INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM

Name of Employee Name of Rater

Position Position
Review Period Date of Review
Division/School

TO BE FILLED IN DURING THE PLANNING

WEIGHT ACTUAL RESULT
MFO MOVs KRAs OBJECTIVES TIMELINE PERFORMANCE INDICATORS RATING SCORE
PER KRA Q E T Ave
Daily lesson Teaching Wrote daily June Quality
MFO2 logs Learning lesson logs 2016 to 5 – All daily lesson logs had the following: objectives,
Process based on the March content, procedures, remarks,agreement and reflection
Basic (40%) standards- 2017
Education based 4– Had five of the six parts of lesson log
Services curriculum
guides daily 3– Had four of the six parts of lesson log

2– Had three of the six parts of lesson log

15% 1– Had two of the six parts of lesson log, thus submitted
on time on the given schedule of checking

Efficiency
5– Attained 97-100% and above of the desired learning
competencies

4– Attained 86-96% of the desired learning

competencies

3– Attained 75-85% of the desired learning

competencies

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM 1

 2– Attained 38-74% of the desired learning
competencies

1– Attained 37% and below of the desired learning

competencies

Timeliness
5– Prepared and submitted DLLs on time

4– Prepared and submitted DLLs 1 day later of the given

schedule of checking

3 – Preparedand submitted DLLs 2-3 days later of the

given schedule of checking

2 – Preparedand submitted DLLs 4 days later of the

given schedule of checking

1 – Did not prepare and submit DLLs

List of Facilitated Quality

instructional learning 5 – Used multimedia presentation in developing the
materials through the lessons in compliance with the curriculum guide
produced use of written implementation
and/or used daily logs,
learner 4 – Used appropriate, adequate and updated
modules / instructional materials
handouts,
teaching 3 – Used appropriate, updated but inadequate
guides and 20% instructional materials
other learning
resources with 2– Used appropriate but not updated and inadequate
the instructional materials
appropriate
instructional 1– Did not use any instructional material
materials
Efficiency
5 –Utilized 10 or more varied and appropriate
instructional materials per grading period

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM 2

 4–Utilized 8-9 varied and appropriate instructional
materials per grading period

3–Utilized 6-7 varied and appropriate instructional

materials per grading period

2–Utilized 4-5 varied and appropriate instructional

materials per grading period
1–Utilized 2-3 varied and appropriate instructional
materials per grading period

Timeliness
5– Prepared and used the appropriate instructional
materials to facilitate learning daily

4– Prepared and used the appropriate instructional

materials to facilitate learning 4 times a week

3– Prepared and used the appropriate instructional

materials to facilitate learning thrice a week

2– Prepared and used the appropriate instructional

materials to facilitate learning twice a week

1– Prepared and used the appropriate instructional

materials to facilitate learning once a week

List of Employed Quality

students remediation 5 – Conducted 5 or more remedial sessions and/or
given and/or intervention for low performing students and SARDOs
remediation intervention to within the school year
and/or improve
intervention learners’ 4 – Conducted 4 remedial sessions and/or intervention
discipline and 5% for low performing students and SARDOs within the
Case and/or learning area school year
anecdotal performance
records especially the 3 – Conducted 3 remedial sessions and/or intervention
low performing for low performing students and SARDOs within the
ones and the school year
students at
risk of

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM 3

dropping out 2 – Conducted 2 remedial sessions and/or intervention
(SARDOs) for low performing students and SARDOs within the
school yearmaterials

1 – Conducted 1 remedial sessions and/or intervention

for low performing students and SARDOs within the
school year

Efficiency
5 –All listed low performing students and SARDOs
successfully accomplished and passed the requirements
given
4 – 86-96% of the listed low performing students and
SARDOs successfully accomplished and passed the
requirements given

3–75-85% of the listed low performing students and

SARDOs successfully accomplished and passed the
requirements given

2 –38-74% of the listed low performing students and

SARDOs successfully accomplished and passed the
requirements given

1–37% or below of the listed low performing students

and SARDOs successfully accomplished and passed
the requirements given

Timeliness
5 – Administered remedial classes and/or
interventionimmediately when the need arose

4 – Administered remedial classes and/or intervention3

days after the need arose

3 – Administered remedial classes and/or interventiona

week after the need arose

2 – Administered remedial classes and/or intervention2

weeks after the need arose

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM 4

 1 – Did not administer remedial classes and/or
intervention

Test Learning Assessed Quality

questions Outcomes learning 5 – Monitored and evaluated the students’ progress
with TOS (15%) objectively for using complete records and documents (test questions
differentiated with TOS, class record, rating sheets and students’
Class record instructions portfolio/outputs)
through
Rating formative, 4 – Lacked 1 recordor document
sheets reflective and
including the summative 3 – Lacked 2 records or documents
number of tests
students 2 – Lacked 3 records or documents
passed or
failed 1 – Did not submit records and documents

Efficiency
5 –Updated all records and documents to assess
students’ learning

4–Updated only 3 of the records and documents

15%
3–Updated only 2 of the records and documents

2 –Updated only 1 of the records and documents

1–Did not update the records and documents

Timeliness
5 – Submitted all records and documents on or before
the given schedule of checking

4 – Submitted all records and documents 1-2 days later

than the given schedule of checking

3 – Submitted all records and documents 3-4 days later

than the given schedule of checking

2 – Submitted all records and documents 5-6 days later

than the given schedule of checking

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM 5

 1 – Submitted all records and documents 7 or more
days later than the given schedule of checking

Attendance Personal and Observed / Quality

record Professional implemented 5 – Demonstrated punctuality and attendance in school
Growth and DepEd Orders programs and activities except if engaged in school’s
Pertinent Development and Memos on official business; woreDepEd uniforms and observed
evidences (15%) employee proper dress code on Fridays; practiced work ethics and
attendance professionalism; and promoted a child-friendly
and environment
punctuality
policy, Code of 4 – Lacked 1 indicator
Ethics for
professional 3 – Lacked 2 indicators
teachers and
Child 2 – Lacked 3 indicators
Protection
Policy 1 – Did not demonstrate punctuality, work ethics and
professionalism

Efficiency
5 – Manifested 100% punctuality, emulated
5%
professionalism in observance to the code of ethics for
professional teachers and child protection policy

4 – Incurred 1-3 acts of tardiness, absence and

unprofessional behavior

3 – Incurred 4-6 acts of tardiness, absence and

unprofessional behavior

2 – Incurred 7-9 acts of tardiness, absence and

unprofessional behavior

1 – Incurred 10 or more acts of tardiness, absence and

unprofessional behavior

Timeliness
5 – Accomplished and submitted leave form/s or other
documents right after the incurred absences

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM 6

 4 – Accomplished and submitted leave form/s or other
documents 3 days after the incurred absences

3 – Accomplished and submitted leave form/s or other

documents 5 days after the incurred absences

2 – Accomplished and submitted leave form/s or other

documents a week after the incurred absences

1 – Did not accomplish and submit leave form/s or other

documents

Meeting Participated / Quality

notebook attended and 5 – Participated in 5 or more trainings, meetings and
applied forums with documented results
Certificates lessons
of learned in 4 – Participated in 3 trainings, meetings and forums with
participation trainings, documented results
or meetings,
appearance forums, 3 – Participated in 1 trainings, meetings and forums with
graduate documented results
studies, etc.
2 – Participated only but with no documented results

1 – Did not participate in school activities

3% Efficiency
5 –Served as chairperson of the group and led the group
in achieving the desired training goals

4 – Served as vice- chairperson of the group and

assisted the group in achieving the desired training
goals

3 – Served as the secretary/ rapporteur of the group

and assisted the group in achieving the desired training
goals

2 – Served as the member of a group and helped the

group in achieving the desired training goals

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM 7

 1 – Did not participate/ contribute in achieving the
desired training goals

Timeliness
5 – Attended/ participated in trainings, meetings and
forums 5 times in a school year

4 – Attended/ participated in trainings, meetings and

forums 4 times in a school year

3 – Attended/ participated in trainings, meetings and

forums thrice in a school year

2 – Attended/ participated in trainings, meetings and

forums twice in a school year

1 – Attended/ participated in a training, meeting or forum

once in a school year

Narrative Collaborated Quality

report or any with peers 5 – Worked and collaborated with department head /
evidence and/or peers to improve students’ learning every grading
mentors for
the 4 – Worked and collaborated with department head /
improvement peers to improve students’ learning thrice within the
of students’ school year
learning
3 – Worked and collaborated with department head /
peers to improve students’ learning twice within the
school year
5%
2 – Worked and collaborated with department head /
peers to improve students’ learning once within the
school year

1 – Did not work and collaborate with department head /

peers to improve students’ learning

Efficiency
5 – Served as chairperson of the group and led the
group in achieving the desired training goals

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM 8

 4 – Served as vice-chairperson of the group and
assisted the group in achieving the desired training
goals

3 – Served as the secretary/rapporteur of the group and

assisted the group in achieving the desired training
goals

2 – Served as the member of a group and helped the

group in achieving the desired training goals

1 – Did not participate/ contribute in achieving the

desired training goals

Timeliness
5 – Submitted all reports and documents 1-2 days after
the session or activity

4 – Submitted all records and documents 3-4 days after

the session or activity

3 – Submitted all records and documents 5-6 days after

the session or activity

2 – Submitted all records and documents a week after

the session or activity

1 – Did not submit the records and documents needed

Certificate of Joined in Quality

membership employee 5 – Participated actively in employee clubs, associations
clubs, or organizations in the division level
Membership associations,
ID or 4 – Participated actively in employee clubs, associations
professional or organizations in the district level
organizations 2%
3 – Participated actively in employee clubs, associations
or organizations in the school level

2 – Participated actively in employee clubs, associations

or organizations in the department level

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM 9

 1 – Did not participate in employee clubs, associations
or organizations

Efficiency
5 – Served as chairperson/president of the employee
clubs, associations or organizations

4 – Served as vice-chairperson/vice-president of the

employee clubs, associations or organizations

3 – Served as secretary, treasurer, auditor, etc.of the

employee clubs, associations or organizations

2 – Served as the member of the employee clubs,

associations or organizations

1 – Did not join employee clubs, associations or

organizations

Timeliness
5 – Attended all meetings of the employee clubs,
associations or organizations

4 – Missed 1-2 meetings of the employee clubs,

associations or organizations

3 – Missed 3-4 meetings of the employee clubs,

associations or organizations

2 – Missed 5-6 meetings of the employee clubs,

associations or organizations

1 – Did not attend the meetings of the employee clubs,

associations or organizations

SF1 (School Records Updated Quality

Register) Management learner 5 – Ensured that all learner records on academic
(10%) records on performance and attendance were updated and used for
Daily academic 10% learner follow-up
Attendance performance
Monitoring and 4 – Did not update 1 learner record
Form attendance

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM 10

 and used 3 – Did not update 2 learner records
SF2 (Daily these for
Attendance learner follow- 2 – Did not update 3 learner records
Report of up
Learners) 1 – Did not update 4 or more learner records

Summary Efficiency
sheets of all 5 – Attained 97-100% of the desired duties and
rating responsibilities of a records manager
sheets
4 – Attained 86-96% of the desired duties and
Accomplished responsibilities of a records manager
Form
137/138 3 – Attained 75-85% of the desired duties and
responsibilities of a records manager
SF5 (Report
on 2 – Attained 38-74% of the desired duties and
Promotion responsibilities of a records manager
and Level of
Proficiency) 1 – Attained 37 and below of the desired duties and
responsibilities of a records manager
Summary of
Failures per Timeliness
student 5 – Updated and submitted all learner records on time of
checking

4 – Updated and submitted all learner records 1-2 days

after the scheduled date of checking

3 – Updated and submitted all learner records 3-4 days

after the scheduled date of checking

2 – Updated and submitted all learner records 5-6 days

after the scheduled date of checking

1 – Updated and submitted all learner records a week

after the scheduled date of checking

List of Community Addressed Quality

SARDOs Involvement students 5 – Performed homeroom guidance, parent-teacher
10%
and (10%) problems conference, home visitation, group counseling and peer
through counseling

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM 11

interventions homeroom
employed guidance, 4 – Performed 4 of the guidance functions
parent-teacher
Summary of conference, 3 – Performed 3 of the guidance functions
dropouts, home
transfer out, visitation, 2 – Performed 2 of the guidance functions
transfer in group
counselling, 1 – Performed 1 of the guidance functions
Minutes of peer
parents – counselling Efficiency
adviser 5 – Conducted meetings with parents of students
conference needing academic and behavior monitoring every
quarter

4 – Conducted meetings with parents of students

needing academic and behavior monitoring thrice within
the school year

3 – Conducted meetings with parents of students

needing academic and behavior monitoring twice within
the school year

2 – Conducted meetings with parents of students

needing academic and behavior monitoring once within
the school year

1 – Did not conduct meetings with parents of students

needing academic and behavior monitoring

Timeliness
5 – Submitted reports and documents of meetings with
parents on time

4 – Submitted reports and documents 2-3 days after the

meetings with parents

3 – Submitted reports and documents 4-5 days after the

meetings with parents

2 – Submitted reports and documents a week after the

meetings with parents

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM 12

 1 – Did not submit reports and documents of meetings
with parents

Copy of the Special Prepared, Quality

action or Teaching implemented 5 – Presented and evaluated action plan, work plan,
work plan Assignments and evaluated action research citing objective/purpose of the special
(STA) an action or teaching assignment as club adviser, coach/mentor,
Accomplish 10% work plan subject coordinator, year-level chairman, property
ment Report based on the custodian, year-level prefect of discipline etc. with 97-
purposes of 100% implementation
Monthly the special
progress teaching 4 – Presented and evaluated action plan, work plan,
report assignment/s action research citing objective/purpose of the special
(coaching, teaching assignment as club adviser, coach/mentor,
mentoring, subject coordinator, year-level chairman, property
involvement in custodian, year-level prefect of discipline etc. with 86-
school 96% implementation
committees,
SSG, School 3 – Presented and evaluated action plan, work plan,
paper, GSP, action research citing objective/purpose of the special
BSP, YES-O, teaching assignment as club adviser, coach/mentor,
YECS, etc.) subject coordinator, year-level chairman, property
10% custodian, year-level prefect of discipline etc. with 75-
85% implementation

2 – Presented and evaluated action plan, work plan,

action research citing objective/purpose of the special
teaching assignment as club adviser, coach/mentor,
subject coordinator, year-level chairman, property
custodian, year-level prefect of discipline etc. with 38-
74% implementation

1 – Presented and evaluated action plan, work plan,

action research citing objective/purpose of the special
teaching assignment as club adviser, coach/mentor,
subject coordinator, year-level chairman, property
custodian, year-level prefect of discipline etc. with 37%
and below implementation

Efficiency
5 – Served as chairperson, proponent, mentor,
moderator, or coach

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM 13

 4 – Served as vice-chairperson, assistant moderator, or
coach

3 – Served as facilitator

2 – Served as the member

1 – Did not participate

Timeliness
5 – Submitted reports and documents of activities
conducted on time

4 – Submitted reports and documents of activities

conducted 2-3 days after the scheduled date

3 – Submitted reports and documents of activities

conducted 4-5 days after the scheduled date

2 – Submitted reports and documents of activities

conducted a week after the scheduled date

1 – Did not submit reports and documents of activities

conducted

Certificates Plus Factor Served as

resource Division – 5
speaker, Cluster – 4
trainer, 5% District – 3
facilitator, School – 2
evaluator, Department – 1
consultant,
judge,etc

OVERALL
RATING FOR
ACCOMPLISH
MENTS

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM 14

Rater Ratee Approving Authority

DEPED RPMS form – For Teachers

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM 15