INDIVIDUAL PERFORMANCE COMMITMENT & REVIEW FORM

Name of Employee: BENITA S. DRAGON Name of Rater: ESTRELLITA J. MIRAVELES

Position: Teacher II Position: Master Teacher I
June 2016 - March 2017
Review Period: Date of Review: MARCH 2017
District: OLUTANGA
School: OLUTANGA CENTRAL ELEMENTARY SCHOOL
WEIGHT PERFORMANCE INDICATOR
MFO KRAs OBJECTIVES TIMELINE
per KRA QUALITY EFFICIENCY
Teaching- 5-All daily lesson plans had the following 5- 100% & above of Lesson Plans & Daily
Lessons plans Learning 50%
objectives Lesson Logs
Process
Prepares ______ lesson plans / subject matter, procedures, evaluation and w/ appropriate/ low-cost instructional
& daily logs June to 10%
daily logs assignment materials prepared
Each part had a full description of what to do with
with IMs of activities including March
an example
Objective was specific, measurable, attainable,
prepared instructional materials
result-oriented and time-bound
100% and above developed high order thinking
skills
Attains 100% and above of the desired learning
competencies
4-Had four of the five parts of lesson plan
Each part had a partial description of what to do 4- 80%-99% of Lesson Plans & Daily
with an example Lesson Logs
Objective was stated with 1 behavioral indicator is w/ appropriate / low-cost instructional
missing materials prepared
80-99% developed high order thinking skills
Attained 80-99% of the desired learning
3- Had 3 of the five parts
Each part had a partial description without 3- 60%-79% of Lesson Plans & Daily
example Lesson Logs
 WEIGHT PERFORMANCE INDICATOR
MFO KRAs OBJECTIVES TIMELINE
per KRA QUALITY EFFICIENCY
Objective was stated with 3-4 behavioral indicator w/ appropriate / low-cost instructional
missing materials
60-79% developed high order thinking skills
Attained 60-79% of the desired learning
competencies
2- Had 2 of the five parts
Each part had no description of what to do with 2- 40%-59% of Lesson Plans & Daily
example Lesson Logs
Objective was stated with 1-2 behavioral indicators w/ appropriate / low-cost instructional
missing materials prepared
40-59% developed high order thinking skills
Attained 40-59% of the desired learning 1- 39% & below of Lesson Plans & Daily
competencies Lesson Logs w/ appropriate / low-cost
1- Had 1 of the five parts instructional materials prepared
Each part had no description of what to do and
example

Objective was stated without behavioral indicators

39% and below develop high order thinking skills

39% and below attain the desired learning

competencies at all
Facilitates teaching and learning 5 -a.Established challenging and measurable goals 5- 100% & above of instructional materials
Teaching- 20%
in all subjects for student learning aligned with the were used appropriately
through functional lessons curriculum guide. Managed time and resources efficiently in
learning
plans/ 100% & above of lessons taught
daily logs and innovative 4- 80%-99% of instructional materials were
facilitated b.Teaching methods and strategies elicited
teaching strategies used appropriately
Managed time and resources efficiently in
at the end of school year interaction from a class
of 80%-99% lessons taught
 WEIGHT PERFORMANCE INDICATOR
MFO KRAs OBJECTIVES TIMELINE
per KRA QUALITY EFFICIENCY
c.Cooperative learning strategies was effective 3- 60%-79% of instructional materials were
when used used appropriately
Managed time and resources efficiently in
d. ICT integration is evident
60%-79% of lessons taught
2-40%-59% of instructional materials were
e.Provided appropriate activities of lessons taught
used appropriately
Managed time and resources efficiently in
4- 4 out of 5 strategies were evident
40%-59% of lessons taught
1- 39% & below of instructional materials
3- 3 out of 5 strategies were evident
were used appropriately
Managed time and resources efficiently in
2- 2 out of 5 strategies were evident
39% & below of lessons taught
1-1 out of 5 strategies were evident

5-90-100% mastery learning

4-75-89 % mastery learning
3-60-74 % mastery learning
2-45-59 % mastery learning
1-44 %and below mastery learning

learners'
Implements classroom rules 5- 100 % of the learners observed classroom rules 5- classroom rules/guidelines/policies
discipline 10%
and regulations and regulations prepared/installed within 1 month
initiated
4- 80-99 % of the learners observed classroom 4- classroom rules/guidelines/policies
rules and regulations prepared/installed within 2 months
3- 60-79% % of the learners observed classroom 3- classroom rules/guidelines/policies
rules and regulations prepared/installed within 3 months
2- 40-59% % of the learners observed classroom 2- classroom rules/guidelines/policies
rules and regulations prepared/installed within 4 months
 WEIGHT PERFORMANCE INDICATOR
MFO KRAs OBJECTIVES TIMELINE
per KRA QUALITY EFFICIENCY
1- 39 % and below of the learners observed 1- classroom rules/guidelines/policies
classroom rules and regulations prepared/installed within 5 months

Manages classrom routines 5-classroom routines installed and observed

10% 5-*Safe, orderly and clean classroom and toilets
during the school year within 2 weeks from the start of school year

4-classroom routines installed and observed

*Attendance checking systematically carried out
within 1 month from the start of school year

3-classroom routines installed and observed

*Updated Classroom structuring within 2 months from the start of school
year
attendance,
cleanliness of 2-classroom routines installed and observed
classroom *proper waste disposal maintained within 3 months from the start of school
atmosphere year
monitored
1-classroom routines installed and observed
*DRRM policies observed within 4 months from the start of school
year

4-4 out of 5 routines observed and sustained

3-3 out of 5 routines observed and sustained

2-2 out of 5 routines observed and sustained
1-1 out of 5 routines observed and sustained

learners' learners'
progress 30%
Outcomes
monitored &
evaluated Tracks, evaluates and maintains 5-Records of learners progress tracked,evaluated,
4%
records of learner's progress and maintained:

a. Class record reflected the bases of 100% and

above of pupils ratings in all classes/subject areas
handled
 WEIGHT PERFORMANCE INDICATOR
MFO KRAs OBJECTIVES TIMELINE
per KRA QUALITY EFFICIENCY
b. Learners portfolio contained 100% and above
of his accomplishment
c.Anecdotal Record

d.Phil-Iri/ECCDA/EGRA_ARATA
4-3 out 4 evident
3-2 out of 4 evident
2-1 out 0f 4 evident
1-none
Prepares appropriate assessment
4% 5-Appropriate assessment tools prepared :
tools
a. Test questions prepared with Table of
Specifications
b. Test questions followed the elements of test
constructions(Stimulus
Material,STEM,options,destructors,correct
answers)
c. Pretest and Post-test were administered in all
classes/subject areas

d. Performance Rubrics prepared

e.alternative
assessment(checklist,observation,focus group
discussion,interviews)
4-4 out of 5 prepared
3-3 out of 5 prepared
2-2 out of 5 prepared
1-1 out of 5 prepared
1-1 out of 5 prepared
Remedial & Conducts 5-Remediation/ Enrichment Program conducted to
enrichment 7%
remediation/enrichment 100% of identified learners
programs programs to imrove
conducted performance indicators
 WEIGHT PERFORMANCE INDICATOR
Remedial
MFO & KRAs OBJECTIVES
Conducts TIMELINE
enrichment remediation/enrichment per KRA QUALITY EFFICIENCY
programs programs to imrove 4-Remediation/ Enrichment Program conducted to
conducted performance indicators 80-99% of identified learners
3-Remediation/ Enrichment Program conducted to
60%-79% of identified learners
2-Remediation/ Enrichment Program conducted to
40%-59% of identified learners
1-Remediation/ Enrichment Program conducted to
39% and below of identified learners
Required Attains the required MPS /GSA 15% 5-3 points increased from GSA baseline
GSA in for grade level and learning 4-2.5points increased from GSA baseline
areas
learning 3-2 points increased from GSA baseline
areas 2-1.5 points increased from GSA baseline
attained 1-1 point increased from GSA baseline

5- 3pts & above increased of NAT6 / 80% & above NAT 6 MPS
4- 2pts increased of NAT6 / 75% - 79% NAT 6 MPS
3- 1.5 pt. increased of NAT6
2- 1pt. increased of NAT6
1- 0.5pt.& below increased of NAT6
Community 7%
Involvement Conducts regular/periodic PTA 5- 100% and above accomplishments with set
Regular/ 4%
meetings/conferences agreements met
4 - 80-99% accomplishments with set agreements
Periodic
met
3 - 60-79% accomplishments with set agreements
PTA meetings
met
2 - 40-59% accomplishments with set agreements
conducted
met
 WEIGHT PERFORMANCE INDICATOR
MFO KRAs OBJECTIVES TIMELINE
per KRA QUALITY EFFICIENCY

1 - 39% and below accomplishments with set

agreements met

parents of 5 - 100% identified LARDOs (learner's at risk of

learners Conducts home visitation 3%
dropping out) visited
needing
4 - 80-99%identified LARDOs (learner's at risk of
academic dropping out) visited
follow-up visited
3 - 60-79% identified LARDOs (learner's at risk
of dropping out) visited
2 - 40-59% identified LARDOs (learner's at risk
of dropping out) visited
1 - 39% identified LARDOs (learner's at risk of
dropping out) visited

Professional
Growth and 8%
development

action research 5- 1 action research submitted and approved to the

Prepares Action Research 2%
conducted Division Office

4- 1 action reseach submitted at the District Office

3- 1 action research prepared and noted by the

principal/school head/department head
 WEIGHT PERFORMANCE INDICATOR
MFO KRAs OBJECTIVES TIMELINE
per KRA QUALITY EFFICIENCY

2- 1 action research partially prepared and noted

by the principal/school head/department head

1- identified problem for research

5-Conducted 1 action research with reported
Conducts Action Research 2%
results
4-Conducted 1 action research with results but not
reported

3-Conducted 1 action research with partial results

2-Conducted 1 action research without results

1-1 action research partially conducted

co-curricular Initiates/Participates in co- 5- 100% co - curricular/school activities were

2%
school curricular/school initiated /participated
association 4- 80% - 99% co - curricular/school activities were
participATED association, etc.
initiated /participated
3 - 60% - 79% co - curricular/school activities
were initiated/participated
2 - 40% - 59% co - curricular/school activities
were initiated/participated
1 - 39% and below co - curricular/school activities
were initiated/participated

5-Observed proper decorum(wearing of

proper decorum Observes proper decorum at all
2% uniform,punctuality,attendance,courtesy,human
observed times
relation)
4-4 out of 5 observed
3-3 out of 5 observed
2-2 out of 5 observed
 WEIGHT PERFORMANCE INDICATOR
MFO KRAs OBJECTIVES TIMELINE
per KRA QUALITY EFFICIENCY
1-1 out of 5 observed
Division/ 5- facilitated 5 trainings in the dist./ 2 in the div. / 1
Special 5%
district/ school region
Assignments/Ta
training
sks Facilitates training in 2.00% 4-facilitated 4 trainings / 1 div.
facilitated
school/district/division 3-facilitated 3 trainings
2-facilitated 2 trainings
1-facilitated 1 training
Division/ Acts as chair of a committee in
the /division/district/school 5- acted as chair/member of 5 working committee
district/ school
committee chair 1.00% 4- acted as chair/member of 4 working committee
acted 3- acted as chair/member of 3 working committee
2- acted as chair/member of 2 working committee
1- acted as chair/member of 1 working committee
school special 2% 5- served as coordinator of 3 programs/projects
programs/ Serves as coordinator in
subjects/special programs/ 4- served as coordinator of 2 programs/projects
projects served
projects in the school
3- served as coordinator of 1 program/project
2- served as member of atleast 2 programs/projects
1- served as member of 1 program/project

BENITA S. DRAGON estrellita j. miraveles DENNIS M. DORONILA, ED.D.

Ratee Rater Approving Authority
 FORM

ACTUAL RESULT
RATING SCORE
TIMELINESS Q E T AVE

5- 100% lesson plan/dll prepared a day before

DLL/LP/IMS
5 5 5 5 5 0.5

4- 100% lesson plan/dll prepared during the

day

3- 100% lesson plan/dll prepared 1 day late

 ACTUAL RESULT
RATING SCORE
TIMELINESS Q E T AVE

2 - 100% lesson plan/dll prepared 2 days late

1 - 100% lesson plan/dll prepared 3 or more

days late

5-100% of the lessons delivered on time

STAR OBSERVATION
5 5 5 5 5 1
DLL/CLASSROOM OBSERVATION

4- lessons delivered exceeded 5 minutes

ML
 ACTUAL RESULT
RATING SCORE
TIMELINESS Q E T AVE

3- lessons delivered exceeded 7 minutes

2- lessons delivered exceeded 9 minutes

1- lessons delivered exceeded 11 minutes and

above

classroom rules,
guidelines and
individual

5 5 5 5 0.5
ANECDOTAL RECORD

REPORT CARD

BEHAVIORAL OBSERVATION WITH RUBRICS

 ACTUAL RESULT
RATING SCORE
TIMELINESS Q E T AVE

M AND E RESULT sf 2

5- Report Submitted one day before the due 5 5 5 5 5 0.5

date
DIMES-BASED PMCF

4- Report Submitted on due date Updated classroom

structuring quarterly

3- Report Submitted one day after due date

performance MONITORING AND COACHING FORM

2- Report Submitted 2 days after due date

1- Report Submitted 3 days or more after due

date

E-CLASS RECORD

5-Report Submitted one day before the due date 5 5 5 5 0.2

STUDENT PORTFOLIO

4-Report Submitted on due date

TEST QUESTIONS WITH TOS
 ACTUAL RESULT
RATING SCORE
TIMELINESS Q E T AVE

3-Report Submitted one day after due date

(PRE TEST AND POST TEST)
2-Report Submitted 2 days after due date
1-Report Submitted 3 days or more after due
date

5-Assessment tools prepared 5 days before the 5 5 5 5 0.2

test
4-Assessment tools prepared 4 days before the
test

3-Assessment tools prepared 3 days before the

test

2 Assessment tools prepared 2 days before the

test
1 Assessment tools prepared 1 day before the
test

5 - remediation conducted ahead of scheduled 5 5 5 5 0.35

time REMEDIATION PLAN/
 ACTUAL RESULT
RATING SCORE
TIMELINESS Q E T AVE

4 - remediation conducted on scheduled time

ENRICHMENT PLAN
3- remediation conducted 1 day after the
scheduled time PROGRESS REPORT
2 - remediation conducted 1 week after
scheduled time
1 - remediation conducted 2 weeks ahead of
scheduled time

SF 5
MPS/ QUARTER

3 3 3 0.45

5- conducted HRPTA conferences/meeting on 5 5 5 5 0.2

scheduled date every quarter MINUTES
4- conducted HPTA conferences/meeting 1-2
days late on scheduled date every quarter
3- conducted HPTA conferences/meeting 3-4
days late on scheduled date every quarter
2- conducted HPTA conferences/meeting 5-6
days on scheduled date every quarter
 ACTUAL RESULT
RATING SCORE
TIMELINESS Q E T AVE

1- conducted HPTA conferences/meeting 1

weeks and more days late on scheduled date
evry quarter

5 - conducted visitation on scheduled date

HOME VISITATION RECORD
4- conducted visitation 1-2 day late on 5 5 5 5 0.09
scheduled date PICTORIALS
3- conducted visitation 3-4 days late on
scheduled date
2- conducted visitation 5-6 days late on
scheduled date
1- conducted visitation 1 week or more days
late on scheduled date

5- Action Research submitted/Approved and

recommended by the Division Action Research
Team 2 weeks before implementation
ACTION RESEARCH

4 -Action Research submitted/Approved and

recommended by the Division Action Research
Team 1 week before implementation

3 -Action Research submitted/Approved and

recommended by the Division Action Research
Team 4-5 days before implementation

2- Action Research submitted/Approved and

recommended by the Division Action Research
Team 2-3 days before implementation
 ACTUAL RESULT
RATING SCORE
TIMELINESS Q E T AVE

1 - Action Research submitted/Approved and

recommended by the Division Action Research 1 1 1 1 0.02
Team 1 day before implementation

5-Action Research conducted based on the

timeline
4-Action Research conducted 1-2 days after the
timeline
3-Action Research conducted 3-4 days after the
timeline
2-Action Research conducted 5-6 days after the
timeline
1-Action Research conducted 1 week or more 1 1 1 1 0.02
after the timeline
5 - Participated/Initiated co-curricular activities 5 5 5 5 0.1
based on timeline NARRATIVE REPORT
4 - Participated/Initiated co-curricular activities
1-2 days behind the timeline ATTENDANCE
3 - Participated/Initiated co-curricular activities
3-4 days behind the timeline PICTORIALS
2- Participated/Initiated co-curricular activities
5-6 days behind the timeline
1 - Participated/Initiated co-curricular activities
1 week or more behind the timeline

5 5 5 0.1
 ACTUAL RESULT
RATING SCORE
TIMELINESS Q E T AVE

TRAINING DESIGN
TRAINING MATRIX
TRAINING COMPLETION REPORT

1 1 1 0.02

CERTIFICATES OF RECOGNITION
DESIGNATION
3 3 3 0.03

1 1 1 0.02 DESIGNATION/CERTIFICATION
4.38
VS
Overall Rating
Descriptive Rating

4.30
VS
Overall Rating
Descriptive Rating
 INDIVIDUAL PERFORMANCE COMMITMENT & REVIEW FORM
Name of Employee: MARISSA E. RANAS Name of Rater: TERESITA D. LUCAYLUCAY
Position: Teacher I Position: Master Teacher I
June 2016 - March 2017
Review Period: Date of Review: MARCH 2017
District: OLUTANGA
School: OLUTANGA CENTRAL ELEMENTARY SCHOOL
WEIGHT PERFORMANCE INDICATOR
MFO KRAs OBJECTIVES TIMELINE
per KRA QUALITY EFFICIENCY
Teaching- 5-All daily lesson plans had the following 5- 100% & above of Lesson Plans & Daily
Lessons plans Learning 50%
objectives Lesson Logs
Process
Prepares ______ lesson plans / subject matter, procedures, evaluation and w/ appropriate/ low-cost instructional
& daily logs June to 10%
daily logs assignment materials prepared
Each part had a full description of what to do with
with IMs of activities including March
an example
Objective was specific, measurable, attainable,
prepared instructional materials
result-oriented and time-bound
100% and above developed high order thinking
skills
Attains 100% and above of the desired learning
competencies
4-Had four of the five parts of lesson plan
Each part had a partial description of what to do 4- 80%-99% of Lesson Plans & Daily
with an example Lesson Logs
Objective was stated with 1 behavioral indicator is w/ appropriate / low-cost instructional
missing materials prepared
80-99% developed high order thinking skills
Attained 80-99% of the desired learning
3- Had 3 of the five parts
Each part had a partial description without 3- 60%-79% of Lesson Plans & Daily
example Lesson Logs
 WEIGHT PERFORMANCE INDICATOR
MFO KRAs OBJECTIVES TIMELINE
per KRA QUALITY EFFICIENCY
Objective was stated with 3-4 behavioral indicator w/ appropriate / low-cost instructional
missing materials
60-79% developed high order thinking skills
Attained 60-79% of the desired learning
competencies
2- Had 2 of the five parts
Each part had no description of what to do with 2- 40%-59% of Lesson Plans & Daily
example Lesson Logs
Objective was stated with 1-2 behavioral indicators w/ appropriate / low-cost instructional
missing materials prepared
40-59% developed high order thinking skills
Attained 40-59% of the desired learning 1- 39% & below of Lesson Plans & Daily
competencies Lesson Logs w/ appropriate / low-cost
1- Had 1 of the five parts instructional materials prepared
Each part had no description of what to do and
example

Objective was stated without behavioral indicators

39% and below develop high order thinking skills

39% and below attain the desired learning

competencies at all
Facilitates teaching and learning 5 -a.Established challenging and measurable goals 5- 100% & above of instructional materials
Teaching- 20%
in all subjects for student learning aligned with the were used appropriately
through functional lessons curriculum guide. Managed time and resources efficiently in
learning
plans/ 100% & above of lessons taught
daily logs and innovative 4- 80%-99% of instructional materials were
facilitated b.Teaching methods and strategies elicited
teaching strategies used appropriately
Managed time and resources efficiently in
at the end of school year interaction from a class
of 80%-99% lessons taught
 WEIGHT PERFORMANCE INDICATOR
MFO KRAs OBJECTIVES TIMELINE
per KRA QUALITY EFFICIENCY
c.Cooperative learning strategies was effective 3- 60%-79% of instructional materials were
when used used appropriately
Managed time and resources efficiently in
d. ICT integration is evident
60%-79% of lessons taught
2-40%-59% of instructional materials were
e.Provided appropriate activities of lessons taught
used appropriately
Managed time and resources efficiently in
4- 4 out of 5 strategies were evident
40%-59% of lessons taught
1- 39% & below of instructional materials
3- 3 out of 5 strategies were evident
were used appropriately
Managed time and resources efficiently in
2- 2 out of 5 strategies were evident
39% & below of lessons taught
1-1 out of 5 strategies were evident

5-90-100% mastery learning

4-75-89 % mastery learning
3-60-74 % mastery learning
2-45-59 % mastery learning
1-44 %and below mastery learning

learners'
Implements classroom rules 5- 100 % of the learners observed classroom rules 5- classroom rules/guidelines/policies
discipline 10%
and regulations and regulations prepared/installed within 1 month
initiated
4- 80-99 % of the learners observed classroom 4- classroom rules/guidelines/policies
rules and regulations prepared/installed within 2 months
3- 60-79% % of the learners observed classroom 3- classroom rules/guidelines/policies
rules and regulations prepared/installed within 3 months
2- 40-59% % of the learners observed classroom 2- classroom rules/guidelines/policies
rules and regulations prepared/installed within 4 months
 WEIGHT PERFORMANCE INDICATOR
MFO KRAs OBJECTIVES TIMELINE
per KRA QUALITY EFFICIENCY
1- 39 % and below of the learners observed 1- classroom rules/guidelines/policies
classroom rules and regulations prepared/installed within 5 months

Manages classrom routines 5-classroom routines installed and observed

10% 5-*Safe, orderly and clean classroom and toilets
during the school year within 2 weeks from the start of school year

4-classroom routines installed and observed

*Attendance checking systematically carried out
within 1 month from the start of school year

3-classroom routines installed and observed

*Updated Classroom structuring within 2 months from the start of school
year
attendance,
cleanliness of 2-classroom routines installed and observed
classroom *proper waste disposal maintained within 3 months from the start of school
atmosphere year
monitored
1-classroom routines installed and observed
*DRRM policies observed within 4 months from the start of school
year

4-4 out of 5 routines observed and sustained

3-3 out of 5 routines observed and sustained

2-2 out of 5 routines observed and sustained
1-1 out of 5 routines observed and sustained

learners' learners'
progress 30%
Outcomes
monitored &
evaluated Tracks, evaluates and maintains 5-Records of learners progress tracked,evaluated,
4%
records of learner's progress and maintained:

a. Class record reflected the bases of 100% and

above of pupils ratings in all classes/subject areas
handled
 WEIGHT PERFORMANCE INDICATOR
MFO KRAs OBJECTIVES TIMELINE
per KRA QUALITY EFFICIENCY
b. Learners portfolio contained 100% and above
of his accomplishment
c.Anecdotal Record

d.Phil-Iri/ECCDA/EGRA_ARATA
4-3 out 4 evident
3-2 out of 4 evident
2-1 out 0f 4 evident
1-none
Prepares appropriate assessment
4% 5-Appropriate assessment tools prepared :
tools
a. Test questions prepared with Table of
Specifications
b. Test questions followed the elements of test
constructions(Stimulus
Material,STEM,options,destructors,correct
answers)
c. Pretest and Post-test were administered in all
classes/subject areas

d. Performance Rubrics prepared

e.alternative
assessment(checklist,observation,focus group
discussion,interviews)
4-4 out of 5 prepared
3-3 out of 5 prepared
2-2 out of 5 prepared
1-1 out of 5 prepared
1-1 out of 5 prepared
Remedial & Conducts 5-Remediation/ Enrichment Program conducted to
enrichment 7%
remediation/enrichment 100% of identified learners
programs programs to imrove
conducted performance indicators
 WEIGHT PERFORMANCE INDICATOR
Remedial
MFO & KRAs OBJECTIVES
Conducts TIMELINE
enrichment remediation/enrichment per KRA QUALITY EFFICIENCY
programs programs to imrove 4-Remediation/ Enrichment Program conducted to
conducted performance indicators 80-99% of identified learners
3-Remediation/ Enrichment Program conducted to
60%-79% of identified learners
2-Remediation/ Enrichment Program conducted to
40%-59% of identified learners
1-Remediation/ Enrichment Program conducted to
39% and below of identified learners
Required Attains the required MPS /GSA 15% 5-3 points increased from GSA baseline
GSA in for grade level and learning 4-2.5points increased from GSA baseline
areas
learning 3-2 points increased from GSA baseline
areas 2-1.5 points increased from GSA baseline
attained 1-1 point increased from GSA baseline

5- 3pts & above increased of NAT6 / 80% & above NAT 6 MPS
4- 2pts increased of NAT6 / 75% - 79% NAT 6 MPS
3- 1.5 pt. increased of NAT6
2- 1pt. increased of NAT6
1- 0.5pt.& below increased of NAT6
Community 7%
Involvement Conducts regular/periodic PTA 5- 100% and above accomplishments with set
Regular/ 4%
meetings/conferences agreements met
4 - 80-99% accomplishments with set agreements
Periodic
met
3 - 60-79% accomplishments with set agreements
PTA meetings
met
2 - 40-59% accomplishments with set agreements
conducted
met
 WEIGHT PERFORMANCE INDICATOR
MFO KRAs OBJECTIVES TIMELINE
per KRA QUALITY EFFICIENCY

1 - 39% and below accomplishments with set

agreements met

parents of 5 - 100% identified LARDOs (learner's at risk of

learners Conducts home visitation 3%
dropping out) visited
needing
4 - 80-99%identified LARDOs (learner's at risk of
academic dropping out) visited
follow-up visited
3 - 60-79% identified LARDOs (learner's at risk
of dropping out) visited
2 - 40-59% identified LARDOs (learner's at risk
of dropping out) visited
1 - 39% identified LARDOs (learner's at risk of
dropping out) visited

Professional
Growth and 8%
development

action research 5- 1 action research submitted and approved to the

Prepares Action Research 2%
conducted Division Office

4- 1 action reseach submitted at the District Office

3- 1 action research prepared and noted by the

principal/school head/department head
 WEIGHT PERFORMANCE INDICATOR
MFO KRAs OBJECTIVES TIMELINE
per KRA QUALITY EFFICIENCY

2- 1 action research partially prepared and noted

by the principal/school head/department head

1- identified problem for research

5-Conducted 1 action research with reported
Conducts Action Research 2%
results
4-Conducted 1 action research with results but not
reported

3-Conducted 1 action research with partial results

2-Conducted 1 action research without results

1-1 action research partially conducted

co-curricular Initiates/Participates in co- 5- 100% co - curricular/school activities were

2%
school curricular/school initiated /participated
association 4- 80% - 99% co - curricular/school activities were
participATED association, etc.
initiated /participated
3 - 60% - 79% co - curricular/school activities
were initiated/participated
2 - 40% - 59% co - curricular/school activities
were initiated/participated
1 - 39% and below co - curricular/school activities
were initiated/participated

5-Observed proper decorum(wearing of

proper decorum Observes proper decorum at all
2% uniform,punctuality,attendance,courtesy,human
observed times
relation)
4-4 out of 5 observed
3-3 out of 5 observed
2-2 out of 5 observed
 WEIGHT PERFORMANCE INDICATOR
MFO KRAs OBJECTIVES TIMELINE
per KRA QUALITY EFFICIENCY
1-1 out of 5 observed
Division/ 5- facilitated 5 trainings in the dist./ 2 in the div. / 1
Special 5%
district/ school region
Assignments/Ta
training
sks Facilitates training in 2.00% 4-facilitated 4 trainings / 1 div.
facilitated
school/district/division 3-facilitated 3 trainings
2-facilitated 2 trainings
1-facilitated 1 training
Division/ Acts as chair of a committee in
the /division/district/school 5- acted as chair/member of 5 working committee
district/ school
committee chair 1.00% 4- acted as chair/member of 4 working committee
acted 3- acted as chair/member of 3 working committee
2- acted as chair/member of 2 working committee
1- acted as chair/member of 1 working committee
school special 2% 5- served as coordinator of 3 programs/projects
programs/ Serves as coordinator in
subjects/special programs/ 4- served as coordinator of 2 programs/projects
projects served
projects in the school
3- served as coordinator of 1 program/project
2- served as member of atleast 2 programs/projects
1- served as member of 1 program/project

MARISSA E. RANAS teresita d. lucaylucay DENNIS M. DORONILA, ED.D.

Ratee Rater Approving Authority
 FORM

ACTUAL RESULT
RATING SCORE
TIMELINESS Q E T AVE

5- 100% lesson plan/dll prepared a day before

DLL/LP/IMS
5 5 5 5 5 0.5

4- 100% lesson plan/dll prepared during the

day

3- 100% lesson plan/dll prepared 1 day late

 ACTUAL RESULT
RATING SCORE
TIMELINESS Q E T AVE

2 - 100% lesson plan/dll prepared 2 days late

1 - 100% lesson plan/dll prepared 3 or more

days late

5-100% of the lessons delivered on time

STAR OBSERVATION
5 5 5 5 5 1
DLL/CLASSROOM OBSERVATION

4- lessons delivered exceeded 5 minutes

ML
 ACTUAL RESULT
RATING SCORE
TIMELINESS Q E T AVE

3- lessons delivered exceeded 7 minutes

2- lessons delivered exceeded 9 minutes

1- lessons delivered exceeded 11 minutes and

above

classroom rules,
guidelines and
individual

5 5 5 5 0.5
ANECDOTAL RECORD

REPORT CARD

BEHAVIORAL OBSERVATION WITH RUBRICS

 ACTUAL RESULT
RATING SCORE
TIMELINESS Q E T AVE

M AND E RESULT sf 2

5- Report Submitted one day before the due 5 5 5 5 5 0.5

date
DIMES-BASED PMCF

4- Report Submitted on due date Updated classroom

structuring quarterly

3- Report Submitted one day after due date

performance MONITORING AND COACHING FORM

2- Report Submitted 2 days after due date

1- Report Submitted 3 days or more after due

date

E-CLASS RECORD

5-Report Submitted one day before the due date 5 5 5 5 0.2

STUDENT PORTFOLIO

4-Report Submitted on due date

TEST QUESTIONS WITH TOS
 ACTUAL RESULT
RATING SCORE
TIMELINESS Q E T AVE

3-Report Submitted one day after due date

(PRE TEST AND POST TEST)
2-Report Submitted 2 days after due date
1-Report Submitted 3 days or more after due
date

5-Assessment tools prepared 5 days before the 5 5 5 5 0.2

test
4-Assessment tools prepared 4 days before the
test

3-Assessment tools prepared 3 days before the

test

2 Assessment tools prepared 2 days before the

test
1 Assessment tools prepared 1 day before the
test

5 - remediation conducted ahead of scheduled 5 5 5 5 0.35

time REMEDIATION PLAN/
 ACTUAL RESULT
RATING SCORE
TIMELINESS Q E T AVE

4 - remediation conducted on scheduled time

ENRICHMENT PLAN
3- remediation conducted 1 day after the
scheduled time PROGRESS REPORT
2 - remediation conducted 1 week after
scheduled time
1 - remediation conducted 2 weeks ahead of
scheduled time

SF 5
MPS/ QUARTER

3 3 3 0.45

5- conducted HRPTA conferences/meeting on 5 5 5 5 0.2

scheduled date every quarter MINUTES
4- conducted HPTA conferences/meeting 1-2
days late on scheduled date every quarter
3- conducted HPTA conferences/meeting 3-4
days late on scheduled date every quarter
2- conducted HPTA conferences/meeting 5-6
days on scheduled date every quarter
 ACTUAL RESULT
RATING SCORE
TIMELINESS Q E T AVE

1- conducted HPTA conferences/meeting 1

weeks and more days late on scheduled date
evry quarter

5 - conducted visitation on scheduled date

HOME VISITATION RECORD
4- conducted visitation 1-2 day late on 5 5 5 5 0.09
scheduled date PICTORIALS
3- conducted visitation 3-4 days late on
scheduled date
2- conducted visitation 5-6 days late on
scheduled date
1- conducted visitation 1 week or more days
late on scheduled date

5- Action Research submitted/Approved and

recommended by the Division Action Research
Team 2 weeks before implementation
ACTION RESEARCH

4 -Action Research submitted/Approved and

recommended by the Division Action Research
Team 1 week before implementation

3 -Action Research submitted/Approved and

recommended by the Division Action Research
Team 4-5 days before implementation

2- Action Research submitted/Approved and

recommended by the Division Action Research
Team 2-3 days before implementation
 ACTUAL RESULT
RATING SCORE
TIMELINESS Q E T AVE

1 - Action Research submitted/Approved and

recommended by the Division Action Research 1 1 1 1 0.02
Team 1 day before implementation

5-Action Research conducted based on the

timeline
4-Action Research conducted 1-2 days after the
timeline
3-Action Research conducted 3-4 days after the
timeline
2-Action Research conducted 5-6 days after the
timeline
1-Action Research conducted 1 week or more 1 1 1 1 0.02
after the timeline
5 - Participated/Initiated co-curricular activities 5 5 5 5 0.1
based on timeline NARRATIVE REPORT
4 - Participated/Initiated co-curricular activities
1-2 days behind the timeline ATTENDANCE
3 - Participated/Initiated co-curricular activities
3-4 days behind the timeline PICTORIALS
2- Participated/Initiated co-curricular activities
5-6 days behind the timeline
1 - Participated/Initiated co-curricular activities
1 week or more behind the timeline

5 5 5 0.1
 ACTUAL RESULT
RATING SCORE
TIMELINESS Q E T AVE

TRAINING DESIGN
TRAINING MATRIX
TRAINING COMPLETION REPORT

1 1 1 0.02

CERTIFICATES OF RECOGNITION
DESIGNATION
2 2 2 0.02

2 2 2 0.04 DESIGNATION/CERTIFICATION
4.38
VS
Overall Rating
Descriptive Rating

4.31
VS
Overall Rating
Descriptive Rating
Name of Employee: ________________________
Position: Principal 1
Review Period: June 2016-March 2017
School: _______________________
MFO KRAs OBJECTIVES TIMELINE

Instructional Instructional Leadership Performs instructional supervision to all Jan-Dec

supervision teachers to achieve learning outcomes at
to achieve the end of the school year
learning
outcomes
performed

classroom Conducts and submits 100 classroom observation

observation and monitoring at the end of the school
& monitoring year
conducted

Performs instructional supervision to enhance

Instructional curriculum implementation within the school year
supervision

performed
 Manages instructional system by assigning teachers
where they best fit and organizing special classes
at the start of the year

child friendly Learning Environment Establish systems for safe and child
school systems friendly learning and school environment
established for students

Physical Improved physical environment

environment for student learning
improved

Technical Human Resource Provides technical assistance to

Assistance Management and teachers on matters pertaining to
provided Development enhancement of classroom mngt,
skills and instructional competence.

INSET & LAC Conducts TNA-based in-service

conducted trainings and learning action cell.

school's Parents' Involvement Established school, family and

stakeholders and Community community partnership for performance
partnership Partnership
established

School Leadership,
Data-based Management and Performs data-based strategic planning to improve
strategic Operations schools performance
planning
performed
Sound school Performs School Leadership,
leadership & Management and Operations
management functions
performed

school Improve school performance

performance in the areas:
improved enrolment rate
dropout rate
survival rate
promotion rate
Plus Factor Facilitates training in Division/
regional level
 Acted chair of a committee in the
region/division/district

Ratee:
______________________________
Principal 1
 INDIVIDUAL PERFORMANCE COMMITMENT & REVIEW FORM
Name of Rater:
Position: ASDS
Date of Review: December 2016

WEIGHT PERFORMANCE INDICATORS

per KRA Obj QUALITY
40% 15% 5- 5pts & above increase of NAT
10.0% 4- 4 pts increase of NAT
3- 3 pts increase of NAT
2- 2 pts increase of NAT
1- 1 pts & below increase of NAT

10.00% 5- 100% & above of teachers have 90%-100% GSA

4- 86%-99% of teachers have 80%-89% GSA
3- 75%-85% of teachers have 70%-89% GSA
2- 65%-74% of teachers have 70%-89% GSA
1- 64% & below of teachers have 70%-89% GSA

10% 5- 100% & above classroom observation following STAR

model w/agreement conducted at the end of school year
4- 86-99% classroom observation following STAR model
w/ agreement conducted at the end of school year
3- 75-85% classroom observations following STAR model
w/ agreement conducted at the end of school year
2- 65-74% classroom observations following STAR model
w/ agreement conducted at the end of school year
1- 64% & below classroom observations following STAR model
w/ agreement conducted at the end of school year
10% 5- Collected, analyzed and utilized data to identify and plan
needed curriculum interventions
Organizes projects teams to plan and implement
curriculum interventions
Recommended localized curriculum (MTB) for instruction
Organizes appropriate classes to diverse students needs
Adopts ADM & flexible learning options
4- 4 of 5 requirements satisfied (with evidences)
 3- 3 of 5 requirements satisfied (with evidences)
2- Some requirements satisfied w/out evidences
1- requirements and reports largely missing

5-5 & above of instructional system managed(organization of classes,

assignment of teachers,special classes,master/class program,
teaching loads) with evidences
4- 4 of 5 requirements satisfied (with evidences)
3- 3 of 5 requirements satisfied (with evidences)
2- Some requirements satisfied w/out evidences
1- requirements and reports largely missing

10% 5- 100% and above accomplishments on the following

5% (supported by evidence such as school policy, reports,information
materials,advocacy activities, regular meetings, inventory)
Adhered to CFSS,
Institutionalized Child protection mechanisms& processes
Has clear DRRM mobilization plans
4- All mechanisms are present except for some minimal
requirements.

3- All mechanisms are present but w/o evidences

2- Incomplete mechanisms and absence of reports.
1-mechanisms and reports are missing
5% 5- 17 & above of classrooms & facilities are structured & well-maintained
4- 14-16 of classrooms & facilities are structured & well-maintained
3- 11-13 of classrooms & facilities are structured & well-maintained
2- 8-10 of classrooms & facilities are structured & well-maintained
1- 7 & below of classrooms & facilities are structured & well-maintained
20% 5- 17 and above of teachers provided with technical assistance
10% with corresponding evidences: (observation reports, TNA results
performance analysis & recommendations for devt interventions(semestral)
4- 14-16 of teachers provided with technical assistance
with corresponding evidences(semestral)
3- 10-13 of teachers provided with technical assistance
with corresponding evidences
2- 7-9 of teachers provided with technical assistance
with corresponding evidences
1- 6 & below of teachers provided with technical assistance
with corresponding evidences
2.5% 5- 17 & above of teachers attended(2) INSET with TCR
 4- 14-16 of teachers attended(2) INSET with TCR
3- 10-13 of teachers attended(2) INSET
2- 7 -9 of teachers attended(2) INSET
1- 6 & below of teachers attended(2) INSET
2.50% 5- 17 & above of teachers attended LAC sessions with TCR
4- 14-16 of teachers attended LAC sessions with TCR
3- 10-13 of teachers attended LAC sessions with TCR
2- 7-9 of teachers attended LAC sessions with TCR
1- 6 & below of teachers attended LAC sessions with TCR
w/ TCR
5% 5 -Has stakeholders partnership/mobilization plan agreements
(complete with reports and documentations of meetings,
Organized programs with stakeholders,esp. parents for academic
and other purposes (esp. Strategic planning)
Obtained resources for the school through stakeholders partnership
4 -Has mobilization plan and occasionally meets stakeholders in
meetings and activities but some elements (e.g. not enough
resources raised)

3- Has mobilization plan and ocassionally meets are missing

stakeholders but not resulting to resources generated and
evidences
2-Poor mobilization skills and seldom meets stakeholders
1-No evidence in this area
20% 5-100% & above of plans,programs & projects based on data to improve
10% schools performance captured in SIP/AIP using CI process with 100% evidences
4-86%-99% of plans,programs & projects based on data to improve schools

performance captured in SIP/AIP using CI process with 90% evidences

3-75%-85% of plans,programs & projects based on data to improve schools

perforamce captured in SIP/AIP using CI process with 80% evidences
2-65%-74% of plans,programs & projects ti improve pupils performance
captured in SIP/AIP using CI process with 70% evidences
1-64% & below of plans,programs & projects ti improve pupils performance

captured in SIP/AIP using CI process with 60% evidences

 10% 5- With clear financial management system for the school
supported by evidences such as reports, account logs
, database sytem
Allocated/Prioritized funds for programs and school
facilities improvement and maintenance

Monitored, accounted and reported utilization of school fund

Reported sources and uses of funds
Ensured quality standards for facilities given to the school
Coordinated with stakeholders on resource mobilization
Maintained school EMIS and regularly submit
MIS reports to the Division Office
4- With clear financial and resource management
system but one or equirements were missing were
negligible (with complete evidence
3-With clear financial and resource management
system but two requirements and/or reports were lacking
2-Financial Management System and reporting were
in its initial stages
1-No Financial Managment System and/or reports
observed
10%
5- 100% of the target met per indicator
2.50% 4- 86-99% of the target met per indicator
2.50% 3- 75%-85% of the target met per indicator
2.50% 2- 65%-74% of the target met per indicator
2.50% 1- 64% & below of the target met per indicator
5- facilitated 3 trainings at regional/ 5 division
4-facilitated 2 trainings in region/4 in division
3-facilitated 1 trainings in region/3 in division
2-facilitated 0 trainings in region/2 in division
 1-facilitated 0 trainings in region/1 in division
5- acted as chair of working committee in the region
4- acted as chair of working committee in the division
3- acted as chair of 3 working committees in the district
2- acted as chair of 2 working committees in the district
1- acted as chair of 1 working committee in the district

Rater: ________________________________________
PSDS
ENT & REVIEW FORM

PERFORMANCE INDICATORS ACTUAL RESULTS

EFFICIENCY TIMELINESS Q E T
5- 100% & above of k -grade 6 teachers 5- Instructional assistance provided
given appropriate & timely instructional assistance once a month.
4- 86%-99% of k to grade 6 teachers 4- Instructional assistance once in
given appropriate & timely instructional assistance two months
3- 75%-85% of k to grade 6 teachers 3- Instructional assistance provided
given appropriate & timely instructional assistance once in a quarter
2- 65%-74% of K to grade 6 teachers 2- Instructional assistance provided
given appropriate & timely instructional assistance once in a semester
1- 64% & below of K to grade 6 teachers 1- Instructional assistance provided
given appropriate & timely instructional assistance once a year
5- 100% & above of K to grade 6 teachers 5- Instructional assistance provided
given appropriate & timely instructional assistance once a month.
4- 86%-99% of K to grade 6 teachers 4- Instructional assistance once in
given appropriate & timely instructional assistance two months
3- 75%-85% of K to grade 6 teachers 3- Instructional assistance provided
given appropriate & timely instructional assistance once in a quarter
2- 65%-74% of K to grade 6 teachers 2- Instructional assistance provided
given appropriate & timely instructional assistance once in a semester
1- 64% & below of K to grade 6 teachers 1- Instructional assistance provided
given appropriate & timely instructional assistance once a year
5- 10 & above classroom observation
submitted monthly
4- 9 classroom observations
submitted monthly
3- 8 classroom observations
submitted monthly
2- 7 classroom observations
submitted monthly
1- 6 & below classroom observations
submitted monthly
5-100% of curriculum intervention plans implemented 5-Curriculum intervention plans
successfully within the approved budget. implemented based on timeline
4-86%-99% of curriculum intervention plans 4- Curriculum intervention plans
implemented successfully but implemented1- 2 weeks late
exceeded 10% of the approved budget. 3- Curriculum intervention plans
3-75%-85% of curriculum intervention plans implemented 3-4 weeks late
implemented successfully but 2- Curriculum intervention plans
exceeded 20% of the approved budget. implemented 5-6 weeks late
 2-65%-74% of curriculum intervention plans 1- Curriculum intervention plans
implemented successfully but implemented 7-8 weeks late
exceeded 10% of the approved budget.
1-64% & below of curriculum intervention plans
implemented successfully but
exceeded 10% of the approved budget.

5- 100% of instructional system managed

1 week before opening of classes
4- 86%-99% of instructional system managed
during the opening of classes
3- 75%-85% of instructional system managed
1 week after the opening of classes
2- 65%-74% of instructional system managed
2 weeks after the opening of classes
1- 64% & below of instructional system managed
3 weeks after the opening of classes

ions(semestral)
1-64% and below accomplishments, strategic planning
process and evidences are largely absent
TUAL RESULTS RATING SCORE
Ave
 OBJECTIVES
KRA
Health and
Nutrition Education

Healthful
School Living 1. Supervises the maintenance of safe, healthful and sanitary conditions of the school facilities
2. Monitors and evaluates health and nutrition projects and programs implementation.

3. Establishes health and nutrition data bank for planning & research

4. Encourages wholesome interpersonal relationships.

Health and 1.Conducts individual health inspection/screening of at least 85% school children and keeps records of
Nutrition Services 2. Treats all pupils with identified ailments and refer cases to physicians
3. Deworms at least 85% of children in a school year
4. Confers with parents/teachers concerning the health status of pupils/students.

5. Follows-up cases of sick children, teachers and other school personnel through home/hospital visits.

9. Participates in meetings/conferences and other health and nutrition related activities

21. Provides health services to trainings and school/district/division activities

School Community
Coordination for Coordinates with health agencies program implementation.

Health and Nutrition

JOB-DEFINED OBJECTIVES
HNE
HNE
1. Implements health education programs such as health promotion and disease prevention HNE
activities
2. Provides individual instruction, guidance and counseling on health problems, concerns, HNE
treatment and procedures.

HNE
3. Conducts health and sanitation lectures/talks/advices to classes/conferences during the SY.

4. Maintains a functional school clinic HSL

HSL
11. Looks into the sanitation of the lunch counter and the selection, preparation and serving of HSL
food
HSL

18. Monitors and evaluates health and nutrition projects and programs implementation. HSL

24. Encourages wholesome interpersonal relationships. HSL

25. Assists the administrator in the organization of a healthful school day. HSL

26. Conducts health and nutrition survey and utilizes results for planning and research. HSL

HSL
Inspects the sanitation of lunch counter and food services
28. Establishes health and nutrition data bank. HSL

7. Assists the physician in clinic work HNS

3. Treats minor ailments and gives first aid treatment in the clinic. HNS
13. Confers with teachers on the kind of follow-up needed by pupils. HNS
1. Performs periodic physical inspection of pupils and students and keeps record of findings.

15. Utilizes tested medicinal plants in the treatment of common ailment. HNS
12. Evaluates the nature and severity of patients problem utilizing nursing assessment skills
(vision and hearing testing, height and weight taking and determines appropriate level of care HNS
needed).
19. Follows-up cases of sick children, teachers and other school personnel through HNS
home/hospital visits.

20. Confers with parents/teachers concerning the health status of pupils/students. HNS

29. Recommends medicine and other supplies for medical services in coordination with the HNS
medical officer.

9. Participates in meetings/conferences and other health and nutrition related activities SCC
16. Isolates cases of communicable diseases and refers them to the medical officer or any SCC
health agencies for proper diagnosis and treatment.
21. Initiates/Reactivates the organization of community health council. SCC
22. Cooperates with agencies in emergencies and relief works during epidemics, disasters SCC
and calamities
 INDIVIDUAL PERFORM
Name of Employee: DOLORES D. TAN-AWON
Position: Teacher I
June 2016 - March 2017
Review Period:
District: TALUSAN
School: TALUSAN CENTRAL ELEMENTARY SCHOOL
WEIGHT
MFO KRAs OBJECTIVES TIMELINE
per KRA
Teaching-
Lessons plans Learning 50%
Process
Prepares ______ lesson plans /
& daily logs June to 10%
daily logs

with IMs of activities including March

prepared instructional materials

 WEIGHT
MFO KRAs OBJECTIVES TIMELINE
per KRA

Facilitates teaching and learning

Teaching- 20%
in all subjects
through functional lessons
learning
plans/
daily logs and innovative
facilitated
teaching strategies

at the end of school year

learners'
Implements classroom rules
discipline 10%
and regulations
initiated

Manages classrom routines

10%
during the school year
 WEIGHT
MFO KRAs OBJECTIVES TIMELINE
per KRA

attendance,
cleanliness of
classroom
atmosphere
monitored

learners' learners'
progress 30%
Outcomes
monitored &
evaluated Tracks, evaluates and maintains
4%
records of learner's progress

Prepares appropriate assessment

4%
tools
 WEIGHT
MFO KRAs OBJECTIVES TIMELINE
per KRA

Remedial & Conducts

enrichment 7%
remediation/enrichment
programs programs to imrove
conducted performance indicators

Required Attains the required MPS /GSA 15%

GSA in for grade level and learning
areas
learning
areas
attained

Community 7%
Involvement Conducts regular/periodic PTA
Regular/ 4%
meetings/conferences

Periodic

PTA meetings

conducted

parents of
learners Conducts home visitation 3%
needing
academic
follow-up visited
 academic
follow-up visited WEIGHT
MFO KRAs OBJECTIVES TIMELINE
per KRA

Professional
Growth and 8%
development

action research
Prepares Action Research 2%
conducted

Conducts Action Research 2%

co-curricular Initiates/Participates in co-

2%
school curricular/school
association
participATED association, etc.

proper decorum Observes proper decorum at all

2%
observed times
 WEIGHT
MFO KRAs OBJECTIVES TIMELINE
per KRA

Division/
Special 5%
district/ school
Assignments/Ta
training
sks Facilitates training in 2.00%
facilitated
school/district/division

Division/ Acts as chair of a committee in

district/ school the /division/district/school
committee chair 1.00%
acted

school special 2%
programs/ Serves as coordinator in
subjects/special programs/
projects served
projects in the school

DOLORES D. TAN-AWON RUBIE M. BAGONOC

Ratee Rater
DIVIDUAL PERFORMANCE COMMITMENT & REVIEW FORM
Name of Rater: RUBIE M. BAGONOC
Position: Master Teacher I
Date of Review: MARCH 2017

ARY SCHOOL
PERFORMANCE INDICATOR
QUALITY EFFICIENCY

5-All daily lesson plans had the following 5- 100% & above of Lesson Plans & Daily
objectives Lesson Logs
subject matter, procedures, evaluation and w/ appropriate/ low-cost instructional
assignment materials prepared
Each part had a full description of what to do with
an example
Objective was specific, measurable, attainable,
result-oriented and time-bound
100% and above developed high order thinking
skills
Attains 100% and above of the desired learning
competencies
4-Had four of the five parts of lesson plan
Each part had a partial description of what to do 4- 80%-99% of Lesson Plans & Daily
with an example Lesson Logs
Objective was stated with 1 behavioral indicator is w/ appropriate / low-cost instructional
missing materials prepared
80-99% developed high order thinking skills
Attained 80-99% of the desired learning
3- Had 3 of the five parts
Each part had a partial description without 3- 60%-79% of Lesson Plans & Daily
example Lesson Logs
Objective was stated with 3-4 behavioral indicator w/ appropriate / low-cost instructional
missing materials
60-79% developed high order thinking skills
Attained 60-79% of the desired learning
competencies
2- Had 2 of the five parts
Each part had no description of what to do with 2- 40%-59% of Lesson Plans & Daily
example Lesson Logs
Objective was stated with 1-2 behavioral indicators w/ appropriate / low-cost instructional
missing materials prepared
40-59% developed high order thinking skills
Attained 40-59% of the desired learning 1- 39% & below of Lesson Plans & Daily
competencies Lesson Logs w/ appropriate / low-cost
1- Had 1 of the five parts instructional materials prepared
Each part had no description of what to do and
example

Objective was stated without behavioral indicators


QUALITY
39% and below develop high order thinking skills
39% and below attain the desired learning
competencies at all
5 -a.Established challenging and measurable goals 5- 100% & above of instructional materials
for student learning aligned with the
curriculum guide.
b.Teaching methods and strategies elicited
interaction from a class
c.Cooperative learning strategies was effective
when used
d. ICT integration is evident
e.Provided appropriate activities of lessons taught
4- 4 out of 5 strategies were evident
3- 3 out of 5 strategies were evident
2- 2 out of 5 strategies were evident
1-1 out of 5 strategies were evident
5-90-100% mastery learning
4-75-89 % mastery learning
3-60-74 % mastery learning
2-45-59 % mastery learning
1-44 %and below mastery learning
5- 100 % of the learners observed classroom rules 5- classroom rules/guidelines/policies
and regulations
4- 80-99 % of the learners observed classroom
rules and regulations
3- 60-79% % of the learners observed classroom
rules and regulations
2- 40-59% % of the learners observed classroom
rules and regulations
1- 39 % and below of the learners observed
classroom rules and regulations
5-*Safe, orderly and clean classroom and toilets
PERFORMANCE INDICATOR
EFFICIENCY
were used appropriately
Managed time and resources efficiently in
100% & above of lessons taught
4- 80%-99% of instructional materials were
used appropriately
Managed time and resources efficiently in
of 80%-99% lessons taught
3- 60%-79% of instructional materials were
used appropriately
Managed time and resources efficiently in
60%-79% of lessons taught
2-40%-59% of instructional materials were
used appropriately
Managed time and resources efficiently in
40%-59% of lessons taught
1- 39% & below of instructional materials
were used appropriately
Managed time and resources efficiently in
39% & below of lessons taught
prepared/installed within 1 month
4- classroom rules/guidelines/policies
prepared/installed within 2 months
3- classroom rules/guidelines/policies
prepared/installed within 3 months
2- classroom rules/guidelines/policies
prepared/installed within 4 months
1- classroom rules/guidelines/policies
prepared/installed within 5 months
5-classroom routines installed and observed
within 2 weeks from the start of school year
 PERFORMANCE INDICATOR
QUALITY EFFICIENCY

4-classroom routines installed and observed

*Attendance checking systematically carried out
within 1 month from the start of school year

3-classroom routines installed and observed

*Updated Classroom structuring
*proper waste disposal maintained
*DRRM policies observed
within 2 months from the start of school
year
2-classroom routines installed and observed
within 3 months from the start of school
year
1-classroom routines installed and observed
within 4 months from the start of school
year

4-4 out of 5 routines observed and sustained

3-3 out of 5 routines observed and sustained

2-2 out of 5 routines observed and sustained
1-1 out of 5 routines observed and sustained

5-Records of learners progress tracked,evaluated,

and maintained:

a. Class record reflected the bases of 100% and

above of pupils ratings in all classes/subject areas
handled
b. Learners portfolio contained 100% and above
of his accomplishment
c.Anecdotal Record

d.Phil-Iri/ECCDA/EGRA_ARATA
4-3 out 4 evident
3-2 out of 4 evident
2-1 out 0f 4 evident
1-none

5-Appropriate assessment tools prepared :

a. Test questions prepared with Table of

Specifications
b. Test questions followed the elements of test
constructions(Stimulus
Material,STEM,options,destructors,correct
answers)
c. Pretest and Post-test were administered in all
classes/subject areas

d. Performance Rubrics prepared

 PERFORMANCE INDICATOR
QUALITY EFFICIENCY

e.alternative
assessment(checklist,observation,focus group
discussion,interviews)
4-4 out of 5 prepared
3-3 out of 5 prepared
2-2 out of 5 prepared
1-1 out of 5 prepared
1-1 out of 5 prepared
5-Remediation/ Enrichment Program conducted to
100% of identified learners
4-Remediation/ Enrichment Program conducted to
80-99% of identified learners
3-Remediation/ Enrichment Program conducted to
60%-79% of identified learners
2-Remediation/ Enrichment Program conducted to
40%-59% of identified learners
1-Remediation/ Enrichment Program conducted to
39% and below of identified learners
5-3 points increased from GSA baseline
4-2.5points increased from GSA baseline
3-2 points increased from GSA baseline
2-1.5 points increased from GSA baseline
1-1 point increased from GSA baseline

5- 3pts & above increased of NAT6 / 80% & above NAT 6 MPS
4- 2pts increased of NAT6 / 75% - 79% NAT 6 MPS
3- 1.5 pt. increased of NAT6
2- 1pt. increased of NAT6
1- 0.5pt.& below increased of NAT6

5- 100% and above accomplishments with set

agreements met
4 - 80-99% accomplishments with set agreements
met
3 - 60-79% accomplishments with set agreements
met
2 - 40-59% accomplishments with set agreements
met

1 - 39% and below accomplishments with set

agreements met

5 - 100% identified LARDOs (learner's at risk of

dropping out) visited
4 - 80-99%identified LARDOs (learner's at risk of
dropping out) visited
3 - 60-79% identified LARDOs (learner's at risk
of dropping out) visited
 PERFORMANCE INDICATOR
QUALITY EFFICIENCY
2 - 40-59% identified LARDOs (learner's at risk
of dropping out) visited
1 - 39% identified LARDOs (learner's at risk of
dropping out) visited

5- 1 action research submitted and approved to the

Division Office

4- 1 action reseach submitted at the District Office

3- 1 action research prepared and noted by the

principal/school head/department head

2- 1 action research partially prepared and noted

by the principal/school head/department head

1- identified problem for research

5-Conducted 1 action research with reported
results
4-Conducted 1 action research with results but not
reported

3-Conducted 1 action research with partial results

2-Conducted 1 action research without results

1-1 action research partially conducted

5- 100% co - curricular/school activities were

initiated /participated
4- 80% - 99% co - curricular/school activities were
initiated /participated
3 - 60% - 79% co - curricular/school activities
were initiated/participated
2 - 40% - 59% co - curricular/school activities
were initiated/participated
1 - 39% and below co - curricular/school activities
were initiated/participated

5-Observed proper decorum(wearing of

uniform,punctuality,attendance,courtesy,human
relation)
 PERFORMANCE INDICATOR
QUALITY EFFICIENCY
4-4 out of 5 observed
3-3 out of 5 observed
2-2 out of 5 observed
1-1 out of 5 observed
5- facilitated 5 trainings in the dist./ 2 in the div. / 1
region
4-facilitated 4 trainings / 1 div.
3-facilitated 3 trainings
2-facilitated 2 trainings
1-facilitated 1 training
5- acted as chair/member of 5 working committee
4- acted as chair/member of 4 working committee
3- acted as chair/member of 3 working committee
2- acted as chair/member of 2 working committee
1- acted as chair/member of 1 working committee
5- served as coordinator of 3 programs/projects
4- served as coordinator of 2 programs/projects
3- served as coordinator of 1 program/project
2- served as member of atleast 2 programs/projects
1- served as member of 1 program/project

RUBIE M. BAGONOC CARMENCITA L. BOOC

Rater Approving Authority
REVIEW FORM

CATOR ACTUAL RESULT

RATING SCORE
TIMELINESS Q E T AVE

5- 100% lesson plan/dll prepared a day before

5 5 5 5 0.1 0.5

4- 100% lesson plan/dll prepared during the

day

3- 100% lesson plan/dll prepared 1 day late

2 - 100% lesson plan/dll prepared 2 days late

1 - 100% lesson plan/dll prepared 3 or more

days late
CATOR ACTUAL RESULT
RATING SCORE
TIMELINESS Q E T AVE

5-100% of the lessons delivered on time

4 4 4 4 0.2 0.8

4- lessons delivered exceeded 5 minutes

3- lessons delivered exceeded 7 minutes

2- lessons delivered exceeded 9 minutes

1- lessons delivered exceeded 11 minutes and

above

4 4 4 0.1 0.4
CATOR ACTUAL RESULT
RATING SCORE
TIMELINESS Q E T AVE

5- Report Submitted one day before the due 4 4 4 4 0.1 0.4

date

4- Report Submitted on due date

3- Report Submitted one day after due date

2- Report Submitted 2 days after due date

1- Report Submitted 3 days or more after due

date

5-Report Submitted one day before the due date 5 5 5 0.04 0.2

4-Report Submitted on due date

3-Report Submitted one day after due date

2-Report Submitted 2 days after due date

1-Report Submitted 3 days or more after due
date

5-Assessment tools prepared 5 days before the 5 5 5 0.04 0.2

test
4-Assessment tools prepared 4 days before the
test

3-Assessment tools prepared 3 days before the

test

2 Assessment tools prepared 2 days before the

test
1 Assessment tools prepared 1 day before the
test
CATOR ACTUAL RESULT
RATING SCORE
TIMELINESS Q E T AVE

5 - remediation conducted ahead of scheduled 5 5 5 0.07 0.35

time

4 - remediation conducted on scheduled time

3- remediation conducted 1 day after the

scheduled time
2 - remediation conducted 1 week after
scheduled time
1 - remediation conducted 2 weeks ahead of
scheduled time

4 4 0.15 0.6

5- conducted HRPTA conferences/meeting on 4 5 4.5 0.04 0.18

scheduled date every quarter
4- conducted HPTA conferences/meeting 1-2
days late on scheduled date every quarter
3- conducted HPTA conferences/meeting 3-4
days late on scheduled date every quarter
2- conducted HPTA conferences/meeting 5-6
days on scheduled date every quarter
1- conducted HPTA conferences/meeting 1
weeks and more days late on scheduled date
evry quarter

5 - conducted visitation on scheduled date

4- conducted visitation 1-2 day late on 5 5 5 0.03 0.15

scheduled date
3- conducted visitation 3-4 days late on
scheduled date
CATOR ACTUAL RESULT
RATING SCORE
TIMELINESS Q E T AVE
2- conducted visitation 5-6 days late on
scheduled date
1- conducted visitation 1 week or more days
late on scheduled date

5- Action Research submitted/Approved and

recommended by the Division Action Research
Team 2 weeks before implementation

4 -Action Research submitted/Approved and

recommended by the Division Action Research
Team 1 week before implementation

3 -Action Research submitted/Approved and

recommended by the Division Action Research
Team 4-5 days before implementation

2- Action Research submitted/Approved and

recommended by the Division Action Research
Team 2-3 days before implementation

1 - Action Research submitted/Approved and

recommended by the Division Action Research 1 1 1 0.02 0.02
Team 1 day before implementation

5-Action Research conducted based on the

timeline
4-Action Research conducted 1-2 days after the
timeline
3-Action Research conducted 3-4 days after the
timeline
2-Action Research conducted 5-6 days after the
timeline
1-Action Research conducted 1 week or more 1 1 1 0.02 0.02
after the timeline
5 - Participated/Initiated co-curricular activities 5 5 5 0.02 0.1
based on timeline
4 - Participated/Initiated co-curricular activities
1-2 days behind the timeline
3 - Participated/Initiated co-curricular activities
3-4 days behind the timeline
2- Participated/Initiated co-curricular activities
5-6 days behind the timeline
1 - Participated/Initiated co-curricular activities
1 week or more behind the timeline

5 5 0.02 0.1
CATOR ACTUAL RESULT
RATING SCORE
TIMELINESS Q E T AVE

1 1 0.02 0.02

3 3 0.01 0.03

1 1 0.02 0.02

4.1
VS
Overall Rating
Descriptive Rating
DLL/LP/IMS
STAR OBSERVATION

DLL/CLASSROOM OBSERVATION

ML

classroom rules,
guidelines and
individual

ANECDOTAL RECORD

REPORT CARD

BEHAVIORAL OBSERVATION WITH RUBRICS

M AND E RESULT
sf 2
DIMES-BASED
PMCF

Updated classroom
structuring quarterly

performance MONITORING AND COACHING FORM

E-CLASS RECORD

STUDENT PORTFOLIO

TEST QUESTIONS WITH TOS

(PRE TEST AND POST TEST)

REMEDIATION PLAN/

ENRICHMENT PLAN

PROGRESS REPORT

SF 5
MPS/ QUARTER

MINUTES

HOME VISITATION RECORD

PICTORIALS
ACTION RESEARCH

NARRATIVE REPORT

ATTENDANCE

PICTORIALS
TRAINING DESIGN

TRAINING MATRIX
TRAINING COMPLETION REPORT

CERTIFICATES OF RECOGNITION
DESIGNATION

DESIGNATION/CERTIFICATION
4.38
VS
Overall Rating
Descriptive Rating
 Irene Dolly Aida
I. 50% 10 0.1 4 0.4 I. 50% 10 0.1 5 0.5
20 0.2 4 0.8 20 0.2 5 1
10 0.1 5 0.5 10 0.1 5 0.5
10 0.1 5 0.5 10 0.1 5 0.5
0 0
II. 30% 4 0.04 5 0.2 II. 30% 4 0.04 5 0.2
4 0.04 5 0.2 4 0.04 5 0.2
7 0.07 5 0.35 7 0.07 5 0.35
15 0.15 3 0.45 15 0.15 3 0.45
0 0
III. 7% 4 0.04 5 0.2 III. 7% 4 0.04 5 0.2
3 0.03 4 0.12 3 0.03 3 0.09
0 0
IV. 8% 2 0.02 4 0.08 IV. 8% 2 0.02 1 0.02
2 0.02 3 0.06 2 0.02 1 0.02
2 0.02 5 0.1 2 0.02 5 0.1
2 0.02 5 0.1 2 0.02 5 0.1
0 0
V. 5% 2 0.02 2 0.04 V. 5% 2 0.02 1 0.02
1 0.01 3 0.03 1 0.01 3 0.03
2 0.02 5 0.1 2 0.02 5 0.1
100 1 4.23 100 1 4.38

I. 25% 5 0.05 1 0.05 I. 25% 5 0.05 1 0.05

5 0.05 5 0.25 5 0.05 5 0.25
10 0.1 5 0.5 10 0.1 5 0.5
5 0.05 5 0.25 5 0.05 5 0.25
0 0
II. 45% 15 0.15 5 0.75 II. 45% 15 0.15 5 0.75
10 0.1 5 0.5 10 0.1 5 0.5
10 0.1 3 0.3 10 0.1 3 0.3
5 0.05 4 0.2 5 0.05 3 0.15
5 0.05 5 0.25 5 0.05 5 0.25
 0 0
III. 15% 5 0.05 5 0.25 III. 15% 5 0.05 5 0.25
5 0.05 5 0.25 5 0.05 5 0.25
5 0.05 4 0.2 5 0.05 4 0.2
0 0
IV. 15% 5 0.05 5 0.25 IV. 15% 5 0.05 5 0.25
5 0.05 5 0.25 5 0.05 5 0.25
5 0.05 4 0.2 5 0.05 3.5 0.175
100 1 4.45 100 1 4.375
arlyn jerelie
I. 50% 10 0.1 5 0.5 I. 50% 10 0.1 5
20 0.2 5 1 20 0.2 5
10 0.1 5 0.5 10 0.1 5
10 0.1 5 0.5 10 0.1 5
0
II. 30% 4 0.04 5 0.2 II. 30% 4 0.04 4.5
4 0.04 5 0.2 4 0.04 5
7 0.07 5 0.35 7 0.07 5
15 0.15 3 0.45 15 0.15 3
0
III. 7% 4 0.04 5 0.2 III. 7% 4 0.04 5
3 0.03 3 0.09 3 0.03 3
0
IV. 8% 2 0.02 1 0.02 IV. 8% 2 0.02 1
2 0.02 1 0.02 2 0.02 1
2 0.02 5 0.1 2 0.02 5
2 0.02 5 0.1 2 0.02 5
0
V. 5% 2 0.02 1 0.02 V. 5% 2 0.02 1
1 0.01 3 0.03 1 0.01 2
2 0.02 2 0.04 2 0.02 2
100 1 4.32 100 1
 unknown unknown
0.5 I. 50% 10 0.1 5 0.5 I. 50% 10 0.1 5
1 20 0.2 5 1 20 0.2 4
0.5 10 0.1 5 0.5 10 0.1 4
0.5 10 0.1 5 0.5 10 0.1 4.6
0 0
0.18 II. 30% 4 0.04 5 0.2 II. 30% 4 0.04 5
0.2 4 0.04 5 0.2 4 0.04 5
0.35 7 0.07 5 0.35 7 0.07 4
0.45 15 0.15 3 0.45 15 0.15 4
0 0
0.2 III. 7% 4 0.04 5 0.2 III. 7% 4 0.04 4.5
0.09 3 0.03 3 0.09 3 0.03 4
0 0
0.02 IV. 8% 2 0.02 1 0.02 IV. 8% 2 0.02 3
0.02 2 0.02 1 0.02 2 0.02 4
0.1 2 0.02 3 0.06 2 0.02 4
0.1 2 0.02 5 0.1 2 0.02 5
0 0
0.02 V. 5% 2 0.02 1 0.02 V. 5% 2 0.02 3
0.02 1 0.01 2 0.02 1 0.01 4
0.04 2 0.02 2 0.04 2 0.02 4
4.29 100 1 4.27 100 1
 unknown
0.5 I. 50% 10 0.1 5 0.5
0.8 20 0.2 5 1
0.4 10 0.1 5 0.5
0.46 10 0.1 4.6 0.46
0 0
0.2 II. 30% 4 0.04 5 0.2
0.2 4 0.04 5 0.2
0.28 7 0.07 4 0.28
0.6 15 0.15 4 0.6
0 0
0.18 III. 7% 4 0.04 4.5 0.18
0.12 3 0.03 4 0.12
0 0
0.06 IV. 8% 2 0.02 3 0.06
0.08 2 0.02 4 0.08
0.08 2 0.02 5 0.1
0.1 2 0.02 5 0.1
0 0
0.06 V. 5% 2 0.02 4 0.08
0.04 1 0.01 4 0.04
0.08 2 0.02 4 0.08
4.24 100 1 4.58