IPCRF

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM
Name of Employee/Ratee:
DIANALYN C. HERRERA
Name of Rater:
Position:
SST - I
Position:
Rating Period:
2016-2017
Date of Review:
Bureau/Center/Service/Division/School: DEPARTMENT OF RDUCATION/REGION III/MABALACAT CITY/MADAPDAP RESETTLEMENT HIGH SCHOOL
TO BE FILLED DURING PLANNING
MFOs
Basic
Education
Services
KRAs
OBJECTIVES
TIMELINE
WEIGHT
PER KRA
1. Prepared 140-above daily lesson

logs of activities in Mathematics 8
and submit them on time.
PERFORMANCE INDICATORS
5 - Daily Lesson Logs were
28 times in a year
24 times in a year
20 times in a year
16 times in a year
below 16 times in a year
I. TeachingLearning Process
June 2016 to
April 2017
MYLENE T. DIZON
HT-1
MARCH 2017
TO BE FILLED DURING EVALUATION

ACTUAL RESULTS
RATING SCORE
EVIDENCES (Quality,
WEIGHT PER
Efficiency & Timeliness) OBJECTIVES
Q
E
T
AVE
checked 25checked 21checked 17-
Daily lesson logs in

Mathematics 8
15%
checked 13checked
5 - 90%-100% of teaching learning

process were based on the DLL, LM, TG
& developed 4 instructional materials in
Mathematics 8.
& developed 3 instructional materials in Actual monitoring and Actual
Instructional Materials
Mathematics 8.
2. Facilitated learning in the
classrooms through the use of DLL,
June 2016 to
LM, TG and other learning resources
April 2017
with adequate instructional materials
35%

Mathematics 8.
10%

Mathematics 8.
& did not developed any instructional
materials in Mathematics 8.
3. Monitored positive motivating

environment, cleanliness and
orderliness of classroom
5 - Orderliness and cleanliness of

classroom is 90 - 100%
June 2016 to
April 2017

classroom is below 60% maintained.

MFOs
Basic
Education
Services
KRAs
II. Student
Outcome
OBJECTIVES
TIMELINE
WEIGHT
PER KRA
Gave them assigned tasks:

-Daily
Cleaners
-Involve them in the
Beautification of the
Classroom
-Maintain the
school surroundings clean
-Update bulletin
board
10%
35%
ACTUAL RESULTS
RATING SCORE
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE
5 - Evidences showed that the teacher

100% purposely plans assessments and
varies assessment choices to match the
different student needs, abilities, and
learning styles.
1. Monitored, evaluated and

maintained student's progress in
Mathematics 8 through the
following:
* Daily seatwork
*Activities
*Quizzes

85 - 99% purposely plans assessments
and varies assessment choices to match
the different student needs, abilities,
and learning styles.
*
Periodic Tests

70 - 84% purposely plans assessments School Reports:
and varies assessment choices to match Compilation of students'
assessment papers
-Class Record
June 2016 to
April 2017
15%

35%
learning styles.
5 - Submitted on time with complete
and accurate data
2. Maintained updated students'
school records to be submitted on or
before deadlines set.
-Grade Sheets
-Class Record
3. Increased 1 point in MPS in

Mathematics 8 within the current
school year.
4 - Submitted 1-3 days late with

complete and accurate data
3 - Submitted on time with incomplete
and accurate data
incomplete and inaccurate data
1 - Submitted 4 or more days after the
deadline set
5 - 1 point & above increase in MPS in
Mathematics 8.
4 - 0.75 - 0.99 increase
3 - 0.50 - 0.74 increase
2 - 0.25 - 0.49 increase
1 - 0.49 increase and below
June 2016 to
April 2017
June 2016 to
April 2017

MFOs
Educational
Governance
KRAs
OBJECTIVES
TIMELINE
WEIGHT
PER KRA
III. Community
Involvement
-Grade Sheets
-Class Record
15%
Consolidated Report in Mean

and PL
5%
35%
ACTUAL RESULTS
EVIDENCES (Quality,
WEIGHT PER
Efficiency & Timeliness)
OBJECTIVES
Documentation Report and

accomplished home visitaton
forms
5%
RATING SCORE
AVE
5 - Accomplished 5 home visitations

and follow-ups to students who need
them.
them.
1. Accomplished home visitations
them.

them.
June 2016 to
April 2017

them.
them.
15%

participated in 4 barangay
projects/programswith complete
documentations .
documentations .
Participated/Initiated in community or
brgy.projects/programs.

documentations .
June 2016 to
April 2017
Students' Attendance
Anecdotal
Records
5%

participated 1 barangay
project/program with complete
documentations .
project/program without complete
documentations .
MFOs
Educational
Governance
KRAs
OBJECTIVES
TIMELINE
WEIGHT
PER KRA
IV. Professional
Growth and
Development
15%
ACTUAL RESULTS
WEIGHT PER
EVIDENCES (Quality,
OBJECTIVES
RATING SCORE
AVE
5 -Participated/ Attended 5 meetings,

seminars,training set by the principal,
school, division, faculty club intended
for teachers
for teachers
1. Participated/attended seminars,
trainings, meetings, faculty club
within the year.

for teachers
June 2016 to
April 2017

for teachers
Certificates of seminars
attended (School/Division)
Certificates of
membership in organizations
Pictures
5%
Pictures
2%
Office/ Grievance Committee

Records
3%
1 -Participated/ Attended only 1

meeting, seminar,training set by the
principal, school, division, faculty club
intended for teachers
10%
5 -90%-100% Attended all mentoring

sessions set by the Math Department
2. Participate in the Mentoring

Session of the Math Department
3. Sustained harmonious relationship

and professional ethics to all
stakeholders
June 2016 to
April 2017

1 -59% and below Attended all
mentoring sessions set by the Math
Department
5 - No complaints or subjection to
Grievance Committee
4 - 1 complaint or subjection to
Grievance Committee
3 - 2 complaints or subjections to
Grievance Committee
Grievance Committee
Grievance Committee
June 2016 to
April 2017

MFOs
KRAs
OBJECTIVES
TIMELINE
WEIGHT
PER KRA
10%
ACTUAL RESULTS
EVIDENCES (Quality,
WEIGHT PER
OBJECTIVES
RATING SCORE
AVE
Plus Factor
1. Performed duties and
responsibilities as an adviser of the
Mathematics Club.
June 2016 to
April 2017
2. Showed willingness to improve

"time-on-task" by substituting for a
teacher who has attended a training/
seminar or was absent
June 2016 to
April 2017
5%
5 - Presented 4 accomplished activities

of the club with proper documentations.
4 - Lacked 1 of the evidences.
Accomplishment Report
Narratives report of activities
Pictures
5 - Substituted for 400 minutes and
above
4 - substituted for 300 - 399 minutes
Substitution form
3 - Substituted for 200 - 299 minutes
2 - Substitutes
Substituted for
for less
100 than
- 199100
minutes
1
minutes
2.50%
2.50%
5%
OVERALL RATING
4.500 - 5.000
3.500 - 4.499
2.500 - 3.499
1.500 - 2.499
Below 1.499
ADJECTIVAL RATING
OUTSTANDING
VERY SATISFACTORY
SATISFACTORY
UNSATISFACTORY
POOR
DIANALYN C. HERRERA
RATEE
Date: __________________________________
ELENITA S. POLIDARIO, Ed. D.

Approving Authority
100%
MYLENE T. DIZON
RATER
Date: __________________________________

DIANALYN C. HERRERA
Position:
SST - I
Rating Period:
2016-2017
MFOs
Basic
Education
Services
KRAs
OBJECTIVES
I. Teaching1. Prepared 140-above daily lesson

Learning Process logs of activities in Mathematics 8
TIMELINE
WEIGHT
PER KRA
June 2016 to
April 2017
28 times in a year
24 times in a year
20 times in a year
16 times in a year

June 2016 to
April 2017
checked 25checked 21checked 17checked 13checked

Mathematics 8.
30%

Mathematics 8.
Mathematics 8.

Mathematics 8.
1 - 59% and below of teaching learning
June 2016 to
April 2017


MFOs
Basic
Education
Services
KRAs
II. Student
Outcome
OBJECTIVES
following:
TIMELINE
WEIGHT
PER KRA
June 2016 to
April 2017
learning styles.
25%
* Daily seatwork
*Activities
*Quizzes

*
Periodic Tests
25%

learning styles.

-Grade Sheets
-Class Record
June 2016 to
April 2017

and accurate data
and accurate data
-Grade Sheets
-Class Record

school year.

deadline set
Mathematics 8.
4 - 0.75 - 0.99 increase
3 - 0.50 - 0.74 increase
2 - 0.25 - 0.49 increase
June 2016 to
April 2017

MFOs
Educational
Governance
KRAs
III. Community
Involvement
OBJECTIVES
TIMELINE

them.
June 2016 to
April 2017
WEIGHT
PER KRA
them.
them.
them.
them.
them.
2. Participated in community or
June 2016 to
April 2017

documentations .
projects/programs with incomplete
documentations .
projects/programs but without
documentations .
documentations .
15%
3. Conducted 3 parents'
consultations to grade 8 students
who are low performing.
June 2016 to
April 2017

project/program but without complete
documentations .
5 - Conducted 3 parents' consultations
to grade 8 students who are low
performing with complete
documentations.
performing with incomplete
documentations.

documentations.
documentations.
1 - Conducted 1 parents' consultation to
grade 8 students who are low
documentations.
MFOs
Educational
Governance
KRAs
IV. Professional
Growth and
Development
OBJECTIVES
within the year.
TIMELINE
WEIGHT
PER KRA
June 2016 to
April 2017
for teachers
for teachers
for teachers
15%
15%

June 2016 to
April 2017

for teachers
Department

stakeholders
June 2016 to
April 2017
Grievance Committee
Grievance Committee
Grievance Committee
Grievance Committee
Grievance Committee
MFOs
KRAs
Plus Factor
OBJECTIVES
Mathematics Club.

3. Supported in programs/projects
initiated by the PTA, SSG and other
organizations in school.
TIMELINE
WEIGHT
PER KRA
June 2016 to
April 2017
June 2016 to
April 2017
10%

above
1 - Substitutes for less than 100
minutes
5. Supported 3 programs/projects
organizations in school with complete
documentations.
organizations in school with incomplete
documentations.
documentations.
documentations.
1 Supported 1 program/project initiated
by the PTA, SSG and other organizations
in school with complete
documentations.
4.500 - 5.000
3.500 - 4.499
2.500 - 3.499
1.500 - 2.499
Below 1.499
ADJECTIVAL RATING
OUTSTANDING
VERY SATISFACTORY
SATISFACTORY
UNSATISFACTORY
POOR
DIANALYN C. HERRERA
RATEE
Date: __________________________________

Approving Authority
REVIEW FORM
Name of Rater:
Position:
Date of Review:
EMENT HIGH SCHOOL
MYLENE T. DIZON
HT-1
MARCH 2017

ACTUAL RESULTS
RATING SCORE
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE

Mathematics 8
10%
Actual monitoring and Actual

10%
10%

-Daily
Cleaners
Classroom
-Maintain the
-Update bulletin
board
10%
30%
ACTUAL RESULTS
RATING SCORE
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE
School Reports:
- Compilation of
students' assessment papers
10%
School Reports:
- Compilation of
10%
-Class Record
-Grade Sheets
-Class Record
10%
-Grade Sheets
-Class Record

and PL
10%
5%
25%
ACTUAL RESULTS
RATING SCORE
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE

forms
10%
Accomplishment Report of
activities
Pictures
Parents' Attendance
Pictures
5%
5%
Parents' Attendance
Pictures
5%
20%
ACTUAL RESULTS
RATING SCORE
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE
Certificates of
Pictures
5%
Certificates of
Pictures
5%
Pictures
5%

Records
5%

Records
5%
15%
ACTUAL RESULTS
RATING SCORE
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE
Narratives report of
activities
Pictures
4%
Substitution form
3%
Documentation Reports and

Pictures
3%

Pictures
3%
10%
OVERALL RATING
100%
MYLENE T. DIZON
RATER
Date: __________________________________
INDIVIDUAL
MYLENE T. DIZON
Position:
HEAD TEACHER I
Rating Period:
2016-2017
Bureau/Center/Service/Division/School: DEPARTMENT OF RDUCATION/REGION III/MA
MFOs
KRAs
I. SBM Plan
OBJECTIVES
1. Planned and organized SBM
particularly on Accountability and
Continous Improvement of every
school year.
2. Assisted in the formulation and

implementation of the SBM within
target date.
3. Accomplished tthe AIP of the

Mathe AIP of the Mathematics
Department.

MFOs
Basic
Education
Services
KRAs
II. School
Curriculum
Monitoring and
Evaluation Plan
OBJECTIVES
1. Monitored Teachers through
classroom classroom observation.
2. Evaluated the teaching-learning

process based on results
3. Assists in reporting learning

outcomes of teachers to parents
through home visitation and parents'
meeting of Math teachers.

MFOs
KRAs
OBJECTIVES
Educational
Governance
III. School
Resource
Management
Encouraged Math Teachers to maintain

the following:
1. Reading materials ( text books &
modules )
2.Classrooms ( chairs,
tables, & boards )
3. Cleanliness of the surrounding vacant
areas.
3. Conducted 3 parents'
consultations to grade 8 students
who are low performing.

MFOs
KRAs
III. Human
Resource
Management
OBJECTIVES
1. Assisted the school head in
conducting School-Based INSET based
on Training and Support Needs Analysis
2. Increased teacher performance at

the end of every semester based on
IPCRF.

stakeholders

MFOs
KRAs
Plus Factor
OBJECTIVES
Mathematics Club.

4.500 - 5.000
3.500 - 4.499
2.500 - 3.499
1.500 - 2.499
Below 1.499
ADJECTIVAL RATING
OUTSTANDING
VERY SATISFACTORY
SATISFACTORY
UNSATISFACTORY
POOR
RDUCATION/REGION III/MABALACAT CITY/MADAPDAP RESETTLEMENT HIGH SCHOOL
ED DURING PLANNING
TIMELINE
WEIGHT
PER KRA
June 2016 to
April 2017
June 2016 to
April 2017
30%
5 - Assisted in SBM implementation by
a. preparing the
SBM Plan
b. monitoring the use of
resource materials,
c. conducting schoolbased INSET
d. increasing teachers performance
4 - lacked 1 indicator
3 - lacked 2 indicators
2 - lacked 3
indicators
1lacked
4
indicators
5 - 80% to 100% SIP and AIP submitted
were implemented within target date.
4 - 70% SIP and AIP submitted were
implemented within target date.
June 2016 to
April 2017
5 - Prepared and submitted on time the

AIP of the Mathematics Department.
4 - Prepared and submitted the AIP of
the Mathematics Department 3-5 days
late.
late.
late.

the Mathematics Department 12-14
days late.
ED DURING PLANNING
TIMELINE
WEIGHT
PER KRA
June 2016 to
April 2017
5 - 90 to 100% of the Science Teachers
were observed.
25%
4 - 80 to 89% of the Science Teachers were

observed.
observed.
observed.
1 - 59% and below of the Science Teachers
were observed.
5-Completion of teacher's DLL, project
ideals (MPS), class records, students' record
updating and safe keeping (SF1, SF2, SF3,
SF5, Form 137, Form 138A) of teachers.
June 2016 to
April 2017
4-Lacked
3-Lacked
2-Lacked
1-Lacked
June 2016 to
April 2017
1 indicator
2 indicators
3 indicators
all indicators
5 - 90 to 100% of Math Teachers reported

learning outcomes through home visitations
PTA meetings
PTA meetings
PTA meetings
PTA meetings
and
and
and
and
1 - 59% and below of Math Teachers reported

learning outcomes through home visitations and
PTA meetings
ED DURING PLANNING
TIMELINE
WEIGHT
PER KRA
June 2016 to
April 2017

them.
them.
them.
them.
them.
June 2016 to
April 2017

documentations .
documentations .
documentations .
documentations .
15%
June 2016 to
April 2017

documentations .
documentations.
documentations.

documentations.
documentations.
1 - Conducted 1 parents' consultation to
grade 8 students who are low
documentations.
ED DURING PLANNING
TIMELINE
WEIGHT
PER KRA
June 2016 to
April 2017
5 - 9 to 11 science teachers attended the
School-based INSET
4 - 8 science teachers attended the Schoolbased INSET
June 2016 to
April 2017
15%

5 - 90% to 100% of the science Teachers
achieved a rating of 4 to 5 points in the IPCRF.
4 - 80-% to 89% of the Science Teachers
achieved a rating of 3 to 3.99 points in the
IPCRF.
3 - 70% to 79% of the Science Teachers
IPCRF.
5 - 69% and below of the Science Teachers
IPCRF.
1- No performance reported
June 2016 to
April 2017
Grievance Committee
Grievance Committee
Grievance Committee
Grievance Committee
Grievance Committee
ED DURING PLANNING
TIMELINE
WEIGHT
PER KRA
June 2016 to
April 2017
June 2016 to
April 2017
10%
above
minutes
documentations.
documentations.
documentations.
documentations.
documentations.
DIANALYN C. HERRERA
RATEE
Date: __________________________________

Approving Authority
D REVIEW FORM
Name of Rater:
Position:
Date of Review:
TLEMENT HIGH SCHOOL
ELENITA S. POLIDARIO, Ed.D.

P - II
MARCH 2017

ACTUAL RESULTS
RATING
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE

Mathematics 8
10%

10%

-Daily
Cleaners
Classroom
-Maintain the
-Update bulletin
board
10%
-Maintain the
-Update bulletin
board
30%
ACTUAL RESULTS
EVIDENCES (Quality,
WEIGHT PER
OBJECTIVES
School Reports:
- Compilation of
10%
RATING
AVE
-Class Record
-Grade Sheets
-Class Record

and PL
10%
5%
25%
ACTUAL RESULTS
RATING
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE

forms
10%
activities
Pictures
5%
Parents' Attendance
Pictures
5%
Parents' Attendance
Pictures
5%
20%
ACTUAL RESULTS
RATING
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE
Certificates of
Pictures
5%
Pictures
5%

Records
5%

Records
5%
15%
ACTUAL RESULTS
RATING
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE
activities
Pictures
4%
Substitution form
3%

Pictures
3%
10%
OVERALL RATING
100%
MYLENE T. DIZON
RATER
Date: __________________________________
SCORE
SCORE
SCORE
SCORE
SCORE
INDIVIDU
REMEOLA R. DELA ROSA
Position:
SST - I
Rating Period:
2016-2017
Bureau/Center/Service/Division/School: DEPARTMENT OF RDUCATION/REGION III/M
MFOs
Basic
Education
Services
KRAs
OBJECTIVES





MFOs
Basic
Education
Services
KRAs
II. Student
Outcome
OBJECTIVES
following:
* Daily seatwork
*Activities
*Quizzes
*
Periodic Tests

-Grade Sheets
-Class
Record
-SF 1
-SF 2
-SF 3
-F 137
-F 138
Record
-SF 1
-SF 2
-SF 3
-F 137
-F 138
Mathematics 10 from 56.73 to 57.73
within the current school year.

MFOs
Educational
Governance
KRAs
OBJECTIVES
III. Community
Involvement

them.
2. Addressed students' problems

through homeroom guidances.
3. Conducted parent-teacher
conferences.
conferences.

MFOs
Educational
Governance
KRAs
IV. Professional
Growth and
Development
OBJECTIVES
within the year.


stakeholders

MFOs
KRAs
Plus Factor
OBJECTIVES

4.500 - 5.000
3.500 - 4.499
2.500 - 3.499
1.500 - 2.499
Below 1.499
ADJECTIVAL RATING
OUTSTANDING
VERY SATISFACTORY
SATISFACTORY
UNSATISFACTORY
POOR
ED DURING PLANNING
TIMELINE
WEIGHT
PER KRA
June 2016 to
April 2017
28 times in a year
24 times in a year
20 times in a year
16 times in a year
June 2016 to
April 2017

Mathematics 10.
Mathematics 10.
30%

Mathematics 10.
Mathematics 10.
June 2016 to
April 2017

June 2016 to
April 2017

ED DURING PLANNING
TIMELINE
WEIGHT
PER KRA
June 2016 to
April 2017
learning styles.
25%
June 2016 to
April 2017

and
varies assessment
choices
to match
1
- Evidences
showed that
the teacher
the
different
student
needs,
abilities,
and learning
styles.choices to match the
varies
assessment
learning styles.
and accurate data
and accurate data

deadline set
June 2016 to
April 2017

Mathematics
4
- 0.75 - 0.998.increase
3 - 0.50 - 0.74 increase
2 - 0.25 - 0.49 increase
ED DURING PLANNING
TIMELINE
WEIGHT
PER KRA
June 2016 to
April 2017
them.
them.
them.
them.
them.
June 2016 to
April 2017

conducted 5 homeroom guidances.
15%

June 2016 to
April 2017
5 - Conducted 4 parents-teacher
conferences with complete
documentations.
June 2016 to
April 2017
documentations.
documentations.
conference with complete
documentations.
conference with incomplete
documentations.
ED DURING PLANNING
TIMELINE
WEIGHT
PER KRA
June 2016 to
April 2017
for teachers
for teachers
for teachers
school,
division,Attended
faculty club
intended
1 -Participated/
only
1
for teachers
meeting,
seminar,training set by the
June 2016 to
April 2017

15%


Department
Grievance Committee
Grievance Committee
Grievance Committee
June 2016 to
April 2017
Grievance Committee
Grievance Committee
ED DURING PLANNING
TIMELINE
WEIGHT
PER KRA
June 2016 to
April 2017
documentations .
documentations .
documentations .
documentations .
documentations .
June 2016 to
April 2017
10%

above
minutes
10%
documentations.
documentations.
documentations.
documentations.
documentations.

RATEE
Date: __________________________________

Approving Authority
D REVIEW FORM
Name of Rater:
Position:
Date of Review:
TLEMENT HIGH SCHOOL
MYLENE T. DIZON
HT-1
MARCH 2017

ACTUAL RESULTS
RATING
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE

Mathematics 8
10%

10%

-Daily
Cleaners
Classroom
-Maintain the
-Update bulletin
10%

-Daily
Cleaners
Classroom
-Maintain the
-Update bulletin
board
10%
30%
ACTUAL RESULTS
RATING
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE
School Reports:
- Compilation of
10%
-Class Record
-Grade Sheets
-Class Record
-SF 1
-SF 2
10%
-SF
3
-F 137
-F 138
-SF 1
-SF 2
10%
-SF
3
-F 137
-F 138

and PL
5%
25%
ACTUAL RESULTS
RATING
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE

forms
Anecdotal
Records
Parents' Attendance
10%
5%
Parents' Attendance
Pictures
5%
20%
ACTUAL RESULTS
RATING
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE
Certificates of
Pictures
5%
Pictures
5%

Records
5%
15%
EVIDENCES (Quality,
WEIGHT PER
OBJECTIVES
activities
Pictures
4%
Substitution form
3%
ACTUAL RESULTS
Q
AVE
RATING

Pictures
OVERALL RATING
3%
10%
100%
MYLENE T. DIZON
RATER
Date: __________________________________
SCORE
SCORE
SCORE
SCORE
SCORE
INDIVIDU
ELLEN C. HITOSIS
Position:
SST - I
Rating Period:
2016-2017
MFOs
Basic
Education
Services
KRAs
OBJECTIVES





MFOs
Basic
Education
Services
KRAs
II. Student
Outcome
OBJECTIVES
following:
* Daily seatwork
*Activities
*Quizzes
*
Periodic Tests

-Grade Sheets
-Class
Record
-SF 1
-SF 2
-SF 3
-F 137

-Grade Sheets
-Class
Record
-SF 1
-SF 2
-SF 3
-F 137
-F 138
school year.

MFOs
Educational
Governance
KRAs
OBJECTIVES
III. Community
Involvement

them.

conferences.

MFOs
Educational
Governance
KRAs
IV. Professional
Growth and
Development
OBJECTIVES
within the year.



stakeholders

MFOs
KRAs
Plus Factor
OBJECTIVES

4.500 - 5.000
3.500 - 4.499
2.500 - 3.499
1.500 - 2.499
Below 1.499
ADJECTIVAL RATING
OUTSTANDING
VERY SATISFACTORY
SATISFACTORY
UNSATISFACTORY
POOR
ED DURING PLANNING
TIMELINE
WEIGHT
PER KRA
June 2016 to
April 2017
28 times in a year
24 times in a year
20 times in a year
16 times in a year
June 2016 to
April 2017

Mathematics 8.
Mathematics 8.
30%

Mathematics 8.
Mathematics 8.
June 2016 to
April 2017

June 2016 to
April 2017

ED DURING PLANNING
TIMELINE
WEIGHT
PER KRA
June 2016 to
April 2017
learning styles.
25%
learning styles.
June 2016 to
April 2017

and accurate data
June 2016 to
April 2017

and accurate data
deadline set
June 2016 to
April 2017

Mathematics 8.
4 - 0.75 - 0.99 increase
3 - 0.50 - 0.74 increase
2 - 0.25 - 0.49 increase
ED DURING PLANNING
TIMELINE
WEIGHT
PER KRA
June 2016 to
April 2017
them.
them.
them.
them.
them.
June 2016 to
April 2017

15%


June 2016 to
April 2017
documentations.
documentations.
documentations.
documentations.
documentations.
ED DURING PLANNING
TIMELINE
WEIGHT
PER KRA
June 2016 to
April 2017
for teachers
for teachers
for teachers
for teachers
June 2016 to
April 2017

15%
June 2016 to
April 2017
15%
Department
June 2016 to
April 2017
Grievance Committee
Grievance Committee
Grievance Committee
Grievance Committee
Grievance Committee
ED DURING PLANNING
TIMELINE
WEIGHT
PER KRA
June 2016 to
April 2017
documentations .
documentations .
documentations .
documentations .
documentations .
10%
June 2016 to
April 2017
10%

above
minutes
documentations.
documentations.
documentations.
documentations.
documentations.
ROMELA O. JOSE
RATEE
Date: __________________________________

Approving Authority
D REVIEW FORM
Name of Rater:
Position:
Date of Review:
TLEMENT HIGH SCHOOL
MYLENE T. DIZON
HT-1
MARCH 2017

ACTUAL RESULTS
RATING
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE

Mathematics 8
10%

10%

-Daily
Cleaners
Classroom
-Maintain the
-Update bulletin
10%

-Daily
Cleaners
Classroom
-Maintain the
-Update bulletin
board
10%
30%
ACTUAL RESULTS
RATING
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE
School Reports:
- Compilation of
10%
-Class Record
-Grade Sheets
-Class Record
-SF 1
-SF 2
10%
-SF
3
-F 137
-Grade Sheets
-Class Record
-SF 1
-SF 2
10%
-SF
3
-F 137
-F 138

and PL
5%
25%
ACTUAL RESULTS
RATING
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE

forms
Anecdotal
Records
10%
5%
Parents' Attendance
Pictures
5%
20%
ACTUAL RESULTS
RATING
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE
Certificates of
Pictures
5%
Pictures
5%
Pictures
5%

Records
5%
15%
ACTUAL RESULTS
RATING
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE
activities
Pictures
4%
Substitution form
3%

Pictures
3%
OVERALL RATING
10%
100%
MYLENE T. DIZON
RATER
Date: __________________________________
SCORE
SCORE
SCORE
SCORE
SCORE
INDIVIDU
JENNY LYN M. TOLENTINO
Position:
SST - I
Rating Period:
2016-2017
MFOs
Basic
Education
Services
KRAs
OBJECTIVES





MFOs
Basic
Education
Services
KRAs
II. Student
Outcome
OBJECTIVES
following:
* Daily seatwork
*Activities
*Quizzes
*
Periodic Tests

-Grade Sheets
-Class
-Class
Record
-SF 1
-SF 2
-SF 3
-F 137
3. Increased
1 point in MPS in
school year.

MFOs
Educational
Governance
KRAs
OBJECTIVES
III. Community
Involvement

them.

conferences.

MFOs
Educational
Governance
KRAs
IV. Professional
Growth and
Development
OBJECTIVES
within the year.


stakeholders

MFOs
KRAs
Plus Factor
OBJECTIVES
1. Obtained 0% drop-out rate.

4.500 - 5.000
3.500 - 4.499
2.500 - 3.499
1.500 - 2.499
Below 1.499
ADJECTIVAL RATING
OUTSTANDING
VERY SATISFACTORY
SATISFACTORY
UNSATISFACTORY
POOR
ED DURING PLANNING
TIMELINE
WEIGHT
PER KRA
June 2016 to
April 2017
28 times in a year
24 times in a year
20 times in a year
16 times in a year
June 2016 to
April 2017

Mathematics 7.
Mathematics 7.
30%

Mathematics 7.
Mathematics 7.
June 2016 to
April 2017

June 2016 to
April 2017

ED DURING PLANNING
TIMELINE
WEIGHT
PER KRA
June 2016 to
April 2017
learning styles.
25%

learning styles.
June 2016 to
April 2017

and accurate data
June 2016 to
April 2017

and accurate data
deadline set
Mathematics 8.
4 - 0.75 - 0.99 increase
3 - 0.50 - 0.74 increase
2 - 0.25 - 0.49 increase
June 2016 to
April 2017
ED DURING PLANNING
TIMELINE
WEIGHT
PER KRA
June 2016 to
April 2017
them.
them.
them.
them.
them.
June 2016 to
April 2017

15%

June 2016 to
April 2017
documentations.
documentations.
documentations.
documentations.
documentations.
ED DURING PLANNING
TIMELINE
WEIGHT
PER KRA
June 2016 to
April 2017
for teachers
for teachers
for teachers
for teachers
June 2016 to
April 2017

15%
15%

Department
June 2016 to
April 2017
Grievance Committee
Grievance Committee
Grievance Committee
Grievance Committee
Grievance Committee
ED DURING PLANNING
TIMELINE
WEIGHT
PER KRA
June 2016 to
April 2017
obtained 0% drop-out rate.
obtained 1%-2% drop-out rate .
obtained more than 7% drop-out rate .
June 2016 to
April 2017

above
10%

minutes
10%
documentations.
documentations.
documentations.
documentations.
documentations.

RATEE
Date: __________________________________

Approving Authority
D REVIEW FORM
Name of Rater:
Position:
Date of Review:
TLEMENT HIGH SCHOOL
MYLENE T. DIZON
HT-1
MARCH 2017

ACTUAL RESULTS
RATING
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE

Mathematics 8
10%

10%

-Daily
Cleaners
Classroom
-Maintain the
-Update bulletin
10%

-Daily
Cleaners
Classroom
-Maintain the
-Update bulletin
board
10%
30%
ACTUAL RESULTS
RATING
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE
School Reports:
- Compilation of
10%
-Class Record
-Grade Sheets
-Class Record
-SF 1
-SF 2
10%
-SF
3
-F 137
-F 138
-Grade Sheets
-Class Record
-SF 1
-SF 2
10%
-SF
3
-F 137
-F 138

and PL
5%
25%
ACTUAL RESULTS
RATING
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE

forms
Anecdotal
Records
10%
5%
Parents' Attendance
Pictures
5%
20%
ACTUAL RESULTS
RATING
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE
Certificates of
Pictures
5%
Pictures
5%
Pictures
5%

Records
5%
15%
ACTUAL RESULTS
RATING
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE
activities
Pictures
4%
Substitution form
3%

Pictures
OVERALL RATING
3%
10%
100%
MYLENE T. DIZON
RATER
Date: __________________________________
SCORE
SCORE
SCORE
SCORE
SCORE
INDIVIDU
ROMELA O. JOSE
Position:
SST - I
Rating Period:
2016-2017
MFOs
Basic
Education
Services
KRAs
OBJECTIVES





MFOs
Basic
Education
Services
KRAs
II. Student
Outcome
OBJECTIVES
following:
* Daily seatwork
*Activities
*Quizzes
*
Periodic Tests

-Grade Sheets
-Class
-Class
Record
-SF 1
-SF 2
-SF 3
-F 137
school year.

MFOs
Educational
Governance
KRAs
OBJECTIVES
III. Community
Involvement

them.

conferences.

MFOs
Educational
Governance
KRAs
IV. Professional
Growth and
Development
OBJECTIVES
within the year.



stakeholders

MFOs
KRAs
Plus Factor
OBJECTIVES

4.500 - 5.000
3.500 - 4.499
2.500 - 3.499
1.500 - 2.499
Below 1.499
ADJECTIVAL RATING
OUTSTANDING
VERY SATISFACTORY
SATISFACTORY
UNSATISFACTORY
POOR
ED DURING PLANNING
TIMELINE
WEIGHT
PER KRA
June 2016 to
April 2017
28 times in a year
24 times in a year
20 times in a year
16 times in a year
June 2016 to
April 2017

Mathematics 7.
Mathematics 7.
30%

Mathematics 7.
Mathematics 7.
June 2016 to
April 2017

June 2016 to
April 2017

ED DURING PLANNING
TIMELINE
WEIGHT
PER KRA
June 2016 to
April 2017
learning styles.
25%
learning styles.
June 2016 to
April 2017

and accurate data
June 2016 to
April 2017

and accurate data
deadline set
June 2016 to
April 2017

Mathematics 8.
4 - 0.75 - 0.99 increase
3 - 0.50 - 0.74 increase
2 - 0.25 - 0.49 increase
ED DURING PLANNING
TIMELINE
WEIGHT
PER KRA
June 2016 to
April 2017
them.
them.
them.
them.
them.
June 2016 to
April 2017

15%


June 2016 to
April 2017
documentations.
documentations.
documentations.
documentations.
documentations.
ED DURING PLANNING
TIMELINE
WEIGHT
PER KRA
June 2016 to
April 2017
for teachers
for teachers
for teachers
for teachers
June 2016 to
April 2017

15%
June 2016 to
April 2017
15%
Department
June 2016 to
April 2017
Grievance Committee
Grievance Committee
Grievance Committee
Grievance Committee
Grievance Committee
ED DURING PLANNING
TIMELINE
WEIGHT
PER KRA
June 2016 to
April 2017
documentations .
documentations .
documentations .
documentations .
documentations .
10%
June 2016 to
April 2017
10%

above
minutes
documentations.
documentations.
documentations.
documentations.
documentations.

RATEE
Date: __________________________________

Approving Authority
D REVIEW FORM
Name of Rater:
Position:
Date of Review:
TLEMENT HIGH SCHOOL
MYLENE T. DIZON
HT-1
MARCH 2017

ACTUAL RESULTS
RATING
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE

Mathematics 8
10%

10%

-Daily
Cleaners
Classroom
-Maintain the
-Update bulletin
10%

-Daily
Cleaners
Classroom
-Maintain the
-Update bulletin
board
10%
30%
ACTUAL RESULTS
RATING
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE
School Reports:
- Compilation of
10%
-Class Record
-Grade Sheets
-Class Record
-SF 1
-SF 2
10%
-SF
3
-F 137
-Grade Sheets
-Class Record
-SF 1
-SF 2
10%
-SF
3
-F 137
-F 138

and PL
5%
25%
ACTUAL RESULTS
RATING
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE

forms
Anecdotal
Records
10%
5%
Parents' Attendance
Pictures
5%
20%
ACTUAL RESULTS
RATING
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE
Certificates of
Pictures
5%
Pictures
5%
Pictures
5%

Records
5%
15%
ACTUAL RESULTS
RATING
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE
activities
Pictures
4%
Substitution form
3%

Pictures
3%
OVERALL RATING
10%
100%
MYLENE T. DIZON
RATER
Date: __________________________________
SCORE
SCORE
SCORE
SCORE
SCORE

Dr. Carolina Z. Bucal
Position:
SST - I
Rating Period:
2016-2017
MFOs
Basic
Education
Services
KRAs
OBJECTIVES

TIMELINE
WEIGHT
PER KRA
June 2016 to
April 2017
28 times in a year
24 times in a year
20 times in a year
16 times in a year

June 2016 to
April 2017

English.
English.
35%

English.
35%
English.
materials in English.
June 2016 to
April 2017


MFOs
Basic
Education
Services
KRAs
II. Student
Outcome
OBJECTIVES
English through the following:
TIMELINE
June 2016 to
April 2017
WEIGHT
PER KRA
learning styles.
* Daily seatwork
*Activities
*Quizzes

*
Periodic Tests

25%

learning styles.

-Grade Sheets
-Class Record
June 2016 to
April 2017

and accurate data
and accurate data
-Grade Sheets
-Class Record
deadline set
Mathematics 8.
4 - 0.75 - 0.99 increase
3 - 0.50 - 0.74 increase
2 - 0.25 - 0.49 increase
3. Increased 1 point in MPS in English June 2016 to

9 & 10 within the current school
April 2017
year.

MFOs
Educational
Governance
KRAs
III. Community
Involvement
OBJECTIVES
TIMELINE

them.
June 2016 to
April 2017
WEIGHT
PER KRA
them.
them.
them.
them.
them.
2. Conduct conferrences with the

parents of those students with
academic problems.
June 2016 to
April 2017
5 - Conduct 5 conferrences with

parents of students with academic
problems.
4 - Conduct 4 conferrences with parents
of students with academic problems.
15%

1 - Conduct 1 conferrence with parents
3. Initiated/Participated in
community or
June 2016 to
April 2017

documentations .
documentations .
documentations .
documentations .

project/program without complete
documentations .
MFOs
Educational
Governance
KRAs
IV. Professional
Growth and
Development
OBJECTIVES
TIMELINE
WEIGHT
PER KRA
within the year.
for teachers
for teachers
for teachers
June 2016 to
April 2017
15%
2. Supported and particiated in

different school activities.
June 2016 to
April 2017

for teachers
5 - Supported/Participated in 4 school
activities with proper documentations.
June 2016 to
April 2017
June 2016 to
April 2017

MFOs
KRAs
Plus Factor
OBJECTIVES
1. Drafted and published at least 2
news.paper articles.
TIMELINE
WEIGHT
PER KRA
June 2016 to
April 2017
5 - Drafted and published 2 or more
articles.
4 - Drafted 2 but was able to published
only 1 article.
3 - Drafted 1 and published 1 article.
2 - Drafted 2 but was not able to publish
any article.
1 - Drafted 1 and was not able to
publish any article.
5 - Performed duties and responsibilities
as a Head Teacher-designate in English.

responsibilities as Head Teacherdesignate in English.
4 - Was not able to perform 1 of the

duties and responsibilities of a Head
Teacher-designate in English.
10%

10%
1 - Was not able to perform three of the

above
minutes
4.500 - 5.000
3.500 - 4.499
2.500 - 3.499
1.500 - 2.499
Below 1.499
ADJECTIVAL RATING
OUTSTANDING
VERY SATISFACTORY
SATISFACTORY
UNSATISFACTORY
POOR
DR. CAROLINA Z. BUCAL

RATEE
Date: __________________________________

Approving Authority
VIEW FORM
Name of Rater:
Position:
Date of Review:
ENT HIGH SCHOOL
Dr. Elenita S. Polidario

P-II
MARCH 2017

ACTUAL RESULTS
RATING SCORE
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE

Mathematics 8
15%

10%
10%

-Daily
Cleaners
beautification of the
classroom
-Maintain the school
surroundings clean
10%
35%
ACTUAL RESULTS
RATING SCORE
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE
School Reports:
Compilation of students'
10%
School Reports:
Compilation of students'
assessment papers
10%
-Class Record
-Grade Sheets
-Class Record
10%
-Grade Sheets
-Class Record

and PL
10%
5%
25%
ACTUAL RESULTS
RATING SCORE
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE

forms
5%
Accomplished Forms
Pictures
Anecdotal
Records
5%
5%
15%
ACTUAL RESULTS
RATING SCORE
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE
Certificates of
Pictures
5%
Pictures
5%
Pictures
5%
Class Cards/Certification
5%
15%
ACTUAL RESULTS
RATING SCORE
EVIDENCES (Quality,
WEIGHT PER
Q
E
T
AVE
activities
Pictures
3%
Observation Forms
DLL Log Book
Minutes
of meetings
Mean, PL & MPs
4%
Observation Forms
DLL Log Book
Minutes
of meetings
Mean, PL & MPs
4%
Substitution Forms
3%
OVERALL RATING
10%
100%
DR. ELENITA S. POLIDARIO

RATER
Date: __________________________________

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INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM

1. Prepared 140-above daily lesson

TO BE FILLED DURING EVALUATION

checked 25checked 21checked 17-

Daily lesson logs in

5 - 90%-100% of teaching learning

3 - 90%-100% of teaching learning

2 - 90%-100% of teaching learning

3. Monitored positive motivating

5 - Orderliness and cleanliness of

2 - Orderliness and cleanliness of

TO BE FILLED DURING PLANNING

Gave them assigned tasks:

5 - Evidences showed that the teacher

1. Monitored, evaluated and

4 - Evidences showed that the teacher

3 - Evidences showed that the teacher

2 - Evidences showed that the teacher

3. Increased 1 point in MPS in

4 - Submitted 1-3 days late with

TO BE FILLED DURING PLANNING

Consolidated Report in Mean

Documentation Report and

5 - Accomplished 5 home visitations

3 - Accomplished 3 home visitations

2 - Accomplished 2 home visitations

5 - Evidences showed that the teacher

3 - Evidences showed that the teacher

2 - Evidences showed that the teacher

5 -Participated/ Attended 5 meetings,

3 -Participated/ Attended 3 meetings,

2 -Participated/ Attended 2 meetings,

Office/ Grievance Committee

1 -Participated/ Attended only 1

5 -90%-100% Attended all mentoring

2. Participate in the Mentoring

3. Sustained harmonious relationship

3 -70%-79% Attended all mentoring

TO BE FILLED DURING PLANNING

2. Showed willingness to improve

5 - Presented 4 accomplished activities

ELENITA S. POLIDARIO, Ed. D.

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM

I. Teaching1. Prepared 140-above daily lesson

2. Facilitated learning in the

checked 25checked 21checked 17checked 13checked

5 - 90%-100% of teaching learning

4 - 80%-89% of teaching learning

2 - 60%-69% of teaching learning

5 - Orderliness and cleanliness of

TO BE FILLED DURING PLANNING

4 - Evidences showed that the teacher

3 - Evidences showed that the teacher

2. Maintained updated students'

5 - Submitted on time with complete

3. Increased 1 point in MPS in

2 - Submitted 1-3 days late with

TO BE FILLED DURING PLANNING

1. Accomplished home visitations

5 - Evidences showed that the teacher

1 - Evidences showed that the teacher

3 - Conducted 2 parents' consultations

2. Participate in the Mentoring

2 -Participated/ Attended 2 meetings,