Department of Education

Region IX, Zamboanga Peninsula

Division of Zamboanga City
VITALI NATIONAL HIGH SCHOOL
Vitali , Zamboanga City

Individual Performance Commitment and Review Form

Name of Employee: GIRLIE A. QUIONES Name of Rater: MR. RONALD F. MANALO
Position: Teacher II Position: Master Teacher I
Review Period: May 2016 April 2017 Date of Review:

TO BE FILLED IN DURING PLANNING

Weight RATING
PERFORMANCE INDICATORS ACTUAL
MFO KRAs OBJECTIVES TIMELINE Per Score
(Quality, Efficiency, Timeliness) RESULTS Q E T Ave
KRA

Basic 1. TEACHING 1.1 Achieved 50% MPS June 10% 5 Outstanding

Achieved 60% MPS on NAT S.Y. 2016 2017.
Education LEARNING on NAT 2016 4 Very Satisfactory
Services PROCESS specifically on to Achieved 55% MPS on NAT S.Y. 2016 2017.
(40 %) MATH for s. y. March 3 Satisfactory
2016 2017. 2017 Achieved 50% MPS on NAT S.Y. 2016 2017.
2 Unsatisfactory
Achieved 45% MPS on NAT S.Y. 2016 2017.
1 Poor
Achieved 40% MPS on NAT S.Y. 2016 2017.

1.2 Prepared 75% June 10% 5 Outstanding

(135) lesson 2016 Prepared 180 lesson logs/Plan.
logs/Plan, to 4 Very Satisfactory
individual March Prepared 160 179 lesson logs/Plan.
3 Satisfactory
activities, 2017 Prepared 135 159 lesson logs/Plan.
including 2 Unsatisfactory
appropriate and Prepared 120 134 lesson logs/Plan.
updated 1 Poor
Prepared 119 110 lesson logs/Plan.
instructional
materials
1.3 Conducted 80% of June
the Mandated 2016
DepEd Programs to
and Projects. March
2017
*80% Project WATCH Delivered 100% Project WATCH on the following:
Accomplished daily logbook/attendance notebook.
Posted WATCH campaign advocacy in the classroom.
Submitted action plan on WATCH implementation.
Created WATCH corner in the room.
5 Outstanding
All elements were met.
4 Very Satisfactory
3 out of 4 elements were met.
3 Satisfactory
2 out of 4 elements were met.
2 Unsatisfactory
1 out of 4 elements were met.
1 Poor
No elements were met.

*80% Project WASH June Implemented 100% Project WASH on the following.
2016 Installed thirty (30) faucets for teachers and students use.
to Provided clean water supply.
March Provided sufficient amount of water.
2017 Supply potable water for students and teachers.
Constructed lavatories for students use.
5 Outstanding
All elements were met.
4 Very Satisfactory
4 out of 5 elements were met.
3 Satisfactory
3 out of 5 elements were met.
2 Unsatisfactory
2 out of 5 elements were met.
1 Poor
1 out of 5 elements were met.

*80% Department June

Activity 2016 2%
to Conducted MATH Month Celebration on the following:
March Conducted Opening Program.
Conducted Math competition/activities.
2017 Conducted Culminating Program.
Submitted reports with proper documentation.
5 Outstanding
All elements were met.
4 Very Satisfactory
3out of 4 elements were met.
3 Satisfactory
 out of 4 elements were met.
2 Unsatisfactory
1 out of 4 elements were met.
1 Poor
No elements were met.

TIMELINESS

5 Outstanding
Submitted accomplishment report one (1) week before due date.
4 Very Satisfactory
Submitted accomplishment report three (3) days before due date.
3 Satisfactory
Submitted accomplishment report on the exact due date.
2 Unsatisfactory
Submitted accomplishment report one week late from the due date.
1 Poor
Submitted accomplishment report two weeks and above late from the
due date.

*80% Attended June

5 Outstanding
School Programs 2016 Attended 100% (20) and above school program and activities.
and Activities to 4 Very Satisfactory
March Attended 90% (18) school program and activities.
2017 3 Satisfactory
Attended 80% (16) school program and activities.
2 Unsatisfactory
Attended 70% (14) school program and activities.
1 Poor
Attended 60% (12) and below school program and activities.

1.4 Facilitates
June 10% 5 Outstanding
learning in the Facilitated 180 innovative teaching strategies.
class through 75% 2016
4 Very Satisfactory
(135) functional to Facilitated 160 innovative teaching strategies.
lesson plan and March 3 Satisfactory
the use of 2017 Facilitated 135 innovative teaching strategies.
2 Unsatisfactory
innovative Facilitated 120 innovative teaching strategies.
teaching 1 Poor
strategies Facilitated 110 and below innovative teaching strategies.
 TIMELINESS

5 Outstanding
All 180 Lesson Logs/Plans were checked 2 days before the actual
date.
4 Very Satisfactory
Lesson Logs/Plans were checked 1 day before the actual date.
3 Satisfactory
Lesson Logs/Plans were checked on the exact actual date.
2 Unsatisfactory
Lesson Logs/Plans were checked 1 week late from the actual date.
1 Poor
Lesson Logs/Plans didnt submit for checking.

5 Outstanding
2. STUDENT 2.1 Provided safe and June 10% Accomplished 80% on the following (supported by evidences as school
policy, reports, information materials, advocacy, activities, regular meeting,
OUTCOMES Child-friendly learning 2016 inventory)
(30%) environment for to Conducted school club hunting for students enthusiasts.
students by 80% March Provided information campaign on Child-protection Policy.
Project MANE 2017 Observed Friday a chalk-free day.
Implemented 100% DRRM Policies.
implementation
4 Very Satisfactory
3 out of 4 mechanisms were present.
3 Satisfactory
2 out of 4 mechanisms were present.
2 Unsatisfactory
1 out of 4 mechanisms were present.
1 Poor
No mechanism was present.

5 Outstanding
2.2 Implemented June 5% Implemented 100% on the following Proper Waste Management Disposal/
proper Waste 2015 Segregation
management Disposal to Provided classroom Trash Bin and properly labeled Nabubulok at Di-
Nabubulok.
by 80% ZERO March Waste was properly segregated from the Trash Bin in the classroom.
WASTE. 2016 Conducted fund Raising activities through recycled materials.
Waste was properly disposed in the Compost Pit.
4 Very Satisfactory
3 out of 4 mechanisms were present.

3 Satisfactory
2 out of 4 mechanisms were present.
2 Unsatisfactory
1 out of 4 mechanisms were present.
1 Poor
No mechanism was present.
2.3. Evaluated 70% June 10% 5 Outstanding
Gave10 written outputs, 10 products performances and periodic test
students Progress 2016 per quarter.
within the rating period to Class record reflected 100% bases.
2016 2017. March Pre-Test and Post-Test were 100% administered.
2017 Maintained students portfolio of students performance.
4 Very Satisfactory
Gave 8 written outputs, 8 products performances and periodic test per
quarter.
Class record show 80% students rating.
Pre-Test and Post-Test were 80% administered.
Maintained 80% students portfolio of students performance.
3 Satisfactory
Gave 7 written outputs, 7 products performances and periodic test per
quarter.
Class record show 70% students rating.
Pre-Test and Post-Test were 70% administered.
Maintained 70% students portfolio of students performance.
2 Unsatisfactory
Gave 5 written outputs, 5 products performances and periodic test per
quarter.
Class record show 60% students rating.
Pre-Test and Post-Test were 60% administered.
Maintained 60% students portfolio of students performance.
1 Poor
Gave below 5 written outputs, below 5 products performances and
periodic test per quarter.
Class record show 50% and below students rating.
Pre-Test and Post-Test were 50% administered.
Maintained 50% and below students portfolio of students
performance.

TIMELINESS

5 Outstanding
Submitted grading sheet three (3) days before due date.
4 Very Satisfactory
Submitted grading sheet two (2) days before due date.
3 Satisfactory
Submitted grading sheet on the exact date.
2 Unsatisfactory
Submitted grading sheet two (2) days late from the due date.
1 Poor
Submitted grading sheet three (3) days late from the due date.
 2.4 Achieved MPS by June 5% 5 Outstanding
Achieved 60% and above MPS.
40% every Quarter. 2016 4 Very Satisfactory
to Achieved 50% MPS.
March 3 Satisfactory
2017 Achieved 40% MPS.
2 Unsatisfactory
Achieved 30% MPS.
1 Poor
Achieved 20% MPS.

3. COMMUNITY 3.1 Established School, June 5% 5 Outstanding

INVOLVEMENT Family and Community 2016 Conducted Homeroom General P.T.A. Meeting Quarterly.
(15%) partnership for school to Submitted conference notebook to the Guidance Coordinator.
Obtained resources and supports for classroom improvements through
performance and March stakeholders and parents.
Physical improvement 2017 Conducted and Attended 100% perfect attendance during Family Day.
through Quarterly 4 Very Satisfactory
Homeroom General One (1) indicator was not met.
3 Satisfactory
P.T.A. Assembly and
Two (2) indicators were not met.
Activities. 2 Unsatisfactory
Three (3) indicators were not met.
1 Poor
No indicators met.

3.2 Meets parents June 5% 5 Outstanding

Conducted Quarterly Recognition Program.
regularly to confer/ 2016 Conducted Quarterly Homeroom Meeting.
inform about students to Completed report with documentation of meeting and Agreement both
accomplishment March the teacher and the parents.
through Quarterly 2017 Conducted Family Day.
Recognition. 4 Very Satisfactory
One (1) indicator was not met.
3 Satisfactory
Two (2) indicators were not met.
2 Unsatisfactory
Three (3) indicators were not met.
1 Poor
No indicators met.
 3.3 Conducted Child- June 2% 5 Outstanding
Conducted Child-find quarterly.
Find or home 2016 Attained 0% Drop-Out Rate.
visitations to save to Increased to 100% Completion Rate.
SARDOs. March Completed report with documentation of child-find/home visitation.
2017 4 Very Satisfactory
One (1) indicator was not met.
3 Satisfactory
Two (2) indicators were not met.
2 Unsatisfactory
Three (3) indicators were not met.
1 Poor
No indicators met.

5 Outstanding
3.4 Participated on June 3% Participated in 10 related events/activities and an active member of 4
related organizations 2016 related organizations/associations
/association events to 4 Very Satisfactory
and activities. March Participated in 7 related events/activities and an active member of 3
related organizations/associations
2017
3 Satisfactory
Participated in 5 related events/activities and an active member of 2
related organizations/associations.
2 Unsatisfactory
Participated in 3 related events/activities and an active member of 1
related organization/association
1 Poor
Participated in 2 related events/activities and only a member of any
related organizations/associations

4.PROFESSIONAL 5 Outstanding
4.1 Attended 90% June 2% 100% Attendance.
GROWTH AND INSET/LAC/ Mentoring/ 2016 4 Very Satisfactory
DEVELOPMENT GAD/Team Building to 95% Attendance.
(15%) Activities. March 3 Satisfactory
2017 90% Attendance.
2 Unsatisfactory
88% Attendance.
1 Poor
85% Attendance.
 4.2 Attended Division June 8% 5 Outstanding
level Seminars and 2016 Attended one (1) International Level seminar.
4 Very Satisfactory
trainings to Attended one (1) National Level seminar.
March 3 Satisfactory
2017 Attended one (1) Regional and two (2) Division Level
seminars.
2 Unsatisfactory
Attended one (1) Division and two (2) school based Level
seminar.
1 Poor
Attended two (2) School-Based Level seminars.

5 Outstanding
4.3 Enrolled June 2% Doctoral Graduate
Professional at least 2016 4 Very Satisfactory
Masteral Level. to Doctoral Units or Masters Graduate.
March 3 Satisfactory
2017 Presently enrolled in Masteral Studies.
2 Unsatisfactory
With Units in Masters but not presently enrolled.
1 Poor
0 Units in Post Graduates.

4.4. Act on Complains. June 2% 5 Outstanding

Settled issues and concerns on teachers Level.
2016 4 Very Satisfactory
to Settled issues and concerns on Guidance Level.
March 3 Satisfactory
2017 Settled issues and concerns on Disciplinarian Level.
2 Unsatisfactory
Settled issues and concerns on Principal Level.
1 Poor
Settled issues and concerns on Barangay/Police/ Division
Level.

To get the score, the rating is multiplied by the weight assigned OVERALL
RATING
FOR
ACCOM-
PLISHMENT

Ratee: Rater: Approving Authority:

GIRLIE A. QUIONES RONALD F. MANALO LAARNI V. MIRANDA, Ed. D.

Teacher - II Master Teacher I School Principal II
 PART III. SUMMARY OF RATINGS FOR DISCUSSION

Final Performance Results Rating Adjectival Rating

Accomplishments of KRAs and Objectives Very Satisfactory

Rater Ratee Agreement

The signature below confirm that the employee and his/her superior have agreed on the content of this appraisal form and the performance rating.
Name of Ratee: GIRLIE A. QUIONES Name of Rater: MR. RONALD F. MANALO
Position: TEACHER - II Position: MASTER TEACHER - I
Signature: Signature:
Date: Date:

PART IV: DEVELOPMENT PLANS

Action Plan
Strengths Development Needs (Recommended Developmental Timeline Resources Needed
Intervention)

Masteral Graduate More exposures to Attend Seminars/Workshops and Summer Mass School Funds
Professionalism and Ethics Innovation Trainings on Innovation, Oral Training MOOE funds
Attended International Seminars Communication, Written May 2016
Have good work attitude Written/Oral Communication Communication,
Service Oriented and Computer/ICT Skills

Mid-Year INSET
Oct. 2016
Year -round

Ratee: Rater: Approving Authority:

GIRLIE A. QUIONES RONALD F. MANALO LAARNI V. MIRANDA, Ed. D.

Teacher - II Master Teacher - I School Principal - II