Part 1

Name of Employee: ________________________
Position: Principal 1
Review Period: July 2014-December 2014
District:
School: _______________________
MFO
KRAs
OBJECTIVES
Instructional Leadership
INDIVIDUAL PERFORMANCE COMMITMENT & REVIEW FORM

Name of Rater:
Position: District Supervisor
Date of Review: December 2014
Performs instructional supervision to

achieve learning outcomes
TIMELINE
WEIGHT
PERFORMANCE
per KRA
INDICATORS
40%
5- NAT Performance and GSA
15% is 130% and above
is 115%-129%
is 100%-114% (75% standard)
is 51%-99%
Conducts classroom observation

and monitoring
Performs instructional supervision
is 50% and below

10% 5- 130% of teachers observed
and monitored
4- 115%-129% of teachers
observed and monitored
3- 100%-114% teachers
observed and monitored(150 std)
2-51%-99% of teachers
1-50% and below of teachers
15% 5- Collected, analyzed and utilized data to
identify and plan needed interventions
Recommended localized curriculum
(mother tongue based) for instruction
Developed standards for outstanding
ACTUAL
RESULTS
85
113%
190
127%
teacher and pupil performance

Organizes appopriate class programs, ADM,
flexible learning options as stop-gap measures
Consolidates reports on learning difficulties,
home visitations andpeculiar incidents
used for planning and implementing
apppropriate interventions
4- 4 of 5 requirements satisfied (with evidences)
3- 3 of 5 requirements satisfied (with evidences)
2- Some requirements satisfied w/out evidences
1- requirements and reports largely missing
Learning Environment
Human Resource
Management and
Development
Provided safe and child friendly

learning and school environment for
students/ learners
Provides technical assistance to

teachers on matters pertaining to
enhancement of classroom mngt,
skills and instructional competence.
10% 5- 130% and above accomplishments

on the following (supported by evidence
such as school policy, reports,
information materials,advocacy
activities, regular meetings, inventory)
Adhered to CFSS,Institutionalized
Child protection mechaniisms & processes
Has clear DRRM mobilization plans
4- All mechanisms are present except
for some minimal requirements.
3- All mechanisms are present but w/o
evidences
2- Incomplete mechanisms and absence
of reports.
1-mechanisms and reports are missing
10% 5- 130% and above of teachers provided
with technical assistance with corresponding
evidences: (observation reports,
TNA results, performance analysis
& recommendations for devt interventions
4- 115%-129% of teachers provided with
technical assistance with corresponding
evidences
3- 100%-110% of teachers
provided with technical assistance with
corresponding evidences
2- 51%-99% of teachers provided with technical
assistance with corresponding evidences
1- 50% and below-of teachers provided with
technical assistancewith corresponding evidences
Conducts TNA-based in-service

trainings and learning action cell.
10% 5- 130% of teachers attended INSET

and LAC sessions w/c TCR
4- 115%-129% of teachers attended
INSET and LAC sessions w/ TCR
3- 100%-114% of teachers attended
INSET and LAC sessions(4 INSET/10 LAC)
6
150%
15
150%
2- 51%-99% of teachers attended INSET

and LAC sessions
1- 50% and below of teachers attended
INSET and LAC sessions
Parents' Involvement
and Community
Partnership
Established school and family and

community partnership for performance
10% 5 -Has stakeholders partnership/mobilization plan

agreements (complete with reports and
documentations of meetings,
Organized programs with stakeholders,
esp. parents for academic
and other purposes (esp. Strategic planning)
Obtained resources for the school through
stakeholders partnership
4 -Has mobilization plan and occasionally meets
stakeholders in meetings and activities but some
elements (e.g. not enough resources raised)
3- Has mobilization plan and ocassionally meets
are missing stakeholders but not resulting to
6
150%
resources generated and evidences

2-Poor mobilization skills and seldom meets
stakeholders
1-No evidence in this area
School Leadership,
Management and
Operations
20%
Performs data-based strategic planning
5- Produced a school strategic plan/SIP and AIP
10% through the strategic planning process

conduct of school situational analysis, SWOT
, determining strategies through prioritizing
strategic options, resource and facilities
planning and formulation of PAPs based of analyses
Strategic Plan was based on Deped vision,
contextualized in school vision and mission
all school stakeholders were engaged in the
strategic planning process
-M&E for process and outcomes checkpoints were
developed and utilized

130% and above accomplishment of school targets
(with evidence contained in school report card
-School report card presented to all stakeholders

4-Produced strategic plan following the strategic
planning process with minimal deviation and 115-129%

accomplishment of school targets (supported by evidence
3- Produced strategic plan following the strategic
planning process with minimal deviation and

100-114% accomplishment of school targets
(supported by evidence
2-Produced strategic plan following the strategic
planning process with deviation and

51-99% accomplishment of school targets
(supported by evidence
1-50% and below accomplishments, strategic planning
process and evidences are largely absent

Performs School Leadership and
Management and Operations functions
10% 5- With clear financial management system for the school

supported by evidences such as reports, account logs
, database sytem
Allocated/Prioritized funds for programs and school
facilities improvement and maintenance
Monitored, accounted and reported utilization of
school fund
Reported sources and uses of funds
Ensured quality standards for facilities given to the school
Coordinated with stakeholders on resource mobilization
Maintained school EMIS and regularly submit
MIS reports to the Division Office
4- With clear financial and resource management
system but one or equirements were missing were
negligible (with complete evidence
3-With clear financial and resource management
system but two requirements and/or reports were lacking
2-Financial Management System and reporting were
in its initial stages
1-No Financial Managment System and/or reports
observed
RATING
SCORE
1.6
3
0.45
0.4
0.75
0.4
0.4
5
0.5
0.5
0.4
0.4
4.2
INDIVIDUAL PERFORMANCE COMMITME

Name of Employee: ________________________
Position: Nurse II
District:
School: _______________________
MFO
KRAs
OBJECTIVES
TIMELINE
Health and Nutrition Education

Conducts health lectures/talks to classes
80%
Conducted different screening procedures

to at least 75% of the school children in a
school year
Served as resource speakers in health

related activities
75
Healthful School Living

Inspects 70% of the sanitation of lunch
counter and food services of all schools
Inspects 70% of the sanitary permit of the lunch

counter and health certificates of canteen
helpers
Supervises the maintenance of safe,

healthful and sanitary conditions of
75% school facilities
Health and Nutrion Services
Conducted individual health inspection

of at least 85% school children in a
school year/referred
Treated all pupils with identified ailments
Dewormed at least 85% of children

in a school year
School Community
Conducted home/hospital visitation
Coordination for Health

and Nutrition
at least once a month for 70% of

pupils with identified ailments
Coordinated with community health

agencies regarding proper management
and referrals
Conducted school/community
assemblies in a year in all
schools
ORMANCE COMMITMENT & REVIEW FORM

Name of Rater:
WEIGHT
PERFORMANCE
per KRA
INDICATORS
25%
8% 5-Conducted lectures/talks to classes in
130% and above of the total schools
within the assigned area of responsibility
4-Conducted lectures/talks to classes in
115-129% of the total schools within the
assigned area of responsibility
100-114% of the total schools within the
ACTUAL
RESULTS
RATING
100%
125%
95%
2-Conducted lectures/talks to classes

in 51-99% of the total schools within the
50% and below of the total schools within
the assigned area of responsibility
10% 5-Annual screening procedures for school
children conducted in 130% and above of
the total schools within the assigned area
of responsibility
4-Annual screening procedures for school
children conducted in 115-129% of the total
schools within the assigned area
children conducted in 50% and below of the total
7%

5-Served as resource speaker in 130% and
above invitations to health related activities
within the period of performance appraisal
4-Served as resource speaker in 115-129%
invitations to health related activities
127%
85%
113%

3-Served as resource speaker in 100-114%
2-Served as resource speaker in 51%-99%
1-Served as resource speaker in 50% &
below invitations to health related activities
25%
5- Inspection report on lunch counters and food
10% services of 130% and above of the total number

of schools within the assigned area of responsibility
services of 115%-129% of the total number
services of 50% & belowof the total number
90%
128%
4.00
5%
95%
135%
85%
113%
10%
30%
10%
95%
112%
100%
100%
117%
10%
10%
15%
5%
85%
121%
5%
5%
100%
Rating
SCORE
0.32
0.4
0.21
0.4
0.25
0.3
0.3
0.3
0.4
0.2
0.2
0.15
3.43
V.S.
INDIVIDUAL PERFORMANCE COMMITMENT &

Name of Employee: ________________________
Position: Nurse II
District:
School: _______________________
MFO
KRAs
OBJECTIVES
Accurate and timely Financial
Recording and Financial
Reports Preparation
TIMELINE
Submitted 100% of all monthly, quarterly,

semi-annual and annual Reportorial .
Requirements to COA,DBM, Region/Division
Jan-Dec
Submitted 100% of all monthly, quarterly

and annual reportorieal requirements of
GSIS, BIR, PHIC.
Jan-Dec
Fund Monitoring
Ensured 100% delivery of Funding
Requirements of the Department
Monitores 100% of the utilization of fund transfers

to implementing units and other government
agencies for education related programs
and projects implementation
Systems Improvement
Reviewed periodically the accounting system
and recommended improvements when
necessary.
100% implementation of the Financial

Reporting System (FRS)
ANCE COMMITMENT & REVIEW FORM

Name of Rater:
WEIGHT
per KRA
PERFORMANCE
INDICATORS
ACTUAL
RESULTS
RATING
SCORE
35%
15% 5-Complete and accurate Reportorial
Requirements to COA, DBM,Region &
Division 2 weeks ahead of the
target dates set by concerned offices
4-Complete and accurate Reportorial
Division 1 week ahead of the
Division within of the target dates
set by concerned offices
Division 3 days after the target dates
set by concerned offices
Division beyond 3 days of target dates
or non-submission
0.6
0.8
20%
5-Complete and accurate monthly,quarterly
and annual reportorial requirements to GSIS,
BIR and PHIC 2 weeks ahead of the
BIR and PHIC 1 week ahead of the
BIR and PHIC within the target dates set.
by concerned offices
BIR and PHIC 3 days after the target dates set.
by concerned offices
1-beyond 3 days or non-submission
40%
20% 5-130% documented and accounted fund
requirements of the department
4-Less than 115-129% but more than 100%
fund requirements of the department
documented and accounted
3-100-114% fund requirements of the
department documented and accounted
2-Noted at least 51-99% variations and missing
supporting documents of fund requirements of
the department
1-Noted 50% and below variations and missing
supporting documents of fund requirements
of the department
0.8
0.6
20%
5-Monitored 130% & above the utilization of fund
transfers to implementing units and other
government agencies for education related
programs & programs implementation
4-Monitored 115%-129% the utilization of fund
1-Monitored 50% and below the utilization of fund
30%
10% 5- Reviewed 130% & above accounting system
and recommended substantial improvements
when necessary.
4- Reviewed 115%-129% accounting system
and recommended substantial improvements
when necessary.
and recommended little improvements
when necessary.
and recommended little improvements
when necessary.
1- Reviewed 50% & below accounting system
and no recommended improvements
20% 5- Implemented the latest accounting system within
2 week prior to implementation deadline
4- Implemented the latest accounting system within
1 week prior to implementation deadline
3- Timely implementation the latest accounting
system as per procedures/ guidelines and/or
implementation deadline
2-Implemented the latest accounting system 1 week
from receipt of procedures/ guidelines and/
0.4
0.8
or implementation deadline
1-Implemented the latest accounting system
beyond 1 week from receipt of procedures/
guidelines and/or implementation deadline
Rating
Description
V.S.

Name of Employee: ________________________
Name of Rater:
Position: PrinciTeacher 1
Position: Principal I
District:
School: _______________________
MFO
KRAs
OBJECTIVES
Teaching-Learning Process
TIMELINE
June-March
Prepares 1440 lesson plans and daily logs
WEIGHT
PERFORMANCE
per KRA
INDICATORS
55%
5-All daily lesson plans had the following objectives

10% subject matter, procedures, evaluation and assignment
of activities including appropriate,
Each part had a full description of what to do with an example
adequate and updated instructional materials
Objective was specific, measurable, attainable, result-oriented

and time-bound
130% and above developed high order thinking skills
Attains 130% and above of the desired learning competencies
130% and above based on the budget of work
4-Had four of the five parts of lesson plan
Each part had a partial description of what to do with an example
Objective was stated with 1 behavioral indicator is missing
115-129% developed high order thinking skills
Attained 115-129% of the desired learning
3- Had 3 of the five parts
Each part had a partial description without example
Objective was stated with 3-4 behavioral indicator missing
Attained 100-114% of the desired learning competencies
100-114% based on the approved budget of work
Each part had no description of what to do with example
Objective was stated with 1-2 behavioral indicators missing

Each part had no description of what to do and example
Objective was stated without behavioral indicators
50% and below develop high order thinking skills
50% and below attain the desired learning competencies at all
50% and below based on the approved budget of work
Facilitates learning in the Secondary
25% 5-The teacher established challenging and measureable
schools through functional lessons plans,
goal/s for student learning that is aligned with the PELC or CG
daily logs and innovative teaching strategies
The goal reflected a range of student learner needs.
and learning materials
Has provided individual activities for a 130% and above of the

classes handled for the rating period
Teaching methods and strategies elicited 130% and above
interaction from a class
Inductive method/deductive method was 130% and
above used in teaching a lesson
Cooperative learning strategies was 130% and above
effective when used
ICT integration is130% and above evident
4-The teacher develop a measureable goals for student
learning that is aligned with the PELC or CG
Has provided individual activities for a 115% -129%
of the classes handled for the rating period
Teaching methods and strategies elicited 115%-129%
Inductive method/deductive method was 115%-129%
used in teaching a lesson
Cooperative learning strategies was 115%-129% and above
effective when used
ICT integration is 115%-129% evident
3-The teacher clearly communicated a focus goals for
student learning that is aligned with the PELC or CG

effective when used
2-The teacher did not have a clear focus for student learning.
Has provided individual activities for a 51-99% of the
Teaching methods and strategies elicited 51-99%
effective when used
1-The teacher did not have a clear focus for student learning
or the objective is too general to guide lesson planning
or the objective is inappropriate for students.
Has provided individual activities for a 50% and below of the
Teaching methods and strategies elicited 50% & below
Inductive method/deductive method was 50% and below
Cooperative learning strategies was 50% and below
effective when used
ICT integration is 50% & below
Initiates discipline of students including
classroom rules, guidelines and individual
10% 5-Pupils were 130% and above guided in the observation

of classroom rules and guidelines as evidenced by descriptive
and group tasks
rating in the report card/journal

4-Pupils were 115-129% guided in the observation of classroom
rules and guidelines as evidenced by descriptive rating in the
report card/journal
report card/journal
2-Pupils were 51%-99% guided in the observation of classroom
report card/journal
1-Pupils were 50% & below guided in the observation of classroom
report card/journal
10% 5-Safety, orderliness and cleanliness of floors, toilets and proper
Monitors attendance, diversity appreciation,

safe, positive and motivating environment,
waste disposal were 130% and above maintained
overall physical atmosphere, cleanliness and
Attendance checking was 130% and above systematically carried out
orderliness of classrooms including
4-Safety, orderliness and cleanliness of floors, toilets and proper
proper waste disposal
waste disposal were 115%-129% maintained

Attendance checking was 115%-129% systematically carried out
Attendance checking was 100%-114% and above systematically
carried out
carried out
waste disposal were 50% and below
Attendance checking was 50%and below systematically
carried out
30%
Students Outcomes
Monitors,evaluates and maintains
8% 5-Evidences showed that the teacher purposely plans
progress
assessments and varies assessment choices to match the

different student needs, abilities, and learning styles.
Class record reflected the bases of 130% and above of pupils ratings in all classes/subject areas
handled
Students portfolio contained 130% and above of his accomplishment
Table of Specifications is 130% and above prepared for tests
showing congruence between content and skills tested
Test questions were130% and above logically sequenced
Pretest and Post-test were 130% and above administered
in all classes/subject area
4-Evidences showed that the teacher purposely plans
Class record reflected the bases of 115%-129% of pupils ratings in all classes/subject areas handled
Students portfolio contained 115%-129% of his accomplishment
Table of Specifications is 115%-129% prepared for tests
Test questions were115%-129% logically sequenced
Pretest and Post-test were 115%-129% administered

Test questions were 51%-99% logically sequenced
Class record reflected the bases of 50% below of pupils ratings in all classes/subject areas handled
Students portfolio contained 50% below of his accomplishment
Table of Specifications is 50% below prepared for tests
Test questions were 50% below logically sequenced
Pretest and Post-test were 50% below administered
Conducts remediation/enrichment programs
7%
5-Remediation/ Enrichment Program is offered to 130% and above of students who need it and
to improve performance indicators
4-Remediation/ Enrichment Program is offered to 115%-129% of students who need it and

1-Remediation/ Enrichment Program is offered to 50% below of students who need it and
Attained the required GSA for grade level
and learning areas
15%
130% and above MPS/GSA
75
115-129% MPS/GSA
100-114% MPS/GSA
51-99% MPS/GSA
50% and below MPS/GSA
7%
Community Involvement
3% 130% and above accomplishment with set agreements met
Conducts regular/periodic PTA meetings

/conferences
115-129% of planned meetings conducted producing only set

agreements and partial accomplishment of these
4
100-114% of planned meetings conducted producing set of agreements

51-99% of planned meetings conducted with minimal results
50% and below of planned meetings conducted with no results
2% 130% and above accomplishment of set visits successful
Visits parents of students needing academic

monitoring/follow-up
interventions
2
115-129% accomplishment of visits with partial success in

implementation of interventions
100-114% accomplishment of visits with suggested
planned interventions
51%-99% accomplishment of visits with planned
50%-below accomplishment of set visits with planned
interventions
Undertaken/initiated projects/events/activities
2%
with external funding/sponsorship
130% and above project accomplishment with full

documentation report on completion
115-129% project accomplishment with partial completion
100-114% project initiative only with no completion report
No project/event/activity initiated
8%
Professional Growth and
Development
Conducted Action Research
3%
5- 3 Action Research conducted with full documentation on completion of interventions

4- 2 Action Research conducted with documentation on
completion of interventions

2-Identified classroom/learning problems with research proposals
1- Only classroom/ learning problems/ issues identified
Initiated/Participated in co-curricular/school
association, etc.
5%
5- Initiated at least 2 co-curricular/ school activities with documented results

4-initiated and participated in co-curricular/school activities
with documented results
3-participated in most of co-curricular/ school activities with
documented results
2-Participation only without documented results
1-No participation in school activities

Name of Employee: ________________________
Name of Rater: ARTEMIO C. SADMON, Ed.D.
Position:
Position: Head Teacher I
Teacher 1

District:
Buug
School: _________Del Monte National High School

MFO
KRAs
OBJECTIVES
TIMELINE
June-March
Prepares______ lesson plans and daily logs
WEIGHT
PERFORMANCE
per KRA
INDICATORS
55%

10% subject matter, procedures, evaluation and assignment

and time-bound

25% 5-The teacher established challenging and measureable

effective when used

effective when used
effective when used
effective when used

effective when used
10% 5-Pupils were 130% and above guided in the observation
and group tasks

report card/journal
report card/journal
report card/journal
report card/journal
10% 5-Safety, orderliness and cleanliness of floors, toilets and proper


carried out
carried out
carried out
30%
Students Outcomes
progress
8% 5-Evidences showed that the teacher purposely plans

Class record reflected the bases of 130% and above of pupils ratings in all classes/subject areas
handled

Class record reflected the bases of 50% below of pupils ratings in all classes/subject areas handled

7%
5-Remediation/ Enrichment Program is offered to 130% and above of students who need it and

1-Remediation/ Enrichment Program is offered to 50% below of students who need it and
15%

and learning areas

75
115-129% MPS/GSA
100-114% MPS/GSA
51-99% MPS/GSA
7%

/conferences

4

2% 130% and above accomplishment of set visits successful

interventions
2

interventions
2%

Conducts community of practice meeting
with members ot the department ( ancillary)

8%
Development
3%

association, etc.
5% 5- Initiated at least 2 co-curricular/ school activities with documented results

documented results
Overall Rat
Descriptive R
ACTUAL
RATING
SCORE
RESULTS
1700
118%
0.4
0.5
0.4
0.32
0.28
87
116%
0.6
0.15
0.1
0.1
6
150%
5
250
0.12
0.25
Overall Rating
4.22
Descriptive Rating
VS
ACTUAL
RESULTS
RATING
SCORE
Overall Rating
Descriptive Rating
VS
INDIVIDUAL PERFORMANCE
Name of Employee: ________________________
Position: PMaster Teacher 1
District:
School: _______________________
MFO
KRAs
OBJECTIVES
Professional Growth
Conducted at least an action research related to school or

classroomconcerns/ problems during the year
and Development
Participated in seminars, workshops, trainings within a year (division,

regional or national)
Received (division, regional or national) awards/recognitions

within a year
Served as demonstration teacher for

school/division level trainings
Instructional Competence
Handled teaching loads every year
Achieved at least 75% of the students

performance at the end of the school year
Attained 100% of the required learning

competencies for the students in every quarter
Increased NAT performance by 10%
Instructional Supervision
Observed 100% of the teachers every quarter
Conducted at least 3 mentoring/ coaching activities with

teachers quarterly
12
Managed performance of teachers following the

RPMS cycle (planning and commitments,
coaching and monitoring, review and
evaluation and development planning)
Development
UAL PERFORMANCE COMMITMENT & REVIEW FORM

Name of Rater:
Position: Principal I
TIMELINE
June-March
WEIGHT
per KRA
PERFORMANCE
INDICATORS
5- Action research conducted and utilized division wide supported by the following
evidences:
25%
5% Research proposal (in complete format)

Research Report
recommendations)
(in
complete
format
Proposed learning interventions and programs

Proposed M&E for results/outcomes
4-Action research conducted and utilized division
wide with required evidences
3-Action research conducted and utilized by the
school/district wide with required evidences
2-Action research conducted but not utilized
1-No Action research conducted
5% 5-Conducted 5 seminars/workshops/trainings for

teachers in specific learning areas (supported by
evidence/assessment reports)
4-Conducted 4 seminars/workshops/trainings for
5%
highlighting
findings
and
10% 5-4 lesson demonstrations served

4-3 lesson demonstrations served
3-2 lesson demonstrations served
2-1 lesson demonstration served
1-No lesson demonstration served
50%
130% and above required teaching load handled for year
20% 115%-129% required teaching load handled for year
100%-114% required teaching load handled for year
51%-99% required teaching load handled for year
50% below required teaching load handled for year
10% 5-130% and above student peformance (in MPS or GSA)
4- 115-129% student peformance (in MPS or GSA)
3-100-114% student peformance (in MPS or GSA)
51-99% student peformance (in MPS or GSA)
50% and below student performance (in MPS of GSA)
10% 5-130% and above of the required competencies in
every quarter completed
4-115-129% of the required competencies in every quarter completed

1-50%belowof the required competencies in every quarter completed
10% 5- 10% increase
4- 6% increase
3- 5% increase
2- 4 % increase
1- 3% and below increase

25%
10% 5- 130% and above of teachers observed with post
conference with teacher observation reports held in every quarter
4- 115-129% of teachers observed with teacher observation
and post conference reports, held in every quarter

1- 50% below of teachers observed with teacher observation
13% 5- 5 and above teacher mentoring /coaching sessions were

conducted in every quarter ( with report)
4- 4 teacher mentoring /coaching sessions conducted in

every quarter (with report)
3- 3 teacher mentoring /coaching sessions conducted in

2- 1-2 teacher mentoring /coaching sessions conducted in

1- no teacher mentoring /coaching sessions conducted in

5- Evaluated 130% and above teacher performance following

RPMS framework cycle
2% 4- Evaluated 115-129% of teacher performance following

3- Evaluated 100-114% of teacher performance following

2- Evaluated 51%-99% of teacher performance following

1- Evaluated 50%-below of teacher performance following

ACTUAL
RESULTS
RATING
SCORE
0.15
0.25
0.15
0.5
0.4
0.5
0.4
0.4
16
133%
0.65
0.1
4.5
VS
INDIVIDUAL PERFORMANCE COMM

Name of Employee: NARISALINE I. ABADILLA
Position:
TEACHER I
Rating Period: JUNE 2015 to MARCH 2016
District:
BUUG
School:
TALAIRAN INTEGRATED SCHOOL
WEIGH
T PER
KRA
KRAs
OBJECTIVES
TI
M
EL
IN
MFO
(20%)
observes/maintains/manif
ests punctuality in
reporting to station,
performing one's duties
and responsibilities
June-March
Personal
and
Profession
al
Qualities
of
Teachers
10%
observes/maintains/manif
ests proper attire and
grooming in reporting to
duties school attending
seminars, workshops,
etc.
June-March
10%
Manage
ment of TeachingEducatio Learning
n
Process
Services
(30%)
Prepares daily lesson logs
June-March
10%
Facilitates learning through

functional learning
competencies, innovative
teaching strategies and learning
materials.
10%
competencies, innovative
teaching strategies and learning
materials.
10%
Initiates discipline of students

including classroom rules,
guidelines and individual and
group tasks
JUNE-MARCH
5%
Monitors attendance, diversity

appreciation, safe, positive and
motivating environment, overall
physical atmosphere,
cleanliness and orderliness of
classrooms including proper
waste disposal.
JUNE-MARCH
5%
Monitors,
Students
Outcomes
evaluates and maintains

students outcome; such as
portfolio, class records, TOS,
TQs, etc.
(20%)
JUNE-MARCH
10%
Accounted for learning oucomes

of schools and centers viz- a viz goals and targets
Perform duties and

responsibilities
Visits parents of students

needing academic
5%
JUNE-MARCH
5%
(10%)
JUNE-MARCH
5%
Community
Involvement
Undertaken/initiated
projects/events/
activities with external
funding/sponsorship
Professional
Conducts 3 community
Growth and
5%
(20%)
JUNE-MARCH
Professional
Conducts 3 community
Growth and
of practice meeting
Development
(20%)
JUNE-MARCH
8%
Initiated/Participated in cocurricular/school association,

etc.
JUNE-MARCH
6%
Enroll in Graduates
Studies
JUNE-MARCH
6%
NARISALINE I. ABADILLA
Ratee
LEGEND
Range
Adjectival Rating
4.500 - 5.000
3.500 - 4.499
Very Satisfactory
2.500 - 3.499
Satisfactory
1.500 - 2.499
Unsatisfactory
1.499 & below
Poor
Outstanding
DUAL PERFORMANCE COMMITMENT & REVIEW FORM

Name of Rater:
Position:
Date of Review:
ELIVER B. QUILESTE
SCHOOL PRINCIPAL
December 2015
E
RA
G
TARGET
AV
E
PERFORMANCE INDICATOR
Q
ua
lit
y
Ef
ci
en
TI
cy
M
EL
IN
ES
S
ACTUAL RESUL
5- the teacher fully observes/maintains/manifests the specified

personal/professional characteristics
2-the teacher observe/maintain/manifest few of the specified

of
the
number
of
School
Days
4.
3
1-the teacher observe/maintain/manifest does not posses the

specified personal/professional characteristics
3-the teacher observe/maintain/manifest some of the specified

75%
4- the teacher observes/maintains/manifests most of the

5- the teacher fully observe/maintain/manifest the specified

5-All daily lesson logs had the following; date, time,topics, references
objectives, activities/task, strategy and remarks and suggestions
and time-bound ( Refer to Lesson Guide )
100% developed high order thinking skills
Attains 100% of the desired learning competencies
100% based on the budget of work
of
the
number
of
School
Days
1-the teacher observe/maintain/manifest does not posses the

75%
4.
6
4- the teacher observe/maintain/manifest most of the specified

3-the teacher observe/maintain/manifest some of the specified
2-the teacher observe/maintain/manifest few of the specified

Attained 86-99% of the desired learning ( Refer to lesson guide)
Attained 75-85% of the desired learning competencies Refer to Lesson Guide )
75%
of the
expected
lesson logs
preparation
in a year

Attained 65-74% of the desired learning competencies ( Refer to Lesson Guide)

Objective was stated without behavioral indicators ( Refer to Lesson Guide)

5-The teacher established challenging and measureable

goal/s for student learning that is aligned with the LC's
Has provided individual activities for a 100% of the
Teaching methods and strategies elicited 100%
Inductive method/deductive method was 100%
Cooperative learning strategies was 100%
effective when used
ICT integration is100% e evident
learning that is aligned with the LC's
Inductive method/deductive method was86%-99%
75%
of the
expected
lesson logs 4
preparation in a
year

Cooperative learning strategies was86%-99% and above
effective when used
ICT integration is86%-99% evident
student learning that is aligned with the or LC's
Has provided individual activities for a 75-85%
Inductive method/deductive method was 75-85%
Cooperative learning strategies was 75-85% and above
effective when used
ICT integration is 75-85% evident
Inductive method/deductive method was 65-74%
Cooperative learning strategies was 65-74% and above
effective when used
ICT integration is 65-74% evident
Has provided individual activities for a64% and below of the
Teaching methods and strategies elicited64% & below
Inductive method/deductive method was64% and below
effective when used
ICT integration is64% & below
lesson logs 4
preparation in a
year
5-Students were 100% guided in the observation

4-Students were 86-99% guided in the observation of classroom
report card/journal
report card/journal
report card/journal
1-Students were 64% & below guided in the observation of classroom
report card/journal
waste disposal were 100% maintained
Attendance checking was 100% systematically carried out
waste disposal were 75-85% maintained
carried out
waste disposal were 65-74% maintained
Attendance checking was 65-74% and above systematically
carried out
waste disposal were64% and below
carried out
75%
of
the total
4
number of
students
75%
of
the total
3
number of
pupils

different student's needs, abilities, and learning styles.
Class record reflected the bases of 100% of students ratings in all classes/subject areas
handled
Students portfolio contained 100% of his accomplishment
Table of Specifications is 100% prepared for tests
Test questions were100% logically sequenced
Pretest and Post-test were 100% administered
Class record reflected the bases of 86%-99% of students ratings in all classes/subject areas
handled
Pupils portfolio contained86%-99% of his accomplishment
Class record reflected the bases of 75-85% of students ratings in all classes/subject areas handled
students portfolio contained 75-85% of his accomplishment
Table of Specifications is75-85% prepared for tests
Test questions were 75-85% logically sequenced
Pretest and Post-test were 75-85% administered

Class record reflected the bases of 65-74% of students ratings in all classes/subject areas
handled
students portfolio contained 65-74% of his accomplishment
Table of Specifications is 65-74% prepared for tests
Test questions were 65-74% logically sequenced
Pretest and Post-test were 65-74% administered

Class record reflected the bases of 64% below of students ratings in all classes/subject
areas handled
students portfolio contained 64% below of his accomplishment
5- NAT performance and GSA is 100% and above
4 - NAT performance and GSA is 86 %- 99%
3 - NAT performance and GSA is 73% - 85%
2 - NAT performance and GSA is 65%- 74%
1 - NAT performance and GSA is 64% and below
5- The teacher always perform duties and responsibilities and
submit reports with MOVs as coordinator and subject teacher
4- Most of the time the teacher perform duties and responsibilities
and submit reports with MOVs as coordinator and subject teacher
3- the teacher sometimes perform duties and responsibilities and submit reports with MOVs
2- the teacher seldom perform duties and responsibilities and submit reports with MOVs
1- the teacher never perform duties and responsibilities and submit reports with MOVs
5-100% accomplishment of set visits successful

interventions
4-86-99% accomplishment of visits with partial success in
3-75-85% accomplishment of visits with suggested
2-65-74% accomplishment of visits with planned
1-64%-below accomplishment of set visits with planned
interventions
5-100% project accomplishment with full
75%

4-86-99% project accomplishment with partial completion
3-75-85% project initiative only with no completion report
2-65-74% project initiative only with no completion report
1- No project/event/activity initiated
5-100% accomplishment with set agreements met

4-86-99% of planned meetings conducted producing only set

3-75-85% of planned meetings conducted producing set of agreements
2-65-74% of planned meetings conducted with minimal results

1-64% and below of planned meetings conducted with no results

documented results
5- Have completed the doctorate
4 - Have completed the Masteral
3- Have earned 30 units in Master's Degree
Overall Rating:
Descriptive Rating
Very Satisf
ELIVER B. QUILESTE
SCHOOL PRINCIPAL I
Rater
Approved by:
JULIETO H. FERNANDEZ,
ASST. SCHOOLS DIVISION SUPERIN
Approving Authority
0.
4
4.
6
5
3
0.
4
4.
3
4
E
Sc
or
e
N
G
RA
G
ci
en
cy
RA
TI
AV
E
B. QUILESTE
L PRINCIPAL I
ber 2015
CTUAL RESULTS
2.67
0.4
0.3
0.2
0.2
3.667
0.4
3
3
0.15
0.2
0.2
4
4
0.2
4
3.667
0.32
4
3.7
0.24
2
2
0.12
3.730
Very Satisfactory
QUILESTE
INCIPAL I
er
FERNANDEZ, Ed. D
VISION SUPERINTENDENT
ving Authority
Name of Employee: Benjie M. Andilab

Position: Teacher 1

Name of Rater: MAXIMO P. HIBAYA, Ma.Ed
Position: Head Teacher I

District: Buug
School: ____Del Monte National High School
MFO
KRAs
OBJECTIVES
Prepares______ lesson plans and daily logs
TIMELINE
WEIGHT
June-March
per KRA
50%
15%

20%

10%
and group tasks
5%

35%
Students Outcomes
10%
progress

5%
20%

and learning areas
75
7%
3%

/conferences
4
2%

2
2%
Conducts community of practice meeting
3%
with members ot the department ( ancillary)
8%
Development
3%
5%
association, etc.
MITMENT & REVIEW FORM

of Rater: MAXIMO P. HIBAYA, Ma.Ed
on: Head Teacher I
of Review: December 2014
PERFORMANCE
INDICATORS
subject matter, procedures, evaluation and assignment
and time-bound
ACTUAL RATING SCORE

RESULTS

5-The teacher established challenging and measureable
effective when used
effective when used

effective when used
effective when used
effective when used
5-Pupils were 130% and above guided in the observation

report card/journal
report card/journal
report card/journal
report card/journal
carried out
carried out
carried out

Class record reflected the bases of 130% and above of pupils ratings in all
classes/subject areas handled
Class record reflected the bases of 115%-129% of pupils ratings in all
Class record reflected the bases of 100%-114% of pupils ratings in all

Class record reflected the bases of 51%-99% of pupils ratings in all classes/subject
areas handled
Class record reflected the bases of 50% below of pupils ratings in all
5-Remediation/ Enrichment Program is offered to 130% and above of students who
need it and
4-Remediation/ Enrichment Program is offered to 115%-129% of students who
need it and
3-Remediation/ Enrichment Program is offered to 100%-114% of students who

need it and
2-Remediation/ Enrichment Program is offered to 51%-99% of students who need it
and
1-Remediation/ Enrichment Program is offered to 50% below of students who need
it and

115-129% MPS/GSA
100-114% MPS/GSA
51-99% MPS/GSA
130% and above accomplishment with set agreements met
130% and above accomplishment of set visits successful
interventions
interventions

130% and above accomplishment with set agreements met

documented results
Overall Rating
Descriptive Rating
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Name of Employee: ________________________

INDIVIDUAL PERFORMANCE COMMITMENT & REVIEW FORM

Performs instructional supervision to

Conducts classroom observation

Performs instructional supervision

is 50% and below

teacher and pupil performance

Provided safe and child friendly

Provides technical assistance to

10% 5- 130% and above accomplishments

Conducts TNA-based in-service

10% 5- 130% of teachers attended INSET

2- 51%-99% of teachers attended INSET

Established school and family and

10% 5 -Has stakeholders partnership/mobilization plan

resources generated and evidences

5- Produced a school strategic plan/SIP and AIP

10% through the strategic planning process

developed and utilized

-School report card presented to all stakeholders

planning process with minimal deviation and 115-129%

planning process with minimal deviation and

planning process with deviation and

process and evidences are largely absent

10% 5- With clear financial management system for the school

INDIVIDUAL PERFORMANCE COMMITME

Health and Nutrition Education

Conducted different screening procedures

Served as resource speakers in health

Healthful School Living

Inspects 70% of the sanitary permit of the lunch

Supervises the maintenance of safe,

Health and Nutrion Services

Conducted individual health inspection

Treated all pupils with identified ailments

Dewormed at least 85% of children

Conducted home/hospital visitation

Coordination for Health

at least once a month for 70% of

Coordinated with community health

ORMANCE COMMITMENT & REVIEW FORM

2-Conducted lectures/talks to classes

schools within the assigned area

within the period of performance appraisal

10% services of 130% and above of the total number

of schools within the assigned area of responsibility

INDIVIDUAL PERFORMANCE COMMITMENT &

Submitted 100% of all monthly, quarterly,

Submitted 100% of all monthly, quarterly

Monitores 100% of the utilization of fund transfers

100% implementation of the Financial

ANCE COMMITMENT & REVIEW FORM

INDIVIDUAL PERFORMANCE COMMITMENT & REVIEW FORM

Review Period: July 2014-December 2014

Date of Review: December 2014

Prepares 1440 lesson plans and daily logs

5-All daily lesson plans had the following objectives

of activities including appropriate,

Each part had a full description of what to do with an example

adequate and updated instructional materials

Objective was specific, measurable, attainable, result-oriented

1- Had 1 of the five parts

25% 5-The teacher established challenging and measureable