Individual Performance Commitment and Review Form (Ipcrf) For Teachers

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)
For Teachers
Name of Employee : CRISTINE C. SALVA Name of Rater: DAVID S. PALMA

Position : TEACHER 1 Position: SCHOOL HEAD
Bureau/Center/Service/Division : STO. NIÑO ELEMENTARY SCHOOL/MARILOG DIST. Date of Review: APRIL 27,2015
Rating Period : 2014-2015
TO BE FILLED IN DURING PLANNING TO BE FILLED DURING EVALUATION
Weight
per KRA ACTUAL
MFO KRAs OBJECTIVES TIMELINE PERFORMANCE INDICATORS RATING SCORE
RESULTS
40%
Prepared 180 lesson plans/daily log of activities

5
with five parts based on the budget of work.

4
with four parts based on the budget of work.
· Prepared daily lesson plans

Basic Education I. Teaching- and daily log of activities with five Prepared 160 lesson plans/daily log of activities
I.1 June-March 20% 3 4 0.8
Policy Services Learning Process parts based on the approved with three parts based on the budget of work.
budget of work.
2
with two parts based on the budget of work.
Prepared 140 and below lesson plans/daily log

1 of activities with one part based on the budget of
work.
5 Has 5 of the identified indicators.

· Facilitated reading
intervention program using 3 Has 3 of the identified indicators.
Basic Education I. Teaching- reading strategies/tools running
I.2 June-March 10% 3 0.3
Policy Services Learning Process records/LIP materials, lesson
plan/SLE, activity sheets, reading
passages, books (small/big)
· Facilitated reading
intervention program using
Basic Education I. Teaching- reading strategies/tools running
I.2 June-March 10% 3 0.3
Policy Services Learning Process records/LIP materials, lesson
plan/SLE, activity sheets, reading 2 Has 2 of the identified indicators.
passages, books (small/big)
1 Has 1 or none of the identified indicators.
· Implemented classroom 4 Has 4 of the identified indicators.

rules and guidelines by providing
Basic Education I. Teaching- School CPP Handbook, Guidance
I.3 June-March 5% 3 Has 3 of the identified indicators. 3 0.15
Policy Services Learning Process Record, behavior charts, Report
Card, and list of classroom rules
and regulations 2 Has 2 of the identified indicators.
· Monitored attendance,
cleanliness, and orderliness of
classrooms by accomplishing SF1
Basic Education I. Teaching-
I.4 and Report Card, assigning June-March 5% 3 Has 3 of the identified indicators. 4 0.2
Policy Services Learning Process
individual/group daily tasks,
posting list of classroom officers, 2 Has 2 of the identified indicators.
and providing bulletin board
Weight
per KRA ACTUAL
RESULTS
20%
Administered reading assessment to 90% and
5
above of the class within the rating period.
Administered reading assessment to 89-80%

4
and above of the class within the rating period.

3
* Administered reading and above of the class within the rating period.
Basic Education II. Pupils July and
II.1 assessment 90% of the class 5% 3 0.15
Policy Services Outcomes
within the rating period. February
* Administered reading
Basic Education II. Pupils July and
II.1 assessment 90% of the class 5% 3 0.15
within the rating period. February
2
and above of the class within the rating period.
Administered reading assessment to 59% and

1
below of the class within the rating period.
Has conducted remedial instruction to 5 or more

5
academically slow learners.
Has conducted remedial instruction to 4

4
· Conducted remedial
Basic Education II. Pupils instruction weekly to 5 Has conducted remedial instruction to 3
II.2 June-March 5% 3 4 0.2
Policy Services Outcomes academically slow learners based academically slow learners.
on the assessment result.
Has conducted remedial instruction to 2
2
Has conducted remedial instruction to 1 or none

1
academically slow learner.
5 Has 9-10 of the identified indicators.
4 Has 7-8 of the identified indicators.

· Maintained updated pupils'
record by accomplishing SF1,
Basic Education II. Pupils SF2, SF3, Form 137, Form 138,
II.3 June-March 5% 3 Has 5-6 of the identified indicators. 5 0.25
Policy Services Outcomes Composite/Grading Sheet,
Nutritional Status, FCR, Class
Reading Profile, Pupils Portfolio 2 Has 3-4 of the identified indicators.
1 Has 1-2 or none of the identified indicators.
5 GSA increased by 10% and above
4 GSA increased by 100 %
· Increased FCR result by

Basic Education II. Pupils
II.4 10% from the baseline to June-March 5% 4 0.2
3 GSA increased by 70-79%
· Increased FCR result by
Basic Education II. Pupils
II.4 10% from the baseline to June-March 5% 4 0.2
achievement.
2 GSA increased by 60-69%
1 GSA increased by 59% and below
Weight
per KRA ACTUAL
RESULTS
30%
Conducted periodic PTA 4 Has 4 of the identified indicators.

meetings/ conferences at least
once every grading period with
Basic Education III. Community
III.1 accomplished indicators, such as June-March 10% 3 Has 3 of the identified indicators. 5 0.5
Policy Services Involvement
attendance sheet, agenda of the
meeting, minutes of the meeting,
pictorials, narrative report. 2 Has 2 of the identified indicators.
Has conductedhome visitation to 90- 100% of

5
pupils needing academic monitoring/follow-up.
Has conductedhome visitation to 80-89% of

4
Conducted home visitation to

Basic Education III. Community Has conductedhome visitation to 70-79% of
III.2 100% of pupils needing academic June-March 5% 3 3 0.15
monitoring/follow-up.
Has conductedhome visitation to 60-69% of

2
Has conductedhome visitation to 59% and below

1
of pupils needing academic monitoring/follow-up.
Project/event/activity accomplishment with full
5 documentation report of completion duly
approved by the HRPTA officers
Undertaken/ Initiated project/ 4

Project/event/activity accomplishment with full
event/ activity with documentation report of completion
III.3 HRPTA/PTA/internal and external June-March 5% 5 0.25
stakeholders funding/ Project/event/activity accomplishment with
3
sponsorship in a year. partial documentation report of completion
Project/event/activity accomplishment with no

2
documentation report of completion
1 No initiated Project/event/activity
Participated 4 or more events/activities in the

5
community within the rating period.
Participated 3 events/activities in the community

4
within the rating period.
Participated 4 events/activities in
III.4 the community within the rating June-March 10% Participated 2 or more events/activities in the 5 0.5
period.
3
Participated 1 or more events/activities in the

2
No participated events/activities in the

1
Weight
per KRA ACTUAL
RESULTS
10%
Conducted action research and published in the

5
District's Official Journal .
Conducted action research with full

4 documentation and duly signed by the Division
TWG.
IV. Professional Conducted classroom- based
Basic Education
Growth and IV.1 Action Research within the rating June-March 5% Conducted action research with full 4 0.2
Policy Services Development period. 3 documentation and duly signed by the District
TWG.
Conducted action research with partial

2 documentation and duly signed by the District
TWG
1 No action research conducted

Initiated and participated 2 or more co-curricular
5
activities within the year
Initiated and participated 1 co-curricular activity

4
IV. Professional Initiated and participated 2 co- within the year
Basic Education
Growth and IV.2 curricular activities within the June-March 2% Participated 2 or more co-curricular activities 4 0.08
Policy Services Development year.
3
within the year.
Participated 1 co-curricular activity within the

2
year.
1 No participation of co-curricular activity
Produced publication/ creative work published in

5 National Circulation/DepEd Post/ CSC
Newsletters and similar publications.

IV. Professional 4
Basic Education Produced a publication/ creative regional publications.
Growth and IV.3 June-March 1% 1 0.01
Policy Services Development
work for school papers in a year.
3
division publication.
2 Produced publication/ creative work published in

school papers.
1 Unpublished work produced.
Received 4 or more special awards/ citations/

5
recognitions.
Received 3 special awards/ citations/

4
recognitions.
IV. Professional · Received special
Basic Education Received 2 special awards/ citations/
Growth and IV.4 awards/citation/ recognition for June-March 2% 3
recognitions. 1 0.02
Policy Services Development exemplary performance in a year.
2 Received 1 special award/ citation/ recognition.
1 No special award/citation/recognition received.
OVERALL RATING FOR

* To get the score, the rating is multiplied by the weight assigned. ACCOMPLISHMENTS VERY SATISFACTORY
58 3.96
DAVID S. PALMA CRISTINE C. SALVA HELEN D. PAGUICAN, CESO V
Rater Ratee Approving Authority
Schools Division Superintendent

For Master Teachers
Name of Employee : Name of Rater: CHERYL M. LAGANG

Position : Position: ELEMENTARY SCHOOL PRINCIPAL 1
Bureau/Center/Service/Division : GEN. ROXAS CENTRAL ELEMENTARY SCHOOL Date of Review:
Weight per PERFORMANCE INDICATORS ACTUAL RESULTS
MFO KRAs OBJECTIVES TIMELINE KRA RATING SCORE
30% (Quality, Efficiency, Timeliness) Q E T Ave.

· Conducted action
research related to
classroom
problems/concerns within 4 Has 4 of the identified indicators.
the rating period,
I. Professional supported with the ff.
Basic Education October-
Growth and I.1 Evidences; Research 10% 3 Has 3 of the identified indicators.
Policy Services November
Development Workshop output, action
research paper, certificate
of completion, proposed 2 Has 2 of the identified indicators.
learning interventions,
proposed M&E for
results/outcomes Has 1 or none of the identified
1 indicators.
Participated at least 4 or more

5 seminar-workshops/trainings
Participated at least 3 seminar-
4 workshops/trainings within the
rating period.
· Attended/Participated
I. Professional Participated at least 2 seminar-
Basic Education 4 seminar-
Growth and I.2 June-March 5% 3 workshops/trainings within the
Policy Services workshops/trainings within rating period.
Development
the rating period.
· Attended/Participated
I. Professional
Basic Education 4 seminar-
Growth and I.2 June-March 5%
Policy Services workshops/trainings within
Development
the rating period.
2 workshop/training within the rating
period.
No seminar-workshops/trainings
1 attended.
Received award/recognition in
5 national level within the rating
period.
4 Regional level within the rating
period.
· Received
I. Professional award/recognition in Received award/recognition in
Basic Education 3 division level within the rating
Growth and I.3 national, region, division, June-March 5%
Policy Services period.
Development district, school level within
the rating period. Received award/recognition in
2 district level within the rating
period.
1 school level within the rating
period.

· Served as
demonstration teacher 4 Has 4 of the identified indicators.
within the school year as
I. Professional evidenced by; LP duly 3 Has 3 of the identified indicators.
Basic Education
Growth and I.4 signed by the critique June-March 5%
Policy Services
Development panel, pictorials, training 2 Has 2 of the identified indicators.
matrix, certificate of
recognition, attendance
sheet Has 1 or none of the identified
1 indicators.
· Served as
facilitator/resource person
in trainings/seminar- 4 Has 4 of the identified indicators.
workshops within the
I. Professional
Basic Education school year as evidenced
Policy Services by; SLE duly signed by the 3 Has 3 of the identified indicators.
Development
critique panel, pictorials,
training matrix, certificate
of recognition, attendance
sheet
in trainings/seminar-
workshops within the
I. Professional
Basic Education school year as evidenced
Policy Services by; SLE duly signed by the
Development
critique panel, pictorials,
training matrix, certificate
of recognition, attendance 2 Has 2 of the identified indicators.
sheet
Has 1 or none of the identified
1
indicators.

Has 360 or more minutes of actual
5 teaching loads
Has 350-359 minutes of actual
· Handled 360 minutes 4 teaching loads
of actual teaching loads as
Basic Education II. Instructional Has 340-349 minutes of actual
II.1 reflected in the class June-March 15% 3
Policy Services Competence teaching loads
program of activities and Has 330-339 minutes of actual
SF7. 2 teaching loads
Has 329 or less minutes of actual
1 teaching loads
Increased achievement test by 5%
5 or more over baseline test.

· Increased achievement

Basic Education II. Instructional Increased achievement test by 3%
II.2 test by 5% over baseline June-March 10% 3
Services Competence or more over baseline test.
test results.

1 or less over baseline test.
Increased instructional and

5 independent readers by 50% or
more in the posttest .

4 independent readers by 40-49% in
the posttest .
· Increased the number
of instructional & Increased instructional and
Basic Education II. Instructional July and
II.2 independent readers in the 5% 3 independent readers by30-39% in
Services Competence February the posttest .
posttest from the pretest by
50%.
· Increased the number
of instructional &
Basic Education II. Instructional July and
II.2 independent readers in the 5%
Services Competence February
posttest from the pretest by
50%.
2 independent readers by 20-29% or

1 independent readers by 19% or less
in the posttest .
Attained 75% and above required

5 competencies in a given period of
time.
Attained 70-74% required

time.
· Attained 75% of the
Basic Education II. Instructional Attained 65-69-% required
required learning July-March 5%
Services II.3 3 competencies in a given period of
Competence competencies in a given time.
period of time.
time.
Attained 59% and below required

time.
Increased NAT MPS by 10% or

5 more.
4 Increased NAT MPS by 8-9%.
· Increased NAT MPS by
Basic Education II. Instructional
II.4 10% from the previous March 5% 3 Increased NAT MPS by 6-7%.
Services Competence
year. 2 Increased NAT MPS by 4-5%.
1 Increased NAT MPS by 3% or less.

Conducted mentoring/coaching to
5 4 or more teachers in the
school/cluster/line.
4 3 teachers in the
Conducted
III. Support to
Basic Education mentoring/coaching to 4
Instructional III.1 June-March 10%
Policy Services teachers in the
Supervision
Conducted
III. Support to
Basic Education mentoring/coaching to 4
Instructional III.1 June-March 10% Conducted mentoring/coaching to
Policy Services teachers in the 3 2 teachers in the
Supervision
school/cluster/line. school/cluster/line.
2 1 teacher in the school/cluster/line.
No teacher conducted
1 mentoring/coaching.
Managed/Monitored 5 or more
5 teachers in the implementation of
the RPMS cycle.
Managed/Monitored 4 teachers in
4 the implementation of the RPMS
cycle.
Managed/Monitored 5
III. Support to teachers in the Managed/Monitored 3 teachers in
Basic Education
Instructional III.2 implementation of the July-April 10% 3 the implementation of the RPMS
Policy Services cycle.
Supervision RPMS cycle within the
rating period.
Managed/Monitored 2 teachers in
2 the implementation of the RPMS
cycle.
Managed/Monitored 1 or none
1 teacher in the implementation of
the RPMS cycle.
Checked daily LP/Journal/Log book

5 to 5 or more teachers
4 to 4 teachers.
III. Support to Checked daily Lesson
Basic Education Checked daily LP/Journal/Log book
Instructional III.3 Plans/Journals/Log book June-March 10% 3
Policy Services to 3 teachers.
Supervision to 5 teachers.
2 to 2 teachers.
1 to 1 or none teacher.

Participated 4 or more
5 events/activities in the community
4 the community within the rating
period.
Participated 4
Basic Education IV. Community events/activities in the Participated 2 or more
IV.1 June-March 2% 3 events/activities in the community
Policy Services Involvement community within the within the rating period.
rating period.
2 events/activities in the community
No participated events/activities in
period.
Conducted periodic PTA

meetings/ conferences at 4 Has 4 of the identified indicators.
least once every grading
period with accomplished
Basic Education IV. Community
IV.2 indicators, such as June-March 3% 3 Has 3 of the identified indicators.
attendance sheet, agenda of
the meeting, minutes of the
meeting, pictorials,
narrative report.
1 indicators.
Produced publication/ creative

work published in National
5 Circulation/DepEd Post/ CSC
Newsletters and similar
publications.

IV. Professional Produced a publication/ 4 work published in regional
Basic Education publications.
Growth and IV.3 creative work for school June-March
Policy Services
Development papers in a year.
IV. Professional Produced a publication/
Basic Education
Growth and IV.3 creative work for school June-March
Policy Services
Development papers in a year. Produced publication/ creative
3 work published in division
publication.
2 Produced publication/ creative

work published in school papers.

Initiated district
activity/contest/conference with
full documentation
Initiated district
partial documentation
* Inititiated District
Basic Education activity/contest/conference to Initiated district
Policy Services Plus Factor support the delivery of activity/contest/conference
instruction. without documentation
Initiated district
activity/contest/conference
without documentation
No initiated district
activity/contest/conferences.
OVERALL RATING FOR

* To get the score, the rating is multiplied by the weight assigned. ACCOMPLISHMENTS
CHERYL M. LAGANG ________________________________

For Master Teachers
Name of Employee : Name of Rater: CHERYL M. LAGANG

Position : Position: ELEMENTARY SCHOOL PRINCIPAL 1
Bureau/Center/Service/Division : GEN. ROXAS CENTRAL ELEMENTARY SCHOOL Date of Review:
KRA
MFO KRAs OBJECTIVES TIMELINE RATING SCORE
· Conducted action research

related to classroom
problems/concerns within the 4 Has 4 of the identified indicators.
rating period, supported with
I. Professional
Basic Education the ff. Evidences; Research October-
Growth and I.1 10% 3 Has 3 of the identified indicators.
Policy Services Workshop output, action November
Development
research paper, certificate of 2 Has 2 of the identified indicators.
completion, proposed learning
interventions, proposed M&E for Has 1 or none of the identified
1 indicators.
results/outcomes
Participated at least 4 or more
5 seminar-workshops/trainings

4 workshops/trainings within the
rating period.
I. Professional · Attended/Participated 4
Basic Education
Growth and I.2 seminar-workshops/trainings June-March 5% Participated at least 2 seminar-
Policy Services 3 workshops/trainings within the
Development within the rating period.
rating period.

2 workshop/training within the
rating period.
Development within the rating period.
No seminar-workshops/trainings
1 attended.
5 national level within the rating
period.
4 Regional level within the rating
period.
· Received award/recognition
I. Professional Received award/recognition in
Basic Education in national, region, division,
Growth and I.3 June-March 5% 3 division level within the rating
Policy Services district, school level within the period.
Development
rating period.
2 district level within the rating
period.
1 school level within the rating
period.
· Served as demonstration 4 Has 4 of the identified indicators.

teacher within the school year
I. Professional
Basic Education as evidenced by; LP duly signed
Growth and I.4 June-March 5% 3 Has 3 of the identified indicators.
Policy Services by the critique panel, pictorials,
Development
training matrix, certificate of 2 Has 2 of the identified indicators.
recognition, attendance sheet
1 indicators.

· Served as
facilitator/resource person in 4 Has 4 of the identified indicators.
trainings/seminar-workshops
I. Professional
Basic Education within the school year as
Growth and I.5 June-March 5% 3 Has 3 of the identified indicators.
Policy Services evidenced by; SLE duly signed
Development
by the critique panel, pictorials, 2 Has 2 of the identified indicators.
training matrix, certificate of
recognition, attendance sheet Has 1 or none of the identified
1 indicators.

KRA
Has 360 or more minutes of
5 actual teaching loads
4
· Handled 360 minutes of teaching loads
Basic Education II. Instructional actual teaching loads as Has 340-349 minutes of actual
II.1 June-March 15% 3
Policy Services Competence reflected in the class program of teaching loads
activities and SF7. 2
teaching loads
Has 329 or less minutes of actual
1 teaching loads

5
or more over baseline test.

Basic Education II. Instructional · Increased achievement test June-March Increased achievement test by 3%
II.2 10% 3
Services Competence by 5% over baseline test results. or more over baseline test.

2
or more over baseline test.

1 or less over baseline test.


4 independent readers by 40-49% in
the posttest .
· Increased the number of
Basic Education II. Instructional July and Increased instructional and
instructional & independent 5%
Services II.2 February
3 independent readers by30-39% in
Competence readers in the posttest from the the posttest .
pretest by 50%.
2 independent readers by 20-29%
or more in the posttest .

less in the posttest .
Attained 75% and above required

time.
· Attained 75% of the required

II.3 learning competencies in a July-March 5%
Services Competence
given period of time.
time.
· Attained 75% of the required Attained 65-69-% required
II.3 learning competencies in a July-March 5% 3 competencies in a given period of
Services Competence time.
given period of time.
time.
Attained 59% and below required

time.
Increased NAT MPS by 10% or

5 more.
Basic Education II. Instructional · Increased NAT MPS by 10%
II.4 March 5% 3 Increased NAT MPS by 6-7%.
Services Competence from the previous year.
1 Increased NAT MPS by 3% or less.

KRA
5 4 or more teachers in the
4 3 teachers in the
Basic Education III. Support to Conducted mentoring/coaching

June-March 10%
Policy Services Instructional III.1 to 4 teachers in the
3
2 teachers in the
Supervision school/cluster/line.
2 1 teacher in the
No teacher conducted
1 mentoring/coaching.
Managed/Monitored 5 or more
5 teachers in the implementation of
the RPMS cycle.
Managed/Monitored 4 teachers
4 in the implementation of the
RPMS cycle.
Basic Education III. Support to in the implementation of the Managed/Monitored 3 teachers
July-April 10%
Policy Services Instructional III.2 3 in the implementation of the
RPMS cycle within the rating RPMS cycle.
Supervision
period.
2 in the implementation of the
RPMS cycle.
Managed/Monitored 1 or none
1 teacher in the implementation of
the RPMS cycle.
Checked daily LP/Journal/Log

5 book to 5 or more teachers
4 book to 4 teachers.
Basic Education III. Support to Checked daily Lesson
June-March 10%
Policy Services Instructional III.3 Plans/Journals/Log book to 5 3 book to 3 teachers.
Supervision teachers.
2 book to 2 teachers.
1 book to 1 or none teacher.

KRA
events/activities in the
5 community within the rating
period.
period.
Participated 4 events/activities
Basic Education IV. Community
IV.1 in the community within the June-March 2%
rating period.
Participated 4 events/activities Participated 2 or more
Basic Education IV. Community events/activities in the
IV.1 in the community within the June-March 2% 3
Policy Services Involvement community within the rating
rating period. period.
events/activities in the
2 community within the rating
period.
No participated events/activities
1 in the community within the
rating period.

Conducted periodic PTA
meetings/ conferences at least
once every grading period with
Basic Education IV. Community accomplished indicators, such
IV.2 June-March 3% 3 Has 3 of the identified indicators.
Policy Services Involvement as attendance sheet, agenda of
the meeting, minutes of the 2 Has 2 of the identified indicators.
meeting, pictorials, narrative
report. Has 1 or none of the identified
1 indicators.

work published in National
5 Circulation/DepEd Post/ CSC
Newsletters and similar
publications.

IV. Professional Produced a publication/ 4 work published in regional
Basic Education publications.
Growth and IV.3 creative work for school papers June-March
Policy Services
Development in a year. Produced publication/ creative
3 work published in division
publication.
2 Produced publication/ creative

work published in school papers.

KRA
Initiated district
full documentation
Initiated district
partial documentation
Basic Education * Inititiated District Initiated district

activity/contest/conference to support
Policy Services Plus Factor
the delivery of instruction. without documentation
Initiated district
without documentation
No initiated district
activity/contest/conferences.
OVERALL RATING FOR

* To get the score, the rating is multiplied by the weight assigned. ACCOMPLISHMENTS
CHERYL M. LAGANG ________________________________


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INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (IPCRF)

Name of Employee : CRISTINE C. SALVA Name of Rater: DAVID S. PALMA

TO BE FILLED IN DURING PLANNING TO BE FILLED DURING EVALUATION

Prepared 180 lesson plans/daily log of activities

Prepared 170 lesson plans/daily log of activities

· Prepared daily lesson plans

Prepared 140 and below lesson plans/daily log

5 Has 5 of the identified indicators.

4 Has 4 of the identified indicators.

1 Has 1 or none of the identified indicators.

5 Has 5 of the identified indicators.

· Implemented classroom 4 Has 4 of the identified indicators.

1 Has 1 or none of the identified indicators.

5 Has 5 of the identified indicators.

1 Has 1 or none of the identified indicators.

Administered reading assessment to 89-80%

Administered reading assessment to 79-70%

Administered reading assessment to 59% and

Has conducted remedial instruction to 5 or more

Has conducted remedial instruction to 4

Has conducted remedial instruction to 1 or none

5 Has 9-10 of the identified indicators.

4 Has 7-8 of the identified indicators.

1 Has 1-2 or none of the identified indicators.

5 GSA increased by 10% and above

4 GSA increased by 100 %

· Increased FCR result by

1 GSA increased by 59% and below

5 Has 5 of the identified indicators.

Conducted periodic PTA 4 Has 4 of the identified indicators.

1 Has 1 or none of the identified indicators.

Has conductedhome visitation to 90- 100% of

Has conductedhome visitation to 80-89% of

Conducted home visitation to

Has conductedhome visitation to 60-69% of

Has conductedhome visitation to 59% and below

Undertaken/ Initiated project/ 4

Project/event/activity accomplishment with no

Participated 4 or more events/activities in the

Participated 3 events/activities in the community

Participated 1 or more events/activities in the

No participated events/activities in the

Conducted action research and published in the

Conducted action research with full

Conducted action research with partial

1 No action research conducted

Initiated and participated 1 co-curricular activity

Participated 1 co-curricular activity within the

1 No participation of co-curricular activity

Produced publication/ creative work published in

Produced publication/ creative work published in

2 Produced publication/ creative work published in

Received 4 or more special awards/ citations/

Received 3 special awards/ citations/

1 No special award/citation/recognition received.

OVERALL RATING FOR

DAVID S. PALMA CRISTINE C. SALVA HELEN D. PAGUICAN, CESO V

Rater Ratee Approving Authority

Schools Division Superintendent

Name of Employee : Name of Rater: CHERYL M. LAGANG

5 Has 5 of the identified indicators.

Participated at least 4 or more

5 Has 5 of the identified indicators.