Republic of the Philippines

Department of Education
Region V
DIVISION OF SORSOGON
QUEZON NATIONAL HIGH SCHOOL
Quezon Bulan, Sorsogon

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM

Name of Employee : Sir Lordman B. Del Valle Name of Rater : Josefina F. Pura

 Position : Teacher I Position : Head Teacher-III / Teacher-in-Charge

 Review Period : July, 2017-December, 2017 Date of Review :__________________________________
School/ District/ Office : Quezon National High School

TO BE FILLED IN DURING EVALUATION

PERFORMANCE RATING
INDICATORS
WEIGHT
MFOs KRAs OBJECTIVES TIMELINE per KRA
ACTUAL RESULTS Q E T AVE. SCORE
(Quality, Efficiency,
Timeliness)

Basic I. Teaching- 1. (20%) Prepare lessons and July, 2017- 50% 5- 5 of the 1. Visual aids
Education Learning appropriate instructional materials. December, requirements satisfied. 2. Powerpoint
Services Process 2017 (with evidences) presentations
 Use of teaching guide, modules 3. Lesson plan
and other resource materials. 4- 4 out of 5 of the 4. Pictures that
 Use of appropriate illustrations, requirements satisfied showed the use of
projector, laptop
graphs, pictures, flashcards and (with evidences)
and speaker
other instructional devices.
  Maximize the use of modern
technology such as laptop,
cellphone, projector and speaker
in the deliverance of lesson.
 Compiled pupil’s output/
documentations.
 Design different/ appropriate
activities for varied learners.
3- 3 out of 5 of the 5. Used teaching
requirements satisfied guides
(with evidences) 6. Illustrations and
graphs
2- 2 out of 5 of the
requirements satisfied
(with evidences)
1-1 out of 5 of the
requirements satisfied
(with evidences)

2. (15%) Conducted learning activities 5- 5 of the 1. Laboratory activity

to improve performance. requirements satisfied. notebooks.
(with evidences) 2. Actual conduct of
Lab.activities
4- 4 out of 5 of the (pictures)
 Facilitate in laboratory
requirements satisfied 3. Activity
activities.
presentations
 Provide individual and group (with evidences)
4. Pictures of
activities such as brainstorming,
3- 3 out of 5 of the reporting of
group presentation, board
requirements satisfied students
activities, etc.
5. Learning
 Assigned topics for oral report (with evidences)
intervention
to enhance students’ confidence
2- 2 out of 5 of the samples and results
in front of the class.
6. Class Record
 Provide learning interventions if requirements satisfied
necessary. (with evidences)
 Assess the effectiveness of the
prepared activities for further 1- 1 out of 5 of the
revision. requirements
satisfied (with
evidences)
 3. (15%) Facilitated learning by 5- 5 of the 1. Class record
monitoring and evaluating students’ requirements satisfied. 2. Grading sheet
progress. (with evidences) 3. Quizzes and seat
works
4- 4 out of 5 of the 4. Quarterly projects
 Giving short assessment after requirements satisfied 5. Periodical exam
lesson. results
(with evidences)
 Provided assignment and other 6. Pictures of peer
extended activities 3- 3 out of 5 of the tutorial
 Conduct long quizzes every requirements satisfied
after module. (with evidences)
 Assign peer tutoring.
 Prepared Test questionnaires 2- 2 out of 5 of the
every periodic exam. requirements satisfied
 Assign product output every
(with evidences)
quarter.
1- 1 out of 5 of the
requirements
satisfied (with
evidences)

II. Classroom 5- 5 of the 1. Good lightning

1. (10%) Maintained the physical
management/ requirements satisfied. sources
learning environment conducive to July, 2017- 30%
(with evidences) 2. Proper ventilation
Improvement learning. December, (electric fan)
2017 3. Seating
arrangement
  Check and maintain the
cleanliness of the room
 Maintain the orderliness of the
classroom
 Ensure and check the proper
lighting of the classroom
 Provide proper ventilation of the
learning area.
2. (10%) Initiated discipline of the
students.
 Impose classroom rules agreed
both by the learners and the
facilitator/adviser.
 Organize Science Club.
 Inform students about classroom
rules and policies.
 Remind the students to turn off
the lights and electric fans after
the morning and afternoon
classes.
 Conducted flag raising
ceremony during assigned dates.
4- 4 out of 5 of the
requirements satisfied
(with evidences)
3- 3 out of 5 of the
requirements satisfied
(with evidences)
2- 2 out of 5 of the
requirements satisfied
(with evidences)
1- 1 out of 5 of the
requirements satisfied
(with evidences)
5- 5 of the 1. Structured
requirements satisfied. classroom rules
(with evidences) 2. Daily attendance.
3. pictures
4- 4 out of 5 of the
requirements satisfied
(with evidences)
3- 3 out of 5 of the
requirements satisfied
(with evidences)
2- 2 out of 5 of the
requirements satisfied
(with evidences)

3. (10%) Creates healthy teacher-
student relationship.
 Promotes fair treatment to every
students in terms of rating
system.
 Orient students on the grading
system of the subject matter
 Complete and accurate class
records.
 Submit grades of students in all
subjects handled.
 Keep track of the students’
attendance inside the classroom.
 Engage students’ active
participation in various school
activities such as tree planting
activity, wellness, deworming
activities.
1-1 out of 5 of the
requirements satisfied
(with evidences)
5- 5 of the 1. Class record
2. Pictures of practice
requirements satisfied.
and actual
(with evidences) performance of the
students.
4- 4 out of 5 of the
3. Attendance Record
requirements satisfied
(with evidences)
3- 3 out of 5 of the
requirements satisfied
(with evidences)
2- 2 out of 5 of the
requirements satisfied
(with evidences)
1- 1 out of 5 of the
requirements satisfied
(with evidences)
III.Community 1. (10%) Enhanced knowledge for July, 2017- 20% 5- 5 of the 1. Faculty meeting
Linkages and classroom instructions and related December, requirements satisfied. pictures
Professional works 2017 (with evidences) 2. Certificate of
 Attends faculty meeting. participation
Growth and
 Participated in LAC Session 4- 4 out of 5 of the 3. Certificate of
Development  Gathers data/information from appearance
requirements satisfied
seminars. 4. CD Output
(with evidences)
 Used output from seminars such 5. Pictures in
as CD in instrumentation and 3- 3 out of 5 of the participation
other related data and resources.
requirements satisfied
 Collaborate with other teachers.
(with evidences)

2- 2 out of 5 of the
requirements satisfied
(with evidences)

1-1 out of 5 of the

requirements satisfied
(with evidences)

1. Certificate of
5- 5 of the participation
2. (10%) Participated in every requirements satisfied. 2. Pictures during
opportunity for Professional Growth (with evidences) Fiesta sa
Kabubudlan
 Participated in any teacher 4- 4 out of 5 of the 3. Pictures of
gathering such as National and requirements satisfied attended events
Bulan Teacher’s day celebration (with evidences) and seminars
 Support environmental activities 4. Accomplished
such as tree planting activity 3- 3 out of 5 of the liquidation report
and workshop seminars for requirements satisfied (pictures)
students during Fiesta sa (with evidences)
Kabubudlan.
  Attended Christmas Ball held at 2- 2 out of 5 of the
Quezon Auditorium requirements satisfied
 Attended and participated (with evidences)
during INSET 2017
1 out of 5 of the
 Accomplished monthly
liquidation report as disbursing requirements satisfied
officer-designate. (with evidences)

To get the score, the rating is multiplied by the weight assigned OVERALL RATING
FOR ACCOMPLISH-
MENTS

ROSE ANN B. RIOS JOSEFINA F. PURA JOSEFINA F. PURA

Ratee Rater Approving Authority