INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM

Name of Employee / Ratee: ISMAEL S. DELOS REYES Name of Rater: MARICEL D. GANIBAN
Position : SST-1 Position : Head Teacher I
Rating Period : APRIL 2017 - MARCH 2018 Date of Review: April 2018
Bureau / Center / Service / Division / Schoo
DIVISION OF MABALACAT CITY/ DOÑA ASUNCION LEE INTEGRATED SCHOOL

TO BE FILLED DURING PLANNING TO BE FILLED DURING EVALUATION

EVIDENCES
WEIGH WEIGHT ACTUAL RESULTS RATING SCORE
PERFORMANCE (Quality,
MFOs KRAs OBJECTIVES TIMELINE T PER PER
INDICATORS Efficiency &
KRA OBJECTIVES Q E T AVE
Timeliness)
I. 1. Prepared daily lesson logs April 30% 5-All daily lesson logs had the Certification of DLL or 10%
following parts objective/s,
TEACHING- or daily lesson plan on the 2017 to DLP signed by head
subject matter, procedures,
LEARNING designated subject or March evaluation and assignment; at teacher and noted by
PROCESS learning area and submit 2018 least 90% submitted on time. the principal.
them on time.
4 – DLL had four of the five parts;
at least 90% submitted on time.
3 – DLL had three of the five
parts; at least 90% submitted on
time.
2 – DLL had two of the five parts;
at least 90% submitted on time.
1 – DLL had one of the five parts;
at least 90% submitted on time.
2. Facilitated learning in the April 5 – Utilized more than 10 Actual monitoring of 10%
classrooms through 2017 to functional instructional functional Instructional
functional instructional March materials in learning area/s Materials
per quarter.
materials 2018
Inventory of functional
4 – Utilized 8-10 functional instructional materials
instructional materials…
3 – Utilized 5-7 functional
instructional materials…

2 – Utilized 2-4 functional

instructional materials…
1 – Utilized less than 2
functional instructional
materials…
 3. Monitored safe and
positive motivating
environment, cleanliness
and orderliness of the ICT /
Computer Laboratory
April 5 - Safety, orderliness and Proper segragation of waste 5%
cleanliness in the ICT / Computer
2017 to Laboratory is 90- 100 %
March
2018 (separate bins for bote,
papel, nabubulok at di-
4 - Safety, orderliness and
cleanliness in the ICT / Computer nabubulok)
Laboratory is 80 - 89% Daily cleaning
maintained. and monitoring

Pictures
3 - Safety, orderliness and
cleanliness in the ICT / Computer
Laboratory i 70-79% maintained.
2 - Safety, orderliness and
cleanliness in the ICT / Computer
Laboratory i 60-69% maintained.

1- Safety, orderliness and

cleanliness in the ICT / Computer
Laboratory is below 60%
maintained.

4. Conducted intervention April Intervention/Remediatio 5%

programs to improve 2017 to 5 – Intervention Program is n Program with
students' performance June offered to 100% and above of documentation
indicators 2018 students who need it -Letter of
4 – Intervention Program is Request
offered to . . . .85-99% who need
it -Attendance
3 - Intervention Program. . . .70-
84% need it -Pre-test and Post-
2 – InterventionProgram . . . .51- test results
69% who need it
1 – Intervention Program …..50% -Inventory of
offered who need it learning materials used
30%
- Pictures
II. STUDENT 1. Monitored, evaluated and April 30% 5- Evidences showed that the 8%
maintained students' progress in teacher 100 % purposely plans
OUTCOME 2017 to School Reports:
learning areas through the assessments and varies
following: March assessment choices to match the Portfolio on Activity Sheets
o    Daily seatwork / activities 2018 different students needs, abilities,
and learning styles. Class Records
o    Summative Tests
o    PeriodicTests Performance
o    Output/Project
Assignments
o    Projects
o    Other Pictures
performance outputs
following: March Portfolio on Activity Sheets
o    Daily seatwork / activities 2018
Class Records
o    Summative Tests
o    PeriodicTests Performance
o   
4- Evidences showed that the Output/Project
Assignments
o    Projects teacher 85 -99% purposely plans
o    Other assessments… Pictures
performance outputs
3- Evidences showed that the
teacher 70-84% purposely plans
assessments…
2- Evidences showed that the
teacher 51-69% purposely plans
assessments…
1- Evidences showed that the
teacher 50% purposely plans
assessments…
2.    Maintained updated
students' school records to be
submitted on or before
deadlines set
Class Record
3. Achieved zero percent (0%)
on any of the following
indicators:
failure rate
repetition rate.
4. Increased the MPS by 2%
per grading period using MPS
of 60% as the baseline
April 5 – Submitted on time with Updated Class Record 7%
complete and accurate data.
2017 to
March
4 – Submitted late with complete Certification of quarterly
2018 and accurate data.
checking of Class Record
3 – Submitted late with
incomplete and inaccurate data.
2 – 51-69% maintained and
submitted on or before deadlines
1 – 50% below
April 2017 5 - 0% failure rate and 7%
to March repetition rate.
2018 Certification from the
4 - if 1 student Curriculum Leader and
in the class/subject is failed approved by the School
or repeater. Head or Principal.
3 - if 2 students in the
class/subject are failed or
repeaters.
2 - if 3 students in the
class/subject is failed or
repeaters.
1 - if 4 or more students in the
class/subject are failed or
repeaters.
April 2017 Results per grading period 8%
to March 5- Increase per area is 1 point per of:
2018 grading period Mean
4- 1.99-1.50 increase PL
(Proficiency Level)
3- 1.49-1.00 increase
2- 0.99-0.50 increase MPS (Mean Percentage
Score)
1- 0.49 increase and below Item
Analysis (Most and Least
Learned Skills)
30%
III. 1.Conducted a April 2017 15% 5 – 50-60 students were fed Pictures 5%
COMMUNITY to March during the feeding program
supplemental feeding Narrative Report
INVOLVEMEN program for the underfed 2018
T 4 – 40-49 students were fed
students of DALIS during program
3 - 30-39 students Certification issued by
were fed during the program Feeding Coordinator
signed by the School Head
2 - 20-29 students were fed or Principal
during the program

during the program

1- 10-19 students were fed during
the program

2. Supported the following April 2017 5-Attained 100% of the projects Documentation Report 5%
to March initiated by the parents with full
projects and programs on the Projects
2018 documentation report
initiated by the parents,
Attendance
SSG, and other
4-Attained 85-99 % of the Membership in
organizations in school projects…
Technical Working
3-Attained 70-84% of the Committee
projects…

a. activities promoting 2-Attained 51-69% of the

school projects projects…

1-Attained 50% and below of the

projects…

3. Addressed students' April 2017 5-Evidences showed that the Letter of Invitation to parents 5%
to March teacher 100 % conferred with the
problems through parents of students needing Attendance
homeroom guidance, 2018
monitoring/ follow up. Anecdotal
parent-teacher conference, 4-Evidences Records
home visitation, group showed that the teacher 85- Home visitation form
99% ...
counseling, peer counseling, Pictures
etc.
3-Evidences showed that the Documentation
teacher 70-84% ...

2-Evidences showed that the

teacher 51-69% ...
 Documentation

1-Evidences showed that the

teacher 50% and below ...

15%
IV. 1. Participated in / joined / April
PROFESSION attended and applied
AL GROWTH lessons in trainings,
AND
meetings, club
DEVELOPMEN
T
organizations / associations,
professional organizations
in the school, division,
region, national or
international level within
the year.
2. Earn units in professional
studies, TESDA National
Certificate (for non-post
graduate or non-CAR only)
3. Sustained harmonious
relationship and
professional ethics to all
stakeholders
4. Punctuality and
Attendance on the
following:
a. DTR
b. Meetings
c. Reports
d. SLAC and INSET
e. School/Division
activities and programs
mandated by DepEd.
15% Certificates of seminars 2%
2017 to 5 – Participated in / joined / attended
March attended and applied lessons in
trainings, meetings, club
2018 organizations / associations, Certificates
professional organizations in of membership in
international level/national level organizations
4 – regional level
3 - division level
2 - school level
1- no seminar attended
April 2017 5- 27 and above MA Units or 1 NC 2%
3-
Transcript of Records
to March
4- 18-26
18-26 MAMA Units or 1 NC
Units Registration Form
2018
2- 9-17 MA3- 9-17 MA
Units
Units or 1 NC 1- No MA
Units 2. 3-6 MA Units or 1
NC NC copy
1- No MA Units and NC
April 2017 5- No complaints or subjection to Office/ Grievance 2%
to March Grievance Committee
Committee Records
2018
4- 1 complaint or subjection to
Grievance Committee
Certification signed by
3- 2 complaints or subjection to
Grievance Committee the Guidance
Counselor/Faculty
2- 3 complaints or subjection to
Grievance Committee
President/Head
Teacher/Principal
1- 4 complaints or subjection to
Grievance Committee
5 - achieved 100% punctuality DTR 4%
and attendance in all indicators
Memo
4 - achieved 95- and Attendance on
99% punctuality and attendance meetings and programs
in all indicators or activities
3-
achieved 90-96% punctuality and
attendance in all indicators Certification of
Submitted Reports
2 - achieved 85-89% punctuality
and attendance in all indicators
1-
achieved 84% and below
punctuality and attendance in all
indicators
5. Incurred absences in a 5- 0-2 days absent and 5 Certification from the 5%
tardiness in a quarter
year and tardiness within head teacher
4- 3-4 days and 5
each quarter. tardiness in a quarter
3- 5-6 days
and 5 tardiness in a quarter
2- 7-8
days and 5 tardiness in a quarter
1-
more than 9 days and 5 tardiness
in a quarter

15%
 V. PLUS 1. Acquired resources to June 2017 10% 5- amounting Php3,000.00 and actual pictures of acquired 2%
FACTOR improve classroom, laboratory to April above resources
room, learning environment 2018 4- amounting Php2,500.00- records of
and instruction Php2,999.00 the property custodian
3- amounting Php1,500.00-
and certification or deed
Php1,999.00 of donation
2-amounting Php500.00-
Php1,499.00
1-amounting to Php500.00 and
below
2. Trained students to June 2017 5 - won at least 1 contest Certificates of 3%
represent the school in any to April 4- participated at least 5 contests Participation and
school, cluster, division, and 2018 3 - participated at least 4 contests Recognitions
regional contests. 2 - participated in at least 3
contests

1 - participated in at least 2
contest

3. Performed duties and June 2017 5- Presented 5 of the evidences Designation/ Work Plan /Action 3%
responsibilities as to April 4- Presented 4 of the evidences Plan/Curriculum Review/
Leader/Coordinator in 2018 3- Presented 3 of the evidences
Enrichment Plan/ Action
designated learning area/work. Research/ Innovative
2- Presented 2 of the evidences Curriculum Materials/
1- Presented 1 of the evidences Accomplishment Report/
Narratives of Activities Pictures

4. Showed willingness to June 2017 5 - Substituted for 250 minutes Subsitition Form 2%
improve "time-on-task" by to April and above every quarter
substituting for a teacher who 2018 Certification
attended a training/seminar or 4 - Substituted for 200 minutes
every quarter
was absent.
3 - Substituted for 150 minutes
every quarter

2 - Substituted for 100 minutes

every quarter

1 - Substituted for less than 50

minutes every quarter

10%
OVERALL RATING 100%
ADJECTIVAL RATING

ADJECTIVAL RATING ANNA I. RAMOS MARICEL D. GANIBAN

4.500-5.000 OUTSTANDING Ratee Rater
3.500-4.499 VERY SATISFACTORY Date: Date:
2.500-3.499 SATISFACTORY
1.500-2.499 UNSATISFACTORY
Below 1.499 POOR CARMELA P. CABRERA
Approving Authority