Republic of the Philippines

DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
Lingayen

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM

Name of Employee : Name of Ratee :

Position : Teacher I Position :
Review Period : SY. 2015-2016 Date of Review : _________
Bureau/Center/Service/Division: Schools Division Office I Pangasinan

TO BE FILLED DURING PLANNING

WEIGHT PERFORMANCE INDICATORS ACTUAL
MFO KRA's OBJECTIVES TIMELINE PER (Quality, Efficiency, Timeliness) RESULTS
KRA

1. Prepared 160 lesson plans/daily June 20% 100% of lesson plans have complete parts
logs of activities with complete parts March with SMART objectives submitted on time.
* Lesson Plans/Daily log of activities
Delivery of * Complete LP Parts
Basic * Checklist
Education 1. Teaching-Learning 2. Facilitated four (8) engaging lessons June 10% 8 engaging lessons using ICT were
Services Process using ICT within the rating period March executed within the rating period
40% * Compiled LPs with ICT integration
* Portfolio
 100% of pupils’ attendance and classroom’s safety,
3. Monitored students’ attendance, and ensure June- cleanliness and orderliness are completely monitored
10%
classroom’s safety, cleanliness and orderliness March and evaluated within the rating period.
* Attendance Notebook
* Checklist
* Evaluation Sheet

100% submission of complete and accurate pupils’

progress.
1. Monitored, evaluated and maintained June- 5%
students’ progress March
(class record/grading sheet, graphical presentation of
test results, pupils’ profile, item analysis report ,
2. Students’ Outcomes 30% Quarterly Summary of Final Ratings)
2. Conducted remediation/enrichment/
intervention program to improve performance June- 10% 100% implementation of the prepared remediation/
March
enrichment/intervention program.
100% submission of school forms.
June- ( SF1,SF2,Form 137, F137,STS)
3. Maintained updated students school record 5%
March

June- 100% attainment of the required General Scholastic

4. Attained the required General Scholastic Average March 10% Average for the Grade Level at the end of the SY.
for the Grade Level at the end of the School Year
1. Conducted regular meetings/ 100% of regular meetings/conferences
conferences with parents Quarterly 4% were actively participated by parents
within the school year
3. Community 2. Conducted individual counselling 100% of students needing academic
Involvement with the parents of students Quarterly 3% monitoring/follow-up were properly
10% needing academic monitoring/ identified and counselled within a quarter
follow-up
3. Participated in projects, events, 100% of school projects, events and activities
Year
activies initiated/undertaken round 3% initiated/undertaken by the school stakeholders
by the school stakeholders were actively participated within the time table
 1. Prepared one action plan related to June
school work/activity within the year 2015- 5% Submitted one action plan with 100% project
4. Professional Feb. implementation within the given period of time.
Growth and 2016
Development 2. Joined/ participated in profesional June Actively involved in the activities/Programs
20% organizations/ club within the rating 2015- 10% of 3 professional organizations or club
period. Feb.
2016
3. Attended and apply In-Service Trainings June Attended and applied 4 Inset/ demonstration
(INSET)/Demonstration Lessons required 2015- 5% lessons and 7 professional meetings required by
by the principal and supervisor. March the principal and supervisor
2016

Received Deped recognized special awards categorized

Received special awards/ recognition for exemplary
5. Plus Factor 5% June 2015 5% as National, Regional, Divisions, District and School
performance within the year
- March level
2016
TOTAL
ADJECTIVAL RATINGS
RANGE ADJECTIVAL RATING
4.500-5.000 Outstanding
3.500-4.499 Very Satisfactory
2.500-3.499 Satisfactory
1.500-2.499 Unsatisfactory
Below 1.999 Poor

Rater Ratee
f Ratee :
:
Review : _____________________________________

TO BE FILLED DURING
EVALUATION AVE RATING SCORE
Q E T

4 4 4 4 1 0.8

5 5 5 5 0.3 0.5
5 5 5 5 0.4 0.5

5 5 5 5 0.25 0.25

3 4 4 3.666667 0.3 0.36666667

5 5 5 5 5 0.25

3 3 5 3.666667 0.4 0.36666667

4 1 5 3.333333 0.16 0.13333333

4 4 5 4.333333 0.12 0.13

5 4 4 4.333333 0.12 0.13

 1 1 1 1 0.25 0.05

3 2 3 2.666667 0.4 0.26666667

5 5 5 5 0.25 0.25

2 3 3 2.666667 0.05 0.13333333

54 51 59 54.6667 9 3.9933333

4.19
VS

Approving Authority:

Principal/ School Head