Republic of the Philippines

Department of Education
Region III
Schools Division Olongapo City
New Cabalan National High School
Senior High School Department
Olongapo City
INDIVIDUAL PERFORMANCE COMMITMENT and REVIEW FORM
Name of Employee: WILBERT CANCHELA VENZON Name of Rater RICHEL R. QUINTO

Position: TEACHER II Position: MASTER TEACHER I

Review Period: JUNE 13, 2016-APRIL 12, 2017 Date of

Office: NEW CABALAN NATIONAL HIGH SCHOOL -SENIOR HIGH SCHOOL REVIEW

TO BE FILLED IN DURING PLANNING TO BE FILLED DURING EVALUATION

Weight PERFORMANCE INDICATORS ACTUAL RESULTS

MFOs KRAs OBJECTIVES TIMELINE RATING SCORE
per KRA (Quality, Efficiency, Timeliness) Q E T
1. Teaching 1.Prepared well-constructed Daily Lesson 5-OUTSTANDING.Has met the five(5)
Learning Process Log( DLL) reflecting the following characteristics of a LP/DLL
characteristics: 4-Very Satisfactory.Has met the
a. five parts four(4)characteristics of a LP/DLL
b.Objective is SMART,based on the desired learning June 13, 2016- April 12, 5% 3- Satisfactory.Has met the three(3)
competencies 2017 characteristics of a LP/DLL
c.It has adequate and appropriate instructional 2- UnSatisfactory.Has met the two(2)
materials characteristics of a LP/DLL
d.Develop Higher Order Thinking Skills(HOTS) 1-Poor.Has met the one(1) characteristics
e. Developing 21st Century Skills of a LP/DLL
2.Facilitated learning in the school as shown by: 5-OUTSTANDING.Has met the five(5)
a. Teaching methods and interactive methods and characteristics of Facilitated Learning
strategies elicit interaction from a class 4-Very Satisfactory.Has met the four(4)
b.Participative learning-project-based characteristics of a Facilitaed Learning
c.Cooperative Learning strategies June 13, 2016- April 12, 5% 3- Satisfactory.Has met the three(3)
d.Information and Communication Technology(ICT) 2017 characteristics of Facilitated Learning
integration(i.e. Multimedia etc.) 2- UnSatisfactory.Has met the two(2)
e.Provision of individualized interaction characteristics of Facilitated Learning
1-Poor.Has met one(1) characteristics of
Facilitated Learning
2.Learners 1. Monitored evaluated and maintained student 5-OUTSTANDING.Presence of all five(5)
Outcomes progress evidences
Required Evidences: 4-Very Satisfactory. Presence of four(4)
a.Class Record/E-Class Record evidences
June 13, 2016- April 12,
b.Learners Portfolio 5% 3- Satisfactory. Presence of three (3)
2017
c. Updated F137 evidences
d. Updated F138 2- UnSatisfactory. Presence of two (2)
e. Updated Form 1 evidences
1-Poor. Presence of one( 1)evidence
2. Coaches different competition of the students. 5-OUTSTANDING. Participated and recognized in
Participated and recognized the Regional Level
Required evidences: 4-Very Satisfactory. Participated and recognized in
a. Competition in the Regional Level the Division Level
b. Competition in the Division Level June 13, 2016- April 12, 3- Satisfactory. Participated and recognized in
c. Competition in the District Level 2017 15% the District Level
d. Competition in the Inter-School Level 2- UnSatisfactory. Participated and recognized
e. Competition in the School Level in the Inter-School Level
1-Poor. Participated and recognized in the
School Level
3. Initiated and Facilitated On-the-Job Training 5-OUTSTANDING. 26 students were accepted
of Senior High School Students as trainee
a. 26 students were accepted as trainee 4-Very Satisfactory. 20 students were accepted
b. 20 students were accepted as trainee as trainee
June 13, 2016- April 12,
c. 15 students were accepted as trainee 15% 3- Satisfactory. 15 students were accepted
2017
d. 10 students were accepted as trainee as trainee
e. 5 students were accepted as trainee 2- UnSatisfactory. 10 students were accepted
as trainee
1-Poor. 5 students were accepted as trainee
3. Community 1. Conducted regular/periodic PTA meetings and 5-Outstanding*Presence of all five(5)
Involvement conferences: evidences
a. Notice/letter to parents/guardians 4-VS*Presence of all four(4) evidences
June 13, 2016- April 12,
b.Agenda/Schedule 5% 3- Satisfactory. Presence of three (3)
2017
c.Minutes of the meeting evidences
d.Attendance Record duly signed by attendees 2-US* Presence of two (2) evidences
e.Documentation 1-P* Presence of one( 1)evidence
2.Visited parents of students needing academic 5-OUTSTANDING.Presence of all five(5)
monitoring/ follow -up evidences
Required Evidences 4-Very Satisfactory. Presence of four(4)
a. Letter to Parents/ Guardians evidences
June 13, 2016- April 12,
b.Anecdotal Records 3- Satisfactory. Presence of three (3)
2017
c.Home Visitation Form 5% evidences
d. Attendance record 2- UnSatisfactory. Presence of two (2)
e.Feedback/ Progress Report with documentation evidences
1-Poor. Presence of one( 1)evidence
3. Participated in the community activities as 5-OUTSTANDING.Presence of all five(5)
shown by evidences evidences
a. International Coastal Clean-up drive 4-Very Satisfactory. Presence of four(4)
b. Alay Lakad June 13, 2016- April 12, evidences
c.Olongapo Fiesta 2017 5% 3- Satisfactory. Presence of three (3)
d. Christmas Gift Giving to less fortunate SHS students evidences
e. lantern parade 2- UnSatisfactory. Presence of two (2)evidences
1-Poor. Presence of one( 1)evidence
4.Professional 1. Participated and attended different seminars, trainings 5-OS* Attended National Level Seminar/Trainings/Workshop

Growth and and workshops 4-VS* Attended Regional Level Seminar/Trainings/Workshop

Development a. School 15% 3-S* Attended Division Level Seminar/Trainings/Workshop

b. District
June 13, 2016- April 12, 2.-US* Attended District Level Seminar/Trainings/Workshop
2017 1-P* Attended School Level Seminar/Trainings/Workshops
c. Division
d. Region
 e. National
2. Acquire National Certificate in TVL 5-OUTSTANDING. Received Trainor's Methodology
a. TM 1 4-Very Satisfactory. Received NC III
b. NC III June 13, 2016- April 12, 3- Satisfactory. Received NC II
c. NC II 2017 15% 2- UnSatisfactory. Received NC I
d. NC I 1-Poor. Received COC
e. COC
3. Facilitated Demonstration Teaching in Trainings/Seminars 5-Oustanding. Demo Teaching in National
a. Demonstration Teaching in National Level Trainings/Seminars
b. Demonstration Teaching in Regional Level 4-Very Satisfactory. Demo Teaching in Regional
c. Demonstration Teaching in Division Level Trainings/Seminars
June 13, 2016- April 12,
d. Demonstration Teaching in District Level 10% 3-Satisfactory. Demo Teaching in Division
2017
e. Demonstration Teaching in School Level Trainings/Seminars
2-Unsatisfactory. Demo Teaching in District
Trainings/Seminars
1-Poor. Demo Teaching in School Trainings/Seminars
* To get the score, the Weighted
rating is multiplied by Average
the weight assigned Mean

TOTAL (Excluding Plus Factor) 100% OVER-ALL RATING OF ASSESSMENT

PLUS FACTOR
a. LIS/EBEIS Coordinatorship 5% ADJECTIVAL RATING

WILBERT CANCHELA VENZON RICHEL R. QUINTO

Ratee Rater

Adjectival Rating Scale

Outstanding 4.500 - 5.000 Checked and Verified by:
Very Satisfactory 3.500 - 4.499
Satisfactory 2.500 - 3.499
Unsatisfactory 1.500 - 2.499 NENITA A. ALVAREZ
Poor 1.000 - 1.499 PRINCIPAL II