Republic of the Philippines

Department of Education
Region V
DIVISION OF SORSOGON
QUEZON NATIONAL HIGH SCHOOL
Quezon Bulan, Sorsogon

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM

Name of Employee : Rose Ann B. Rios Name of Rater : Josefina F. Pura

 Position : Teacher I Position : Head Teacher-III / Teacher-in-Charge

 Review Period : July, 2017-December, 2017 Date of Review :__________________________________
School/ District/ Office : Quezon National High School

TO BE FILLED IN DURING EVALUATION

PERFORMANCE RATING
INDICATORS
WEIGHT
MFOs KRAs OBJECTIVES TIMELINE per KRA
ACTUAL RESULTS Q E T AVE. SCORE
(Quality, Efficiency,
Timeliness)

Basic I. Teaching- 1. (15%) Prepare lessons and July, 2017- 50% 5- 5 of the
Education Learning appropriate instructional materials. December, requirements satisfied.
Services Process 2017 (with evidences)
 Use of teaching guide, modules
and other resource materials. 4- 4 out of 5 of the
(MOVs: DLL, pictures of other requirements satisfied
reference materials) (with evidences)
 3- 3 out of 5 of the
requirements satisfied
 Use of appropriate illustrations, (with evidences) 1. Laboratory activity
graphs, pictures, flashcards and notebooks.
other instructional devices. 2- 2 out of 5 of the 2. Actual conduct of
Lab.activities
(MOVs: pictures of flashcards, requirements satisfied
(pictures)
graphs other instructional (with evidences) 3. Activity
materials) presentations
1-1 out of 5 of the
 Maximize the use of modern 4. Pictures of
requirements satisfied
technology such as laptop, reporting of
(with evidences)
cellphone, projector and speaker students
in the deliverance of lesson. 5. Learning
intervention
(MOV: pictures )
samples and results
 Compiled pupil’s output/ 6. Class Record
5- 5 of the
documentations.
requirements satisfied.
(MOVs: pictures and class
(with evidences)
record)
 Design different/ appropriate 4- 4 out of 5 of the
activities for varied learners. requirements satisfied
(MOVs: copy of sample (with evidences)
activities, class record)
3- 3 out of 5 of the
requirements satisfied
(with evidences)
1. Class record
2- 2 out of 5 of the
2. Grading sheet
requirements satisfied 3. Quizzes and seat
2. (20%) Conducted learning activities
(with evidences) works
to improve performance.
4. Quarterly projects
1- 1 out of 5 of the 5. Periodical exam
requirements results
satisfied (with
 Facilitate in laboratory 6. Pictures of peer
evidences) tutorial
activities.
(MOVs: pictures, class record,
copy of laboratory activities)
  Provide individual and group
activities such as brainstorming,
group presentation, board 5- 5 of the
activities, etc. requirements satisfied.
(MOVs: pictures of activity, (with evidences)
picture of index card for record)
4- 4 out of 5 of the
 Assigned topics for oral report requirements satisfied
to enhance students’ confidence (with evidences)
in front of the class.
(MOVs: copy of assigned topic, 3- 3 out of 5 of the
picture of index card) requirements satisfied
(with evidences)
 Provide learning interventions if
necessary. 2- 2 out of 5 of the
( MOVs: copy of activity given
requirements satisfied
to the students who need
intervention) (with evidences)

1- 1 out of 5 of the 1. Good lightning

requirements sources
satisfied (with 2. Proper ventilation
evidences) (electric fan)
3. Seating
arrangement
3. (15%) Facilitated learning by
monitoring and evaluating students’
30%
progress.
July, 2017-
December,
 Giving short assessment after
lesson. 2017
(MOVs: pictures of quizzes, 5- 5 of the
class record) requirements satisfied.
(with evidences)
 Provided assignment and other
extended activities
(MOVs: pictures of notebooks
and activity notebook)

 Conduct long quizzes every
after module.
(MOVs: Picture of quiz
notebook, class record)
 Assign peer tutoring.
(MOV: picture)
 Prepared Test questionnaires
every periodic exam.
(MOV: copy of periodical
exams)
 Assign product output every
quarter.
(MOV: pictures of output)
II. Classroom 1. (10%) Maintained the physical
management/ learning environment conducive to
Improvement learning.
 Check and maintain the
cleanliness of the room
 Maintain the orderliness of the
classroom
 Ensure and check the proper
lighting of the classroom
 Provide proper ventilation of the
learning area.
4- 4 out of 5 of the
requirements satisfied
(with evidences)
3- 3 out of 5 of the
requirements satisfied
(with evidences)
1. Structured
2- 2 out of 5 of the classroom rules
requirements satisfied 2. Daily attendance.
(with evidences) 3. pictures
1- 1 out of 5 of the
requirements satisfied
(with evidences)
5- 5 of the
requirements satisfied.
(with evidences)
4- 4 out of 5 of the
requirements satisfied
(with evidences)
3- 3 out of 5 of the
requirements satisfied
(with evidences)
2- 2 out of 5 of the
requirements satisfied 1. Class record
(with evidences) 2. Pictures of practice
and actual
 1-1 out of 5 of the performance of the
requirements satisfied students.
(with evidences) 3. Attendance Record

2. (10%) Initiated discipline of the

students.
5- 5 of the
 Impose classroom rules agreed requirements satisfied.
both by the learners and the (with evidences)
facilitator/adviser.
 Organize Science Club. 4- 4 out of 5 of the
 Inform students about classroom requirements satisfied
rules and policies. (with evidences)
 Remind the students to turn off
the lights and electric fans after 3- 3 out of 5 of the
the morning and afternoon requirements satisfied
classes. (with evidences)
 Conducted flag raising
ceremony during assigned dates. 2- 2 out of 5 of the
requirements satisfied
(with evidences)
1. Faculty meeting
1- 1 out of 5 of the pictures
requirements satisfied 2. Certificate of
(with evidences) participation
3. Certificate of
20%
appearance
July, 2017- 4. CD Output
5. Pictures in
December,
participation
3. (10%) Creates healthy teacher- 2017
student relationship.
 5- 5 of the
requirements satisfied.
 Promotes fair treatment to every (with evidences)
students in terms of rating
system. 4- 4 out of 5 of the
 Orient students on the grading
requirements satisfied
system of the subject matter
 Complete and accurate class (with evidences)
records.
3- 3 out of 5 of the
 Submit grades of students in all
subjects handled. requirements satisfied
 Keep track of the students’ (with evidences)
1. Certificate of
attendance inside the classroom. participation
 Engage students’ active 2- 2 out of 5 of the
2. Pictures during
participation in various school requirements satisfied
Fiesta sa
activities such as tree planting (with evidences) Kabubudlan
activity, wellness, deworming 3. Pictures of
activities. 1-1 out of 5 of the
attended events
requirements satisfied and seminars
(with evidences) 4. Accomplished
liquidation report
(pictures)

5- 5 of the
1. (10%) Enhanced knowledge for requirements satisfied.
classroom instructions and related
(with evidences)
III.Community works
Linkages and  Attends faculty meeting.
4- 4 out of 5 of the
 Participated in LAC Session
Professional requirements satisfied
 Gathers data/information from
Growth and seminars. (with evidences)
Development  Used output from seminars such
as CD in instrumentation and 3- 3 out of 5 of the
other related data and resources. requirements satisfied
 Collaborate with other teachers. (with evidences)
 2- 2 out of 5 of the
requirements satisfied
(with evidences)
1 out of 5 of the
requirements satisfied
(with evidences)

2. (10%) Participated in every

opportunity for Professional Growth

 Participated in any teacher

gathering such as National and
Bulan Teacher’s day celebration
 Support environmental activities
such as tree planting activity
and workshop seminars for
students during Fiesta sa
Kabubudlan.
 Attended Christmas Ball held at
Quezon Auditorium
 Attended and participated
during INSET 2017
 Accomplished monthly
liquidation report as disbursing
officer-designate.

To get the score, the rating is multiplied by the weight assigned OVERALL RATING
FOR ACCOMPLISH-
MENTS
ROSE ANN B. RIOS JOSEFINA F. PURA JOSEFINA F. PURA
Ratee Rater Approving Authority