INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM

Name of Employee: DONITA-JANE B. CANCERAN Name of Rater: MELCHOR M. AGGABAO

Position: Teacher I Position: Head Teacher III
Review Period: ______________________________ Date of Review:________________________________________
Bureau/Center/Service/Division: ______________________________________
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TO BE FILLED DURING PLANNING TO BE FILLED

DURING
EVALUATION
BASIC LEARNIN OBJECTIVES TIMELIN Weig PERFORMANCE INDICATORS Actual R S
EDUCATI G E ht (Quality, Efficiency, Timeless) Results A C
ON OUTCOM per T O
SERVICE ES KRA I R
N E
S
G
Performanc QUALITY EFFICIENCY TIMELINESS Q E T A
es V
Indicators E
(Q,E,T)
Basic Teaching Prepared/updated/ex June 2016- 5% Performance Prepared/updated/exe Prepared/updated/exe Prepared/updated/exe
ecuted DLL in English March 2017 was: cuted DLP in English 7 cuted DLP in English 7 cuted DLP in English 7
Education Learning
9 and English 10 and English 10 and English 10
Service Process June 2016- 12% 5-extra
(30%) March 2017 ordinary
4-exceeded
Downloaded /
prepared and 13% Downloaded /
expectations Downloaded / Downloaded /
employed prepared and
3-met prepared and prepared and
appropriate, June 2016- employed
expectations employed employed
adequate March 2017 appropriate,
2-met below appropriate, appropriate,
instructional adequate
adequate adequate
materials; instructional
instructional instructional
expectations materials;
materials; materials;
1-failed to
meet
Evaluated/ assessed Evaluated/ assessed
Evaluated/assessed Evaluated/ assessed
10 students 10 students
students expectations 10 students
performances and performances and
performances and performances and
outputs. outputs.
outputs. outputs.

Education Students Conducted June 2016- 10% Performance Conducted a Conducted a Conducted a
remediation/ March 2017 was: remediation/ remediation/ remediation/
Governanc Outcome
enrichment activities enrichment activities enrichment activities enrichment activities
e (30%) to students at risk June 2016- 5-extra to 5 students. to 5 students. to 5 students.
Updated students March 2017 ordinary Updated students Updated students Updated students
pertinent school 10% 4-exceeded pertinent school pertinent school pertinent school
records such as SF1, June 2016- expectations records such as SF1, records such as SF1, records such as SF1,
SF2, Form 138, SF5, March 2017 3-met SF2, Form 138, SF5, SF2, Form 138, SF5, SF2, Form 138, SF5,
Grade Sheets, class expectations Grade Sheets, class Grade Sheets, class Grade Sheets, class
record, and Form 137 2-met below record, and Form 137 record, and Form 137 record, and Form 137
 10% expectations Promoted 95% of the Promoted 95% of the Promoted 95% of the
Promoted 90% of the
1-failed to learners learners learners
learners
meet

expectations

Community Participated actively June 2016- 3% Performance Participated actively Participated actively Participated actively
in 3 March 2017 was: in 3 community/school in 3 community/school in 3 community/school
Involvemen
community/school activities activities activities
t activities June 2016- 7% 5-extra
(10%) March 2017 ordinary
4-exceeded
expectations Visited/Conducted Visited/Conducted Visited/Conducted
Visited/Conducted 3-met dialogue with parents dialogue with parents dialogue with parents
dialogue with parents expectations needing academic needing academic needing academic
of students needing 2-met below monitoring and monitoring and monitoring and
academic monitoring expectations follow-up follow-up follow-up
and follow-up 1-failed to
meet

expectations

Professiona Participated/attended June 2016- 3% Performance Participated/attended Participated/attended Participated/attended

4 seminars/ trainings/ March 2017 was: 4 seminars/ trainings/ 4 seminars/ trainings/ 4 seminars/ trainings/
l Growth
department/faculty department/faculty department/faculty department/faculty
and meeting 5-extra meeting meeting meeting
Developme June 2016- ordinary
nt Mentored/helped/ March 2017 10% 4-exceeded Mentored/helped/ Mentored/helped/ Mentored/helped/
assisted 5 colleagues expectations assisted 5 co-workers assisted 5 co-workers assisted 5 co-workers
(15%)
in content / skills 3-met in content and skills in content and skills in content and skills
difficulties/ June 2016- expectations difficulties/ difficulties/ difficulties/
preparation of March 2017 2-met below preparation of preparation of preparation of
reports/letters /and expectations reports/letters reports/letters reports/letters
paper works 1-failed to
2% meet
Enrolled thesis writing Enrolled thesis writing Enrolled thesis writing
Enrolled thesis in Masters Degree in Masters Degree in Masters Degree
writing in Masters Expectations
Degree
Enrolled
thesis writing
in Masters
Degree
Learning Maintained the June 2016- 8% Performance Improved and Improved and Improved and
cleanliness and March 2017 was: maintained the maintained the maintained the
Environme
orderliness of the cleanliness and cleanliness and cleanliness and
nt classroom 5-extra orderliness of the orderliness of the orderliness of the
 (15%) Participated in the ordinary classroom classroom classroom
different clean up June 2016- 7% 4-exceeded Maintained the
drives to ensure March 2017 expectations Maintained the Maintained the functionality of the
focused-learning 3-met functionality of the functionality of the assigned spot
environment expectations assigned spot assigned spot
2-met below
expectations
1-failed to
meet

expectations
PLUS SERVED as
chairman/member/
FACTOR
Special Events
Coordinator

CONFORME:

Rater: Conferred with: Approved:

MELCHOR M. AGGABAO EVELYN A. BUMANGLAG, Ph. D. EDNA A. PASAMONTE, Ph. D.

Department Head Principal III OIC-Schools Division Superintendent