Republic of the Philippines

Department of Education
Region V
DIVISION OF SORSOGON
Sorsogon

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM

Name of Employee:
Position:
Review Period:
School/District/Office:

JOSEPH G. ESCOBER
T1

Name of Rater:
Position:
Date of Review:

LARA E. ESTAYAN
TIC

PATAG E/S GUBAT NORTH DISTRICT

TO BE FILLED IN DURING PLANNING

MFOs

KRAs

OBJECTIVES

TIMELINE

TeachingPrepared daily lesson

Learning Process
plans/daily
log
(40%)
including
appropriate,
adequate
and
updated instructional
materials

June 2015
to
March 2016

Utilize

June 2015
to
March 2016

technology
resources
in
planning, designing
and delivery of 3
lessons
in
any

WEIGHT
per KRA

20%

15%

PERFORMANCE
INDICATORS
(Quality, Efficiency,
Timeliness)
5 - All daily lesson plans had
the following: objective,
subject matter, learning tasks
and assignment
4- Had three of the four parts
of lesson plan
3 - Had two of the four parts
2 - Had 1 of the four parts
1 - No daily lesson plan
prepared
5 ICT integration is 130%
and above evident
4 ICT integration is 115129% evident
3 ICT integration is 100-

TO BE FILLED IN DURING EVALUATION

RATING
ACTUAL
SCORE
RESULTS
Q
E
T AVE.

subject areas within

a week.

Monitored

the
attendance of the
students
in
the
subject area taught

June 2015
to
March 2016

5%

Outcomes
(40%)

Monitor, evaluate and

maintain
pupils
progress by giving 6
out of 10 monthly
exams.

June 2015
to
March 2016

20%

114% evident
2 ICT integration is 51
99% evident
1 ICT integration is not
evident
5 - Attendance checking is
systematically carried out
daily, reasons for absent were
noted and follow-up was made
4 - Attendance checking was
systematically carried out daily
and reasons for absences
were noted
3 - Attendance checking was
systematically carried out daily
2 - Attendance checking was
carried out twice a week
1 - Attendance checking was
carried out once
5 130% and above monthly
exams were given with proper
documentation and graphical
representation of the results.
4 115-129% monthly exams
were given with proper
documentation and graphical
representation of the results.
3 100-114% monthly exams
were given with proper
documentation and graphical
representation of the results.
2 51 99% monthly exams
were given with item analysis
and graph representation of
how many pupils who passed
and failed.
1 50% and below monthly
exams were given with proper

 Achieve 2% increase of
class performance in
every grading period.

Ensured promotion of
95%
promoted
subjects.

Community
Involvement
(5%)

student
in
all

Visited
parents
of
students
needing
academic monitoring /
follow up

June 2015
to
March 2016

June 2015
to
March 2016

June 2015
to
January
2016

10%

10%

1%

documentation and graphical

representation of the results.
5 130% and above achieved
increase
in
pupils
performance every grading
period.
4 115-129% achieved
increase
in
pupils
performance every grading
period.
3 100-114% achieved
increase
in
pupils
performance every grading
period.
2 5199% above offered
remediation
program
to
achieved increase in pupils
performance every grading
period
1 50% and below achieved
increase
in
pupils
performance every grading
period.
5- 100% of students are
promoted in all subjects.
4 - 98% of students are
promoted in all subjects.
3 - 95% of students are
promoted in all subjects.
2 - 75% of students are
promoted in all subjects.
2 - 50% of students are
promoted in all subjects.
5 - Visited parents trice a
month
4 - Visited parents twice a
month
3 - Visited parents once a

 Participated
events/activities
conducted
in
community

June 2015
to
March 2016

1%

Conduct
regular/ periodic
PTA
meetings/confer
ences

June 2015
to
March 2016

3%

Participated with the

General
ParentTeachers Association
(PTA) of the school in
their
programs/activities.

June 2015
to
March 2016

Professional
Growth and
Development
15%

in
the

5%

month
2 - Visited parents once every
two month.
1 - No parent visited.
5 - Attended 4 or more
events/activities.
4
Attended
3
events/activities.
3
Attended
2
events/activities.
2 - Attended 1 event/activity.
1 - No event/activity attended.
5130%
and
above
accomplishment
with
set
agreements met
4- 115-129% of planned meetings
conducted producing only set
agreements
and
partial
accomplishment of these
3- 100-114% of planned meetings
conducted producing only set
agreements
2- 51-99% of planned meetings
conducted with minimal results
1- 50% and below of planned
meetings conducted with no
results
5 - Attended 5 activities/programs
conducted by the General PTA
activities in school
4 - Attended 4 activities/programs
conducted by the General PTA
activities in school
3 Attended3 activities/programs
conducted by the General PTA
activities in school
2 - Attended 2 activities/programs
conducted by the General PTA
activities in school
1 - Attended 1 activities/programs
conducted by the General PTA

activities in school

Submitted given reports

as School Coordinator

June 2015
to
March 2016

Attended 3 seminars /

June 2015
to
March 2016

meeting in school,
district, division etc.

5%

5%

5 - Submit report 3 days

ahead of time.
4 - Submit report 2 days
ahead of time.
3 - Submit report on time.
2 - Submit report 1 or more
days after the deadline.
1 - No report made.
5 - Attend 5 seminars/ meeting in
school, district, division etc., with
proper documentation.
4 - Attend 4 seminars/ meeting in
school, district, division etc., with
proper documentation.
3 - Attend 3 seminars/ meeting in
school, district, division etc., with
proper documentation.
2 - Attend 2 seminars/ meeting in
school, district, division etc., with
proper documentation.
1 - Attend 1 seminar/ meeting in
school, district, division etc., with
proper documentation.

To get the score, the rating is multiplied by the weight assigned

LARA E. ESTAYAN
Rater

JOSEPH G. ESCOBER
Ratee

OVERALL
RATING FOR
ACCOMPLISH
MENTS

NOEL AGNOTE
PSDS/Approving Authority