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Republic of the Philippines

CAGAYAN STATE UNIVERSITY


Carig, Tuguegarao City
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR) FORM
I, BABILYN C. BAUTISTA,Guidance Counselor III, commits to deliver and agree to be rated on the attainment of the following targets in accordance with the indicated measures for the
period July December, 2014.
BABILYN C. BAUTISTA, RGC
Date: January 09, 2015
Approved By:
5-Outstanding
performance exceeded
expectations DPLA
by 30% and above of planned targets;
Name: ARCHIMEDES
C. ARTICULO,
4-VerySatisfactory
performance
exceeded
expectations
by 15% to 29% of planned targets;
Position: Campus Executive Officer
3-Satisfactory - performance met 90% to 114% of the planned;
2-Unsatisfactory performance only met 51% to 89% of planned targets & failed to deliver one or
more critical aspects of the target
1-Poor - Performance failed to deliver most of the targets by 50% and below

R ATING

Actual
Success
Rating
Accomplishments
Indicators
Measures
Targets
Q
Guidance and Counseling
Number of participants in growth session (13% of 1000)
Services
Number of students who availed the information service (15% of 1000)
Number of students with Individual Record File & Update Form (40% of 1000)
Number of students who availed the counseling service (2% of 1000)
Number of students who availed the psychological testing service (30% of 1000)
Percentage of students who rated guidance and counseling service as good or
better
Number of College Aptitude Test (CAT) takers
Final Average Rating
COMMENTS AND RECOMMENDATIONS:

Major Final
Output

DISCUSSED WITH

DATE

ASSESSED BY

DATE

Remarks
E

130

150

4.33

150
400
20
300

195
600
26
450

5
5
5
5

5
5
5
5

5
5
5
5

5
5
5
5

15%

30%

50

75

5
4.86

5
4.86

5
5

5
4.91

FINAL RATING BY

I certify that I discussed my assessment of the


performance with the employee

__________________________

January 9, 2015 __________________________________

_______________________________

VS
O
O
O
O
O
O
VS

DATE

BABILYN C. BAUTISTA, RGC


Employee

ARCHIMEDES C. ARTICULO, DPLA


Supervisor

MARIDEN V. CAUILAN, DPA


Vice President for Academic Affairs

CMO NO.9 SERIES 2013 Sec 14.2.1 (Counselor Student Ratio 1: 1000)

Legend: 1: Quantity

2: Efficiency

3: Timeliness

4: Average

Republic of the Philippines


CAGAYAN STATE UNIVERSITY
Carig, Tuguegarao City
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR) FORM
I, JONA A. CAMBRI, Guidance Counselor III, commits to deliver and agree to be rated on the attainment of the following targets in accordance with the indicated measures for the period
July December, 2014.
JONA A. CAMBRI, RGC
Date: June 30, 2014
Approved By:
5-Outstanding
performance
expectations
by 30% and above of planned targets;
Name: BABILYN
C. exceeded
BAUTISTA,
RGC, RPm
4-VerySatisfactory
- performance
exceeded
expectations
Position: Guidance
Counselor
III/ Unit
Head by 15% to 29% of planned targets;
3-Satisfactory - performance met 90% to 114% of the planned;
2-Unsatisfactory performance only met 51% to 89% of planned targets & failed to deliver one or
more critical aspects of the target
1-Poor - Performance failed to deliver most of the targets by 50% and below

R ATING

Actual
Success
Rating
Accomplishments
Indicators
Measures
Targets
Q
Guidance and Counseling
Number of participants in growth session (13% of 1000)
Services
Number of students who availed the information service (15% of 1000)
Number of students with Individual Record File & Update Form (40% of 1000)
Number of students who availed the counseling service (2% of 1000)
Number of students who availed the psychological testing service (30% of 1000)
Percentage of students who rated guidance and counseling service as good or
better
Number of College Aptitude Test (CAT) takers
Final Average Rating
COMMENTS AND RECOMMENDATIONS:

Major Final
Output

Remarks
E

130

150

4.33

150
400
20
300

195
600
26
450

5
5
5
5

5
5
5
5

5
5
5
5

5
5
5
5

15%

30%

50

75

5
4.86

5
4.86

5
5

5
4.91

VS
O
O
O
O
O
O
VS

DISCUSSED WITH

DATE

ASSESSED BY

DATE

FINAL RATING BY

DATE

_______________________________
ARCHIMEDES C. ARTICULO, DPLA
Campus Executive Officer

January 9, 2015

I certify that I discussed my assessment of the


performance with the employee

___________________________
JONA A. CAMBRI, RGC
Employee

January 9, 2015

__________________________________
BABILYN C. BAUTISTA, RGC, RPm
Unit Head

CMO NO.9 SERIES 2013 Sec 14.2.1 (Counselor Student Ratio 1: 1000)

January 9, 2015

Legend: 1: Quantity

2: Efficiency

3: Timeliness

4: Average

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