Individual Performance

Commitment and Review Form

Name of Ratee: Leonor M. Bagnos
Position: Teacher I
Rating Period: June 2015-March 2016
School: Gotang Primary School

Name of Rater: ISABEL M. BALACOA

Position: Head Teacher III/School Head
Date of Review: April 2016

To Be Filled During Planning

MF
Os

Key
Result
Area
(KRAs)

Objectives/A
ctivities

Means of
Verificati
on

Time
line

We
igh
t
Per
KR
A

Performance Indicators (Quality,

Efficiency, Timeliness)

To Be Filled During
Evaluation
Actual
Score
Ratin
Results
g

Q E T

Ave
.

Basic Education Services

I. TeachingLearning
Process
(40%)

A. Prepared
curriculum brief
and curriculum
web adopting the
MP IPED policy
in 5 learning
areas
1. Preparation of
curriculum briefs
and webs based
on MP IPED
policy
framework.
2. Preparation of
instructional
materials based
on MP IPED
policy
framework.
B.
Construct/Contex
tualize/Translate/
Localize IMs or
SIMs within the
rating period in
any subject area.
1. Planning and
designing of
materials.
2. Making of
materials.
3. Submission of
finished materials
4. Approval of
materials

-Curriculum
Web
Curriculum
Brief
-Indigenous
teaching
material

June
2015

March
2016

10%

- Reading
materials
- teaching
aids
-strategic
instructional
material

June
2015

March
2016

15%

5 - (Outstanding) Prepared 5 curriculum

brief and web based on IPED Policy
framework and 4 indigenous teaching materials
4 (Very Satisfactory) - Prepared 4 curriculum
brief and web based on IPED Policy
framework and 3 indigenous teaching
materials.
3 (Satisfactory) . Prepared 3 curriculum
brief and web based on IPED Policy
framework and 2 indigenous teaching materials
2 (Unsatisfactory). Prepared 2 curriculum
brief and web based on IPED Policy
framework and 1 teaching materials.
1 (Poor) Prepared 1 curriculum brief and
web based on IPED Policy framework

5 - (Outstanding)
Constructed/Contextualized/Localized/Translat
ed 2 LMs/IMs/SIMs within the rating period
and was checked at the Division Office.
4 (Very Satisfactory) Constructed/Contextualized/Localized/Translat
ed 5 LMs/IMs/SIMs within the rating period
and was checked by the school head
3 (Satisfactory)
Constructed/Contextualized/Localized/Translat
ed 4 LMs/IMs/SIMs within the rating period
and was checked by the school head
2 (Unsatisfactory) Constructed/Contextualized/Localized/Translat
ed 3 LMs/IMs/SIMs within the rating period
and was checked by the school head
1 (Poor)
Constructed/Contextualized/Localized/Translat

.4

.6

ed 3 LMs/IMs/SIMs

II. Learning
Environment/
Pupils
Outcome
(30%)

C. Attained 6x
formal and 6
informal
instructional
supervision by
the school head
1. Send
formal/informal
invitation to
school head for
instructional
supervision.
2. Pre-conference
with the school
head.
3. Actual
teaching-learning
observation by
the school head.
4. Postconference with
the school head.

- STAR
obsevation
rate/Summa
ry of
Records

June
2015

March
2016

15%

A. Maintain safe
and child friendly
atmosphere and
school
environment for
learners
-Adhered to child
friendly
environment
standards
and

- Classroom
Cleanliness
- Overall
safe
classroom
atmosphere
is evident
- School
Child
Protection
Policy and

June
2015

March
2016

10%

5- (Outstanding) - Attained 6x formal and

informal instructional supervision but met
Outstanding as general rating out of 6 STAR
observation record within the rating period.
4 (Very Satisfactory)- Attained 6x formal and
informal instructional supervision but met Very
Satisfactory as general rating out of 6 STAR
observation record within the rating period.
3 - (Satisfactory) Attained 6x formal and
informal instructional supervision but met
Satisfactory as general rating out of 6 STAR
observation record within the rating period.
2 (Unsatisfactory) Attained 6x formal and
informal instructional supervision but met
Fair as general rating out of 6 STAR
observation record within the rating period.
1 (Poor) Attained 6x formal and informal
instructional supervision but met
Poor as general rating out of 6 STAR
observation record within the rating period.

5 (Outstanding) - accomplishment on the

following (supported by evidence such as
school policy, reports information materials
advocacy activities, regular meetings,
inventory)
4 (Very Satisfactory) - all mechanisms
mentioned above are present except for
some minimal requirements.
3 - (Satisfactory)all mechanisms are evidences
2 (Unsatisfactory) Incomplete mechanisms

.6

.5

programs.
-Institutionalized
child protection
mechanisms and
processes
(per
DepEd order #40,
s 2012)
-Maintain
safe
and clean playing
area.
-Has clear DRRM
mobilization
plans.
B. Improve
teacher and
pupils portfolio
- Update
performance
indicators

AntiBullying
Act Policy

are absence of reports

1 (Poor) mechanisms and reports are missing

- Updated
Pupils and
Teachers
Portfolio
Performance
Indicators
- Increased
pupils
performance
through
quarterly
MPS
- PHIL-IRI
Result

June
2015

March
2016

5%

5- (Outstanding) Has 5 of the identified

means of verification
4 (Very Satisfactory) Has 4 of the identified
means of verification
3 (Satisfactory) Has 3 of the identified
means of verification
2 (Unsatisfactory) Has 2 of the identified
means of verification
1 (Poor) Has 1 of the identified means of
verification

C. Lead the
pupils in
participating in
cocurricular/acade
mic activities

- Certificate
of
Participation
(Optional)
- Pictorials
- Summary

June
2015

March
2016

15%

5 (Outstanding) participated at least 1

academic/ co curricular activities with
documented
results
in
the
National/Regional level
4 (Very Satisfactory) participated at least 2
academic/ co curricular activities with

.25

III.
Professional
Growth and
Development
(20%)

within the rating

period
- Participate in
the following
activities
1. Academic
Quizzes
2. Sport
Activities
3. Community
activities
4. Tree planting
5. Clean and
Green
6. Other activities
Participate/Atten
d activities such
as seminar/
trainings and
workshops
related to
professional
growth

of School
Out
Activities

B.
Subscribed/Acqui
red professional
reading materials

Presence of
professional
reading
materials in

- Certificate
of
Participation
or training
- Pictorials
(Optional)

documented results in the division level

3 (Satisfactory) participated at least 3
academic/ co curricular activities with
documented results in the District level
2 (Unsatisfactory) participated at least 1
academic/ co curricular activities with
documented results in the District level
1 (Poor) participated at least 1 academic/
co curricular activities with documented
results in the National/Regional level

June
2015

March
2016

10%

June
2015

March

2%

5 (Outstanding) attended 1 national level

training/seminar/workshop or 2 regional
level
4 (Very Satisfactory) attended 1 regional
level training/seminar/workshop or 2
division level
3 (Satisfactory) attended 1 division level
training/seminar/workshop or 2 district
level
2 (Unsatisfactory) attended 1 district level
training/seminar/workshop or 2 school
level
1 (Poor) attended 1 school based training
or workshop
5-(Outstanding) Subscribed/Acquired 4 0r
more reading materials
4-(Very Satisfactory) Subscribed/Acquired3
reading materials

.45

.4

within the rating

period

C
.Demonstrated/m
anifested
dedication and
commitment to
work through
punctuality and
promptness

IV. Parents
Partnership
and
Community

A. Involve
stakeholders in
meetings and
deliberations for

the
classroom
- magazines
newspapers
- health and
home
- other
materials
- Daily Time
Records
- Accounts
from coteachers

- Copy of
classroom
policy
- Home visit

2016

3-(Satisfactory) Subscribed/Acquired 2 4
reading materials
2-(Unsatisfactory) Subscribed/Acquired 1
reading materials
1(Poor) Subscribed/Acquired a newspaper
or any reading material

8%

June
2015

March

5%

5 (Outstanding) - Observed/maintained
punctuality and promptness by coming to
school 40 minutes before the time every day
and incurred no absences within 1 quarter
.
4 (Very Satisfactory) - Observed/maintained
punctuality and promptness by coming to
school 30 minutes before the time every day
and incurred 1 absences within 1 quarter.
3 (Satisfactory) - Observed/maintained
punctuality and promptness by coming to
school 20 minutes before the time every day
and incurred 2 absences within 1 quarter.
2 (Unsatisfactory) - Observed/maintained
punctuality and promptness by coming to
school 10 minutes before the time every day
and incurred 3 absences within 1 quarter.
1-(Poor)-Committed habitual tardiness and
incurred 4 absences or more within the
school year.

5-(Outstanding)- Conducted homeroom/PTA

meeting/conferences/activities every month
with documented activities and attendance
4-(Very Satisfactory)- Conducted

.08

.32

Invovement
(10%)

Plus Factor
(.04%)

decision making/
Conducted
regular/periodical
General/Homero
om PTA
meetings/confere
nces

reports
- Minutes of
Meeting
-Copy of
attendance
sheet
-pictorials

2016

B.
Initiate/Participat
e in community
related activities
Such as;
1.Barangay
Fiesta
2.Barangay
meetings/confere
nces
3.Community
customs and
traditions
4. Other
barangay
activities
1.Maintained
updated reports
in different
ancillary service
handled
(Coordinator in

- Attendance
Sheet or
Certificate
of
Participation
/attendance
- Pictorials
- Action
Plan
- Summary
of
Community
Participation

June
2015

March
2016

- Action
Plan
Accomplish
ment
Reports
- Pictorials

June
2015

March
2016

homeroom/PTA meeting/Conferences/activities
periodically with documented activities and
attendance
3-(Satisfactory)- Conducted homeroom/PTA
meeting/conferences twice within the rating
period
2-(Unsatisfactory)- Conducted homeroom/PTA
meeting/conferences/activities if need arises
1-(Poor)No homeroom/PTA
meetings/conferences/activities conducted

(Optional)

5%

.
02%

.25

5-(Outstanding) initiated/participated in 5 or
more community related activities within
the rating period
4(Very Satisfactory) initiated/participated in
4 community related activities within the rating period
3 (Satisfactory) initiated/participated in 3
community related activities within the
rating period
2- (Unsatisfactory) initiated/participated in 2
community related activities within the
rating period
1- (Poor) initiated/participated in 1
community related activity within the rating
period
5 (Outstanding) - All reports were updated
4 (Very Satisfactory) - Three reports were
updated
3 - (Satisfactory) - Two reports were updated
2 (Unsatisfactory) - One report was updated
1 (Poor) - No report was updated

.20

.08

Science and
Math)
2. Maintained 0%
dropout rate

Promotional
report (SF5)
- EOSY
2015

June
2015

March
2016

.
02%

5 (Outstanding) maintained zero drop out

within the rating period
4 (Very Satisfactory) 1 drop out
3 (Satisfactory) 2 drop out
2 (Unsatisfactory) 3 drop out
1 (Poor) 4 or more drop outs

Overall
Rating

.1

4.23

Rater:
ISABEL M. BALACOA
ESHT-III/School Head
Ratee:
LEONOR M. BAGNOS
Teacher I
Approving Authority:
ALBINA P. DOMINGUEZ
District Guardian