of the subject matter (Non negotiable)
Lesson Plans/ DLL
Demonstrated suitable •Implemented required curriculum per subject area all the time (Non negotiable)
with
content knowledge and its
application Q within and •Integrated lessons in other subject areas as reflected in DLL/LP 4 times a month
Instructional June 2017 to
2 across the curriculum E 10% •Engaged and sustained learner’s interest in the subject 4 times a week by making content meaningful 0.000 0.000
Materials April 2018
areas on actual daily to them
teaching T. 4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations
 Proces
EDUCATIO

Lesson Plans/DLL
Facilitated learning in the 5- Facilitated learning in the asigned area utilizing 5 teaching approaches in whole year round
assigned subject area E Instructional 4- Facilitated learning in the asigned area utilizing 4 teaching approaches in whole year round
focusing on the different Materials June 2017 to 3- Facilitated learning in the asigned area utilizing 3 teaching approaches in whole year round
3 10% 0.000 0.000
teaching approaches (2C2I1R) April 2018 2- Facilitated learning in the asigned area utilizing 2 teaching approaches in whole year round
Q in whole year round T. Observation 1-Facilitated learning in the asigned area utilizing 1 teaching approach in whole year round
Forms/Sheets

Sub-Total 0.000
BASIC EDUCATION

5- The teacher monitored and evaluated students’ progress through their updated and complete
Students’ Outcomes (30%)

Properly monitored and
evaluated students’
progress Q through their
1 updated and complete
records or results of their
activities/discussions E
transpired quarterly T.
Print out of records or results of their activities/discussions transpired daily with complete MOVs
Summary of 4- The teacher monitored and evaluated students’ progress through their updated and complete
Grades per Quarter records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
3- The teacher monitored and evaluated students’ progress through their updated and complete
June 2017 to
Daily Attendance 10% records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed 0.000 0.000
April 2018
Records per 2- The teacher monitored and evaluated students’ progress through their outdated and incomplete
Quarter records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
1- The teacher monitored and evaluated students’ progresss through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed

5- Evidences showed that the teacher met all the following expectations:
SERVICES

Analyzed/ validated
students’ learning outcomes Item Analysis • Prepared item analysis in respective subject area periodically
as basis for future reference • Analyzed and interpreted the result periodically
E and prepared appropriate Periodic Test • Made inventory of least mastered skills
intervention materials for Results • Provided intervention materials for the least mastered skills
2 10% 10% 4. Evidences showed that the teacher met 3 out of 4 expectations 0.000 0.000
the least mastered skill/s Q List of Students
five days after the test Intervention 3- Evidences showed that the teacher met 2 out of 4 expectations
Needing Remediation 2- Evidences showed that the teacher met 1 out of 4 expectations
administration T . Materials
1-The teacher did not meet any of the expectations
Enrichment Activities

5- 17 to 20 times of remediation activities were done in the whole school year

Conducted well-planned
remediation activities Q to
4- 13
students whom the teacher
to 16 times of remediation activities were done in the whole school year
foresees having difficulty in June 2017 to
3 10% 3- 9 to 12 times of remediation activities were done in 0.000
the subject they are teaching April 2018
the whole school year 2- 5
with complete documents E
to 8 times of remediation activities were done in the whole school year
monthly T.
1- 0 to 4 times of remediation activities were
Narrative Report and done in the whole school year
attendance during the
remediation Sub-Total 0.000

Remediation/Enrichm
ent Materials
 Conducted regular periodic
PTA meetings/ conferences
BASIC
as scheduled in the school
calendar;Q supported with
complete documents E
(attendance sheet, program
of the meeting, minutes of
the meeting, and pictures)
submitted two days after the
1 T meeting/conference.
(*non-advisers/ special
teachers may join the
teacher-adviser in the
conduct of the activity and
may serve as facilitator in
any meeting in the
club/organization he/she is
into)
Community Involvement (15%)
EDUCATION SERVICES
Conducted well-
planned home visits/
parent- teacher conferences
Q per semester T to at least
5 parents/ guardians of
2 5%
students with academic
and/or behavioural
problems with complete
records submitted E
Participated in two (2) civic
activities in the community
like coastal clean-up drive,
community maintenance and
3 5%
the like Q with complete
supporting documents E in
whole year round T .
5- The teacher conducted 4 PTA meetings/conferences with complete supporting documents(1.
attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4. pictures) submitted two
Attendance Sheets
days after the meeting/conference. 4- The teacher conducted 3 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
Minutes of the
parents 3. minutes of the meeting and 4. pictures) submitted three days after the
Meeting
meeting/conference. 3- The teacher conducted 2 PTA
June 2017 to
5% meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of 0.000 0.000
Pictures April 2018
parents 3. minutes of the meeting and 4. pictures) submitted four days after the meeting/conference.
2. The teacher conducted 1 PTA meeting/conference with complete
Testimonies of
supporting documents (1. attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4.
Parents
pictures) submitted four days after the meeting/conference. 1- The
teacher conducted 1 PTA meeting/conference without supporting documents submitted
5- Conducted home visits/parent-teacher conferences per semester to at least 5 parents/guardians with
academic and/or behavioral problems with complete records submitted
4- Conducted home visits/parent-teacher conferences per semester to at least 4 parents/guardians
with academic and/or behavioral problems with complete records submitted
Home Visitation/
3- Conducted home visits/parent-teacher conferences per semester to at least 3 parents/guardians
Parent-Teacher June 2017 to
with academic and/or behavioral problems with complete records submitted 0.000 0.000
Conference Form April 2018
2- Conducted home visits/parent-teacher conferences per semester to at least 2 parents/guardians
Pictures
with academic and/or behavioral problems with complete records submitted
1- Conducted home visits/parent-teacher conferences per semester to at least 1 parents/guardians
with academic and/or behavioral problems with complete records submitted
Certificates
5- Participated in two (2) civic activities in the community with complete documents (attendance,
Attendance during certificates, narrative reports, pictures taken during the activity)
the activity
May 2017 to 4- Participated in two (2) civic activities in the community with at least 3 supporting documents
0.000 0.000
Narrative April 2018
Reports 3- Participated in one (2) civic activities in the community with at least 2 supporting documents
2- Participated in one (2) civic activities in the community with at least 1 supporting document
Pictures 1- Participated in one (2) civic activiies in the community without supporting documents
Sub-Total 0.000
 Pictures taken 5- Evidences showed that the teacher met all the following expectations:
during seminar • Certificate/s of Participation issued by the person in authority was received
attended • Served as demonstration teacher/facilitator
Partipated actively Q in at • Enhanced learning through attending professional seminars/ trainings with an accumulated 24 hours
least 5 trainings/seminars/ Certificates of in a year
May 2017 to
1 conferences E to ensure Participation 10% • Attended mentoring program/ INSET in the school at least twice a year 0.000 0.000
Professional Growth And Development (20%)

April 2018
professional growth yearly. 4- Evidences showed that the teacher met 3 out of 4 expectations
BASIC EDUCATION SERVICES

T Program of 3- Evidences showed that the teacher met 2 out of 4 expectations

Activities/Training 2- Evidences showed that the teacher met 1 out of 4 expectations
Matrix 1- The teacher did not meet any of the expectations

5- Received at least 1 recognition award from Division/Regional/National level to recognize

exemplary performance in a year
Certificates/
Received special 4- Received at least 1 Recognition award from the Area to recognize exemplary performance in a
Plaques or any
awards/citations/ recognitions year
mode of
from school level or higher May 2017 to 3- Received at least 1 Recognition award from the District to recognize exemplary performance in a
2 recognition 5% 0.000 0.000
levels E for exemplary April 2018 year
performance Q in a year T 2- Received at least 1 Recognition award from the school principal to recognize exemplary
Pictures
performance in a year
1- The teacher did not receive any award.

Conducted one (1) action Copy of the finished
research/ CI E with complete research/
results Q and submitted on Intervention/
3 due date T. CIP (Continued All Year Round
Improvement
Program)- Stages 1,2
3 content and organization and the results were communicated, the plans were implemented with narrative
5 - A copy of the research was submitted a week before the due date with no errors in structure, content and
organization and the results were communicated, the plans were implemented with very well-prepared
narrative and pictorial report of accomplishment.
4 - A copy of the research was submitted 3 days before the due date with 1-5 errors in structure,
content and organization and the results were communicated, the plans were implemented with well-
prepared narrative and pictorial report of accomplishment.
3 - A copy of the research was submitted on the due date with
5% 6-10 errors in structure, content and organization and the results were communicated, the plans were 0.000 0.000
implemented with prepared narrative and pictorial report of accomplishment.
2 - A copy of the research was submitted 1-5 days after the due date with 11-15 errors in structure,
and pictorial report of accomplishment.
1 - A copy of the research was submitted 6 days and more after the due date
with 16 or more errors in structure, content and organization and the results were communicated, the plans
were implemented with narrative and pictorial report of accomplishment.

Sub-Total 0.000
 BASIC EDUCATION SERVICES

5 - served as facilitator/trainer/coordinator/ chairman/ member in 5 and above

Served as facilitator / trainer training/seminars/ancillary services in any level within the school school year with complete
/coordinator/chairman of supporting documents
Plus Factor (5%)

committee in School and
other higher levels and
enthusiastically performed
other ancillary services Q with
complete supporting
documents E whole year
round T
Letter of Appointment 4 - served as facilitator/trainer/coordinator/ chairman/ member in 4 training/seminars/ancillary services
Certificate in any level within the school school year with complete supporting documents
of Recognition Year round 5% 3 - served as facilitator/trainer/coordinator/ chairman/ member in 3 training/seminars/ancillary services 0.000 0.000
in any level within the school school year with complete supporting documents
Memorandum 2 - served as facilitator/trainer/coordinator/ chairman/ member in 2 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
1 - served as facilitator/trainer/coordinator/ chairman/ member in a training/seminar/ancillary services
in any level within the school school year with complete supporting documents

Sub-Total 0.000

Total Rating/Average 100% TOTAL RATING 0.000

*To get the score, the rating is multiplied by the weight assigned ADJECTIVAL RATING

Major Final Output Key Result Areas Rating

Teaching Learning Process (30%) 0.000

Students’ Outcomes (30%) 0.000
Community Involvement (15%) 0.000
Professional Growth And Development (20%) 0.000
Plus (5%) 0.000

Numerical Rating 0.000

Adjectival Rating

Rater: Approved:
Ratee:

NOELLA JANEEL D. BROTONEL ELLEN P. TOLDANES

Teacher I Principal I
 Category Description Range Adjectival Rating Scale Definition

The extent to which actual performance is compared 4.500- 5.000 Outstanding 5 Role Model
Effectiveness/Quality with targeted performance

The extent to which time or resources is used for the

intended task or purpose. Measures whether targets
are accomplished with a minimum amount or quantity
Consistently
of waste, expense, or unnecessary effort. 3.500 - 4.499 Very Satisfactory 4
Demonstrate
In management, efficiency relates to doing the things
right

Efficiency
Most of the
2.500 - 3.499 Satisfactory 3 time
demonstrate
Measures whether the deliverable was done on time
based on the requirements of the rules and regulations, Sometimes
Timeliness and/or clients/stakeholders. 1.500 - 2.499 Unsatisfactory 2
demonstrate
Time-related performance indicators evaluate such
things as project completion deadlines, time
management skills and other time-sensitive Rarely
1.499 & below Poor 1
expectations. demonstrate
 OFFICE / INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

Name of Employee : ROMELA F. DEOMAMPO Name of Rater ELLEN P. TOLDANES

Position: Teacher I Position PRINCIPAL I
Review Period: June 2018-October 2018 Date of Review
Region/Division : IV-A CALABARZON/ BATANGAS
District/School: AGONCILLO/ BANYAGA NATIONAL HIGH SCHOOL
TO BE FILLED IN DURING PLANNING TO BE FILLED IN DURING EVALUATION
PERFORMANCE INDICATORS RATING
MFOs

KRAs

WEIGHT ACTUAL
OBJECTIVES MOVs TIMELINE SCORE
PER KRA (QUALITY, EFFICIENCY, TIMELINESS) RESULTS Q E T AVE.
Teaching Learning
BASIC

5- Evidences showed that the teacher properly prepared 100 % of the well-prepared and prescribed
lesson plans/DLL using the proper format and 100 % of the competencies of the learning areas were
Prepared at least 100%
used/met in a school year
(140) Lesson Plans or Daily
4- Evidences showed that the teacher prepared 80%- 99% of the 140 prepared lesson plans/DLL using
Lesson Logs (DLLs) in
the proper format and the 100 % of the competencies of the learning areas were used/met in a school
subject/s taught using
Lesson Plans/DLL year
proper and appropriate
with Instructional June 2017 to 3- Evidences showed that the teacher prepared 60%-79% of the 140 prepared lesson plans/DLL per
1 format Q and all 10% 0.000 0.000
Materials April 2018 month using the proper format and some of the competencies of the learning areas were used/met in a
competencies of the
school year
learning areas were
2- Evidences showed that the teacher prepared 40%-59% of the 140 lesson plans/DLL using the proper
used/met E in a school year
format and competencies of the learning areas were used/met in a school year
T
1- Evidences showed that the teacher prepared 20%-39% and below of the 140 lesson plans/DLL
using proper format and competencies of the learning areas were used/met in a school year
EDUCATION SERVICES

5-Evidences showed that the teacher met all of the following expectations
Process (30%)

:• Achieved 75% CPL in every class to show mastery of the subject matter (Non negotiable)
Lesson Plans/ DLL
Demonstrated suitable •Implemented required curriculum per subject area all the time (Non negotiable)
with
content knowledge and its
application Q within and •Integrated lessons in other subject areas as reflected in DLL/LP 4 times a month
Instructional June 2017 to
2 across the curriculum E 10% •Engaged and sustained learner’s interest in the subject 4 times a week by making content meaningful 0.000 0.000
Materials April 2018
areas on actual daily to them
teaching T. 4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations
 Proces
EDUCATIO

Lesson Plans/DLL
Facilitated learning in the 5- Facilitated learning in the asigned area utilizing 5 teaching approaches in whole year round
assigned subject area E Instructional 4- Facilitated learning in the asigned area utilizing 4 teaching approaches in whole year round
focusing on the different Materials June 2017 to 3- Facilitated learning in the asigned area utilizing 3 teaching approaches in whole year round
3 10% 0.000 0.000
teaching approaches (2C2I1R) April 2018 2- Facilitated learning in the asigned area utilizing 2 teaching approaches in whole year round
Q in whole year round T. Observation 1-Facilitated learning in the asigned area utilizing 1 teaching approach in whole year round
Forms/Sheets

Sub-Total 0.000
BASIC EDUCATION

5- The teacher monitored and evaluated students’ progress through their updated and complete
Students’ Outcomes (30%)

Properly monitored and
evaluated students’
progress Q through their
1 updated and complete
records or results of their
activities/discussions E
transpired quarterly T.
Print out of records or results of their activities/discussions transpired daily with complete MOVs
Summary of 4- The teacher monitored and evaluated students’ progress through their updated and complete
Grades per Quarter records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
3- The teacher monitored and evaluated students’ progress through their updated and complete
June 2017 to
Daily Attendance 10% records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed 0.000 0.000
April 2018
Records per 2- The teacher monitored and evaluated students’ progress through their outdated and incomplete
Quarter records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
1- The teacher monitored and evaluated students’ progresss through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed

5- Evidences showed that the teacher met all the following expectations:
SERVICES

Analyzed/ validated
students’ learning outcomes Item Analysis • Prepared item analysis in respective subject area periodically
as basis for future reference • Analyzed and interpreted the result periodically
E and prepared appropriate Periodic Test • Made inventory of least mastered skills
intervention materials for Results • Provided intervention materials for the least mastered skills
2 10% 10% 4. Evidences showed that the teacher met 3 out of 4 expectations 0.000 0.000
the least mastered skill/s Q List of Students
five days after the test Intervention 3- Evidences showed that the teacher met 2 out of 4 expectations
Needing Remediation 2- Evidences showed that the teacher met 1 out of 4 expectations
administration T . Materials
1-The teacher did not meet any of the expectations
Enrichment Activities

5- 17 to 20 times of remediation activities were done in the whole school year

Conducted well-planned
remediation activities Q to
4- 13
students whom the teacher
to 16 times of remediation activities were done in the whole school year
foresees having difficulty in June 2017 to
3 10% 3- 9 to 12 times of remediation activities were done in 0.000
the subject they are teaching April 2018
the whole school year 2- 5
with complete documents E
to 8 times of remediation activities were done in the whole school year
monthly T.
1- 0 to 4 times of remediation activities were
Narrative Report and done in the whole school year
attendance during the
remediation Sub-Total 0.000

Remediation/Enrichm
ent Materials
 Conducted regular periodic
PTA meetings/ conferences
BASIC
as scheduled in the school
calendar;Q supported with
complete documents E
(attendance sheet, program
of the meeting, minutes of
the meeting, and pictures)
submitted two days after the
1 T meeting/conference.
(*non-advisers/ special
teachers may join the
teacher-adviser in the
conduct of the activity and
may serve as facilitator in
any meeting in the
club/organization he/she is
into)
Community Involvement (15%)
EDUCATION SERVICES
Conducted well-
planned home visits/
parent- teacher conferences
Q per semester T to at least
5 parents/ guardians of
2 5%
students with academic
and/or behavioural
problems with complete
records submitted E
Participated in two (2) civic
activities in the community
like coastal clean-up drive,
community maintenance and
3 5%
the like Q with complete
supporting documents E in
whole year round T .
5- The teacher conducted 4 PTA meetings/conferences with complete supporting documents(1.
attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4. pictures) submitted two
Attendance Sheets
days after the meeting/conference. 4- The teacher conducted 3 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
Minutes of the
parents 3. minutes of the meeting and 4. pictures) submitted three days after the
Meeting
meeting/conference. 3- The teacher conducted 2 PTA
June 2017 to
5% meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of 0.000 0.000
Pictures April 2018
parents 3. minutes of the meeting and 4. pictures) submitted four days after the meeting/conference.
2. The teacher conducted 1 PTA meeting/conference with complete
Testimonies of
supporting documents (1. attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4.
Parents
pictures) submitted four days after the meeting/conference. 1- The
teacher conducted 1 PTA meeting/conference without supporting documents submitted
5- Conducted home visits/parent-teacher conferences per semester to at least 5 parents/guardians with
academic and/or behavioral problems with complete records submitted
4- Conducted home visits/parent-teacher conferences per semester to at least 4 parents/guardians
with academic and/or behavioral problems with complete records submitted
Home Visitation/
3- Conducted home visits/parent-teacher conferences per semester to at least 3 parents/guardians
Parent-Teacher June 2017 to
with academic and/or behavioral problems with complete records submitted 0.000 0.000
Conference Form April 2018
2- Conducted home visits/parent-teacher conferences per semester to at least 2 parents/guardians
Pictures
with academic and/or behavioral problems with complete records submitted
1- Conducted home visits/parent-teacher conferences per semester to at least 1 parents/guardians
with academic and/or behavioral problems with complete records submitted
Certificates
5- Participated in two (2) civic activities in the community with complete documents (attendance,
Attendance during certificates, narrative reports, pictures taken during the activity)
the activity
May 2017 to 4- Participated in two (2) civic activities in the community with at least 3 supporting documents
0.000 0.000
Narrative April 2018
Reports 3- Participated in one (2) civic activities in the community with at least 2 supporting documents
2- Participated in one (2) civic activities in the community with at least 1 supporting document
Pictures 1- Participated in one (2) civic activiies in the community without supporting documents
Sub-Total 0.000
 Pictures taken 5- Evidences showed that the teacher met all the following expectations:
during seminar • Certificate/s of Participation issued by the person in authority was received
attended • Served as demonstration teacher/facilitator
Partipated actively Q in at • Enhanced learning through attending professional seminars/ trainings with an accumulated 24 hours
least 5 trainings/seminars/ Certificates of in a year
May 2017 to
1 conferences E to ensure Participation 10% • Attended mentoring program/ INSET in the school at least twice a year 0.000 0.000
Professional Growth And Development (20%)

April 2018
professional growth yearly. 4- Evidences showed that the teacher met 3 out of 4 expectations
BASIC EDUCATION SERVICES

T Program of 3- Evidences showed that the teacher met 2 out of 4 expectations

Activities/Training 2- Evidences showed that the teacher met 1 out of 4 expectations
Matrix 1- The teacher did not meet any of the expectations

5- Received at least 1 recognition award from Division/Regional/National level to recognize

exemplary performance in a year
Certificates/
Received special 4- Received at least 1 Recognition award from the Area to recognize exemplary performance in a
Plaques or any
awards/citations/ recognitions year
mode of
from school level or higher May 2017 to 3- Received at least 1 Recognition award from the District to recognize exemplary performance in a
2 recognition 5% 0.000 0.000
levels E for exemplary April 2018 year
performance Q in a year T 2- Received at least 1 Recognition award from the school principal to recognize exemplary
Pictures
performance in a year
1- The teacher did not receive any award.

Conducted one (1) action Copy of the finished
research/ CI E with complete research/
results Q and submitted on Intervention/
3 due date T. CIP (Continued All Year Round
Improvement
Program)- Stages 1,2
3 content and organization and the results were communicated, the plans were implemented with narrative
5 - A copy of the research was submitted a week before the due date with no errors in structure, content and
organization and the results were communicated, the plans were implemented with very well-prepared
narrative and pictorial report of accomplishment.
4 - A copy of the research was submitted 3 days before the due date with 1-5 errors in structure,
content and organization and the results were communicated, the plans were implemented with well-
prepared narrative and pictorial report of accomplishment.
3 - A copy of the research was submitted on the due date with
5% 6-10 errors in structure, content and organization and the results were communicated, the plans were 0.000 0.000
implemented with prepared narrative and pictorial report of accomplishment.
2 - A copy of the research was submitted 1-5 days after the due date with 11-15 errors in structure,
and pictorial report of accomplishment.
1 - A copy of the research was submitted 6 days and more after the due date
with 16 or more errors in structure, content and organization and the results were communicated, the plans
were implemented with narrative and pictorial report of accomplishment.

Sub-Total 0.000
 BASIC EDUCATION SERVICES

5 - served as facilitator/trainer/coordinator/ chairman/ member in 5 and above

Served as facilitator / trainer training/seminars/ancillary services in any level within the school school year with complete
/coordinator/chairman of supporting documents
Plus Factor (5%)

committee in School and
other higher levels and
enthusiastically performed
other ancillary services Q with
complete supporting
documents E whole year
round T
Letter of Appointment 4 - served as facilitator/trainer/coordinator/ chairman/ member in 4 training/seminars/ancillary services
Certificate in any level within the school school year with complete supporting documents
of Recognition Year round 5% 3 - served as facilitator/trainer/coordinator/ chairman/ member in 3 training/seminars/ancillary services 0.000 0.000
in any level within the school school year with complete supporting documents
Memorandum 2 - served as facilitator/trainer/coordinator/ chairman/ member in 2 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
1 - served as facilitator/trainer/coordinator/ chairman/ member in a training/seminar/ancillary services
in any level within the school school year with complete supporting documents

Sub-Total 0.000

Total Rating/Average 100% TOTAL RATING 0.000

*To get the score, the rating is multiplied by the weight assigned ADJECTIVAL RATING

Major Final Output Key Result Areas Rating

Teaching Learning Process (30%) 0.000

Students’ Outcomes (30%) 0.000
Community Involvement (15%) 0.000
Professional Growth And Development (20%) 0.000
Plus (5%) 0.000

Numerical Rating 0.000

Adjectival Rating

Rater: Approved:
Ratee:

ROMELA F. DEOMAMAPO ELLEN P. TOLDANES

Teacher I Principal I
 Category Description Range Adjectival Rating Scale Definition

The extent to which actual performance is compared 4.500- 5.000 Outstanding 5 Role Model
Effectiveness/Quality with targeted performance

The extent to which time or resources is used for the

intended task or purpose. Measures whether targets
are accomplished with a minimum amount or quantity
Consistently
of waste, expense, or unnecessary effort. 3.500 - 4.499 Very Satisfactory 4
Demonstrate
In management, efficiency relates to doing the things
right

Efficiency
Most of the
2.500 - 3.499 Satisfactory 3 time
demonstrate
Measures whether the deliverable was done on time
based on the requirements of the rules and regulations, Sometimes
Timeliness and/or clients/stakeholders. 1.500 - 2.499 Unsatisfactory 2
demonstrate
Time-related performance indicators evaluate such
things as project completion deadlines, time
management skills and other time-sensitive Rarely
1.499 & below Poor 1
expectations. demonstrate
 OFFICE / INDIVIDUAL PERFORMA

Name of Employee : JANE ANN C. RAMOS

Position: Teacher I
Review Period: June 2017-April 2018
Region/Division : IV-A CALABARZON/ BATANGAS
District/School: AGONCILLO/ BANYAGA NATIONAL HIGH SCHOOL
TO BE FILLED IN DURING PLANNING
MFOs

KRAs

WEIGHT
OBJECTIVES MOVs TIMELINE
PER KRA
Teaching Learning
BASIC

Prepared at least 100%

(140) Lesson Plans or Daily
Lesson Logs (DLLs) in
subject/s taught using
Lesson Plans/DLL
proper and appropriate
with Instructional June 2017 to
1 format Q and all 10%
Materials April 2018
competencies of the
learning areas were
used/met E in a school year
T
EDUCATION SERVICES

Process (30%)

Lesson Plans/ DLL

Demonstrated suitable
with
content knowledge and its
application Q within and
Instructional June 2017 to
2 across the curriculum E 10%
Materials April 2018
areas on actual daily
teaching T.
 EDU
Lesson Plans/DLL
Facilitated learning in the
assigned subject area E Instructional
focusing on the different Materials June 2017 to
3 10%
teaching approaches (2C2I1R) April 2018
Q in whole year round T. Observation
Forms/Sheets
BASIC EDUCATION

Print out of
Students’ Outcomes (30%)

Properly monitored and Summary of

evaluated students’ Grades per Quarter
progress Q through their
June 2017 to
1 updated and complete Daily Attendance 10%
April 2018
records or results of their Records per
activities/discussions E Quarter
transpired quarterly T.
SERVICES

Analyzed/ validated
students’ learning outcomes Item Analysis
as basis for future reference
E and prepared appropriate Periodic Test
intervention materials for Results
2 10% 10%
the least mastered skill/s Q List of Students
five days after the test Intervention
Needing Remediation
administration T . Materials
Enrichment Activities

Conducted well-planned
remediation activities Q to
students whom the teacher
foresees having difficulty in June 2017 to
3 10%
the subject they are teaching April 2018
with complete documents E
monthly T.
Narrative Report and
attendance during the
remediation

Remediation/Enrichm
ent Materials
 Conducted regular periodic
PTA meetings/ conferences
BASIC

as scheduled in the school

calendar;Q supported with
complete documents E
Attendance Sheets
(attendance sheet, program
of the meeting, minutes of
Minutes of the
the meeting, and pictures)
Meeting
submitted two days after the
June 2017 to
1 T meeting/conference. 5%
Pictures April 2018
(*non-advisers/ special
teachers may join the
Testimonies of
teacher-adviser in the
Parents
conduct of the activity and
may serve as facilitator in
any meeting in the
club/organization he/she is
into)
Community Involvement (15%)
EDUCATION SERVICES

Conducted well-
planned home visits/
parent- teacher conferences
Q per semester T to at least Home Visitation/
5 parents/ guardians of Parent-Teacher June 2017 to
2 5%
students with academic Conference Form April 2018
and/or behavioural Pictures
problems with complete
records submitted E

Certificates
Participated in two (2) civic
activities in the community Attendance during
like coastal clean-up drive, the activity
community maintenance and May 2017 to
3 5%
the like Q with complete Narrative April 2018
supporting documents E in Reports
whole year round T .
Pictures
 Pictures taken
during seminar
attended
Partipated actively Q in at
least 5 trainings/seminars/ Certificates of
May 2017 to
1 conferences E to ensure Participation 10%
April 2018
Professional Growth And Development (20%)

professional growth yearly.

T Program of
BASIC EDUCATION SERVICES

Activities/Training
Matrix

Certificates/
Received special
Plaques or any
awards/citations/ recognitions
mode of
from school level or higher May 2017 to
2 recognition 5%
levels E for exemplary April 2018
performance Q in a year T
Pictures

Conducted one (1) action Copy of the finished

research/ CI E with complete research/
results Q and submitted on Intervention/
3 due date T. CIP (Continued All Year Round 5%
Improvement
Program)- Stages 1,2
3
 BASIC EDUCATION SERVICES

Served as facilitator / trainer

/coordinator/chairman of
Plus Factor (5%)

committee in School and Letter of Appointment

other higher levels and Certificate
enthusiastically performed of Recognition Year round 5%
other ancillary services Q with
complete supporting Memorandum
documents E whole year
round T

Total Rating/Average 100%

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

Major Final Output Key Result Areas

Teaching Learning Process

Students’ Outcomes (30
Community Involvement (
Professional Growth And Develop
Plus (5%)

Numerical Rating
Adjectival Rating

Rater:
Ratee:

JANE ANN C. RAMOS

 Teacher I

Category Description

The extent to which actual performance is compared

Effectiveness/Quality with targeted performance

The extent to which time or resources is used for the

intended task or purpose. Measures whether targets
are accomplished with a minimum amount or quantity
of waste, expense, or unnecessary effort.
In management, efficiency relates to doing the things
right

Efficiency

Measures whether the deliverable was done on time

based on the requirements of the rules and regulations,
Timeliness and/or clients/stakeholders.
Time-related performance indicators evaluate such
things as project completion deadlines, time
management skills and other time-sensitive
expectations.
IVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

D IN DURING PLANNING
PERFORMANCE INDICATORS

(QUALITY, EFFICIENCY, TIMELINESS)

5- Evidences showed that the teacher properly prepared 100 % of the well-prepared and prescribed
lesson plans/DLL using the proper format and 100 % of the competencies of the learning areas were
used/met in a school year
4- Evidences showed that the teacher prepared 80%- 99% of the 140 prepared lesson plans/DLL using
the proper format and the 100 % of the competencies of the learning areas were used/met in a school
year
3- Evidences showed that the teacher prepared 60%-79% of the 140 prepared lesson plans/DLL per
month using the proper format and some of the competencies of the learning areas were used/met in a
school year
2- Evidences showed that the teacher prepared 40%-59% of the 140 lesson plans/DLL using the proper
format and competencies of the learning areas were used/met in a school year
1- Evidences showed that the teacher prepared 20%-39% and below of the 140 lesson plans/DLL
using proper format and competencies of the learning areas were used/met in a school year

5-Evidences showed that the teacher met all of the following expectations
:• Achieved 75% CPL in every class to show mastery of the subject matter (Non negotiable)

•Implemented required curriculum per subject area all the time (Non negotiable)

•Integrated lessons in other subject areas as reflected in DLL/LP 4 times a month

•Engaged and sustained learner’s interest in the subject 4 times a week by making content meaningful
to them
4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations
5- Facilitated learning in the asigned area utilizing 5 teaching approaches in whole year round
4- Facilitated learning in the asigned area utilizing 4 teaching approaches in whole year round
3- Facilitated learning in the asigned area utilizing 3 teaching approaches in whole year round
2- Facilitated learning in the asigned area utilizing 2 teaching approaches in whole year round
1-Facilitated learning in the asigned area utilizing 1 teaching approach in whole year round

5- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/discussions transpired daily with complete MOVs
4- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
3- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed
2- The teacher monitored and evaluated students’ progress through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
1- The teacher monitored and evaluated students’ progresss through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed

5- Evidences showed that the teacher met all the following expectations:
• Prepared item analysis in respective subject area periodically
• Analyzed and interpreted the result periodically
• Made inventory of least mastered skills
• Provided intervention materials for the least mastered skills
4. Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1-The teacher did not meet any of the expectations

5- 17 to 20 times of remediation activities were done in the whole school year

4- 13
to 16 times of remediation activities were done in the whole school year
3- 9 to 12 times of remediation activities were done in
the whole school year 2- 5
to 8 times of remediation activities were done in the whole school year
1- 0 to 4 times of remediation activities were
done in the whole school year
 5- The teacher conducted 4 PTA meetings/conferences with complete supporting documents(1.
attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4. pictures) submitted two
days after the meeting/conference. 4- The teacher conducted 3 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
parents 3. minutes of the meeting and 4. pictures) submitted three days after the
meeting/conference. 3- The teacher conducted 2 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
parents 3. minutes of the meeting and 4. pictures) submitted four days after the meeting/conference.
2. The teacher conducted 1 PTA meeting/conference with complete
supporting documents (1. attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4.
pictures) submitted four days after the meeting/conference. 1- The
teacher conducted 1 PTA meeting/conference without supporting documents submitted

5- Conducted home visits/parent-teacher conferences per semester to at least 5 parents/guardians with

academic and/or behavioral problems with complete records submitted
4- Conducted home visits/parent-teacher conferences per semester to at least 4 parents/guardians
with academic and/or behavioral problems with complete records submitted
3- Conducted home visits/parent-teacher conferences per semester to at least 3 parents/guardians
with academic and/or behavioral problems with complete records submitted
2- Conducted home visits/parent-teacher conferences per semester to at least 2 parents/guardians
with academic and/or behavioral problems with complete records submitted
1- Conducted home visits/parent-teacher conferences per semester to at least 1 parents/guardians
with academic and/or behavioral problems with complete records submitted

5- Participated in two (2) civic activities in the community with complete documents (attendance,
certificates, narrative reports, pictures taken during the activity)

4- Participated in two (2) civic activities in the community with at least 3 supporting documents

3- Participated in one (2) civic activities in the community with at least 2 supporting documents
2- Participated in one (2) civic activities in the community with at least 1 supporting document
1- Participated in one (2) civic activiies in the community without supporting documents
 5- Evidences showed that the teacher met all the following expectations:
• Certificate/s of Participation issued by the person in authority was received
• Served as demonstration teacher/facilitator
• Enhanced learning through attending professional seminars/ trainings with an accumulated 24 hours
in a year
• Attended mentoring program/ INSET in the school at least twice a year
4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations

5- Received at least 1 recognition award from Division/Regional/National level to recognize

exemplary performance in a year
4- Received at least 1 Recognition award from the Area to recognize exemplary performance in a
year
3- Received at least 1 Recognition award from the District to recognize exemplary performance in a
year
2- Received at least 1 Recognition award from the school principal to recognize exemplary
performance in a year
1- The teacher did not receive any award.

5 - A copy of the research was submitted a week before the due date with no errors in structure, content and
organization and the results were communicated, the plans were implemented with very well-prepared
narrative and pictorial report of accomplishment.
4 - A copy of the research was submitted 3 days before the due date with 1-5 errors in structure,
content and organization and the results were communicated, the plans were implemented with well-
prepared narrative and pictorial report of accomplishment.
3 - A copy of the research was submitted on the due date with
6-10 errors in structure, content and organization and the results were communicated, the plans were
implemented with prepared narrative and pictorial report of accomplishment.
2 - A copy of the research was submitted 1-5 days after the due date with 11-15 errors in structure,
content and organization and the results were communicated, the plans were implemented with narrative
and pictorial report of accomplishment.
1 - A copy of the research was submitted 6 days and more after the due date
with 16 or more errors in structure, content and organization and the results were communicated, the plans
were implemented with narrative and pictorial report of accomplishment.
 5 - served as facilitator/trainer/coordinator/ chairman/ member in 5 and above
training/seminars/ancillary services in any level within the school school year with complete
supporting documents
4 - served as facilitator/trainer/coordinator/ chairman/ member in 4 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
3 - served as facilitator/trainer/coordinator/ chairman/ member in 3 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
2 - served as facilitator/trainer/coordinator/ chairman/ member in 2 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
1 - served as facilitator/trainer/coordinator/ chairman/ member in a training/seminar/ancillary services
in any level within the school school year with complete supporting documents

TOTAL RATING

ADJECTIVAL RATING

Key Result Areas

Teaching Learning Process (30%)

Students’ Outcomes (30%)
Community Involvement (15%)
ssional Growth And Development (20%)
Plus (5%)

Rater:

JULIUS A. VILLAVICENCIO, Ed. D

 Principal I

nce is compared

s is used for the

whether targets
mount or quantity
fort.
doing the things

as done on time
es and regulations,

evaluate such
es, time
nsitive
Name of Rater JULIUS A. VILLAVICENCIO, Ed. D.
Position PRINCIPAL I
Date of Review

TO BE FILLED IN DURING EVALUATION

RATING
ACTUAL
SCORE
RESULTS Q E T AVE.

0.000 0.000

0.000 0.000
 0.000 0.000

Sub-Total 0.000

0.000 0.000

0.000 0.000

0.000

Sub-Total 0.000
 0.000 0.000

0.000 0.000

0.000 0.000

Sub-Total 0.000
 0.000 0.000

0.000 0.000

0.000 0.000

Sub-Total 0.000
 0.000 0.000

Sub-Total 0.000

0.000

Rating

0.000
0.000
0.000
0.000
0.000

0.000

Approved:
 Range Adjectival Rating Scale Definition

4.500- 5.000 Outstanding 5 Role Model

Consistently
3.500 - 4.499 Very Satisfactory 4
Demonstrate

Most of the
2.500 - 3.499 Satisfactory 3 time
demonstrate

Sometimes
1.500 - 2.499 Unsatisfactory 2
demonstrate

Rarely
1.499 & below Poor 1
demonstrate
 OFFICE / INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

Name of Employee : LESTER M. MENDOZA Name of Rater ELLEN P. TOLDANES

Position: Teacher I Position PRINCIPAL I
Review Period: June 2018-October 2018 Date of Review
Region/Division : IV-A CALABARZON/ BATANGAS
District/School: AGONCILLO/ BANYAGA NATIONAL HIGH SCHOOL
TO BE FILLED IN DURING PLANNING TO BE FILLED IN DURING EVALUATION
PERFORMANCE INDICATORS RATING
MFOs

KRAs

WEIGHT ACTUAL
OBJECTIVES MOVs TIMELINE SCORE
PER KRA (QUALITY, EFFICIENCY, TIMELINESS) RESULTS Q E T AVE.
Teaching Learning
BASIC

5- Evidences showed that the teacher properly prepared 100 % of the well-prepared and prescribed
lesson plans/DLL using the proper format and 100 % of the competencies of the learning areas were
Prepared at least 100%
used/met in a school year
(140) Lesson Plans or Daily
4- Evidences showed that the teacher prepared 80%- 99% of the 140 prepared lesson plans/DLL using
Lesson Logs (DLLs) in
the proper format and the 100 % of the competencies of the learning areas were used/met in a school
subject/s taught using
Lesson Plans/DLL year
proper and appropriate
with Instructional June 2017 to 3- Evidences showed that the teacher prepared 60%-79% of the 140 prepared lesson plans/DLL per
1 format Q and all 10% 0.000 0.000
Materials April 2018 month using the proper format and some of the competencies of the learning areas were used/met in a
competencies of the
school year
learning areas were
2- Evidences showed that the teacher prepared 40%-59% of the 140 lesson plans/DLL using the proper
used/met E in a school year
format and competencies of the learning areas were used/met in a school year
T
1- Evidences showed that the teacher prepared 20%-39% and below of the 140 lesson plans/DLL
using proper format and competencies of the learning areas were used/met in a school year
EDUCATION SERVICES

5-Evidences showed that the teacher met all of the following expectations
Process (30%)

:• Achieved 75% CPL in every class to show mastery of the subject matter (Non negotiable)
Lesson Plans/ DLL
Demonstrated suitable •Implemented required curriculum per subject area all the time (Non negotiable)
with
content knowledge and its
application Q within and •Integrated lessons in other subject areas as reflected in DLL/LP 4 times a month
Instructional June 2017 to
2 across the curriculum E 10% •Engaged and sustained learner’s interest in the subject 4 times a week by making content meaningful 0.000 0.000
Materials April 2018
areas on actual daily to them
teaching T. 4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations
 Proces
EDUCATIO

Lesson Plans/DLL
Facilitated learning in the 5- Facilitated learning in the asigned area utilizing 5 teaching approaches in whole year round
assigned subject area E Instructional 4- Facilitated learning in the asigned area utilizing 4 teaching approaches in whole year round
focusing on the different Materials June 2017 to 3- Facilitated learning in the asigned area utilizing 3 teaching approaches in whole year round
3 10% 0.000 0.000
teaching approaches (2C2I1R) April 2018 2- Facilitated learning in the asigned area utilizing 2 teaching approaches in whole year round
Q in whole year round T. Observation 1-Facilitated learning in the asigned area utilizing 1 teaching approach in whole year round
Forms/Sheets

Sub-Total 0.000
BASIC EDUCATION

5- The teacher monitored and evaluated students’ progress through their updated and complete
Students’ Outcomes (30%)

Properly monitored and
evaluated students’
progress Q through their
1 updated and complete
records or results of their
activities/discussions E
transpired quarterly T.
Print out of records or results of their activities/discussions transpired daily with complete MOVs
Summary of 4- The teacher monitored and evaluated students’ progress through their updated and complete
Grades per Quarter records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
3- The teacher monitored and evaluated students’ progress through their updated and complete
June 2017 to
Daily Attendance 10% records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed 0.000 0.000
April 2018
Records per 2- The teacher monitored and evaluated students’ progress through their outdated and incomplete
Quarter records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
1- The teacher monitored and evaluated students’ progresss through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed

5- Evidences showed that the teacher met all the following expectations:
SERVICES

Analyzed/ validated
students’ learning outcomes Item Analysis • Prepared item analysis in respective subject area periodically
as basis for future reference • Analyzed and interpreted the result periodically
E and prepared appropriate Periodic Test • Made inventory of least mastered skills
intervention materials for Results • Provided intervention materials for the least mastered skills
2 10% 10% 4. Evidences showed that the teacher met 3 out of 4 expectations 0.000 0.000
the least mastered skill/s Q List of Students
five days after the test Intervention 3- Evidences showed that the teacher met 2 out of 4 expectations
Needing Remediation 2- Evidences showed that the teacher met 1 out of 4 expectations
administration T . Materials
1-The teacher did not meet any of the expectations
Enrichment Activities

5- 17 to 20 times of remediation activities were done in the whole school year

Conducted well-planned
remediation activities Q to
4- 13
students whom the teacher
to 16 times of remediation activities were done in the whole school year
foresees having difficulty in June 2017 to
3 10% 3- 9 to 12 times of remediation activities were done in 0.000
the subject they are teaching April 2018
the whole school year 2- 5
with complete documents E
to 8 times of remediation activities were done in the whole school year
monthly T.
1- 0 to 4 times of remediation activities were
Narrative Report and done in the whole school year
attendance during the
remediation Sub-Total 0.000

Remediation/Enrichm
ent Materials
 Conducted regular periodic
PTA meetings/ conferences
BASIC
as scheduled in the school
calendar;Q supported with
complete documents E
(attendance sheet, program
of the meeting, minutes of
the meeting, and pictures)
submitted two days after the
1 T meeting/conference.
(*non-advisers/ special
teachers may join the
teacher-adviser in the
conduct of the activity and
may serve as facilitator in
any meeting in the
club/organization he/she is
into)
Community Involvement (15%)
EDUCATION SERVICES
Conducted well-
planned home visits/
parent- teacher conferences
Q per semester T to at least
5 parents/ guardians of
2 5%
students with academic
and/or behavioural
problems with complete
records submitted E
Participated in two (2) civic
activities in the community
like coastal clean-up drive,
community maintenance and
3 5%
the like Q with complete
supporting documents E in
whole year round T .
5- The teacher conducted 4 PTA meetings/conferences with complete supporting documents(1.
attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4. pictures) submitted two
Attendance Sheets
days after the meeting/conference. 4- The teacher conducted 3 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
Minutes of the
parents 3. minutes of the meeting and 4. pictures) submitted three days after the
Meeting
meeting/conference. 3- The teacher conducted 2 PTA
June 2017 to
5% meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of 0.000 0.000
Pictures April 2018
parents 3. minutes of the meeting and 4. pictures) submitted four days after the meeting/conference.
2. The teacher conducted 1 PTA meeting/conference with complete
Testimonies of
supporting documents (1. attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4.
Parents
pictures) submitted four days after the meeting/conference. 1- The
teacher conducted 1 PTA meeting/conference without supporting documents submitted
5- Conducted home visits/parent-teacher conferences per semester to at least 5 parents/guardians with
academic and/or behavioral problems with complete records submitted
4- Conducted home visits/parent-teacher conferences per semester to at least 4 parents/guardians
with academic and/or behavioral problems with complete records submitted
Home Visitation/
3- Conducted home visits/parent-teacher conferences per semester to at least 3 parents/guardians
Parent-Teacher June 2017 to
with academic and/or behavioral problems with complete records submitted 0.000 0.000
Conference Form April 2018
2- Conducted home visits/parent-teacher conferences per semester to at least 2 parents/guardians
Pictures
with academic and/or behavioral problems with complete records submitted
1- Conducted home visits/parent-teacher conferences per semester to at least 1 parents/guardians
with academic and/or behavioral problems with complete records submitted
Certificates
5- Participated in two (2) civic activities in the community with complete documents (attendance,
Attendance during certificates, narrative reports, pictures taken during the activity)
the activity
May 2017 to 4- Participated in two (2) civic activities in the community with at least 3 supporting documents
0.000 0.000
Narrative April 2018
Reports 3- Participated in one (2) civic activities in the community with at least 2 supporting documents
2- Participated in one (2) civic activities in the community with at least 1 supporting document
Pictures 1- Participated in one (2) civic activiies in the community without supporting documents
Sub-Total 0.000
 Pictures taken 5- Evidences showed that the teacher met all the following expectations:
during seminar • Certificate/s of Participation issued by the person in authority was received
attended • Served as demonstration teacher/facilitator
Partipated actively Q in at • Enhanced learning through attending professional seminars/ trainings with an accumulated 24 hours
least 5 trainings/seminars/ Certificates of in a year
May 2017 to
1 conferences E to ensure Participation 10% • Attended mentoring program/ INSET in the school at least twice a year 0.000 0.000
Professional Growth And Development (20%)

April 2018
professional growth yearly. 4- Evidences showed that the teacher met 3 out of 4 expectations
BASIC EDUCATION SERVICES

T Program of 3- Evidences showed that the teacher met 2 out of 4 expectations

Activities/Training 2- Evidences showed that the teacher met 1 out of 4 expectations
Matrix 1- The teacher did not meet any of the expectations

5- Received at least 1 recognition award from Division/Regional/National level to recognize

exemplary performance in a year
Certificates/
Received special 4- Received at least 1 Recognition award from the Area to recognize exemplary performance in a
Plaques or any
awards/citations/ recognitions year
mode of
from school level or higher May 2017 to 3- Received at least 1 Recognition award from the District to recognize exemplary performance in a
2 recognition 5% 0.000 0.000
levels E for exemplary April 2018 year
performance Q in a year T 2- Received at least 1 Recognition award from the school principal to recognize exemplary
Pictures
performance in a year
1- The teacher did not receive any award.

Conducted one (1) action Copy of the finished
research/ CI E with complete research/
results Q and submitted on Intervention/
3 due date T. CIP (Continued All Year Round
Improvement
Program)- Stages 1,2
3 content and organization and the results were communicated, the plans were implemented with narrative
5 - A copy of the research was submitted a week before the due date with no errors in structure, content and
organization and the results were communicated, the plans were implemented with very well-prepared
narrative and pictorial report of accomplishment.
4 - A copy of the research was submitted 3 days before the due date with 1-5 errors in structure,
content and organization and the results were communicated, the plans were implemented with well-
prepared narrative and pictorial report of accomplishment.
3 - A copy of the research was submitted on the due date with
5% 6-10 errors in structure, content and organization and the results were communicated, the plans were 0.000 0.000
implemented with prepared narrative and pictorial report of accomplishment.
2 - A copy of the research was submitted 1-5 days after the due date with 11-15 errors in structure,
and pictorial report of accomplishment.
1 - A copy of the research was submitted 6 days and more after the due date
with 16 or more errors in structure, content and organization and the results were communicated, the plans
were implemented with narrative and pictorial report of accomplishment.

Sub-Total 0.000
 BASIC EDUCATION SERVICES

5 - served as facilitator/trainer/coordinator/ chairman/ member in 5 and above

Served as facilitator / trainer training/seminars/ancillary services in any level within the school school year with complete
/coordinator/chairman of supporting documents
Plus Factor (5%)

committee in School and
other higher levels and
enthusiastically performed
other ancillary services Q with
complete supporting
documents E whole year
round T
Letter of Appointment 4 - served as facilitator/trainer/coordinator/ chairman/ member in 4 training/seminars/ancillary services
Certificate in any level within the school school year with complete supporting documents
of Recognition Year round 5% 3 - served as facilitator/trainer/coordinator/ chairman/ member in 3 training/seminars/ancillary services 0.000 0.000
in any level within the school school year with complete supporting documents
Memorandum 2 - served as facilitator/trainer/coordinator/ chairman/ member in 2 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
1 - served as facilitator/trainer/coordinator/ chairman/ member in a training/seminar/ancillary services
in any level within the school school year with complete supporting documents

Sub-Total 0.000

Total Rating/Average 100% TOTAL RATING 0.000

*To get the score, the rating is multiplied by the weight assigned ADJECTIVAL RATING

Major Final Output Key Result Areas Rating

Teaching Learning Process (30%) 0.000

Students’ Outcomes (30%) 0.000
Community Involvement (15%) 0.000
Professional Growth And Development (20%) 0.000
Plus (5%) 0.000

Numerical Rating 0.000

Adjectival Rating

Rater: Approved:
Ratee:

LESTER M. MENDOZA ELLEN P. TOLDANES

Teacher I Principal I
 Category Description Range Adjectival Rating Scale Definition

The extent to which actual performance is compared 4.500- 5.000 Outstanding 5 Role Model
Effectiveness/Quality with targeted performance

The extent to which time or resources is used for the

intended task or purpose. Measures whether targets
are accomplished with a minimum amount or quantity
Consistently
of waste, expense, or unnecessary effort. 3.500 - 4.499 Very Satisfactory 4
Demonstrate
In management, efficiency relates to doing the things
right

Efficiency
Most of the
2.500 - 3.499 Satisfactory 3 time
demonstrate
Measures whether the deliverable was done on time
based on the requirements of the rules and regulations, Sometimes
Timeliness and/or clients/stakeholders. 1.500 - 2.499 Unsatisfactory 2
demonstrate
Time-related performance indicators evaluate such
things as project completion deadlines, time
management skills and other time-sensitive Rarely
1.499 & below Poor 1
expectations. demonstrate
 OFFICE / INDIVIDUAL PERFORMA

Name of Employee : MARK GIL J. ALTEZA

Position: Teacher I
Review Period: June 2017-April 2018
Region/Division : IV-A CALABARZON/ BATANGAS
District/School: AGONCILLO/ BANYAGA NATIONAL HIGH SCHOOL
TO BE FILLED IN DURING PLANNING
MFOs

KRAs

WEIGHT
OBJECTIVES MOVs TIMELINE
PER KRA
Teaching Learning
BASIC

Prepared at least 100%

(140) Lesson Plans or Daily
Lesson Logs (DLLs) in
subject/s taught using
Lesson Plans/DLL
proper and appropriate
with Instructional June 2017 to
1 format Q and all 10%
Materials April 2018
competencies of the
learning areas were
used/met E in a school year
T
EDUCATION SERVICES

Process (30%)

Lesson Plans/ DLL

Demonstrated suitable
with
content knowledge and its
application Q within and
Instructional June 2017 to
2 across the curriculum E 10%
Materials April 2018
areas on actual daily
teaching T.
 EDU
Lesson Plans/DLL
Facilitated learning in the
assigned subject area E Instructional
focusing on the different Materials June 2017 to
3 10%
teaching approaches (2C2I1R) April 2018
Q in whole year round T. Observation
Forms/Sheets
BASIC EDUCATION

Print out of
Students’ Outcomes (30%)

Properly monitored and Summary of

evaluated students’ Grades per Quarter
progress Q through their
June 2017 to
1 updated and complete Daily Attendance 10%
April 2018
records or results of their Records per
activities/discussions E Quarter
transpired quarterly T.
SERVICES

Analyzed/ validated
students’ learning outcomes Item Analysis
as basis for future reference
E and prepared appropriate Periodic Test
intervention materials for Results
2 10% 10%
the least mastered skill/s Q List of Students
five days after the test Intervention
Needing Remediation
administration T . Materials
Enrichment Activities

Conducted well-planned
remediation activities Q to
students whom the teacher
foresees having difficulty in June 2017 to
3 10%
the subject they are teaching April 2018
with complete documents E
monthly T.
Narrative Report and
attendance during the
remediation

Remediation/Enrichm
ent Materials
 Conducted regular periodic
PTA meetings/ conferences
BASIC

as scheduled in the school

calendar;Q supported with
complete documents E
Attendance Sheets
(attendance sheet, program
of the meeting, minutes of
Minutes of the
the meeting, and pictures)
Meeting
submitted two days after the
June 2017 to
1 T meeting/conference. 5%
Pictures April 2018
(*non-advisers/ special
teachers may join the
Testimonies of
teacher-adviser in the
Parents
conduct of the activity and
may serve as facilitator in
any meeting in the
club/organization he/she is
into)
Community Involvement (15%)
EDUCATION SERVICES

Conducted well-
planned home visits/
parent- teacher conferences
Q per semester T to at least Home Visitation/
5 parents/ guardians of Parent-Teacher June 2017 to
2 5%
students with academic Conference Form April 2018
and/or behavioural Pictures
problems with complete
records submitted E

Certificates
Participated in two (2) civic
activities in the community Attendance during
like coastal clean-up drive, the activity
community maintenance and May 2017 to
3 5%
the like Q with complete Narrative April 2018
supporting documents E in Reports
whole year round T .
Pictures
 Pictures taken
during seminar
attended
Partipated actively Q in at
least 5 trainings/seminars/ Certificates of
May 2017 to
1 conferences E to ensure Participation 10%
April 2018
Professional Growth And Development (20%)

professional growth yearly.

T Program of
BASIC EDUCATION SERVICES

Activities/Training
Matrix

Certificates/
Received special
Plaques or any
awards/citations/ recognitions
mode of
from school level or higher May 2017 to
2 recognition 5%
levels E for exemplary April 2018
performance Q in a year T
Pictures

Conducted one (1) action Copy of the finished

research/ CI E with complete research/
results Q and submitted on Intervention/
3 due date T. CIP (Continued All Year Round 5%
Improvement
Program)- Stages 1,2
3
 BASIC EDUCATION SERVICES

Served as facilitator / trainer

/coordinator/chairman of
Plus Factor (5%)

committee in School and Letter of Appointment

other higher levels and Certificate
enthusiastically performed of Recognition Year round 5%
other ancillary services Q with
complete supporting Memorandum
documents E whole year
round T

Total Rating/Average 100%

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

Major Final Output Key Result Areas

Teaching Learning Process

Students’ Outcomes (30
Community Involvement (
Professional Growth And Develop
Plus (5%)

Numerical Rating
Adjectival Rating

Rater:
Ratee:

MARK GIL J. ALTEZA

 Teacher I

Category Description

The extent to which actual performance is compared

Effectiveness/Quality with targeted performance

The extent to which time or resources is used for the

intended task or purpose. Measures whether targets
are accomplished with a minimum amount or quantity
of waste, expense, or unnecessary effort.
In management, efficiency relates to doing the things
right

Efficiency

Measures whether the deliverable was done on time

based on the requirements of the rules and regulations,
Timeliness and/or clients/stakeholders.
Time-related performance indicators evaluate such
things as project completion deadlines, time
management skills and other time-sensitive
expectations.
IVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

D IN DURING PLANNING
PERFORMANCE INDICATORS

(QUALITY, EFFICIENCY, TIMELINESS)

5- Evidences showed that the teacher properly prepared 100 % of the well-prepared and prescribed
lesson plans/DLL using the proper format and 100 % of the competencies of the learning areas were
used/met in a school year
4- Evidences showed that the teacher prepared 80%- 99% of the 140 prepared lesson plans/DLL using
the proper format and the 100 % of the competencies of the learning areas were used/met in a school
year
3- Evidences showed that the teacher prepared 60%-79% of the 140 prepared lesson plans/DLL per
month using the proper format and some of the competencies of the learning areas were used/met in a
school year
2- Evidences showed that the teacher prepared 40%-59% of the 140 lesson plans/DLL using the proper
format and competencies of the learning areas were used/met in a school year
1- Evidences showed that the teacher prepared 20%-39% and below of the 140 lesson plans/DLL
using proper format and competencies of the learning areas were used/met in a school year

5-Evidences showed that the teacher met all of the following expectations
:• Achieved 75% CPL in every class to show mastery of the subject matter (Non negotiable)

•Implemented required curriculum per subject area all the time (Non negotiable)

•Integrated lessons in other subject areas as reflected in DLL/LP 4 times a month

•Engaged and sustained learner’s interest in the subject 4 times a week by making content meaningful
to them
4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations
5- Facilitated learning in the asigned area utilizing 5 teaching approaches in whole year round
4- Facilitated learning in the asigned area utilizing 4 teaching approaches in whole year round
3- Facilitated learning in the asigned area utilizing 3 teaching approaches in whole year round
2- Facilitated learning in the asigned area utilizing 2 teaching approaches in whole year round
1-Facilitated learning in the asigned area utilizing 1 teaching approach in whole year round

5- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/discussions transpired daily with complete MOVs
4- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
3- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed
2- The teacher monitored and evaluated students’ progress through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
1- The teacher monitored and evaluated students’ progresss through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed

5- Evidences showed that the teacher met all the following expectations:
• Prepared item analysis in respective subject area periodically
• Analyzed and interpreted the result periodically
• Made inventory of least mastered skills
• Provided intervention materials for the least mastered skills
4. Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1-The teacher did not meet any of the expectations

5- 17 to 20 times of remediation activities were done in the whole school year

4- 13
to 16 times of remediation activities were done in the whole school year
3- 9 to 12 times of remediation activities were done in
the whole school year 2- 5
to 8 times of remediation activities were done in the whole school year
1- 0 to 4 times of remediation activities were
done in the whole school year
 5- The teacher conducted 4 PTA meetings/conferences with complete supporting documents(1.
attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4. pictures) submitted two
days after the meeting/conference. 4- The teacher conducted 3 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
parents 3. minutes of the meeting and 4. pictures) submitted three days after the
meeting/conference. 3- The teacher conducted 2 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
parents 3. minutes of the meeting and 4. pictures) submitted four days after the meeting/conference.
2. The teacher conducted 1 PTA meeting/conference with complete
supporting documents (1. attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4.
pictures) submitted four days after the meeting/conference. 1- The
teacher conducted 1 PTA meeting/conference without supporting documents submitted

5- Conducted home visits/parent-teacher conferences per semester to at least 5 parents/guardians with

academic and/or behavioral problems with complete records submitted
4- Conducted home visits/parent-teacher conferences per semester to at least 4 parents/guardians
with academic and/or behavioral problems with complete records submitted
3- Conducted home visits/parent-teacher conferences per semester to at least 3 parents/guardians
with academic and/or behavioral problems with complete records submitted
2- Conducted home visits/parent-teacher conferences per semester to at least 2 parents/guardians
with academic and/or behavioral problems with complete records submitted
1- Conducted home visits/parent-teacher conferences per semester to at least 1 parents/guardians
with academic and/or behavioral problems with complete records submitted

5- Participated in two (2) civic activities in the community with complete documents (attendance,
certificates, narrative reports, pictures taken during the activity)

4- Participated in two (2) civic activities in the community with at least 3 supporting documents

3- Participated in one (2) civic activities in the community with at least 2 supporting documents
2- Participated in one (2) civic activities in the community with at least 1 supporting document
1- Participated in one (2) civic activiies in the community without supporting documents
 5- Evidences showed that the teacher met all the following expectations:
• Certificate/s of Participation issued by the person in authority was received
• Served as demonstration teacher/facilitator
• Enhanced learning through attending professional seminars/ trainings with an accumulated 24 hours
in a year
• Attended mentoring program/ INSET in the school at least twice a year
4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations

5- Received at least 1 recognition award from Division/Regional/National level to recognize

exemplary performance in a year
4- Received at least 1 Recognition award from the Area to recognize exemplary performance in a
year
3- Received at least 1 Recognition award from the District to recognize exemplary performance in a
year
2- Received at least 1 Recognition award from the school principal to recognize exemplary
performance in a year
1- The teacher did not receive any award.

5 - A copy of the research was submitted a week before the due date with no errors in structure, content and
organization and the results were communicated, the plans were implemented with very well-prepared
narrative and pictorial report of accomplishment.
4 - A copy of the research was submitted 3 days before the due date with 1-5 errors in structure,
content and organization and the results were communicated, the plans were implemented with well-
prepared narrative and pictorial report of accomplishment.
3 - A copy of the research was submitted on the due date with
6-10 errors in structure, content and organization and the results were communicated, the plans were
implemented with prepared narrative and pictorial report of accomplishment.
2 - A copy of the research was submitted 1-5 days after the due date with 11-15 errors in structure,
content and organization and the results were communicated, the plans were implemented with narrative
and pictorial report of accomplishment.
1 - A copy of the research was submitted 6 days and more after the due date
with 16 or more errors in structure, content and organization and the results were communicated, the plans
were implemented with narrative and pictorial report of accomplishment.
 5 - served as facilitator/trainer/coordinator/ chairman/ member in 5 and above
training/seminars/ancillary services in any level within the school school year with complete
supporting documents
4 - served as facilitator/trainer/coordinator/ chairman/ member in 4 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
3 - served as facilitator/trainer/coordinator/ chairman/ member in 3 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
2 - served as facilitator/trainer/coordinator/ chairman/ member in 2 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
1 - served as facilitator/trainer/coordinator/ chairman/ member in a training/seminar/ancillary services
in any level within the school school year with complete supporting documents

TOTAL RATING

ADJECTIVAL RATING

Key Result Areas

Teaching Learning Process (30%)

Students’ Outcomes (30%)
Community Involvement (15%)
ssional Growth And Development (20%)
Plus (5%)

Rater:

JULIUS A. VILLAVICENCIO, Ed. D

 Principal I

nce is compared

s is used for the

whether targets
mount or quantity
fort.
doing the things

as done on time
es and regulations,

evaluate such
es, time
nsitive
Name of Rater JULIUS A. VILLAVICENCIO, Ed. D.
Position PRINCIPAL I
Date of Review

TO BE FILLED IN DURING EVALUATION

RATING
ACTUAL
SCORE
RESULTS Q E T AVE.

0.000 0.000

0.000 0.000
 0.000 0.000

Sub-Total 0.000

0.000 0.000

0.000 0.000

0.000

Sub-Total 0.000
 0.000 0.000

0.000 0.000

0.000 0.000

Sub-Total 0.000
 0.000 0.000

0.000 0.000

0.000 0.000

Sub-Total 0.000
 0.000 0.000

Sub-Total 0.000

0.000

Rating

0.000
0.000
0.000
0.000
0.000

0.000

Approved:
 Range Adjectival Rating Scale Definition

4.500- 5.000 Outstanding 5 Role Model

Consistently
3.500 - 4.499 Very Satisfactory 4
Demonstrate

Most of the
2.500 - 3.499 Satisfactory 3 time
demonstrate

Sometimes
1.500 - 2.499 Unsatisfactory 2
demonstrate

Rarely
1.499 & below Poor 1
demonstrate
 OFFICE / INDIVIDUAL PERFORMA

Name of Employee : JENNIELYN C. MENDOZA

Position: Teacher I
Review Period: June 2017-April 2018
Region/Division : IV-A CALABARZON/ BATANGAS
District/School: AGONCILLO/ BANYAGA NATIONAL HIGH SCHOOL
TO BE FILLED IN DURING PLANNING
MFOs

KRAs

WEIGHT
OBJECTIVES MOVs TIMELINE
PER KRA
Teaching Learning
BASIC

Prepared at least 100%

(140) Lesson Plans or Daily
Lesson Logs (DLLs) in
subject/s taught using
Lesson Plans/DLL
proper and appropriate
with Instructional June 2017 to
1 format Q and all 10%
Materials April 2018
competencies of the
learning areas were
used/met E in a school year
T
EDUCATION SERVICES

Process (30%)

Lesson Plans/ DLL

Demonstrated suitable
with
content knowledge and its
application Q within and
Instructional June 2017 to
2 across the curriculum E 10%
Materials April 2018
areas on actual daily
teaching T.
 EDU
Lesson Plans/DLL
Facilitated learning in the
assigned subject area E Instructional
focusing on the different Materials June 2017 to
3 10%
teaching approaches (2C2I1R) April 2018
Q in whole year round T. Observation
Forms/Sheets
BASIC EDUCATION

Print out of
Students’ Outcomes (30%)

Properly monitored and Summary of

evaluated students’ Grades per Quarter
progress Q through their
June 2017 to
1 updated and complete Daily Attendance 10%
April 2018
records or results of their Records per
activities/discussions E Quarter
transpired quarterly T.
SERVICES

Analyzed/ validated
students’ learning outcomes Item Analysis
as basis for future reference
E and prepared appropriate Periodic Test
intervention materials for Results
2 10% 10%
the least mastered skill/s Q List of Students
five days after the test Intervention
Needing Remediation
administration T . Materials
Enrichment Activities

Conducted well-planned
remediation activities Q to
students whom the teacher
foresees having difficulty in June 2017 to
3 10%
the subject they are teaching April 2018
with complete documents E
monthly T.
Narrative Report and
attendance during the
remediation

Remediation/Enrichm
ent Materials
 Conducted regular periodic
PTA meetings/ conferences
BASIC

as scheduled in the school

calendar;Q supported with
complete documents E
Attendance Sheets
(attendance sheet, program
of the meeting, minutes of
Minutes of the
the meeting, and pictures)
Meeting
submitted two days after the
June 2017 to
1 T meeting/conference. 5%
Pictures April 2018
(*non-advisers/ special
teachers may join the
Testimonies of
teacher-adviser in the
Parents
conduct of the activity and
may serve as facilitator in
any meeting in the
club/organization he/she is
into)
Community Involvement (15%)
EDUCATION SERVICES

Conducted well-
planned home visits/
parent- teacher conferences
Q per semester T to at least Home Visitation/
5 parents/ guardians of Parent-Teacher June 2017 to
2 5%
students with academic Conference Form April 2018
and/or behavioural Pictures
problems with complete
records submitted E

Certificates
Participated in two (2) civic
activities in the community Attendance during
like coastal clean-up drive, the activity
community maintenance and May 2017 to
3 5%
the like Q with complete Narrative April 2018
supporting documents E in Reports
whole year round T .
Pictures
 Pictures taken
during seminar
attended
Partipated actively Q in at
least 5 trainings/seminars/ Certificates of
May 2017 to
1 conferences E to ensure Participation 10%
April 2018
Professional Growth And Development (20%)

professional growth yearly.

T Program of
BASIC EDUCATION SERVICES

Activities/Training
Matrix

Certificates/
Received special
Plaques or any
awards/citations/ recognitions
mode of
from school level or higher May 2017 to
2 recognition 5%
levels E for exemplary April 2018
performance Q in a year T
Pictures

Conducted one (1) action Copy of the finished

research/ CI E with complete research/
results Q and submitted on Intervention/
3 due date T. CIP (Continued All Year Round 5%
Improvement
Program)- Stages 1,2
3
 BASIC EDUCATION SERVICES

Served as facilitator / trainer

/coordinator/chairman of
Plus Factor (5%)

committee in School and Letter of Appointment

other higher levels and Certificate
enthusiastically performed of Recognition Year round 5%
other ancillary services Q with
complete supporting Memorandum
documents E whole year
round T

Total Rating/Average 100%

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

Major Final Output Key Result Areas

Teaching Learning Process

Students’ Outcomes (30
Community Involvement (
Professional Growth And Develop
Plus (5%)

Numerical Rating
Adjectival Rating

Rater:
Ratee:

JENNIELYN C. MENDOZA
 Teacher I

Category Description

The extent to which actual performance is compared

Effectiveness/Quality with targeted performance

The extent to which time or resources is used for the

intended task or purpose. Measures whether targets
are accomplished with a minimum amount or quantity
of waste, expense, or unnecessary effort.
In management, efficiency relates to doing the things
right

Efficiency

Measures whether the deliverable was done on time

based on the requirements of the rules and regulations,
Timeliness and/or clients/stakeholders.
Time-related performance indicators evaluate such
things as project completion deadlines, time
management skills and other time-sensitive
expectations.
IVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

D IN DURING PLANNING
PERFORMANCE INDICATORS

(QUALITY, EFFICIENCY, TIMELINESS)

5- Evidences showed that the teacher properly prepared 100 % of the well-prepared and prescribed
lesson plans/DLL using the proper format and 100 % of the competencies of the learning areas were
used/met in a school year
4- Evidences showed that the teacher prepared 80%- 99% of the 140 prepared lesson plans/DLL using
the proper format and the 100 % of the competencies of the learning areas were used/met in a school
year
3- Evidences showed that the teacher prepared 60%-79% of the 140 prepared lesson plans/DLL per
month using the proper format and some of the competencies of the learning areas were used/met in a
school year
2- Evidences showed that the teacher prepared 40%-59% of the 140 lesson plans/DLL using the proper
format and competencies of the learning areas were used/met in a school year
1- Evidences showed that the teacher prepared 20%-39% and below of the 140 lesson plans/DLL
using proper format and competencies of the learning areas were used/met in a school year

5-Evidences showed that the teacher met all of the following expectations
:• Achieved 75% CPL in every class to show mastery of the subject matter (Non negotiable)

•Implemented required curriculum per subject area all the time (Non negotiable)

•Integrated lessons in other subject areas as reflected in DLL/LP 4 times a month

•Engaged and sustained learner’s interest in the subject 4 times a week by making content meaningful
to them
4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations
5- Facilitated learning in the asigned area utilizing 5 teaching approaches in whole year round
4- Facilitated learning in the asigned area utilizing 4 teaching approaches in whole year round
3- Facilitated learning in the asigned area utilizing 3 teaching approaches in whole year round
2- Facilitated learning in the asigned area utilizing 2 teaching approaches in whole year round
1-Facilitated learning in the asigned area utilizing 1 teaching approach in whole year round

5- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/discussions transpired daily with complete MOVs
4- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
3- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed
2- The teacher monitored and evaluated students’ progress through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
1- The teacher monitored and evaluated students’ progresss through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed

5- Evidences showed that the teacher met all the following expectations:
• Prepared item analysis in respective subject area periodically
• Analyzed and interpreted the result periodically
• Made inventory of least mastered skills
• Provided intervention materials for the least mastered skills
4. Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1-The teacher did not meet any of the expectations

5- 17 to 20 times of remediation activities were done in the whole school year

4- 13
to 16 times of remediation activities were done in the whole school year
3- 9 to 12 times of remediation activities were done in
the whole school year 2- 5
to 8 times of remediation activities were done in the whole school year
1- 0 to 4 times of remediation activities were
done in the whole school year
 5- The teacher conducted 4 PTA meetings/conferences with complete supporting documents(1.
attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4. pictures) submitted two
days after the meeting/conference. 4- The teacher conducted 3 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
parents 3. minutes of the meeting and 4. pictures) submitted three days after the
meeting/conference. 3- The teacher conducted 2 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
parents 3. minutes of the meeting and 4. pictures) submitted four days after the meeting/conference.
2. The teacher conducted 1 PTA meeting/conference with complete
supporting documents (1. attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4.
pictures) submitted four days after the meeting/conference. 1- The
teacher conducted 1 PTA meeting/conference without supporting documents submitted

5- Conducted home visits/parent-teacher conferences per semester to at least 5 parents/guardians with

academic and/or behavioral problems with complete records submitted
4- Conducted home visits/parent-teacher conferences per semester to at least 4 parents/guardians
with academic and/or behavioral problems with complete records submitted
3- Conducted home visits/parent-teacher conferences per semester to at least 3 parents/guardians
with academic and/or behavioral problems with complete records submitted
2- Conducted home visits/parent-teacher conferences per semester to at least 2 parents/guardians
with academic and/or behavioral problems with complete records submitted
1- Conducted home visits/parent-teacher conferences per semester to at least 1 parents/guardians
with academic and/or behavioral problems with complete records submitted

5- Participated in two (2) civic activities in the community with complete documents (attendance,
certificates, narrative reports, pictures taken during the activity)

4- Participated in two (2) civic activities in the community with at least 3 supporting documents

3- Participated in one (2) civic activities in the community with at least 2 supporting documents
2- Participated in one (2) civic activities in the community with at least 1 supporting document
1- Participated in one (2) civic activiies in the community without supporting documents
 5- Evidences showed that the teacher met all the following expectations:
• Certificate/s of Participation issued by the person in authority was received
• Served as demonstration teacher/facilitator
• Enhanced learning through attending professional seminars/ trainings with an accumulated 24 hours
in a year
• Attended mentoring program/ INSET in the school at least twice a year
4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations

5- Received at least 1 recognition award from Division/Regional/National level to recognize

exemplary performance in a year
4- Received at least 1 Recognition award from the Area to recognize exemplary performance in a
year
3- Received at least 1 Recognition award from the District to recognize exemplary performance in a
year
2- Received at least 1 Recognition award from the school principal to recognize exemplary
performance in a year
1- The teacher did not receive any award.

5 - A copy of the research was submitted a week before the due date with no errors in structure, content and
organization and the results were communicated, the plans were implemented with very well-prepared
narrative and pictorial report of accomplishment.
4 - A copy of the research was submitted 3 days before the due date with 1-5 errors in structure,
content and organization and the results were communicated, the plans were implemented with well-
prepared narrative and pictorial report of accomplishment.
3 - A copy of the research was submitted on the due date with
6-10 errors in structure, content and organization and the results were communicated, the plans were
implemented with prepared narrative and pictorial report of accomplishment.
2 - A copy of the research was submitted 1-5 days after the due date with 11-15 errors in structure,
content and organization and the results were communicated, the plans were implemented with narrative
and pictorial report of accomplishment.
1 - A copy of the research was submitted 6 days and more after the due date
with 16 or more errors in structure, content and organization and the results were communicated, the plans
were implemented with narrative and pictorial report of accomplishment.
 5 - served as facilitator/trainer/coordinator/ chairman/ member in 5 and above
training/seminars/ancillary services in any level within the school school year with complete
supporting documents
4 - served as facilitator/trainer/coordinator/ chairman/ member in 4 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
3 - served as facilitator/trainer/coordinator/ chairman/ member in 3 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
2 - served as facilitator/trainer/coordinator/ chairman/ member in 2 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
1 - served as facilitator/trainer/coordinator/ chairman/ member in a training/seminar/ancillary services
in any level within the school school year with complete supporting documents

TOTAL RATING

ADJECTIVAL RATING

Key Result Areas

Teaching Learning Process (30%)

Students’ Outcomes (30%)
Community Involvement (15%)
ssional Growth And Development (20%)
Plus (5%)

Rater:

JULIUS A. VILLAVICENCIO, Ed. D

 Principal I

nce is compared

s is used for the

whether targets
mount or quantity
fort.
doing the things

as done on time
es and regulations,

evaluate such
es, time
nsitive
Name of Rater JULIUS A. VILLAVICENCIO, Ed. D.
Position PRINCIPAL I
Date of Review

TO BE FILLED IN DURING EVALUATION

RATING
ACTUAL
SCORE
RESULTS Q E T AVE.

0.000 0.000

0.000 0.000
 0.000 0.000

Sub-Total 0.000

0.000 0.000

0.000 0.000

0.000

Sub-Total 0.000
 0.000 0.000

0.000 0.000

0.000 0.000

Sub-Total 0.000
 0.000 0.000

0.000 0.000

0.000 0.000

Sub-Total 0.000
 0.000 0.000

Sub-Total 0.000

0.000

Rating

0.000
0.000
0.000
0.000
0.000

0.000

Approved:
 Range Adjectival Rating Scale Definition

4.500- 5.000 Outstanding 5 Role Model

Consistently
3.500 - 4.499 Very Satisfactory 4
Demonstrate

Most of the
2.500 - 3.499 Satisfactory 3 time
demonstrate

Sometimes
1.500 - 2.499 Unsatisfactory 2
demonstrate

Rarely
1.499 & below Poor 1
demonstrate
 OFFICE / INDIVIDUAL PERFORMA

Name of Employee : MARY JANE M. ENCARNACION

Position: Teacher I
Review Period: June 2017-April 2018
Region/Division : IV-A CALABARZON/ BATANGAS
District/School: AGONCILLO/ BANYAGA NATIONAL HIGH SCHOOL
TO BE FILLED IN DURING PLANNING
MFOs

KRAs

WEIGHT
OBJECTIVES MOVs TIMELINE
PER KRA
Teaching Learning
BASIC

Prepared at least 100%

(140) Lesson Plans or Daily
Lesson Logs (DLLs) in
subject/s taught using
Lesson Plans/DLL
proper and appropriate
with Instructional June 2017 to
1 format Q and all 10%
Materials April 2018
competencies of the
learning areas were
used/met E in a school year
T
EDUCATION SERVICES

Process (30%)

Lesson Plans/ DLL

Demonstrated suitable
with
content knowledge and its
application Q within and
Instructional June 2017 to
2 across the curriculum E 10%
Materials April 2018
areas on actual daily
teaching T.
 EDU
Lesson Plans/DLL
Facilitated learning in the
assigned subject area E Instructional
focusing on the different Materials June 2017 to
3 10%
teaching approaches (2C2I1R) April 2018
Q in whole year round T. Observation
Forms/Sheets
BASIC EDUCATION

Print out of
Students’ Outcomes (30%)

Properly monitored and Summary of

evaluated students’ Grades per Quarter
progress Q through their
June 2017 to
1 updated and complete Daily Attendance 10%
April 2018
records or results of their Records per
activities/discussions E Quarter
transpired quarterly T.
SERVICES

Analyzed/ validated
students’ learning outcomes Item Analysis
as basis for future reference
E and prepared appropriate Periodic Test
intervention materials for Results
2 10% 10%
the least mastered skill/s Q List of Students
five days after the test Intervention
Needing Remediation
administration T . Materials
Enrichment Activities

Conducted well-planned
remediation activities Q to
students whom the teacher
foresees having difficulty in June 2017 to
3 10%
the subject they are teaching April 2018
with complete documents E
monthly T.
Narrative Report and
attendance during the
remediation

Remediation/Enrichm
ent Materials
 Conducted regular periodic
PTA meetings/ conferences
BASIC

as scheduled in the school

calendar;Q supported with
complete documents E
Attendance Sheets
(attendance sheet, program
of the meeting, minutes of
Minutes of the
the meeting, and pictures)
Meeting
submitted two days after the
June 2017 to
1 T meeting/conference. 5%
Pictures April 2018
(*non-advisers/ special
teachers may join the
Testimonies of
teacher-adviser in the
Parents
conduct of the activity and
may serve as facilitator in
any meeting in the
club/organization he/she is
into)
Community Involvement (15%)
EDUCATION SERVICES

Conducted well-
planned home visits/
parent- teacher conferences
Q per semester T to at least Home Visitation/
5 parents/ guardians of Parent-Teacher June 2017 to
2 5%
students with academic Conference Form April 2018
and/or behavioural Pictures
problems with complete
records submitted E

Certificates
Participated in two (2) civic
activities in the community Attendance during
like coastal clean-up drive, the activity
community maintenance and May 2017 to
3 5%
the like Q with complete Narrative April 2018
supporting documents E in Reports
whole year round T .
Pictures
 Pictures taken
during seminar
attended
Partipated actively Q in at
least 5 trainings/seminars/ Certificates of
May 2017 to
1 conferences E to ensure Participation 10%
April 2018
Professional Growth And Development (20%)

professional growth yearly.

T Program of
BASIC EDUCATION SERVICES

Activities/Training
Matrix

Certificates/
Received special
Plaques or any
awards/citations/ recognitions
mode of
from school level or higher May 2017 to
2 recognition 5%
levels E for exemplary April 2018
performance Q in a year T
Pictures

Conducted one (1) action Copy of the finished

research/ CI E with complete research/
results Q and submitted on Intervention/
3 due date T. CIP (Continued All Year Round 5%
Improvement
Program)- Stages 1,2
3
 BASIC EDUCATION SERVICES

Served as facilitator / trainer

/coordinator/chairman of
Plus Factor (5%)

committee in School and Letter of Appointment

other higher levels and Certificate
enthusiastically performed of Recognition Year round 5%
other ancillary services Q with
complete supporting Memorandum
documents E whole year
round T

Total Rating/Average 100%

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

Major Final Output Key Result Areas

Teaching Learning Process

Students’ Outcomes (30
Community Involvement (
Professional Growth And Develop
Plus (5%)

Numerical Rating
Adjectival Rating

Rater:
Ratee:

MARY JANE M. ENCARNACION

 Teacher I

Category Description

The extent to which actual performance is compared

Effectiveness/Quality with targeted performance

The extent to which time or resources is used for the

intended task or purpose. Measures whether targets
are accomplished with a minimum amount or quantity
of waste, expense, or unnecessary effort.
In management, efficiency relates to doing the things
right

Efficiency

Measures whether the deliverable was done on time

based on the requirements of the rules and regulations,
Timeliness and/or clients/stakeholders.
Time-related performance indicators evaluate such
things as project completion deadlines, time
management skills and other time-sensitive
expectations.
IVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

D IN DURING PLANNING
PERFORMANCE INDICATORS

(QUALITY, EFFICIENCY, TIMELINESS)

5- Evidences showed that the teacher properly prepared 100 % of the well-prepared and prescribed
lesson plans/DLL using the proper format and 100 % of the competencies of the learning areas were
used/met in a school year
4- Evidences showed that the teacher prepared 80%- 99% of the 140 prepared lesson plans/DLL using
the proper format and the 100 % of the competencies of the learning areas were used/met in a school
year
3- Evidences showed that the teacher prepared 60%-79% of the 140 prepared lesson plans/DLL per
month using the proper format and some of the competencies of the learning areas were used/met in a
school year
2- Evidences showed that the teacher prepared 40%-59% of the 140 lesson plans/DLL using the proper
format and competencies of the learning areas were used/met in a school year
1- Evidences showed that the teacher prepared 20%-39% and below of the 140 lesson plans/DLL
using proper format and competencies of the learning areas were used/met in a school year

5-Evidences showed that the teacher met all of the following expectations
:• Achieved 75% CPL in every class to show mastery of the subject matter (Non negotiable)

•Implemented required curriculum per subject area all the time (Non negotiable)

•Integrated lessons in other subject areas as reflected in DLL/LP 4 times a month

•Engaged and sustained learner’s interest in the subject 4 times a week by making content meaningful
to them
4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations
5- Facilitated learning in the asigned area utilizing 5 teaching approaches in whole year round
4- Facilitated learning in the asigned area utilizing 4 teaching approaches in whole year round
3- Facilitated learning in the asigned area utilizing 3 teaching approaches in whole year round
2- Facilitated learning in the asigned area utilizing 2 teaching approaches in whole year round
1-Facilitated learning in the asigned area utilizing 1 teaching approach in whole year round

5- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/discussions transpired daily with complete MOVs
4- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
3- The teacher monitored and evaluated students’ progress through their updated and complete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed
2- The teacher monitored and evaluated students’ progress through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
1- The teacher monitored and evaluated students’ progresss through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed

5- Evidences showed that the teacher met all the following expectations:
• Prepared item analysis in respective subject area periodically
• Analyzed and interpreted the result periodically
• Made inventory of least mastered skills
• Provided intervention materials for the least mastered skills
4. Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1-The teacher did not meet any of the expectations

5- 17 to 20 times of remediation activities were done in the whole school year

4- 13
to 16 times of remediation activities were done in the whole school year
3- 9 to 12 times of remediation activities were done in
the whole school year 2- 5
to 8 times of remediation activities were done in the whole school year
1- 0 to 4 times of remediation activities were
done in the whole school year
 5- The teacher conducted 4 PTA meetings/conferences with complete supporting documents(1.
attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4. pictures) submitted two
days after the meeting/conference. 4- The teacher conducted 3 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
parents 3. minutes of the meeting and 4. pictures) submitted three days after the
meeting/conference. 3- The teacher conducted 2 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
parents 3. minutes of the meeting and 4. pictures) submitted four days after the meeting/conference.
2. The teacher conducted 1 PTA meeting/conference with complete
supporting documents (1. attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4.
pictures) submitted four days after the meeting/conference. 1- The
teacher conducted 1 PTA meeting/conference without supporting documents submitted

5- Conducted home visits/parent-teacher conferences per semester to at least 5 parents/guardians with

academic and/or behavioral problems with complete records submitted
4- Conducted home visits/parent-teacher conferences per semester to at least 4 parents/guardians
with academic and/or behavioral problems with complete records submitted
3- Conducted home visits/parent-teacher conferences per semester to at least 3 parents/guardians
with academic and/or behavioral problems with complete records submitted
2- Conducted home visits/parent-teacher conferences per semester to at least 2 parents/guardians
with academic and/or behavioral problems with complete records submitted
1- Conducted home visits/parent-teacher conferences per semester to at least 1 parents/guardians
with academic and/or behavioral problems with complete records submitted

5- Participated in two (2) civic activities in the community with complete documents (attendance,
certificates, narrative reports, pictures taken during the activity)

4- Participated in two (2) civic activities in the community with at least 3 supporting documents

3- Participated in one (2) civic activities in the community with at least 2 supporting documents
2- Participated in one (2) civic activities in the community with at least 1 supporting document
1- Participated in one (2) civic activiies in the community without supporting documents
 5- Evidences showed that the teacher met all the following expectations:
• Certificate/s of Participation issued by the person in authority was received
• Served as demonstration teacher/facilitator
• Enhanced learning through attending professional seminars/ trainings with an accumulated 24 hours
in a year
• Attended mentoring program/ INSET in the school at least twice a year
4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations

5- Received at least 1 recognition award from Division/Regional/National level to recognize

exemplary performance in a year
4- Received at least 1 Recognition award from the Area to recognize exemplary performance in a
year
3- Received at least 1 Recognition award from the District to recognize exemplary performance in a
year
2- Received at least 1 Recognition award from the school principal to recognize exemplary
performance in a year
1- The teacher did not receive any award.

5 - A copy of the research was submitted a week before the due date with no errors in structure, content and
organization and the results were communicated, the plans were implemented with very well-prepared
narrative and pictorial report of accomplishment.
4 - A copy of the research was submitted 3 days before the due date with 1-5 errors in structure,
content and organization and the results were communicated, the plans were implemented with well-
prepared narrative and pictorial report of accomplishment.
3 - A copy of the research was submitted on the due date with
6-10 errors in structure, content and organization and the results were communicated, the plans were
implemented with prepared narrative and pictorial report of accomplishment.
2 - A copy of the research was submitted 1-5 days after the due date with 11-15 errors in structure,
content and organization and the results were communicated, the plans were implemented with narrative
and pictorial report of accomplishment.
1 - A copy of the research was submitted 6 days and more after the due date
with 16 or more errors in structure, content and organization and the results were communicated, the plans
were implemented with narrative and pictorial report of accomplishment.
 5 - served as facilitator/trainer/coordinator/ chairman/ member in 5 and above
training/seminars/ancillary services in any level within the school school year with complete
supporting documents
4 - served as facilitator/trainer/coordinator/ chairman/ member in 4 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
3 - served as facilitator/trainer/coordinator/ chairman/ member in 3 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
2 - served as facilitator/trainer/coordinator/ chairman/ member in 2 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
1 - served as facilitator/trainer/coordinator/ chairman/ member in a training/seminar/ancillary services
in any level within the school school year with complete supporting documents

TOTAL RATING

ADJECTIVAL RATING

Key Result Areas

Teaching Learning Process (30%)

Students’ Outcomes (30%)
Community Involvement (15%)
ssional Growth And Development (20%)
Plus (5%)

Rater:

JULIUS A. VILLAVICENCIO, Ed. D

 Principal I

nce is compared

s is used for the

whether targets
mount or quantity
fort.
doing the things

as done on time
es and regulations,

evaluate such
es, time
nsitive
Name of Rater JULIUS A. VILLAVICENCIO, Ed. D.
Position PRINCIPAL I
Date of Review

TO BE FILLED IN DURING EVALUATION

RATING
ACTUAL
SCORE
RESULTS Q E T AVE.

0.000 0.000

0.000 0.000
 0.000 0.000

Sub-Total 0.000

0.000 0.000

0.000 0.000

0.000

Sub-Total 0.000
 0.000 0.000

0.000 0.000

0.000 0.000

Sub-Total 0.000
 0.000 0.000

0.000 0.000

0.000 0.000

Sub-Total 0.000
 0.000 0.000

Sub-Total 0.000

0.000

Rating

0.000
0.000
0.000
0.000
0.000

0.000

Approved:
 Range Adjectival Rating Scale Definition

4.500- 5.000 Outstanding 5 Role Model

Consistently
3.500 - 4.499 Very Satisfactory 4
Demonstrate

Most of the
2.500 - 3.499 Satisfactory 3 time
demonstrate

Sometimes
1.500 - 2.499 Unsatisfactory 2
demonstrate

Rarely
1.499 & below Poor 1
demonstrate
 OFFICE / INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

Name of Employee : PETTER PAULO D. MASONGSONG Name of Rater ELLEN P. TOLDANES

Position: Teacher I Position PRINCIPAL I
Review Period: June 2018-October 2018 Date of Review
Region/Division : IV-A CALABARZON/ BATANGAS
District/School: AGONCILLO/ BANYAGA NATIONAL HIGH SCHOOL
TO BE FILLED IN DURING PLANNING TO BE FILLED IN DURING EVALUATION
PERFORMANCE INDICATORS RATING
MFOs

KRAs

WEIGHT ACTUAL
OBJECTIVES MOVs TIMELINE SCORE
PER KRA (QUALITY, EFFICIENCY, TIMELINESS) RESULTS Q E T AVE.
Teaching Learning
BASIC

5- Evidences showed that the teacher properly prepared 100 % of the well-prepared and prescribed
lesson plans/DLL using the proper format and 100 % of the competencies of the learning areas were
Prepared at least 100%
used/met in a school year
(140) Lesson Plans or Daily
4- Evidences showed that the teacher prepared 80%- 99% of the 140 prepared lesson plans/DLL using
Lesson Logs (DLLs) in
the proper format and the 100 % of the competencies of the learning areas were used/met in a school
subject/s taught using
Lesson Plans/DLL year
proper and appropriate
with Instructional June 2017 to 3- Evidences showed that the teacher prepared 60%-79% of the 140 prepared lesson plans/DLL per
1 format Q and all 10% 0.000 0.000
Materials April 2018 month using the proper format and some of the competencies of the learning areas were used/met in a
competencies of the
school year
learning areas were
2- Evidences showed that the teacher prepared 40%-59% of the 140 lesson plans/DLL using the proper
used/met E in a school year
format and competencies of the learning areas were used/met in a school year
T
1- Evidences showed that the teacher prepared 20%-39% and below of the 140 lesson plans/DLL
using proper format and competencies of the learning areas were used/met in a school year
EDUCATION SERVICES

5-Evidences showed that the teacher met all of the following expectations
Process (30%)

:• Achieved 75% CPL in every class to show mastery of the subject matter (Non negotiable)
Lesson Plans/ DLL
Demonstrated suitable •Implemented required curriculum per subject area all the time (Non negotiable)
with
content knowledge and its
application Q within and •Integrated lessons in other subject areas as reflected in DLL/LP 4 times a month
Instructional June 2017 to
2 across the curriculum E 10% •Engaged and sustained learner’s interest in the subject 4 times a week by making content meaningful 0.000 0.000
Materials April 2018
areas on actual daily to them
teaching T. 4- Evidences showed that the teacher met 3 out of 4 expectations
3- Evidences showed that the teacher met 2 out of 4 expectations
2- Evidences showed that the teacher met 1 out of 4 expectations
1- The teacher did not meet any of the expectations
 Proces
EDUCATIO

Lesson Plans/DLL
Facilitated learning in the 5- Facilitated learning in the asigned area utilizing 5 teaching approaches in whole year round
assigned subject area E Instructional 4- Facilitated learning in the asigned area utilizing 4 teaching approaches in whole year round
focusing on the different Materials June 2017 to 3- Facilitated learning in the asigned area utilizing 3 teaching approaches in whole year round
3 10% 0.000 0.000
teaching approaches (2C2I1R) April 2018 2- Facilitated learning in the asigned area utilizing 2 teaching approaches in whole year round
Q in whole year round T. Observation 1-Facilitated learning in the asigned area utilizing 1 teaching approach in whole year round
Forms/Sheets

Sub-Total 0.000
BASIC EDUCATION

5- The teacher monitored and evaluated students’ progress through their updated and complete
Students’ Outcomes (30%)

Properly monitored and
evaluated students’
progress Q through their
1 updated and complete
records or results of their
activities/discussions E
transpired quarterly T.
Print out of records or results of their activities/discussions transpired daily with complete MOVs
Summary of 4- The teacher monitored and evaluated students’ progress through their updated and complete
Grades per Quarter records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
3- The teacher monitored and evaluated students’ progress through their updated and complete
June 2017 to
Daily Attendance 10% records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed 0.000 0.000
April 2018
Records per 2- The teacher monitored and evaluated students’ progress through their outdated and incomplete
Quarter records or results of their activities/ discussions transpired daily with at least 2 of the MOVs listed
1- The teacher monitored and evaluated students’ progresss through their outdated and incomplete
records or results of their activities/ discussions transpired daily with at least 1 of the MOVs listed

5- Evidences showed that the teacher met all the following expectations:
SERVICES

Analyzed/ validated
students’ learning outcomes Item Analysis • Prepared item analysis in respective subject area periodically
as basis for future reference • Analyzed and interpreted the result periodically
E and prepared appropriate Periodic Test • Made inventory of least mastered skills
intervention materials for Results • Provided intervention materials for the least mastered skills
2 10% 10% 4. Evidences showed that the teacher met 3 out of 4 expectations 0.000 0.000
the least mastered skill/s Q List of Students
five days after the test Intervention 3- Evidences showed that the teacher met 2 out of 4 expectations
Needing Remediation 2- Evidences showed that the teacher met 1 out of 4 expectations
administration T . Materials
1-The teacher did not meet any of the expectations
Enrichment Activities

5- 17 to 20 times of remediation activities were done in the whole school year

Conducted well-planned
remediation activities Q to
4- 13
students whom the teacher
to 16 times of remediation activities were done in the whole school year
foresees having difficulty in June 2017 to
3 10% 3- 9 to 12 times of remediation activities were done in 0.000
the subject they are teaching April 2018
the whole school year 2- 5
with complete documents E
to 8 times of remediation activities were done in the whole school year
monthly T.
1- 0 to 4 times of remediation activities were
Narrative Report and done in the whole school year
attendance during the
remediation Sub-Total 0.000

Remediation/Enrichm
ent Materials
 Conducted regular periodic
PTA meetings/ conferences
BASIC
as scheduled in the school
calendar;Q supported with
complete documents E
(attendance sheet, program
of the meeting, minutes of
the meeting, and pictures)
submitted two days after the
1 T meeting/conference.
(*non-advisers/ special
teachers may join the
teacher-adviser in the
conduct of the activity and
may serve as facilitator in
any meeting in the
club/organization he/she is
into)
Community Involvement (15%)
EDUCATION SERVICES
Conducted well-
planned home visits/
parent- teacher conferences
Q per semester T to at least
5 parents/ guardians of
2 5%
students with academic
and/or behavioural
problems with complete
records submitted E
Participated in two (2) civic
activities in the community
like coastal clean-up drive,
community maintenance and
3 5%
the like Q with complete
supporting documents E in
whole year round T .
5- The teacher conducted 4 PTA meetings/conferences with complete supporting documents(1.
attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4. pictures) submitted two
Attendance Sheets
days after the meeting/conference. 4- The teacher conducted 3 PTA
meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of
Minutes of the
parents 3. minutes of the meeting and 4. pictures) submitted three days after the
Meeting
meeting/conference. 3- The teacher conducted 2 PTA
June 2017 to
5% meetings/conferences with complete supporting documents (1. attendance sheet, 2. testimonies of 0.000 0.000
Pictures April 2018
parents 3. minutes of the meeting and 4. pictures) submitted four days after the meeting/conference.
2. The teacher conducted 1 PTA meeting/conference with complete
Testimonies of
supporting documents (1. attendance sheet, 2. testimonies of parents 3. minutes of the meeting and 4.
Parents
pictures) submitted four days after the meeting/conference. 1- The
teacher conducted 1 PTA meeting/conference without supporting documents submitted
5- Conducted home visits/parent-teacher conferences per semester to at least 5 parents/guardians with
academic and/or behavioral problems with complete records submitted
4- Conducted home visits/parent-teacher conferences per semester to at least 4 parents/guardians
with academic and/or behavioral problems with complete records submitted
Home Visitation/
3- Conducted home visits/parent-teacher conferences per semester to at least 3 parents/guardians
Parent-Teacher June 2017 to
with academic and/or behavioral problems with complete records submitted 0.000 0.000
Conference Form April 2018
2- Conducted home visits/parent-teacher conferences per semester to at least 2 parents/guardians
Pictures
with academic and/or behavioral problems with complete records submitted
1- Conducted home visits/parent-teacher conferences per semester to at least 1 parents/guardians
with academic and/or behavioral problems with complete records submitted
Certificates
5- Participated in two (2) civic activities in the community with complete documents (attendance,
Attendance during certificates, narrative reports, pictures taken during the activity)
the activity
May 2017 to 4- Participated in two (2) civic activities in the community with at least 3 supporting documents
0.000 0.000
Narrative April 2018
Reports 3- Participated in one (2) civic activities in the community with at least 2 supporting documents
2- Participated in one (2) civic activities in the community with at least 1 supporting document
Pictures 1- Participated in one (2) civic activiies in the community without supporting documents
Sub-Total 0.000
 Pictures taken 5- Evidences showed that the teacher met all the following expectations:
during seminar • Certificate/s of Participation issued by the person in authority was received
attended • Served as demonstration teacher/facilitator
Partipated actively Q in at • Enhanced learning through attending professional seminars/ trainings with an accumulated 24 hours
least 5 trainings/seminars/ Certificates of in a year
May 2017 to
1 conferences E to ensure Participation 10% • Attended mentoring program/ INSET in the school at least twice a year 0.000 0.000
Professional Growth And Development (20%)

April 2018
professional growth yearly. 4- Evidences showed that the teacher met 3 out of 4 expectations
BASIC EDUCATION SERVICES

T Program of 3- Evidences showed that the teacher met 2 out of 4 expectations

Activities/Training 2- Evidences showed that the teacher met 1 out of 4 expectations
Matrix 1- The teacher did not meet any of the expectations

5- Received at least 1 recognition award from Division/Regional/National level to recognize

exemplary performance in a year
Certificates/
Received special 4- Received at least 1 Recognition award from the Area to recognize exemplary performance in a
Plaques or any
awards/citations/ recognitions year
mode of
from school level or higher May 2017 to 3- Received at least 1 Recognition award from the District to recognize exemplary performance in a
2 recognition 5% 0.000 0.000
levels E for exemplary April 2018 year
performance Q in a year T 2- Received at least 1 Recognition award from the school principal to recognize exemplary
Pictures
performance in a year
1- The teacher did not receive any award.

Conducted one (1) action Copy of the finished
research/ CI E with complete research/
results Q and submitted on Intervention/
3 due date T. CIP (Continued All Year Round
Improvement
Program)- Stages 1,2
3 content and organization and the results were communicated, the plans were implemented with narrative
5 - A copy of the research was submitted a week before the due date with no errors in structure, content and
organization and the results were communicated, the plans were implemented with very well-prepared
narrative and pictorial report of accomplishment.
4 - A copy of the research was submitted 3 days before the due date with 1-5 errors in structure,
content and organization and the results were communicated, the plans were implemented with well-
prepared narrative and pictorial report of accomplishment.
3 - A copy of the research was submitted on the due date with
5% 6-10 errors in structure, content and organization and the results were communicated, the plans were 0.000 0.000
implemented with prepared narrative and pictorial report of accomplishment.
2 - A copy of the research was submitted 1-5 days after the due date with 11-15 errors in structure,
and pictorial report of accomplishment.
1 - A copy of the research was submitted 6 days and more after the due date
with 16 or more errors in structure, content and organization and the results were communicated, the plans
were implemented with narrative and pictorial report of accomplishment.

Sub-Total 0.000
 BASIC EDUCATION SERVICES

5 - served as facilitator/trainer/coordinator/ chairman/ member in 5 and above

Served as facilitator / trainer training/seminars/ancillary services in any level within the school school year with complete
/coordinator/chairman of supporting documents
Plus Factor (5%)

committee in School and
other higher levels and
enthusiastically performed
other ancillary services Q with
complete supporting
documents E whole year
round T
Letter of Appointment 4 - served as facilitator/trainer/coordinator/ chairman/ member in 4 training/seminars/ancillary services
Certificate in any level within the school school year with complete supporting documents
of Recognition Year round 5% 3 - served as facilitator/trainer/coordinator/ chairman/ member in 3 training/seminars/ancillary services 0.000 0.000
in any level within the school school year with complete supporting documents
Memorandum 2 - served as facilitator/trainer/coordinator/ chairman/ member in 2 training/seminars/ancillary services
in any level within the school school year with complete supporting documents
1 - served as facilitator/trainer/coordinator/ chairman/ member in a training/seminar/ancillary services
in any level within the school school year with complete supporting documents

Sub-Total 0.000

Total Rating/Average 100% TOTAL RATING 0.000

*To get the score, the rating is multiplied by the weight assigned ADJECTIVAL RATING

Major Final Output Key Result Areas Rating

Teaching Learning Process (30%) 0.000

Students’ Outcomes (30%) 0.000
Community Involvement (15%) 0.000
Professional Growth And Development (20%) 0.000
Plus (5%) 0.000

Numerical Rating 0.000

Adjectival Rating

Rater: Approved:
Ratee:

PETTER PAULO D. MASONGSONG ELLEN P. TOLDANES

Teacher I Principal I
 Category Description Range Adjectival Rating Scale Definition

The extent to which actual performance is compared 4.500- 5.000 Outstanding 5 Role Model
Effectiveness/Quality with targeted performance

The extent to which time or resources is used for the

intended task or purpose. Measures whether targets
are accomplished with a minimum amount or quantity
Consistently
of waste, expense, or unnecessary effort. 3.500 - 4.499 Very Satisfactory 4
Demonstrate
In management, efficiency relates to doing the things
right

Efficiency
Most of the
2.500 - 3.499 Satisfactory 3 time
demonstrate
Measures whether the deliverable was done on time
based on the requirements of the rules and regulations, Sometimes
Timeliness and/or clients/stakeholders. 1.500 - 2.499 Unsatisfactory 2
demonstrate
Time-related performance indicators evaluate such
things as project completion deadlines, time
management skills and other time-sensitive Rarely
1.499 & below Poor 1
expectations. demonstrate