DIVISION OF VALENZUELA CITY

Pio Valenzuela St., Marulas, Valenzuela City

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM

School Year 2016-2017
Name of Employee: Name of Teacher Name of Rater: Roderick D. De Leon
Position: Master Teacher I-III Position: Principal I
Rating Period: June 2016-April 2017 Date of Review: April, 2016

TO BE FILLED IN DURING PLANNING TO BE FILLED IN DURING EVALUATION

PERFORMANCE INDICATORS
Weight RATING
MFOs KRAs OBJECTIVES OUTPUT TIME LINE per ACTUAL SCORE
KRA RESULTS
Outstanding Very Satisfactory Satisfactory Unsatisfactory Poor
Q E T Ave.
(5) (4) (3) (2) (1)

1. Prepared and submitted well-

developed and up-to-date daily lesson
plans with: Prepared and Prepared and submitted
Prepared and submitted Prepared and submitted Prepared and submitted
a. SMART objectives submitted 202 daily 149 and below daily
June - 195-201 daily lesson 170-194 daily lesson 150-169 daily lesson
b. appropriate contents and 6% lesson plans that lesson plans that contain ### #DIV/0!
A. Teaching – 2. Facilitatedmaterials/teaching
instructional teaching-learning aids Lesson Plans March plans that contain 4 the plans that contain 4 of plans that contain 4 of
contain 4 of the 4 or less of the indicated
Learning Process processes
c. relevant with manifestation
procedures/ of the
strategies indicated parts the indicated parts the indicated parts
indicated parts. parts
(20%) following:
/activities
a.
d. relating
evaluativelesson with previous
procedures/techniques
knowledge or skills
b. conveying ideas clearly
c. utilizing the art of questioning
to elicit higher order thinking
d. greater student participation
Basic Education Services

e. use of ICT-enhanced
teaching Facilitated teaching- Facilitated teaching- Facilitated teaching- Facilitated teaching- Facilitated teaching-
strategies and instructional June - learning processes learning processes with learning processes with learning processes with learning processes with
Observation
materials March 6% with manifestation of manifestation of manifestation of manifestation of manifestation of ### #DIV/0!
Forms/ Checklists
consistency in 6 of the consistency in 5 of the consistency in 4 of the consistency in 3 of the consistency in 2 or less
stated indicators stated indicators stated indicators stated indicators of the stated indicators

f. objectives of the lesson realized

Checking of students’ Checking of students’

3. Checked attendance, initiated
effective students’ discipline and
maintained clean and orderly classroom SF 2/ Observation
conducive to the teaching-learning
process
Students’ attendance
Students’ attendance Students’ attendance daily attendance not daily attendance not
checked daily,
checked daily, recorded checked daily, recorded regularly conducted, evident, recorded 10 or
June- recorded zero incident
3% 1-3 incident of students’ 4-6 incident of students’ recorded 7-10 incident more incident of
Reports March of students’
misbehavior in class, misbehavior in class, of students’ misbehavior students’ misbehavior in ### #DIV/0!
misbehavior in class,
and regularly maintained and regularly maintained in class, regular class, regular
and regularly
clean and orderly clean and orderly maintenance of clean maintenance of clean
maintained clean and
classroom. classroom. and orderly classroom and orderly classroom
orderly classroom.
not done. not done.

Page 1 of 22
 TO BE FILLED IN DURING PLANNING TO BE FILLED IN DURING EVALUATION
PERFORMANCE INDICATORS
Weight RATING
ACTUAL
MFOs KRAs OBJECTIVES OUTPUT TIME LINE per SCORE
RESULTS
KRA Outstanding Very Satisfactory Satisfactory Unsatisfactory Poor Q E T Ave.
4. Monitored and assessed teaching- (5) (4) (3) (2) (1)
learning outcomes and students’
progress on regular basis focusing on
a. written exam/assessments Complete and up-to- Incomplete and un- Incomplete and un-
b. oral/ skills assessments Up to date records of Up to date records of
date records of updated records of updated records of
c. assignment/ home activities monitoring and monitoring and
A. Teaching- End of monitoring and monitoring and monitoring and
Learning Process d. Periodical exam/assessments Class Records/ Records assessments of all assessments of all
Every 5% assessments of all assessments of assessments of students’ ### #DIV/0!
(20%) e. enrichment/enhancement activities of Students’ Outputs students’ progress and students’ progress and
Quarter students’ progress and students’ progress and progress and learning
learning outcomes with 5 learning outcomes with 4
learning outcomes for learning outcomes with outcomes with 2 or less
indicators indicators
every quarter. 3 indicators indicators

f. assessment outputs submitted

on time
1. Attained an average
1. Attained an average of 1. Attained an average of 1. Attained an average of 1. Attained an average of
1. Attained an average of 60% MPS on of 60% MPS and above
NAT Results School / June- 58-59% MPS on learners’ 56-57% MPS on learners’ 54-55% MPS on learners’ 53% and below MPS on
learners’ achievement of the subject 15% on learners’ ### #DIV/0!
Quarterly Learners' MPS March achievement by end of achievement by end of achievement by end of learners’ achievement by
area for the School Year achievement by end of
the School Year the School Year the School Year end of the School Year
School Year

Achieved 100% and Achieved 95- 99% Achieved 90 -95% Achieved 85 - 89% Achieved 84% and below
2. Achieved 100% Promotion Rate of above Promotion Rate Promotion Rate of Promotion Rate of Promotion Rate of Promotion Rate of
Promotion Report / June -
learner's in the subject area by the end 10% of learner's in the learner's in the subject learner's in the subject learner's in the subject learner's in the subject ### #DIV/0!
SF 5 March
of School Year subject area by the end area by the end of School area by the end of School area by the end of School area by the end of School
of School Year Year Year Year Year
Basic Education Services

B. Learner's
Outcome (40%) 3. Assisted/remediated 50 students with 50 and above students 19 and less number of
40-49 students assisted 30-39 students assisted 20-29 students assisted
subject deficiencies that resulted to assisted and students assisted and
Implementation Report of June - and remediated that and remediated that and remediated that
completion of subject requirements 10% remediated that remediated that resulted ### #DIV/0!
Remediation March resulted to subject resulted to subject resulted to subject
and/or promotion. resulted to subject to subject completion/
completion/ promotion completion/ promotion completion/ promotion
completion/ promotion promotion
Conducted 5-9 Parent
Conducted 20 or more Conducted 15-19 Conducted 10-14 Parent Conducted 5 or less
Meetings or
Parent Meetings or Parent Meetings or Meetings or Parent Meetings or
Summary Report of Conferences to
Conferences to Conferences to Conferences to Conferences to
4. Conducted 20 Parent Meetings or Parent-Teacher Meetings/ monitor/follow-
monitor/ follow-up/ monitor/follow-up/assist/ monitor/follow- monitor/follow-
Conferences to monitor/follow- Conferences up/assist/report
assist/report students’ report students’ up/assist/report students’ up/assist/report students’
up/assist/report students’academic/ June - students’
5% academic/ academic/behavioral/ academic/behavioral/ academic/behavioral/ ### #DIV/0!
behavioral/progress status and other March academic/behavioral/
concerns that resulted to 90% resolution
behavioral/progress progress status and progress status and progress status and
progress status and
of the issues/concerns. status and other other concerns that other concerns that other concerns that
other concerns that
concerns that resulted resulted to 90% resulted to 80% resulted to 85% and
resulted to 80%
to 100% resolution of resolution of the resolution of the below resolution of the
resolution of the
the issues/concerns. issues/concerns. issues/concerns. issues/concerns.
issues/concerns.
Conducted 10 or more Conducted 7-9 class Conducted 4-6 class Conducted 1-3 class
1. Assisted teachers in improving class observations and observations and post observations and post observation and post Conducted 0 observations
teaching skills through observation and Observation Forms post conferences/ conferences/ conferences/ conferences/ and post conferences/
June-
post-observation conference and Conference Reports and 5% mentoring/coaching of mentoring/coaching of mentoring/coaching of mentoring/coaching of mentoring/coching of ### #DIV/0!
March
mentoring/coaching by the end of School Mentor-Mentee Program teachers in the grade teachers in the grade teachers in the grade teachers in the grade teachers in the grade level
C. Instructional Year level by end of School level by end of School level by end of School level by end of School by end of School Year
Assistance and Year Year Year Year
Research (20%)

Page 2 of 22
 TO BE FILLED IN DURING PLANNING TO BE FILLED IN DURING EVALUATION
PERFORMANCE INDICATORS
C. Instructional Weight RATING
ACTUAL
MFOs Assistance
KRAsand OBJECTIVES OUTPUT TIME LINE per SCORE
RESULTS
Research (20%) KRA Outstanding Very Satisfactory Satisfactory Unsatisfactory Poor Q E T Ave.
(5) (4) (3) (2) (1)

Served as Served as demonstration

Documented Served as demonstration Served as demonstration Did not conduct
2. Served as demonstration teacher June- demonstration teacher teacher in the division
demonstration teaching 5% teacher in the district teacher in the school demonstration teaching ### #DIV/0!
within the rating period March in the regional level level within the rating
activities within the rating period within the rating period within the rating period
within the rating period period

1 Approved/ Accepted
Action Research
Action Research Paper Submitted Action
completed, for Conducted Action Action Research
conducted with full Research Paper with full
evaluation in the school Research, research proposal, problem to
3. Conducted 1 school-based action Approved Action June- documentation on documentation pending
5% level, pending paper, documentation work on identified, no ### #DIV/0!
research within the rating period. Research Paper March completion duly approval from authority
submission to the and results incomplete documentation or data
approved by Division or Division CBAR
Division CBAR by March 31 gathered by March 31
CBAR Committee by Committee by March 31
C. Instructional Committee by March 31
March 31
Assistance and
Research (20%)
Assisted in the conduct
Assisted in the conduct of Assisted in the conduct of Did not assist in the
of national/ regional Assisted in the conduct of
4. Assisted in the conduct of 1 division seminars/ district seminars/ conduct of
Accomplishment/ seminars/ workshop/ school seminars/
seminar/workshop/training/ competition June- workshop/ trainings/ workshop/trainings / seminars/workshop/
Documentation 5% trainings/ competitions workshop/ competitions in ### #DIV/0!
in specific learning area within the rating March competitions in specific competitions in specific competitions in specific
Report in specific learning specific learning areas
period learning areas within the learning areas within the learning areas within the
areas within the rating within the rating period
rating period rating period rating period
period

1. Attained the following attendance

Attained attendance of Attained attendance of
records for the entire school year: Attained attendance of Attained attendance of
Basic Education Services

Summary Report of June- Attained perfect 197-202 school days 184 and below school
a. reported to school for 202 school 4% 191-196 school days 185-190 school days ### #DIV/0!
Teachers’ Attendance March attendance records and 5 times or less days and more than 16
days and 6-10 times tardy and 11-15 times tardy
b. incurred 10 times or less tardy tardy. times tardy.

50 relevant school 45-49 relevant school 40-44 relevant school 35-39 relevant school 34 and below relevant
reports and required reports and required reports and required reports and required school reports and
2. Submitted 50 relevant school Summary of Submitted
June- documents/ data documents/ data documents/ data documents/ data required documents/ data
reports and required documents/ data on Required Reports/ 4% ### #DIV/0!
March submitted accurately on submitted accurately on submitted accurately on submitted with less submitted with many
time Documents
or before the required or before the required or before the required inaccuracies on or before inaccuracies on or before
D. Professionalism, time time time the required time the required time
Personal Growth
and Development 100% seminars 95-99% seminars 90-94% seminars 85-89 seminars /trainings 84 or less seminars
3. Attended 100% of required /trainings / workshops/ /trainings / workshops/ /trainings / workshops/ / workshops/ /trainings / workshops/
(14%)
seminars /trainings/ workshops/ Certificate/ Certification / professional meetings professional meetings professional meetings professional meetings professional meetings
professional meetings within the school Attendance Report on June -
3% attended within the attended within the school attended within the school attended within the attended within the school ### #DIV/0!
year March
Professional Meetings school year year year school year year

Page 3 of 22
 D. Professionalism,
Personal Growth
and Development
(14%) TO BE FILLED IN DURING PLANNING TO BE FILLED IN DURING EVALUATION
PERFORMANCE INDICATORS
Weight RATING
ACTUAL
MFOs KRAs OBJECTIVES OUTPUT TIME LINE per SCORE
RESULTS
KRA Outstanding Very Satisfactory Satisfactory Unsatisfactory Poor Q E T Ave.
(5) (4) (3) (2) (1)

5 or more co-
4 co-curricular/school 3 co-curricular/school 2 co-curricular/school 1 co-curricular/school
curricular/school
4. Initiated/participated in 10 co- activities/ program activities/ program activities/ program activities/ program
Accomplishment/ June- activities/ program
curricular/school activities within the 3% initiated/participated/ initiated/participated/ initiated/participated/ initiated/participated/ ### #DIV/0!
Documentation Reports March initiated/participated/
school year attended with proper attended with proper attended with proper attended with proper
attended with proper
documentation documentation documentation documentation
documentation

1. Assisted in the
implementation of Result-based
100% of teachers in the 40-59% of teachers in the 39% and below of
Performance Management System 80-99% of teachers in the 60-79% of teachers in the
Accomplished Teachers’ June- grade level assisted in grade level assisted in teachers in the grade level
(RPMS) following the RPMS cycle 2% grade level assisted in the grade level assisted in the ### #DIV/0!
Evaluation Report March the implementation of the implementation of assisted in the
(Planning and Commitment, Coaching implementation of RPMS implementation of RPMS
RPMS RPMS implementation of RPMS
and Mentoring, Review and Evaluation
and Development Planning)

Produced publication/
Basic Education Services

creative work Produced publication/ Produced publication/

Produced publication/
published in National creative work published creative work published
2. Produced publications/creative creative work published
E. Special Task/ Published Circulation/ DepEd in regional in division / city Unpublished work
works for school paper /division / June- in school publications /or
Plus Factor (6%) Work/instructional 2% Post/ CSC Newsletters publications /or publications /or produced/ incomplete ### #DIV/0!
professional/ educational publication/ or March functional instructional
materials and similar publications functional instructional functional instructional instructional materials
functional instructional materials/SIM materials at
/or functional materials used at materials used at
department/grade level
instructional materials regional level division/school level
used at national level

Received 1 or more
Received 1 award/ Received 1 award/ Received 1 award/ Did not received any
award/ recognition for
recognition for recognition for recognition for award/ recognition for
Certificate/Certification exemplary
3. Received 1 award/recognition for exemplary exemplary exemplary exemplary
of the award for June- performance/winning
exemplary performance/winning coach/ 2% performance/winning performance/winning performance/winning performance/winning ### #DIV/0!
exemplary performance/ March coach/ trainer in the
trainer by the end of School Year coach/ trainer in the coach/ trainer in the coach/ trainer in the coach/ trainer in the
as winning coach/ trainer international/ national
regional level by the end division/district by the school level by end of school level by the end
level by the end of the
of the school year end of the school year the school year of the school year
school year

OVER
ALL #DIV/0!
RATING
Master Teacher I-III
Ratee Evaluated by:

Rosalie B. Emaas John Louie C. Co Exerill T. Cruz

Page 4 of 22
 DIVISION OF VALENZUE
Pio Valenzuela St., Marulas, Valenzu

INDIVIDUAL PERFORMANCE COMMITMEN

School Year 2016-2017
Name of Employee: Name of Teacher
Position: Teacher I-III
Rating Period: June 2016-April 2017

TO BE FILLED IN DURING PLANNING TO BE FILLED IN DURING EVALUATION

RATING
MFOs KRAs OBJECTIVES OUTPUT ACTUAL
RESULTS
Q E T Ave.

1. Prepared and submitted well-

developed and up-to-date daily lesson
plans with:
a. SMART objectives
b. appropriate contents and 0 0 0 ###
A. Teaching – Lesson Plans
instructional materials/teaching aids
Learning Process 2. Facilitated teaching-learning
c. relevant procedures/ strategies
(25%) processes
/activities with manifestation of the
following:
d. evaluative procedures/techniques
a. relating lesson with previous
knowledge or skills
b. conveying ideas clearly
c. utilizing the art of questioning
to elicit higher order thinking
Basic Education Services

d. greater student participation

e. use of ICT-enhanced
teaching
strategies and instructional Observation 0 0 0 ###
materials Forms/ Checklists

f. objectives of the lesson realized

3. Checked attendance, initiated

effective students’ discipline and
maintained clean and orderly classroom SF 2/ Observation
conducive to the teaching-learning Reports 0 0 0 ###
process
 4. Monitored and assessed teaching-
learning outcomes and students’
progress on regular basis focusing on
a. written exam/assessments
b. oral/ skills assessments
c. assignment/ home activities
A. Teaching-
Learning Process d. Periodical exam/assessments Class Records/ Records 0 0 0 ###
(25%) e. enrichment/enhancement activities of Students’ Outputs

f. assessment outputs submitted

on time
1. Attained an average of 60% MPS on
NAT Results School /
learners’ achievement of the subject 0 0 0 ###
Quarterly Learners' MPS
area for the School Year

2. Achieved 100% Promotion Rate of

Promotion Report /
learner's in the subject area by the end 0 0 0 ###
SF 5
Basic Education Services

of School Year

3. Assisted/remediated 50 students with

subject deficiencies that resulted to
Implementation Report of
completion of subject requirements 0 0 0 ###
B. Learner's Remediation
and/or promotion.
Outcome (47%)

Summary Report of
4. Conducted 20 Parent Meetings or Parent-Teacher Meetings/
Conferences to monitor/follow- Conferences
up/assist/report students’academic/ 0 0 0 ###
behavioral/progress status and other
concerns that resulted to 90% resolution
of the issues/concerns.

1. Attained the following attendance

C. Professionalism,
records for the entire school year:
Personal Growth Summary Report of
a. reported to school for 202 school 0 0 0 ###
and Development Teachers’ Attendance
days
(22%)
b. incurred 10 times or less tardy
 2. Submitted 50 relevant school Summary of Submitted
reports and required documents/ data on Required Reports/ 0 0 0 ###
time Documents

3. Attended 100% of required

C. Professionalism, seminars /trainings/ workshops/ Certificate/ Certification /
Personal Growth professional meetings within the school Attendance Report on 0 0 0 ###
and Development year Professional Meetings
(22%)

4. Initiated/participated in 10 co-
Accomplishment/
curricular/school activities within the 0 0 0 ###
Documentation Reports
school year
Basic Education Services

1. Produced publications/creative
Published
works for school paper /division /
Work/instructional 0 0 0 ###
professional/ educational publication/ or
materials
functional instructional materials/SIM

D. Special Tasks/
Plus Factor (6%) 2. Conducted 1 school-based action Approved Action 0 0 0 ###
research within the rating period. Research Paper

Certificate/Certification
3. Received 1 award/recognition for
of the award for
exemplary performance/winning coach/ 0 0 0 ###
exemplary performance/
trainer by the end of School Year
as winning coach/ trainer
 OVER
ALL #DIV/0!
RATING

Teacher I-III
Ratee Rosalie B. Emaas John Louie C. Co
Committee Chairman Committee Chairman
Leadership and Governance Curriculum and Learning

Roderick D. De Leon
Approving Authority
SION OF VALENZUELA CITY
o Valenzuela St., Marulas, Valenzuela City

ORMANCE COMMITMENT AND REVIEW FORM

School Year 2016-2017
Name of Rater:
Position:
Date of Review:

DURING EVALUATION PERFORMANCE REVIEW COMMITTEE RATER

Chairman Member 1 Member 2 Member 3 ACTUAL RATING

RESULTS
SCORE
Q E T Ave.

□ Agree
#DIV/0! □ Agree □ Agree □ Agree Prepared and submitted ###
□ Disagree □ Disagree □ Disagree □ Disagree 43 weekly lesson plans

Facilitated teaching-
learning processes in 4
#DIV/0! □ Agree □ Agree □ Agree □ Agree
of the stated indicators ###
□ Disagree □ Disagree □ Disagree □ Disagree specifically items b, c , d
and f.

0 incident of students’
#DIV/0! □ Agree □ Agree □ Agree □ Agree misbehavior in class ###
□ Disagree □ Disagree □ Disagree □ Disagree with well maintained
classroom.
 Records of students
#DIV/0! □ Agree □ Agree □ Agree □ Agree show 4 indicators - ###
□ Disagree □ Disagree □ Disagree □ Disagree specifically items a, c, d
and e.

#DIV/0! □ Agree □ Agree □ Agree □ Agree Attained an average of ###

□ Disagree □ Disagree □ Disagree □ Disagree 45% MPS

#DIV/0! □ Agree □ Agree □ Agree □ Agree Achieved 97% ###

□ Disagree □ Disagree □ Disagree □ Disagree Promotion Rate.

Assisted 11 students
#DIV/0! □ Agree □ Agree □ Agree □ Agree
which resulted to ###
□ Disagree □ Disagree □ Disagree □ Disagree
passing the subject

#DIV/0! □ Agree □ Agree □ Agree □ Agree Conducted 7 Parent ###

□ Disagree □ Disagree □ Disagree □ Disagree Meetings / Home Visits

#DIV/0! □ Agree □ Agree □ Agree □ Agree Attained attendance of ###

□ Disagree □ Disagree □ Disagree □ Disagree 194 school days.
#DIV/0! □ Agree □ Agree □ Agree □ Agree Submitted 13 relevant ###
□ Disagree □ Disagree □ Disagree □ Disagree school reports on time

Attended 0 training/
#DIV/0! □ Agree □ Agree □ Agree □ Agree seminar within the ###
□ Disagree □ Disagree □ Disagree □ Disagree school year

Participaetd 1 co-
#DIV/0! □ Agree □ Agree □ Agree □ Agree curricular/school ###
□ Disagree □ Disagree □ Disagree □ Disagree activities.

#DIV/0! □ Agree □ Agree □ Agree □ Agree Produced unpublished ###

□ Disagree □ Disagree □ Disagree □ Disagree scholarly work

#DIV/0! □ Agree □ Agree □ Agree □ Agree 1 Approved / Accepted ###

□ Disagree □ Disagree □ Disagree □ Disagree Action Research Paper

#DIV/0! □ Agree □ Agree □ Agree □ Agree Received 1 award in the ###

□ Disagree □ Disagree □ Disagree □ Disagree division level
 #DIV/0! #DIV/0!

John Louie C. Co Exerill T. Cruz

Committee Chairman Committee Chairman
Curriculum and Learning Accountability and Continuous Improvement

Roderick D. De Leon
Approving Authority
SCORE

#DIV/0!

#DIV/0!

#DIV/0!
#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!
#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!
#DIV/0!
 PERFORMANCE MONITORING AND COACHING FORM (Form 2)
School: ____________________________
Ratee: _____________________________
Rater: _____________________________

Signature
Date Critical Incidence Description Output Impact on Job/Action Plan
Ratee/Rater
 DIVISION OF VALENZUELA CITY
Pio Valenzuela St., Marulas, Valenzuela City
SY 2016-2017

SUMMARY OF OUTPUT (TEACHER I-III)

FORM 3.E

Required Output Actual Result Details / Description

Lesson Plan
A.1 Lesson Planning Prepared and
Submitted

Observation - Teaching Observation

A.2 Learning Process Reports

SF2/Class
Checking of Student's Attendance/
A.3
Attendance Observation
Reports

Class
A.4 Recording of Students' Record/Composit
Outputs
e Grades
Quarterly
B.1 Learners' Outcome
Learners' MPS
Report on
B.2 Promotion
Promotion/SF5
Documentation/R
B.3 Remediation eport of
Implementation

Summary Report
on Parents-
Parent-Teacher
B.4 Meetings/ Conferences Teachers
Conference/Minu
tes

Teachers'
C.1 Teacher's Attendance/ Attendance
Punctualilty Report/Certificate
of Attendance

Compilation of
On-Time Submission of
C.2 School Reports Submitted
Reports

Certificate/
Attendance to Certification /
Seminars, Workshops, Attendance
C.3 and Professional Report on
Meetings Professional
Meetings

Accomplishment/
Participation to Co- Documentation
C.4
Curricular Activities Reports/Certificat
e of Participations

Published Works/
D.1 Publication Instructional
Materials

School-Based Action Approved Action

D.2
Research Research Paper
Certificate/Certifi
cation
of the award for
D.3 Awards Received exemplary
performance/ as
winning coach/
trainer

Teacher I RODERICK D. DE LEON

Ratee Rater

Reviewed by:
PERFORMANCE REVIEW COMMITTEE
_____________________ ____________________ _________________ ________________
PRINCIPAL Member Member Member
CHAIRMAN
 Reviewed by:
PERFORMANCE REVIEW COMMITTEE
_____________________ ____________________ _________________ ________________
PRINCIPAL Member Member Member
CHAIRMAN

Noted:

EDNA L. LLANERA, Ph.D

Distict Supervisor
 Republic of the Philippines
DEPARTMENT OF EDUCATION
National Capital Region
Division of City Schools - VALENZUELA

Individual Performance Evaluation Form (Form 5.E)

School: Antonio M. Serapio Elementary School
Grade Level/Department:

Name of Employee: Name of Rater: RODERICK D. DE LEON

Position: Position: PRINCIPAL II
Rating Period: June 2016 - March 2017 Date of Review: April, 2017

A. Teaching and Learning Process (25%)

A.1 A.2 A.3 A.4 TOTAL
#DIV/0! #DIV/0! ### #DIV/0! #DIV/0!
B. Learners' Outcome (45%)
B.1 B.2 B.3 B.4 TOTAL
#DIV/0! #DIV/0! ### #DIV/0! #DIV/0!
C. Professionalism, Personal Growth and Development (20%)
C.1 C.2 C.3 C.4 TOTAL
#DIV/0! #DIV/0! ### #DIV/0! #DIV/0!
D. Special Tasks/ Plus Factor (10%)
D.1 D.2 D.3 TOTAL
#DIV/0! ### #DIV/0! #DIV/0!

OVERALL RATING: #DIV/0!

DESCRIPTION: #DIV/0!

RODERICK D. DE LEON
Teacher I Principal II
Ratee Rater

Reviewed by:
PERFORMANCE REVIEW COMMITTEE

___________________________
Principal
Chairman

___________________________ ___________________________ ___________________________

Teacher Teacher Teacher
Member Member Member

Noted:
EDNA L. LLANERA, Ed.D.
District Supervisor
 Republic of the Philippines
Department of Education
National Capital Region
DIVISION OF CITY SCHOOLS - VALENZUELA
Pio Valenzuela St., Marulas, Valenzuela City

IPCRF SUMMARY FOR TEACHER I - III (Form 6.E)

Page 1 of 1
SCHOOL: Antonio M. Serapio Elementary School
District: II

Position A. Teaching Learning Process C. Professionalism, Personal

OVERALL Quantitative B. Learners' Outcome (45%) D. Special Tasks/ Plus Factor (10%)
No. Department Surname First Name MI (highest position Ratee's Signature (25%) Growth and Development (20%)
RATING Description
first)
A.1 A.2 A.3 A.4 T B.1 B.2 B.3 B.4 T C.1 C.2 C.3 C.4 T D.1 D.2 D.3 D.4 D.5 T

1 0 #N/A 0.250 0.300 0.250 0.150 0.950 0.150 0.600 0.100 0.100 0.950 0.200 0.150 0.050 0.050 0.450 0.020 0.100 0.060 0.100 0.100 0.380

2 0 #N/A 0.000 0.000 0.000 0.000

3 0 #N/A 0.000 0.000 0.000 0.000

4 0 #N/A 0.000 0.000 0.000 0.000

5 0 #N/A 0.000 0.000 0.000 0.000

6 0 #N/A 0.000 0.000 0.000 0.000

7 0 #N/A 0.000 0.000 0.000 0.000

8 0 #N/A 0.000 0.000 0.000 0.000

9 0 #N/A 0.000 0.000 0.000 0.000

10 0 #N/A 0.000 0.000 0.000 0.000

11 0 #N/A 0.000 0.000 0.000 0.000

12 0 #N/A 0.000 0.000 0.000 0.000

13 0 #N/A 0.000 0.000 0.000 0.000

14 0 #N/A 0.000 0.000 0.000 0.000

15 0 #N/A 0.000 0.000 0.000 0.000

16 0 #N/A 0.000 0.000 0.000 0.000

17 0 #N/A 0.000 0.000 0.000 0.000

18 0 #N/A 0.000 0.000 0.000 0.000

**NOTHING FOLLOWS**
Raters' Signature Reviewed by:
Name: Position Signature PERFORMANCE REVIEW COMMITTEE This is to certify that the above data is true and correct.

_____________________ ____________________ _________________ ________________

PRINCIPAL Member Member Member
CHAIRMAN
RODERICK D. DE LEON
Principal I
Noted: Approving Authority

NIEVES M. RODRIGUE, Ph.D

District Supervisor