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INDIVIDUAL PERF

Name of Employee :
Position :
Review Period :
Bureau/Center/Service/Division:

TO BE FILLED DURING PLANNING


WEIGHT
MFO KRA OBJECTIVES TIMELINE PER
KRA
Teaching- 1. Prepared and executed 180 daily
Learning logs/lesson June 2016- 25%
Process
logs of activities with complete parts March 2017
40%

Basic
Education 2. Facilitated four engaged lessons June 2016- 5%
Services using ICT within the rating period March 2017

3. Monitored students attendance, and


ensure classrooms safety, June 2016-
5%
cleanliness/orderliness, discipline and March 2017
implement risk reduction management policy

4. Maintained the landscape, vegetable


June 2016-
garden and zero-garbage in the assigned 5%
March 2017
area

2. Students' 1. Monitored, evaluated and maintained


Outcomes students progress/performance
(30%)
June 2016-
10%
March 2017
2. Students' 1. Monitored, evaluated and maintained
Outcomes students progress/performance
(30%)
June 2016-
10%
March 2017

2. Conducted remediation/enrichment/
intervention program to improve performance June 2016 -
of students 5%
March 2017

June 2016-
3. Maintained updated stuents' school record 5%
March 2017

4. Attained zero drop-out rate, at least 1% June 2016 -


10%
faiure, 99% promotion rate March 2017

1. Conducted regular meetings/


conferences with parents Quarterly 5%

3. Community 2. Maintained a harmonious relatonship with


Involvement the fellow teachers and other school Year round 5%
15% personnel including parents and students

3. Initiated/implemented projects, programs,


activities through the support of the stakeholder Year round 5%
and not through school funds/MOOE
1. Prepared at least One (1) action plan
related to the subjects Year round 5%
handled/advisory/ancillary services within the
4. Professional school year
Growth and
2. Attended and applied learnings in the
15% INSET/Demonstration Teacher/ Year round 5%
Resource Person
3. Conducted School-based Action Year round 5%
Research at least once in a school year

RATING
NUMERICAL ADJECTIVAL
4.500-5.000 Outstanding
3.500-4.499 Very Satisfactory
2.500-3.499 Satisfactory
1.500-2.499 Unsatisfactory
Below 1.499 Poor
Ratee
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM
For Teachers I - III

TO BE FILLED DURING PLANNING


PERFORMANCE INDICATORS
(Quality, Efficiency, Timeliness)

100% of lesson plans have complete parts


with SMART objectives submitted on time.
* Lesson Plans/Daily log of activities
* Complete LP Parts
* Checklist/Related Support Teaching Materials
engaged lessons using ICT were
executed within the rating period
* Compiled LPs with ICT integration
* Portfolio

100% of students attendance and classrooms safety,


cleanliness and orderliness are completely monitored and
evaluated within the rating period.
* Attendance Notebook
* Checklist
* Evaluation Sheet
*Security & Safety Plan Posted

*with garbage receptacle


*no plastic/waste in the assigned area
*with ornamental plants
*with at least 5 variety of
vegetables planted

100% submission of complete and accurate students


progress/performance/grade
(class record/grade sheet, compliation of TQs, students
profile, frequency of responses report , Quarterly
Summary of Final Ratings, Table of Specifications)

100% implementation of the prepared remediation/


enrichment/intervention program.

100% submission of school forms.


( SF1,SF2,Form 137, F137,Nutritional Status, PSA Birth
Cert - ALL in ONE Portfolio)

Zero drop-out, at least 1% failure, and 99% promotion

100% of regular meetings/conferences


were actively participated by parents
within the school year
*Zero complaint/Conflict

*Certification from the Offices of the Guidance Service


Specialist and
School Grievance
*100% documentation of tangible projects acquired
*Deed of Donation

Submitted one action plan with 100% project


implementation within the given period of time with
MOVs

Accomplishment report, certificate of recognition/participati

Approved Action Research


EDFEL V. CABAG
Rater/School Principal II

Approved:

SALUSTIANO T. JIMENEZ, CESO VI


OIC - Office of the Asst. Regional Director
Concurrent Schools Division Superintendent
ENT AND REVIEW FORM
I
Name of Rater :
Position :
Date of Review :

TO BE FILLED DURING EVALUATION


ACTUAL
RATING
RESULTS SCORE
Q E T AVE.

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00
0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00

TOTAL 0.00
Recommending Approval:

LELANIE T. CABRERA, CESE


Assistant Schools Division Superintendent
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM
For Teachers I - III
Name of Employee : IRENE T. MARIANO Name of Rater : EDFEL V. CABAG
Position : SST-1 Position : SSP - II
Review Period : JUNE 2016-MARCH 2017 Date of Review : APRIL 18, 2017
Bureau/Center/Service/Division: NEGROS ORIENTAL

TO BE FILLED DURING PLANNING TO BE FILLED DURING EVALUATION


WEIGHT
PERFORMANCE INDICATORS
MFO KRA OBJECTIVES TIMELINE PER
KRA QUALITY EFFICIENCY TIMELINESS
Teaching- 1. Prepared and executed 180 daily
Learning logs/lesson June 2016- 25% 100% of lesson plans have
Process complete parts with SMART
logs of activities with complete parts March 2017 100% of lesson plans have objectives and 100% of lesson plans are
complete parts. submitted on time.
40% checklist/related teaching
materials.
Basic
Education 2. Facilitated four engaged lessons June 2016- 5%
Services using ICT within the rating period March 2017 Compiled lesson plans with ICT Engaged lessons using ICT
Engaged lessons using ICT.
integration and portfolio. within the rating period.
100% of students' attendance
100% of students' attendance
100% of students' and classroom's safety,
3. Monitored students attendance, and and classroom safety,
attendance and classroon cleanliness/orderliness are
ensure classrooms safety, June 2016- cleanliness/orderliness are
5% safety, cleanliness and monitored and evaluated using
cleanliness/orderliness, discipline and March 2017 completely monitored and
orderliness are completely attendance notebook, checklist,
implement risk reduction management policy evaluated within the rating
monitored and evaluated. evaluation sheet, and posted
period.
security and safety plan.

With garbage receptacle,no Maintained the landscape,


Maintained the cleanliness in
4. Maintained the landscape, vegetable plastic/waste in the assigned ornamental and vegetable
June 2016- the assigned area and take
garden and zero-garbage in the assigned 5% area,with ornamental plants garden, and cleanliness in
March 2017 care the ornamental plants and
area and with at least 5 variety of nthe assigned area the whole
vegetables.
vegetable planted. year round.

2. Students' 1. Monitored, evaluated and maintained


Outcomes students progress/performance
(30%) 100% submission of Submitted class record,grade
Completely monitored,
complete and accurate sheet,compilation of
evaluated and maintained
June 2016- TQs,students' profile,frequency
March 2017
10% students' of responses report,quarterly
students'
progress/performance/gr progress/performance within
summary of final ratings, and
ade. the school year.
table of specifications.
2. Conducted remediation/enrichment/
intervention program to improve performance
of students

100% implementation of Compiled lesson plans in


June 2016 - the prepared remediation classes, Conducted remedial classes
5%
March 2017 remediation/enrichment/i portfolio,records of students' within the rating period.
ntervention program. taking remedial classes.

Compiled and updated


Maintined updated students'
June 2016- 100% submission of school SF1,SF2,Form 137,Nutritional
3. Maintained updated stuents' school record 5% school record from June
March 2017 forms. Status, Psa Birth Certificate-All
2016-March 2017.
in one porfolio.

Zero drop-out,at least 1% With certification from school Attained the required drop-
4. Attained zero drop-out rate, at least 1% June 2016 -
10% failure, and 99% promotion statistician for drop-out and out and promotion rate within
faiure, 99% promotion rate March 2017
rate. promotion rate. the rating period.

1. Conducted regular meetings/ 100% of regular


Compiled minutes of the
conferences with parents Quarterly 5% meetings/conferences were Conducted regular meetings
meetings and attendance of
actively participated by with parents quarterly.
parents.
parents.

3. Community 2. Maintained a harmonious relatonship with


Involvement the fellow teachers and other school Year round 5% With zero complaint or With certification from the
15% personnel including parents and students conflict with the fellow Office of the Guidance Service
Zero complaint/conflict in the
teachers, other school Specialist and School
whole year round.
personnel, parents and Grievance for zero complaint or
students. conflict.

3. Initiated/implemented projects, programs,

100% documentation of Compiled deed of donations of Initiated projects in the whole


activities through the support of the stakeholder 5% 100% documentation of Compiled deed of donations of Initiated projects in the whole
Year round
tangible projects acquired. the projects acquired. year round.

and not through school funds/MOOE


1. Prepared at least One (1) action plan
related to the subjects Submitted one action plan
Year round 5% 100% implementation of the Implemented the project
handled/advisory/ancillary services within the with 100% project
project with MOVs. within the rating period.
4. Professional school year implementation.
Growth and
2. Attended and applied learnings in the
15% INSET/Demonstration Teacher/ 5%
Compiled Certificate of
Attended trainings and
Submitted accomplishment Recognition and Participation
Year round applied learnings in the whole
report with certificates. in the different trainings
year round.
attended.

Resource Person
3. Conducted School-based Action
Conducted School-Based Submitted Approved Action Conducted Action Research
Year round 5%
Action Research. Research. within the rating period.
Research at least once in a school year

RATING
NUMERICAL ADJECTIVAL
4.500-5.000 Outstanding
3.500-4.499 Very Satisfactory
2.500-3.499 Satisfactory
1.500-2.499 Unsatisfactory
Below 1.499 Poor
Approved:

IRENE T. MARIANO EDFEL V. CABAG


Ratee Rater/School Principal II Assistant Schools
T AND REVIEW FORM

TO BE FILLED DURING EVALUATION


ACTUAL RESULTS RATING
SCORE
QUALITY EFFICIENCY TIMELINESS Q E T Ave.

90% of lesson plans


have complete parts 90% of lesson plans are
90% of lesson plans have with SMART objectives 4 4 4 4.00 1.00
complete parts. submitted on time.
and checklist/related
teaching materials.

Compiled LPs are on Engaged lessons using


Lessons are up to power 3 3 2.67 0.13
power point power point preentations 2
point presentations only.
presentations. within the rating period.
Presented all the
needed MOVs in Have completely
Have monitored completely
monitoring and monitored and evaluated
students' attendance and
evaluating students' students' attendance, 5 5 4.67 0.23
classroom safety, cleanliness and 4
attendance and
cleanliness and orderliness within the
classroom safety, rating period.
orderliness.
cleanliness and
orderliness.

With 3 garbage Have maintained the


receptacle,no plastic/waste landscape, ornamental
Presented all the MOVs
in the assigned area,with and vegetable garden, 4 4 4.33 0.22
to support the different and cleanliness in the 5
ornamental plants and with
indicators. assigned area from June
many variety of vegetable 2016-Macrh 2017.
planted.

Submitted 100% of Compiled and submitted Completely


monitored,evaluated,
complete and accurate all the needed reports to and maintained students' 5 5 5.00 0.50
5
students' support students' progress/performance
progress/performace. progress/performance. within the school year.
Compiled and submitted
lesson plans in remedial
classes, records of
Implemented 90% of the Conducted remedial
students' classes from July 2016- 4 4 4.00 0.20
prepared remediation 4
accomplishment,attenda March 2017.
program.
nce of students taking
remedial classes, and
activity sheets.

Presented 100% Maintained updated


Submiited 100% of school students' school records 5 5 5.00 0.25
updated students' from June 2016-March 5
forms.
school records. 2017.

With certification from Monitored students'


With 6% drop-out rate,zero
school sattistician for the drop-out and promotion 5 5 4.33 0.43
failure, and 100% rate within the rating 3
6% drop-out rate and
promotion rate. period.
100% promotion rate.

Presented attendance
!00% of regular meetings
sheets of parents' Conducted five meetings 5 5 5.00 0.25
were actively participated 5
meeting with 96% within the school year.
by parents.
average attendance.

With certification from


With zero complaint or
the Office of the
conflict with the fellow
Guidance Service Zero complaint/conflict in 5 5 5.00 0.25
teachers, other school 5
Specialist and School the whole year round.
personnel, parents and
Grievance for zero
students.
complaint or conflict.

Compiled deed of
Acquired 7,360 project for
donations,pictures of The project was
ceiling repair,repainting of
Compiled deed of
Acquired 7,360 project for
donations,pictures of The project was
ceiling repair,repainting of 4 4 3.67 0.18
before,during and after implemented in 3
the classroom and garden
the implementation of September 2016.
improvement.
the project.

Implemented the project Implemented the project 3 3 3.00 0.15


Submitted one action plan. 3
but no MOVs presented. within the rating period.

Attended INSET
Compiled Certificate of trainings,GAD
Recognition and Seminar,Seminar-
Submitted accomplishment 4 4 4.00 0.20
Participation in the Workshop on SBM Level 4
report with MOVs.
different trainings of Practice and applied
attended. learnings in the whole
year round.

The planning and title


Research is up to planning Research Title is not 2 2 2.00 0.10
making is done within the 2
and title making only. final.
rating period.

TOTAL 4.10

LELANIE T. CABRERA, CESE


Assistant Schools Division Superintendent
COMPETENCIES

CORE BEHAVIORAL COMPETENCIES to improve performance. Examples may include doing something better,
faster, at a lower cost, more effeciently; or improving quality, customer CORE SKILLS
satisfaction, morale, without setting any specific goal.
Achievement
Self Management
1. Enjoys working hard.
1. Sets personal goals and direction, needs and development

2. Undertakes personal actions and behaviors that Teamwork 2. Is action-oriented and full of energy for the things he/she
are clear and purposive and takes into account personal goals and values congruent to sees as challenging.
that of the organization. 1. Willingly does his/her 3. Not fearful of acting
3. Displays emotional maturity and enthusiasm for an is share of responsibility. with a minimum of planning.
challenged by higher goals.
4. For prioritize work tasks and 2. Promotes collaboration, and removes barriers to 4. Seizes more opprtunities than others.
schedules(through graph charts,checklists and etc.) to achieve goals. teamwork and goal accomplishment across the organization.
5.Sets high 3. Applies Managing Diversity 5. Strategic
quality, challenging, realistic goals for self and others. 4 negotiation principles in arriving at win-win agreements. 5 thinker.
1.
4. Drives consensus and team ownership of Respects all kinds and classes of people.
decisions.
2. Deals effectively with all races,
5. Works constructively and collaboratively with others and across nationalities, cultures, disabilities, ages and both sexes.
organizations to accomplish organizational goals and objectives.
Professional and Ethics Service Orientation 3. Support equal and fair treatment and opportunity for all.
1.Demonstrates the values and behavior enshrined in the Norms of 1. Can explain and articulate 4. Applies equal standards and
Conduct and Ethical Standards for public officials and employees(RA 6713). organizational directions, issues and problems. criteria to all classes.
2. Practices ethical and professional behavior and conduct 2. Takes personal responsibility for dealing with an/or correcting 5. Manifests cultural and gender sensitivity when dealing with
taking into account the impact of his/her actions and decisions. customers service issues and concerns. Accountability
people.
3. Maintains a professional image: being 4 3. Initiates activities that 4
trustworthy, regularity of attendance and punctuality, good grooming and promotes advocacy for men and women impowerment. 1. Can be counted on to
communication. exceed goals successfully.
4. Makes personal sacrifices to meet the organization's needs. 4. Participates in updating of office vision, mission, mandates
and strategies based on Dep Ed strategies and directions. 2. Steadfastly pushes self and others towards results.
5. Acts with a sense of urgency and responsibility 5. Develops and adapts
to meet the organization's needs, improves systems and help others improve their service improvement programs through simplified procedures that will 3. Gets things done
effectiveness. further enhance service delivery. on time and optimum use of resources.

4. Builds team spirit.

Result Focus: Innovation 5. Transacts


with transparency.
1. Achieves results with optimal use of time and resources most of 1. Examines the root cause
the time. of problems and suggests effeective solutions. Fosters new ideas, processes,
2. Avoids rework, mistakes and wastage through effective work and suggest better ways to do things( cost and /or operational effeciency). 5-Role Model; 4-Consistently demonstrates; 3- Most of the time demonstrates; 2- Sometimes
methods by placing organizational needs before personal needs. 4 3 demonstrates 1-Rarely demonstrates
3. Delivers error-free outputs most of the time by
conforming to standard operating procedurescorrectly and consistently. Able to produce 2. Demonstrates an ability to
very satisfactory quality of work in terms of usefulness/ acceptability and completeness think"beyond the box", continiously focuses on improving personal
with no supervision required. productivity to create higher value and results.
4. Expresses a desire to do better and 3. Promotes a creative climate and inspires co-workers to
may express frustration at waste or ineffeciency. May focus on you or more precise ways develop original ideas or solutions.
of meeting goals set. 4. Translates
5. Makes specific changes in the system or in own work methods creative thinking into tangible changes and solutions that improve the work
unit and organization.
5. Uses ingenious methods to accomplish
responsibilities. Demonstrates resourcefulness and the ability to succeed
with minimal resources.
Result Focus: Innovation

1. Achieves results with optimal use of time and resources most of 1. Examines the root cause
the time. of problems and suggests effeective solutions. Fosters new ideas, processes,
2. Avoids rework, mistakes and wastage through effective work and suggest better ways to do things( cost and /or operational effeciency).
methods by placing organizational needs before personal needs.
3. Delivers error-free outputs most of the time by
conforming to standard operating procedurescorrectly and consistently. Able to produce 2. Demonstrates an ability to
very satisfactory quality of work in terms of usefulness/ acceptability and completeness think"beyond the box", continiously focuses on improving personal
with no supervision required. productivity to create higher value and results.
4. Expresses a desire to do better and 3. Promotes a creative climate and inspires co-workers to
may express frustration at waste or ineffeciency. May focus on you or more precise ways develop original ideas or solutions.
of meeting goals set. 4. Translates
5. Makes specific changes in the system or in own work methods creative thinking into tangible changes and solutions that improve the work
unit and organization. Note: These ratings can be used for the developmental plans of the employee.
5. Uses ingenious methods to accomplish
responsibilities. Demonstrates resourcefulness and the ability to succeed
with minimal resources.

5-Role Model; 4-Consistently demonstrates; 3- Most of the time demonstrates; 2- Sometimes demonstrates 1-Rarely demonstrates
AVERAGE 4.3
5

5-Role Model; 4-Consistently demonstrates; 3- Most of the time demonstrates; 2- Sometimes


demonstrates 1-Rarely demonstrates
Note: These ratings can be used for the developmental plans of the employee.
PART III: SUMMARY OF RATINGS FOR DISCUSSION

Numerical Adjectival
Final Performance Results
Rating Rating
Accomplishments of KRAs and Objectives
4.10 VS

Rater-Ratee Agreement
The signatures below confirm that the employee and his/her superior have agreed on content of this appraisal form and the performance rating.

Name of Employee: IRENE T. MARIANO Name of Superior: EDFEL V. CABAG

Signature: Signature:

Date: 4/18/2017 Date: 4/18/2017

PART IV: DEVELOPMENTAL PLANS


Action Plan
Strengths Development Needs Timeline Sources Needed
(Recommended Developmental Intervention)
Teamwork Innovation Attend training/seminars to develop and promote innovative skills. June-March 2017 DepEd
Achievement Other concern agencies on innovation
Managing Diversity
Accountability

Approved:

IRENE T. MARIANO EDFEL V. CABAG LELANIE T. CABRERA, CESE


Ratee Rater/School Principal II Assistant Schools Division Superintendent
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM
For Teachers I - III
Name of Employee : LYN L. LIBAGO Name of Rater : EDFEL V. CABAG
Position : SST-1 Position : SSP - II
Review Period : JUNE 2016-MARCH 2017 Date of Review : MAY 5, 2017
Bureau/Center/Service/Division: NEGROS ORIENTAL

TO BE FILLED DURING PLANNING TO BE FILLED DURING EVALUATION


WEIGHT
PERFORMANCE INDICATORS
MFO KRA OBJECTIVES TIMELINE PER
KRA QUALITY EFFICIENCY TIMELINESS
Teaching- 1. Prepared and executed 180 daily
Learning logs/lesson June 2016- 25% 100% of lesson plans have
Process complete parts with SMART
logs of activities with complete parts March 2017 100% of lesson plans have objectives and 100% of lesson plans are
complete parts. submitted on time.
40% checklist/related teaching
materials.
Basic
Education 2. Facilitated four engaged lessons June 2016- 5%
Services using ICT within the rating period March 2017 Compiled lesson plans with ICT Engaged lessons using ICT
Engaged lessons using ICT.
integration and portfolio. within the rating period.
100% of students' attendance
100% of students' attendance
100% of students' and classroom's safety,
3. Monitored students attendance, and and classroom safety,
attendance and classroon cleanliness/orderliness are
ensure classrooms safety, June 2016- cleanliness/orderliness are
5% safety, cleanliness and monitored and evaluated using
cleanliness/orderliness, discipline and March 2017 completely monitored and
orderliness are completely attendance notebook, checklist,
implement risk reduction management policy evaluated within the rating
monitored and evaluated. evaluation sheet, and posted
period.
security and safety plan.

With garbage receptacle,no Maintained the landscape,


Maintained the cleanliness in
4. Maintained the landscape, vegetable plastic/waste in the assigned ornamental and vegetable
June 2016- the assigned area and take
garden and zero-garbage in the assigned 5% area,with ornamental plants garden, and cleanliness in
March 2017 care the ornamental plants and
area and with at least 5 variety of nthe assigned area the whole
vegetables.
vegetable planted. year round.

2. Students' 1. Monitored, evaluated and maintained


Outcomes students progress/performance
(30%) 100% submission of Submitted class record,grade
Completely monitored,
complete and accurate sheet,compilation of
evaluated and maintained
June 2016- TQs,students' profile,frequency
March 2017
10% students' of responses report,quarterly
students'
progress/performance/gr progress/performance within
summary of final ratings, and
ade. the school year.
table of specifications.
2. Conducted remediation/enrichment/
intervention program to improve performance
of students

100% implementation of Compiled lesson plans in


June 2016 - the prepared remediation classes, Conducted remedial classes
5%
March 2017 remediation/enrichment/i portfolio,records of students' within the rating period.
ntervention program. taking remedial classes.

Compiled and updated


Maintined updated students'
June 2016- 100% submission of school SF1,SF2,Form 137,Nutritional
3. Maintained updated stuents' school record 5% school record from June
March 2017 forms. Status, Psa Birth Certificate-All
2016-March 2017.
in one porfolio.

Zero drop-out,at least 1% With certification from school Attained the required drop-
4. Attained zero drop-out rate, at least 1% June 2016 -
10% failure, and 99% promotion statistician for drop-out and out and promotion rate within
faiure, 99% promotion rate March 2017
rate. promotion rate. the rating period.

1. Conducted regular meetings/ 100% of regular


Compiled minutes of the
conferences with parents Quarterly 5% meetings/conferences were Conducted regular meetings
meetings and attendance of
actively participated by with parents quarterly.
parents.
parents.

3. Community 2. Maintained a harmonious relatonship with


Involvement the fellow teachers and other school Year round 5% With zero complaint or With certification from the
15% personnel including parents and students conflict with the fellow Office of the Guidance Service
Zero complaint/conflict in the
teachers, other school Specialist and School
whole year round.
personnel, parents and Grievance for zero complaint or
students. conflict.

3. Initiated/implemented projects, programs,

100% documentation of Compiled deed of donations of Initiated projects in the whole


activities through the support of the stakeholder 5% 100% documentation of Compiled deed of donations of Initiated projects in the whole
Year round
tangible projects acquired. the projects acquired. year round.

and not through school funds/MOOE


1. Prepared at least One (1) action plan
related to the subjects Submitted one action plan
Year round 5% 100% implementation of the Implemented the project
handled/advisory/ancillary services within the with 100% project
project with MOVs. within the rating period.
4. Professional school year implementation.
Growth and
2. Attended and applied learnings in the
15% INSET/Demonstration Teacher/ 5%
Compiled Certificate of
Attended trainings and
Submitted accomplishment Recognition and Participation
Year round applied learnings in the whole
report with certificates. in the different trainings
year round.
attended.

Resource Person
3. Conducted School-based Action
Conducted School-Based Submitted Approved Action Conducted Action Research
Year round 5%
Action Research. Research. within the rating period.
Research at least once in a school year

RATING
NUMERICAL ADJECTIVAL
4.500-5.000 Outstanding
3.500-4.499 Very Satisfactory
2.500-3.499 Satisfactory
1.500-2.499 Unsatisfactory
Below 1.499 Poor
Approved:

LYN L. LIBAGO EDFEL V. CABAG


Ratee Rater/School Principal II Assistant Schools
T AND REVIEW FORM

TO BE FILLED DURING EVALUATION


ACTUAL RESULTS RATING
SCORE
QUALITY EFFICIENCY TIMELINESS Q E T Ave.

100% of lesson plans


100% of lesson plans have have complete parts 80% of lesson plans are 5 2 3 3.33 0.83
complete parts. with SMART objectives submitted on time.
but no reflections.

Compiled LPs are on Engaged lessons using


Lessons are up to power 2 2 2.00 0.10
power point power point preentations 2
point presentations only.
presentations. within the rating period.
Presented only few
MOVs in monitoring and Have not monitored and
Lack of safety measures evaluating students' evaluated students'
posted in the assigned attendance and attendance, cleanliness 2 2 2 2.00 0.10
office. classroom safety, and orderliness within
the rating period.
cleanliness and
orderliness.

With 1 garbage Have maintained the


receptacle,no plastic/waste landscape, ornamental
Presented few MOVs to
in the assigned area,with and vegetable garden, 3 4 3.67 0.18
support the different and cleanliness in the 4
ornamental plants and with
indicators. assigned area from June
many variety of vegetable 2016-Macrh 2017.
planted.

Submitted 80% of Submitted some of the Completely


monitored,evaluated,
complete and accurate needed reports to and maintained students' 4 4 3.67 0.37
3
students' support students' progress/performance
progress/performace. progress/performance. within the school year.
Implemented 80% of the Submitted few Conducted remedial
classes within the school
prepared remediation documents to support year but no exact record 4 3 4 3.67 0.18
program. the remediation activity. of the date.

Presented 100% Maintained updated


Submiited 100% of school students' school records 4 5 4.67 0.23
updated students' from June 2016-March 5
forms.
school records. 2017.

With certification from Monitored students'


With 6% drop-out rate,zero
school sattistician for the drop-out and promotion 5 4 4.67 0.47
failure, and 100% rate within the rating 5
6% drop-out rate and
promotion rate. period.
100% promotion rate.

Presented attendance
90% of regular meetings
sheets of parents' Conducted five meetings 3 4 3.67 0.18
were actively participated 4
meeting with 96% within the school year.
by parents.
average attendance.

With certification from


With zero complaint or
the Office of the
conflict with the fellow
Guidance Service Zero complaint/conflict in 5 5 5.00 0.25
teachers, other school 5
Specialist and School the whole year round.
personnel, parents and
Grievance for zero
students.
complaint or conflict.

The project was


No Movs presented but
The project was
No Movs presented but 3 3 3.00 0.15
No compiled MOVs. implemented within the 3
initiated some project.
school year.

Implemented the project Implemented the project 5 5 5.00 0.25


Submitted one action plan. 5
but no MOVs presented. within the rating period.

Attended INSET
Compiled Certificate of trainings,GAD
Recognition and Seminar,Seminar-
Submitted accomplishment 5 5 5.00 0.25
Participation in the Workshop on SBM Level 5
report with MOVs.
different trainings of Practice and applied
attended. learnings in the whole
year round.

The planning and title


Research is up to planning Research Title is not 2 2 2.00 0.10
making is done within the 2
and title making only. final.
rating period.

TOTAL 3.65

LELANIE T. CABRERA, CESE


Assistant Schools Division Superintendent
COMPETENCIES

CORE BEHAVIORAL COMPETENCIES to improve performance. Examples may include doing something better,
faster, at a lower cost, more effeciently; or improving quality, customer CORE SKILLS
satisfaction, morale, without setting any specific goal.
Achievement
Self Management
1. Enjoys working hard.
1. Sets personal goals and direction, needs and development

2. Undertakes personal actions and behaviors that Teamwork 2. Is action-oriented and full of energy for the things he/she
are clear and purposive and takes into account personal goals and values congruent to sees as challenging.
that of the organization. 1. Willingly does his/her 3. Not fearful of acting
3. Displays emotional maturity and enthusiasm for an is share of responsibility. with a minimum of planning.
challenged by higher goals.
4. For prioritize work tasks and 2. Promotes collaboration, and removes barriers to 4. Seizes more opprtunities than others.
schedules(through graph charts,checklists and etc.) to achieve goals. teamwork and goal accomplishment across the organization.
5.Sets high 3. Applies Managing Diversity 5. Strategic
quality, challenging, realistic goals for self and others. 3 negotiation principles in arriving at win-win agreements. 5 thinker.
1.
4. Drives consensus and team ownership of Respects all kinds and classes of people.
decisions.
2. Deals effectively with all races,
5. Works constructively and collaboratively with others and across nationalities, cultures, disabilities, ages and both sexes.
organizations to accomplish organizational goals and objectives.
Professional and Ethics Service Orientation 3. Support equal and fair treatment and opportunity for all.
1.Demonstrates the values and behavior enshrined in the Norms of 1. Can explain and articulate 4. Applies equal standards and
Conduct and Ethical Standards for public officials and employees(RA 6713). organizational directions, issues and problems. criteria to all classes.
2. Practices ethical and professional behavior and conduct 2. Takes personal responsibility for dealing with an/or correcting 5. Manifests cultural and gender sensitivity when dealing with
taking into account the impact of his/her actions and decisions. customers service issues and concerns. Accountability
people.
3. Maintains a professional image: being 4 3. Initiates activities that 3
trustworthy, regularity of attendance and punctuality, good grooming and promotes advocacy for men and women impowerment. 1. Can be counted on to
communication. exceed goals successfully.
4. Makes personal sacrifices to meet the organization's needs. 4. Participates in updating of office vision, mission, mandates
and strategies based on Dep Ed strategies and directions. 2. Steadfastly pushes self and others towards results.
5. Acts with a sense of urgency and responsibility 5. Develops and adapts
to meet the organization's needs, improves systems and help others improve their service improvement programs through simplified procedures that will 3. Gets things done
effectiveness. further enhance service delivery. on time and optimum use of resources.

4. Builds team spirit.

Result Focus: Innovation 5. Transacts


with transparency.
1. Achieves results with optimal use of time and resources most of 1. Examines the root cause
the time. of problems and suggests effeective solutions. Fosters new ideas, processes,
2. Avoids rework, mistakes and wastage through effective work and suggest better ways to do things( cost and /or operational effeciency). 5-Role Model; 4-Consistently demonstrates; 3- Most of the time demonstrates; 2- Sometimes
methods by placing organizational needs before personal needs. 3 3 demonstrates 1-Rarely demonstrates
3. Delivers error-free outputs most of the time by
conforming to standard operating procedurescorrectly and consistently. Able to produce 2. Demonstrates an ability to
very satisfactory quality of work in terms of usefulness/ acceptability and completeness think"beyond the box", continiously focuses on improving personal
with no supervision required. productivity to create higher value and results.
4. Expresses a desire to do better and 3. Promotes a creative climate and inspires co-workers to
may express frustration at waste or ineffeciency. May focus on you or more precise ways develop original ideas or solutions.
of meeting goals set. 4. Translates
5. Makes specific changes in the system or in own work methods creative thinking into tangible changes and solutions that improve the work
unit and organization.
5. Uses ingenious methods to accomplish
responsibilities. Demonstrates resourcefulness and the ability to succeed
with minimal resources.
Result Focus: Innovation

1. Achieves results with optimal use of time and resources most of 1. Examines the root cause
the time. of problems and suggests effeective solutions. Fosters new ideas, processes,
2. Avoids rework, mistakes and wastage through effective work and suggest better ways to do things( cost and /or operational effeciency).
methods by placing organizational needs before personal needs.
3. Delivers error-free outputs most of the time by
conforming to standard operating procedurescorrectly and consistently. Able to produce 2. Demonstrates an ability to
very satisfactory quality of work in terms of usefulness/ acceptability and completeness think"beyond the box", continiously focuses on improving personal
with no supervision required. productivity to create higher value and results.
4. Expresses a desire to do better and 3. Promotes a creative climate and inspires co-workers to
may express frustration at waste or ineffeciency. May focus on you or more precise ways develop original ideas or solutions.
of meeting goals set. 4. Translates
5. Makes specific changes in the system or in own work methods creative thinking into tangible changes and solutions that improve the work
unit and organization. Note: These ratings can be used for the developmental plans of the employee.
5. Uses ingenious methods to accomplish
responsibilities. Demonstrates resourcefulness and the ability to succeed
with minimal resources.

5-Role Model; 4-Consistently demonstrates; 3- Most of the time demonstrates; 2- Sometimes demonstrates 1-Rarely demonstrates
AVERAGE 3.8
4

5-Role Model; 4-Consistently demonstrates; 3- Most of the time demonstrates; 2- Sometimes


demonstrates 1-Rarely demonstrates
Note: These ratings can be used for the developmental plans of the employee.
PART III: SUMMARY OF RATINGS FOR DISCUSSION

Numerical Adjectival
Final Performance Results
Rating Rating
Accomplishments of KRAs and Objectives
3.65 VS

Rater-Ratee Agreement
The signatures below confirm that the employee and his/her superior have agreed on content of this appraisal form and the performance rating.

Name of Employee: LYN L. LIBAGO Name of Superior: EDFEL V. CABAG

Signature: Signature:

Date: MAY 5, 2017 Date: MAY 5, 2017

PART IV: DEVELOPMENTAL PLANS


Action Plan
Strengths Development Needs Timeline Sources Needed
(Recommended Developmental Intervention)
Teamwork Self Management Prioritize on the assigned tasks. June-March 2017 DepEd
Accountability Service Orientation Self- tolerance on stress. Other concern agencies on services.
Attend trainings/seminars related to services. internet

Approved:

LYN L. LIBAGO EDFEL V. CABAG LELANIE T. CABRERA, CESE


Ratee Rater/School Principal II Assistant Schools Division Superintendent
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM
For Teachers I - III
Name of Employee : SIMPROSA T. NICOR Name of Rater : EDFEL V. CABAG
Position : SST-1 Position : SSP - II
Review Period : JUNE 2016-MARCH 2017 Date of Review : APRIL 27, 2017
Bureau/Center/Service/Division: NEGROS ORIENTAL

TO BE FILLED DURING PLANNING TO BE FILLED DURING EVALUATION


WEIGHT
PERFORMANCE INDICATORS
MFO KRA OBJECTIVES TIMELINE PER
KRA QUALITY EFFICIENCY TIMELINESS
Teaching- 1. Prepared and executed 180 daily
Learning logs/lesson June 2016- 25% 100% of lesson plans have
Process complete parts with SMART
logs of activities with complete parts March 2017 100% of lesson plans have objectives and 100% of lesson plans are
complete parts. submitted on time.
40% checklist/related teaching
materials.
Basic
Education 2. Facilitated four engaged lessons June 2016- 5%
Services using ICT within the rating period March 2017 Compiled lesson plans with ICT Engaged lessons using ICT
Engaged lessons using ICT.
integration and portfolio. within the rating period.
100% of students' attendance
100% of students' attendance
100% of students' and classroom's safety,
3. Monitored students attendance, and and classroom safety,
attendance and classroon cleanliness/orderliness are
ensure classrooms safety, June 2016- cleanliness/orderliness are
5% safety, cleanliness and monitored and evaluated using
cleanliness/orderliness, discipline and March 2017 completely monitored and
orderliness are completely attendance notebook, checklist,
implement risk reduction management policy evaluated within the rating
monitored and evaluated. evaluation sheet, and posted
period.
security and safety plan.

With garbage receptacle,no Maintained the landscape,


Maintained the cleanliness in
4. Maintained the landscape, vegetable plastic/waste in the assigned ornamental and vegetable
June 2016- the assigned area and take
garden and zero-garbage in the assigned 5% area,with ornamental plants garden, and cleanliness in
March 2017 care the ornamental plants and
area and with at least 5 variety of nthe assigned area the whole
vegetables.
vegetable planted. year round.

2. Students' 1. Monitored, evaluated and maintained


Outcomes students progress/performance
(30%) 100% submission of Submitted class record,grade
Completely monitored,
complete and accurate sheet,compilation of
evaluated and maintained
June 2016- TQs,students' profile,frequency
March 2017
10% students' of responses report,quarterly
students'
progress/performance/gr progress/performance within
summary of final ratings, and
ade. the school year.
table of specifications.
2. Conducted remediation/enrichment/
intervention program to improve performance
of students

100% implementation of Compiled lesson plans in


June 2016 - the prepared remediation classes, Conducted remedial classes
5%
March 2017 remediation/enrichment/i portfolio,records of students' within the rating period.
ntervention program. taking remedial classes.

Compiled and updated


Maintined updated students'
June 2016- 100% submission of school SF1,SF2,Form 137,Nutritional
3. Maintained updated stuents' school record 5% school record from June
March 2017 forms. Status, Psa Birth Certificate-All
2016-March 2017.
in one porfolio.

Zero drop-out,at least 1% With certification from school Attained the required drop-
4. Attained zero drop-out rate, at least 1% June 2016 -
10% failure, and 99% promotion statistician for drop-out and out and promotion rate within
faiure, 99% promotion rate March 2017
rate. promotion rate. the rating period.

1. Conducted regular meetings/ 100% of regular


Compiled minutes of the
conferences with parents Quarterly 5% meetings/conferences were Conducted regular meetings
meetings and attendance of
actively participated by with parents quarterly.
parents.
parents.

3. Community 2. Maintained a harmonious relatonship with


Involvement the fellow teachers and other school Year round 5% With zero complaint or With certification from the
15% personnel including parents and students conflict with the fellow Office of the Guidance Service
Zero complaint/conflict in the
teachers, other school Specialist and School
whole year round.
personnel, parents and Grievance for zero complaint or
students. conflict.

3. Initiated/implemented projects, programs,

100% documentation of Compiled deed of donations of Initiated projects in the whole


activities through the support of the stakeholder 5% 100% documentation of Compiled deed of donations of Initiated projects in the whole
Year round
tangible projects acquired. the projects acquired. year round.

and not through school funds/MOOE


1. Prepared at least One (1) action plan
related to the subjects Submitted one action plan
Year round 5% 100% implementation of the Implemented the project
handled/advisory/ancillary services within the with 100% project
project with MOVs. within the rating period.
4. Professional school year implementation.
Growth and
2. Attended and applied learnings in the
15% INSET/Demonstration Teacher/ 5%
Compiled Certificate of
Attended trainings and
Submitted accomplishment Recognition and Participation
Year round applied learnings in the whole
report with certificates. in the different trainings
year round.
attended.

Resource Person
3. Conducted School-based Action
Conducted School-Based Submitted Approved Action Conducted Action Research
Year round 5%
Action Research. Research. within the rating period.
Research at least once in a school year

RATING
NUMERICAL ADJECTIVAL
4.500-5.000 Outstanding
3.500-4.499 Very Satisfactory
2.500-3.499 Satisfactory
1.500-2.499 Unsatisfactory
Below 1.499 Poor
Approved:

SIMPROSA T. NICOR EDFEL V. CABAG


Ratee Rater/School Principal II Assistant Schools
T AND REVIEW FORM

TO BE FILLED DURING EVALUATION


ACTUAL RESULTS RATING
SCORE
QUALITY EFFICIENCY TIMELINESS Q E T Ave.

90% of lesson plans


have complete parts 85% of lesson plans are
85% of lesson plans have with SMART objectives 3 4 3 3.33 0.83
complete parts. submitted on time.
and checklist/related
teaching materials.

NOT YET NONE NONE 2 2 2 2.00 0.10


Presented all the
needed MOVs in Have completely
Have monitored completely
monitoring and monitored and evaluated
students' attendance and
evaluating students' students' attendance, 4 4 4.00 0.20
classroom safety, cleanliness and 4
attendance and
cleanliness and orderliness within the
classroom safety, rating period.
orderliness.
cleanliness and
orderliness.

With 3 garbage Have maintained the


receptacle,no plastic/waste landscape, ornamental
Presented all the MOVs
in the assigned area,with and vegetable garden, 5 5 5.00 0.25
to support the different and cleanliness in the 5
ornamental plants and with
indicators. assigned area from June
many variety of vegetable 2016-Macrh 2017.
planted.

Submitted 100% of Compiled and submitted Completely


monitored,evaluated,
complete and accurate all the needed reports to and maintained students' 5 5 4.67 0.25
4
students' support students' progress/performance
progress/performace. progress/performance. within the school year.
Compiled and submitted
lesson plans in remedial
classes, records of
Implemented 90% of the Conducted remedial
students' classes from July 2016- 3 3 3.00 0.15
prepared remediation 3
accomplishment,attenda March 2017.
program.
nce of students taking
remedial classes, and
activity sheets.

Presented 100% Maintained updated


Submiited 100% of school students' school records 5 5 5.00 0.25
updated students' from June 2016-March 5
forms.
school records. 2017.

With certification from Monitored students'


With 10% drop-out
school sattistician for the drop-out and promotion 5 5 4.33 0.43
rate,zero failure, and 100% 3
10% drop-out rate and rate within the rating
promotion rate. period.
100% promotion rate.

Presented attendance
!00% of regular meetings
sheets of parents' Conducted five meetings 3 4 3.33 0.17
were actively participated 3
meeting with 58% within the school year.
by parents.
average attendance.

With certification from


With zero complaint or
the Office of the
conflict with the fellow
Guidance Service Zero complaint/conflict in 5 5 5.00 0.25
teachers, other school 5
Specialist and School the whole year round.
personnel, parents and
Grievance for zero
students.
complaint or conflict.

Compiled deed of
Acquired 7,360 project for
donations,pictures of The project was
ceiling repair,repainting of
Compiled deed of
Acquired 7,360 project for
donations,pictures of The project was
ceiling repair,repainting of 4 4 3.67 0.18
before,during and after implemented in 3
the classroom and garden
the implementation of September 2016.
improvement.
the project.

Implemented the project Implemented the project 3 3 3.00 0.15


Submitted one action plan. 3
but no MOVs presented. within the rating period.

Attended INSET
Compiled Certificate of trainings,GAD
Recognition and Seminar,Seminar-
Submitted accomplishment 4 4 4.00 0.20
Participation in the Workshop on SBM Level 4
report with MOVs.
different trainings of Practice and applied
attended. learnings in the whole
year round.

The planning and title


Research is up to planning Research Title is not 2 2 2.00 0.10
making is done within the 2
and title making only. final.
rating period.

TOTAL 3.52

LELANIE T. CABRERA, CESE


Assistant Schools Division Superintendent
COMPETENCIES

CORE BEHAVIORAL COMPETENCIES to improve performance. Examples may include doing something better,
faster, at a lower cost, more effeciently; or improving quality, customer CORE SKILLS
satisfaction, morale, without setting any specific goal.
Achievement
Self Management
1. Enjoys working hard.
1. Sets personal goals and direction, needs and development

2. Undertakes personal actions and behaviors that Teamwork 2. Is action-oriented and full of energy for the things he/she
are clear and purposive and takes into account personal goals and values congruent to sees as challenging.
that of the organization. 1. Willingly does his/her 3. Not fearful of acting
3. Displays emotional maturity and enthusiasm for an is share of responsibility. with a minimum of planning.
challenged by higher goals.
4. For prioritize work tasks and 2. Promotes collaboration, and removes barriers to 4. Seizes more opprtunities than others.
schedules(through graph charts,checklists and etc.) to achieve goals. teamwork and goal accomplishment across the organization.
5.Sets high 3. Applies Managing Diversity 5. Strategic
quality, challenging, realistic goals for self and others. 4 negotiation principles in arriving at win-win agreements. 5 thinker.
1.
4. Drives consensus and team ownership of Respects all kinds and classes of people.
decisions.
2. Deals effectively with all races,
5. Works constructively and collaboratively with others and across nationalities, cultures, disabilities, ages and both sexes.
organizations to accomplish organizational goals and objectives.
Professional and Ethics Service Orientation 3. Support equal and fair treatment and opportunity for all.
1.Demonstrates the values and behavior enshrined in the Norms of 1. Can explain and articulate 4. Applies equal standards and
Conduct and Ethical Standards for public officials and employees(RA 6713). organizational directions, issues and problems. criteria to all classes.
2. Practices ethical and professional behavior and conduct 2. Takes personal responsibility for dealing with an/or correcting 5. Manifests cultural and gender sensitivity when dealing with
taking into account the impact of his/her actions and decisions. customers service issues and concerns. Accountability
people.
3. Maintains a professional image: being 4 3. Initiates activities that 4
trustworthy, regularity of attendance and punctuality, good grooming and promotes advocacy for men and women impowerment. 1. Can be counted on to
communication. exceed goals successfully.
4. Makes personal sacrifices to meet the organization's needs. 4. Participates in updating of office vision, mission, mandates
and strategies based on Dep Ed strategies and directions. 2. Steadfastly pushes self and others towards results.
5. Acts with a sense of urgency and responsibility 5. Develops and adapts
to meet the organization's needs, improves systems and help others improve their service improvement programs through simplified procedures that will 3. Gets things done
effectiveness. further enhance service delivery. on time and optimum use of resources.

4. Builds team spirit.

Result Focus: Innovation 5. Transacts


with transparency.
1. Achieves results with optimal use of time and resources most of 1. Examines the root cause
the time. of problems and suggests effeective solutions. Fosters new ideas, processes,
2. Avoids rework, mistakes and wastage through effective work and suggest better ways to do things( cost and /or operational effeciency). 5-Role Model; 4-Consistently demonstrates; 3- Most of the time demonstrates; 2- Sometimes
methods by placing organizational needs before personal needs. 4 3 demonstrates 1-Rarely demonstrates
3. Delivers error-free outputs most of the time by
conforming to standard operating procedurescorrectly and consistently. Able to produce 2. Demonstrates an ability to
very satisfactory quality of work in terms of usefulness/ acceptability and completeness think"beyond the box", continiously focuses on improving personal
with no supervision required. productivity to create higher value and results.
4. Expresses a desire to do better and 3. Promotes a creative climate and inspires co-workers to
may express frustration at waste or ineffeciency. May focus on you or more precise ways develop original ideas or solutions.
of meeting goals set. 4. Translates
5. Makes specific changes in the system or in own work methods creative thinking into tangible changes and solutions that improve the work
unit and organization.
5. Uses ingenious methods to accomplish
responsibilities. Demonstrates resourcefulness and the ability to succeed
with minimal resources.
Result Focus: Innovation

1. Achieves results with optimal use of time and resources most of 1. Examines the root cause
the time. of problems and suggests effeective solutions. Fosters new ideas, processes,
2. Avoids rework, mistakes and wastage through effective work and suggest better ways to do things( cost and /or operational effeciency).
methods by placing organizational needs before personal needs.
3. Delivers error-free outputs most of the time by
conforming to standard operating procedurescorrectly and consistently. Able to produce 2. Demonstrates an ability to
very satisfactory quality of work in terms of usefulness/ acceptability and completeness think"beyond the box", continiously focuses on improving personal
with no supervision required. productivity to create higher value and results.
4. Expresses a desire to do better and 3. Promotes a creative climate and inspires co-workers to
may express frustration at waste or ineffeciency. May focus on you or more precise ways develop original ideas or solutions.
of meeting goals set. 4. Translates
5. Makes specific changes in the system or in own work methods creative thinking into tangible changes and solutions that improve the work
unit and organization. Note: These ratings can be used for the developmental plans of the employee.
5. Uses ingenious methods to accomplish
responsibilities. Demonstrates resourcefulness and the ability to succeed
with minimal resources.

5-Role Model; 4-Consistently demonstrates; 3- Most of the time demonstrates; 2- Sometimes demonstrates 1-Rarely demonstrates
AVERAGE 4.3
5

5-Role Model; 4-Consistently demonstrates; 3- Most of the time demonstrates; 2- Sometimes


demonstrates 1-Rarely demonstrates
Note: These ratings can be used for the developmental plans of the employee.
PART III: SUMMARY OF RATINGS FOR DISCUSSION

Numerical Adjectival
Final Performance Results
Rating Rating
Accomplishments of KRAs and Objectives
3.85 VS

Rater-Ratee Agreement
The signatures below confirm that the employee and his/her superior have agreed on content of this appraisal form and the performance rating.

Name of Employee: IRENE T. MARIANO Name of Superior: EDFEL V. CABAG

Signature: Signature:

Date: Date:

PART IV: DEVELOPMENTAL PLANS


Action Plan
Strengths Development Needs Timeline Sources Needed
(Recommended Developmental Intervention)
Teamwork Innovation Attend training/seminars to develop and promote innovative skills. June-March 2017 DepEd
Achievement Other concern agencies on innovation
Managing Diversity
Accountability

Approved:

IRENE T. MARIANO EDFEL V. CABAG LELANIE T. CABRERA, CESE


Ratee Rater/School Principal II Assistant Schools Division Superintendent
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM
For Teachers I - III
Name of Employee : CYNTHIA C. LARIOSA Name of Rater : EDFEL V. CABAG
Position : SST-1 Position : SSP - II
Review Period : JUNE 2016-MARCH 2017 Date of Review : MAY 9, 2017
Bureau/Center/Service/Division: NEGROS ORIENTAL

TO BE FILLED DURING PLANNING TO BE FILLED DURING EVALUATION


WEIGHT
PERFORMANCE INDICATORS
MFO KRA OBJECTIVES TIMELINE PER
KRA QUALITY EFFICIENCY TIMELINESS
Teaching- 1. Prepared and executed 180 daily
Learning logs/lesson June 2016- 25% 100% of lesson plans have
Process complete parts with SMART
logs of activities with complete parts March 2017 100% of lesson plans have objectives and 100% of lesson plans are
complete parts. submitted on time.
40% checklist/related teaching
materials.
Basic
Education 2. Facilitated four engaged lessons June 2016- 5%
Services using ICT within the rating period March 2017 Compiled lesson plans with ICT Engaged lessons using ICT
Engaged lessons using ICT.
integration and portfolio. within the rating period.
100% of students' attendance
100% of students' attendance
100% of students' and classroom's safety,
3. Monitored students attendance, and and classroom safety,
attendance and classroon cleanliness/orderliness are
ensure classrooms safety, June 2016- cleanliness/orderliness are
5% safety, cleanliness and monitored and evaluated using
cleanliness/orderliness, discipline and March 2017 completely monitored and
orderliness are completely attendance notebook, checklist,
implement risk reduction management policy evaluated within the rating
monitored and evaluated. evaluation sheet, and posted
period.
security and safety plan.

With garbage receptacle,no Maintained the landscape,


Maintained the cleanliness in
4. Maintained the landscape, vegetable plastic/waste in the assigned ornamental and vegetable
June 2016- the assigned area and take
garden and zero-garbage in the assigned 5% area,with ornamental plants garden, and cleanliness in
March 2017 care the ornamental plants and
area and with at least 5 variety of nthe assigned area the whole
vegetables.
vegetable planted. year round.

2. Students' 1. Monitored, evaluated and maintained


Outcomes students progress/performance
(30%) 100% submission of Submitted class record,grade
Completely monitored,
complete and accurate sheet,compilation of
evaluated and maintained
June 2016- TQs,students' profile,frequency
March 2017
10% students' of responses report,quarterly
students'
progress/performance/gr progress/performance within
summary of final ratings, and
ade. the school year.
table of specifications.
2. Conducted remediation/enrichment/
intervention program to improve performance
of students

100% implementation of Compiled lesson plans in


June 2016 - the prepared remediation classes, Conducted remedial classes
5%
March 2017 remediation/enrichment/i portfolio,records of students' within the rating period.
ntervention program. taking remedial classes.

Compiled and updated


Maintined updated students'
June 2016- 100% submission of school SF1,SF2,Form 137,Nutritional
3. Maintained updated stuents' school record 5% school record from June
March 2017 forms. Status, Psa Birth Certificate-All
2016-March 2017.
in one porfolio.

Zero drop-out,at least 1% With certification from school Attained the required drop-
4. Attained zero drop-out rate, at least 1% June 2016 -
10% failure, and 99% promotion statistician for drop-out and out and promotion rate within
faiure, 99% promotion rate March 2017
rate. promotion rate. the rating period.

1. Conducted regular meetings/ 100% of regular


Compiled minutes of the
conferences with parents Quarterly 5% meetings/conferences were Conducted regular meetings
meetings and attendance of
actively participated by with parents quarterly.
parents.
parents.

3. Community 2. Maintained a harmonious relatonship with


Involvement the fellow teachers and other school Year round 5% With zero complaint or With certification from the
15% personnel including parents and students conflict with the fellow Office of the Guidance Service
Zero complaint/conflict in the
teachers, other school Specialist and School
whole year round.
personnel, parents and Grievance for zero complaint or
students. conflict.

3. Initiated/implemented projects, programs,

100% documentation of Compiled deed of donations of Initiated projects in the whole


activities through the support of the stakeholder 5% 100% documentation of Compiled deed of donations of Initiated projects in the whole
Year round
tangible projects acquired. the projects acquired. year round.

and not through school funds/MOOE


1. Prepared at least One (1) action plan
related to the subjects Submitted one action plan
Year round 5% 100% implementation of the Implemented the project
handled/advisory/ancillary services within the with 100% project
project with MOVs. within the rating period.
4. Professional school year implementation.
Growth and
2. Attended and applied learnings in the
15% INSET/Demonstration Teacher/ 5%
Compiled Certificate of
Attended trainings and
Submitted accomplishment Recognition and Participation
Year round applied learnings in the whole
report with certificates. in the different trainings
year round.
attended.

Resource Person
3. Conducted School-based Action
Conducted School-Based Submitted Approved Action Conducted Action Research
Year round 5%
Action Research. Research. within the rating period.
Research at least once in a school year

RATING
NUMERICAL ADJECTIVAL
4.500-5.000 Outstanding
3.500-4.499 Very Satisfactory
2.500-3.499 Satisfactory
1.500-2.499 Unsatisfactory
Below 1.499 Poor
Approved:

CYNTHIA C. LARIOSA EDFEL V. CABAG


Ratee Rater/School Principal II Assistant Schools
ND REVIEW FORM

TO BE FILLED DURING EVALUATION


ACTUAL RESULTS RATING
SCORE
QUALITY EFFICIENCY TIMELINESS Q E T Ave.

89% of lesson plans


have complete parts 89% of lesson plans are
89% of lesson plans have with SMART objectives 4 3 3 3.33 0.83
complete parts. submitted on time.
and checklist/related
teaching materials.

NOT YET NONE NONE 2 2 2 2.00 0.10


Presented all the
needed MOVs in Have completely
Have monitored completely
monitoring and monitored and evaluated
students' attendance and
evaluating students' students' attendance, 4 5 4.67 0.23
classroom safety, cleanliness and 5
attendance and
cleanliness and orderliness within the
classroom safety, rating period.
orderliness.
cleanliness and
orderliness.

With 3 garbage Have maintained the


receptacle,no plastic/waste landscape, ornamental
Presented some the
in the assigned area,with and vegetable garden, 4 5 4.67 0.23
MOVs to support the and cleanliness in the 5
ornamental plants and with
different indicators. assigned area from June
many variety of vegetable 2016-Macrh 2017.
planted.

Submitted 90% of Compiled and submitted Completely


monitored,evaluated,
complete and accurate all the needed reports to and maintained students' 5 5 5.00 0.50
5
students' support students' progress/performance
progress/performace. progress/performance. within the school year.
Compiled and submitted
lesson plans in remedial
classes, records of
Implemented 90% of the Conducted remedial
students' classes from January 24, 4 4 4.00 0.20
prepared remediation 4
accomplishment,attenda 2017-March 11, 2017.
program.
nce of students taking
remedial classes, and
activity sheets.

Presented 100% Maintained updated


Submiited 100% of school students' school records 5 5 5.00 0.25
updated students' from June 2016-March 5
forms.
school records. 2017.

With certification from Monitored students'


With 10% drop-out
school sattistician for the drop-out and promotion 5 5 4.67 0.47
rate,zero failure, and 100% 4
10% drop-out rate and rate within the rating
promotion rate. period.
100% promotion rate.

Presented attendance
!00% of regular meetings
sheets of parents' Conducted five meetings 4 3 4.00 0.20
were actively participated 5
meeting with 58% within the school year.
by parents.
average attendance.

With zero complaint or


With certification from
conflict with the fellow
the Office of the School Zero complaint/conflict in 5 5 5.00 0.25
teachers, other school 5
Grievance for zero the whole year round.
personnel, parents and
complaint or conflict.
students.

Compiled deed of
Acquired 7,360 project for
donations,pictures of The project was
ceiling repair,repainting of
Compiled deed of
Acquired 7,360 project for
donations,pictures of The project was
ceiling repair,repainting of 4 4 4.00 0.20
before,during and after implemented in 4
the classroom and garden
the implementation of September 2016.
improvement.
the project.

No action plan submitted. none none 2 2 2 2.00 0.10

Attended INSET
Compiled Certificate of trainings,GAD
Recognition and Seminar,Seminar-
Submitted accomplishment 4 4 4.00 0.20
Participation in the Workshop on SBM Level 4
report with MOVs.
different trainings of Practice and applied
attended. learnings in the whole
year round.

Research is up to planning Research Title is not 2 2 2.00 0.10


2
and title making only. final.

TOTAL 3.8666666667 3.87

LELANIE T. CABRERA, CESE


Assistant Schools Division Superintendent
COMPETENCIES

CORE BEHAVIORAL COMPETENCIES to improve performance. Examples may include doing something better,
faster, at a lower cost, more effeciently; or improving quality, customer CORE SKILLS
satisfaction, morale, without setting any specific goal.
Achievement
Self Management
1. Enjoys working hard.
1. Sets personal goals and direction, needs and development

2. Undertakes personal actions and behaviors that Teamwork 2. Is action-oriented and full of energy for the things he/she
are clear and purposive and takes into account personal goals and values congruent to sees as challenging.
that of the organization. 1. Willingly does his/her 3. Not fearful of acting
3. Displays emotional maturity and enthusiasm for an is share of responsibility. with a minimum of planning.
challenged by higher goals.
4. For prioritize work tasks and 2. Promotes collaboration, and removes barriers to 4. Seizes more opprtunities than others.
schedules(through graph charts,checklists and etc.) to achieve goals. teamwork and goal accomplishment across the organization.
5.Sets high 3. Applies Managing Diversity 5. Strategic
quality, challenging, realistic goals for self and others. 4 negotiation principles in arriving at win-win agreements. 5 thinker.
1.
4. Drives consensus and team ownership of Respects all kinds and classes of people.
decisions.
2. Deals effectively with all races,
5. Works constructively and collaboratively with others and across nationalities, cultures, disabilities, ages and both sexes.
organizations to accomplish organizational goals and objectives.
Professional and Ethics Service Orientation 3. Support equal and fair treatment and opportunity for all.
1.Demonstrates the values and behavior enshrined in the Norms of 1. Can explain and articulate 4. Applies equal standards and
Conduct and Ethical Standards for public officials and employees(RA 6713). organizational directions, issues and problems. criteria to all classes.
2. Practices ethical and professional behavior and conduct 2. Takes personal responsibility for dealing with an/or correcting 5. Manifests cultural and gender sensitivity when dealing with
taking into account the impact of his/her actions and decisions. customers service issues and concerns. Accountability
people.
3. Maintains a professional image: being 4 3. Initiates activities that 4
trustworthy, regularity of attendance and punctuality, good grooming and promotes advocacy for men and women impowerment. 1. Can be counted on to
communication. exceed goals successfully.
4. Makes personal sacrifices to meet the organization's needs. 4. Participates in updating of office vision, mission, mandates
and strategies based on Dep Ed strategies and directions. 2. Steadfastly pushes self and others towards results.
5. Acts with a sense of urgency and responsibility 5. Develops and adapts
to meet the organization's needs, improves systems and help others improve their service improvement programs through simplified procedures that will 3. Gets things done
effectiveness. further enhance service delivery. on time and optimum use of resources.

4. Builds team spirit.

Result Focus: Innovation 5. Transacts


with transparency.
1. Achieves results with optimal use of time and resources most of 1. Examines the root cause
the time. of problems and suggests effeective solutions. Fosters new ideas, processes,
2. Avoids rework, mistakes and wastage through effective work and suggest better ways to do things( cost and /or operational effeciency). 5-Role Model; 4-Consistently demonstrates; 3- Most of the time demonstrates; 2- Sometimes
methods by placing organizational needs before personal needs. 4 3 demonstrates 1-Rarely demonstrates
3. Delivers error-free outputs most of the time by
conforming to standard operating procedurescorrectly and consistently. Able to produce 2. Demonstrates an ability to
very satisfactory quality of work in terms of usefulness/ acceptability and completeness think"beyond the box", continiously focuses on improving personal
with no supervision required. productivity to create higher value and results.
4. Expresses a desire to do better and 3. Promotes a creative climate and inspires co-workers to
may express frustration at waste or ineffeciency. May focus on you or more precise ways develop original ideas or solutions.
of meeting goals set. 4. Translates
5. Makes specific changes in the system or in own work methods creative thinking into tangible changes and solutions that improve the work
unit and organization.
5. Uses ingenious methods to accomplish
responsibilities. Demonstrates resourcefulness and the ability to succeed
with minimal resources.
Result Focus: Innovation

1. Achieves results with optimal use of time and resources most of 1. Examines the root cause
the time. of problems and suggests effeective solutions. Fosters new ideas, processes,
2. Avoids rework, mistakes and wastage through effective work and suggest better ways to do things( cost and /or operational effeciency).
methods by placing organizational needs before personal needs.
3. Delivers error-free outputs most of the time by
conforming to standard operating procedurescorrectly and consistently. Able to produce 2. Demonstrates an ability to
very satisfactory quality of work in terms of usefulness/ acceptability and completeness think"beyond the box", continiously focuses on improving personal
with no supervision required. productivity to create higher value and results.
4. Expresses a desire to do better and 3. Promotes a creative climate and inspires co-workers to
may express frustration at waste or ineffeciency. May focus on you or more precise ways develop original ideas or solutions.
of meeting goals set. 4. Translates
5. Makes specific changes in the system or in own work methods creative thinking into tangible changes and solutions that improve the work
unit and organization. Note: These ratings can be used for the developmental plans of the employee.
5. Uses ingenious methods to accomplish
responsibilities. Demonstrates resourcefulness and the ability to succeed
with minimal resources.

5-Role Model; 4-Consistently demonstrates; 3- Most of the time demonstrates; 2- Sometimes demonstrates 1-Rarely demonstrates
AVERAGE 4.1
4

5-Role Model; 4-Consistently demonstrates; 3- Most of the time demonstrates; 2- Sometimes


demonstrates 1-Rarely demonstrates
Note: These ratings can be used for the developmental plans of the employee.
PART III: SUMMARY OF RATINGS FOR DISCUSSION

Numerical Adjectival
Final Performance Results
Rating Rating
Accomplishments of KRAs and Objectives
3.87 VS

Rater-Ratee Agreement
The signatures below confirm that the employee and his/her superior have agreed on content of this appraisal form and the performance rating.

Name of Employee: CYNTHIA C. LARIOSA Name of Superior: EDFEL V. CABAG

Signature: Signature:

Date: MAY 9, 2017 Date: MAY 9, 2017

PART IV: DEVELOPMENTAL PLANS


Action Plan
Strengths Development Needs Timeline Sources Needed
(Recommended Developmental Intervention)
Teamwork Innovation Attend training/seminars to develop and promote innovative skills. June-March 2017 DepEd
Accountability Other concern agencies on innovation

Approved:

CYNTHIA C. LARIOSA EDFEL V. CABAG LELANIE T. CABRERA, CESE


Ratee Rater/School Principal II Assistant Schools Division Superintendent
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM
For Teachers I - III
Name of Employee : BABETH JANE B. PARBA Name of Rater : EDFEL V. CABAG
Position : SST-1 Position : SSP - II
Review Period : JUNE 2016-MARCH 2017 Date of Review : MAY 09, 2017
Bureau/Center/Service/Division: NEGROS ORIENTAL

TO BE FILLED DURING PLANNING TO BE FILLED DURING EVALUATION


WEIGHT
PERFORMANCE INDICATORS
MFO KRA OBJECTIVES TIMELINE PER
KRA QUALITY EFFICIENCY TIMELINESS
Teaching- 1. Prepared and executed 180 daily
Learning logs/lesson June 2016- 25% 100% of lesson plans have
Process complete parts with SMART
logs of activities with complete parts March 2017 100% of lesson plans have objectives and 100% of lesson plans are
complete parts. submitted on time.
40% checklist/related teaching
materials.
Basic
Education 2. Facilitated four engaged lessons June 2016- 5%
Services using ICT within the rating period March 2017 Compiled lesson plans with ICT Engaged lessons using ICT
Engaged lessons using ICT.
integration and portfolio. within the rating period.
100% of students' attendance
100% of students' attendance
100% of students' and classroom's safety,
3. Monitored students attendance, and and classroom safety,
attendance and classroon cleanliness/orderliness are
ensure classrooms safety, June 2016- cleanliness/orderliness are
5% safety, cleanliness and monitored and evaluated using
cleanliness/orderliness, discipline and March 2017 completely monitored and
orderliness are completely attendance notebook, checklist,
implement risk reduction management policy evaluated within the rating
monitored and evaluated. evaluation sheet, and posted
period.
security and safety plan.

With garbage receptacle,no Maintained the landscape,


Maintained the cleanliness in
4. Maintained the landscape, vegetable plastic/waste in the assigned ornamental and vegetable
June 2016- the assigned area and take
garden and zero-garbage in the assigned 5% area,with ornamental plants garden, and cleanliness in
March 2017 care the ornamental plants and
area and with at least 5 variety of nthe assigned area the whole
vegetables.
vegetable planted. year round.

2. Students' 1. Monitored, evaluated and maintained


Outcomes students progress/performance
(30%) 100% submission of Submitted class record,grade
Completely monitored,
complete and accurate sheet,compilation of
evaluated and maintained
June 2016- TQs,students' profile,frequency
March 2017
10% students' of responses report,quarterly
students'
progress/performance/gr progress/performance within
summary of final ratings, and
ade. the school year.
table of specifications.
2. Conducted remediation/enrichment/
intervention program to improve performance
of students

100% implementation of Compiled lesson plans in


June 2016 - the prepared remediation classes, Conducted remedial classes
5%
March 2017 remediation/enrichment/i portfolio,records of students' within the rating period.
ntervention program. taking remedial classes.

Compiled and updated


Maintined updated students'
June 2016- 100% submission of school SF1,SF2,Form 137,Nutritional
3. Maintained updated stuents' school record 5% school record from June
March 2017 forms. Status, Psa Birth Certificate-All
2016-March 2017.
in one porfolio.

Zero drop-out,at least 1% With certification from school Attained the required drop-
4. Attained zero drop-out rate, at least 1% June 2016 -
10% failure, and 99% promotion statistician for drop-out and out and promotion rate within
faiure, 99% promotion rate March 2017
rate. promotion rate. the rating period.

1. Conducted regular meetings/ 100% of regular


Compiled minutes of the
conferences with parents Quarterly 5% meetings/conferences were Conducted regular meetings
meetings and attendance of
actively participated by with parents quarterly.
parents.
parents.

3. Community 2. Maintained a harmonious relatonship with


Involvement the fellow teachers and other school Year round 5% With zero complaint or With certification from the
15% personnel including parents and students conflict with the fellow Office of the Guidance Service
Zero complaint/conflict in the
teachers, other school Specialist and School
whole year round.
personnel, parents and Grievance for zero complaint or
students. conflict.

3. Initiated/implemented projects, programs,

100% documentation of Compiled deed of donations of Initiated projects in the whole


activities through the support of the stakeholder 5% 100% documentation of Compiled deed of donations of Initiated projects in the whole
Year round
tangible projects acquired. the projects acquired. year round.

and not through school funds/MOOE


1. Prepared at least One (1) action plan
related to the subjects Submitted one action plan
Year round 5% 100% implementation of the Implemented the project
handled/advisory/ancillary services within the with 100% project
project with MOVs. within the rating period.
4. Professional school year implementation.
Growth and
2. Attended and applied learnings in the
15% INSET/Demonstration Teacher/ 5%
Compiled Certificate of
Attended trainings and
Submitted accomplishment Recognition and Participation
Year round applied learnings in the whole
report with certificates. in the different trainings
year round.
attended.

Resource Person
3. Conducted School-based Action
Conducted School-Based Submitted Approved Action Conducted Action Research
Year round 5%
Action Research. Research. within the rating period.
Research at least once in a school year

RATING
NUMERICAL ADJECTIVAL
4.500-5.000 Outstanding
3.500-4.499 Very Satisfactory
2.500-3.499 Satisfactory
1.500-2.499 Unsatisfactory
Below 1.499 Poor
Approved:

BABETH JANE B. PARBA EDFEL V. CABAG


Ratee Rater/School Principal II Assistant Schools
T AND REVIEW FORM

TO BE FILLED DURING EVALUATION


ACTUAL RESULTS RATING
SCORE
QUALITY EFFICIENCY TIMELINESS Q E T Ave.

90% of lesson plans


have complete parts 90% of lesson plans are
90% of lesson plans have with SMART
complete parts. objectives submitted on time. 3 4 4 3.67 0.92
and checklist/related
teaching materials.

Compiled LPs are on Engaged lessons using


Lessons are up to power 2 2 2.00 0.10
power point power point preentations 2
point presentations only.
presentations. within the rating period.
Presented all the
needed MOVs in Have completely
Have monitored completely
monitoring and monitored and evaluated
students' attendance and
evaluating students' students' attendance,
4 4 4.33 0.22
classroom safety, cleanliness and 5
attendance and
cleanliness and orderliness within the
classroom safety, rating period.
orderliness.
cleanliness and
orderliness.

With 3 garbage Have maintained the


receptacle,no plastic/waste landscape, ornamental
Presented all the MOVs
in the assigned area,with and vegetable garden,
4 4 4.33 0.22
to support the different and cleanliness in the 5
ornamental plants and with
indicators. assigned area from June
many variety of vegetable 2016-Macrh 2017.
planted.

Submitted 100% of Compiled and submitted Completely


monitored,evaluated,
complete and accurate all the needed reports to and maintained students' 4 4 4.33 0.43
5
students' support students' progress/performance
progress/performace. progress/performance. within the school year.
Compiled and submitted
lesson plans in remedial
classes, records of
Implemented 90% of the Conducted remedial
students' classes from July 2016- 3 3 3.00 0.15
prepared remediation 3
accomplishment,attenda March 2017.
program.
nce of students taking
remedial classes, and
activity sheets.

Presented 100% Maintained updated


Submiited 100% of school students' school records
4 5 4.67 0.23
updated students' from June 2016-March 5
forms.
school records. 2017.

With certification from Monitored students'


With 7% drop-out rate,3%
school statistician for the drop-out and promotion 3 3 3.00 0.30
failure, and 97% promotion rate within the rating 3
7% drop-out rate and
rate. period.
97% promotion rate.

Presented attendance
!00% of regular meetings
sheets of parents' Conducted five meetings 4 4 3.67 0.18
were actively participated 3
meeting with 96% within the school year.
by parents.
average attendance.

With certification from


With zero complaint or
the Office of the
conflict with the fellow
Guidance Service Zero complaint/conflict in 5 5 5.00 0.25
teachers, other school 5
Specialist and School the whole year round.
personnel, parents and
Grievance for zero
students.
complaint or conflict.

Acquired 7,830 project for Compiled deed of


roof replacement and donations,pictures of The project was
Acquired 7,830 project for Compiled deed of
roof replacement and donations,pictures of The project was
repair, ceiling fan before,during and after implemented in 5 3 5 4.33 0.22
installation and three trash the implementation of September 2016.
bins the project.

Implemented the project Implemented the project 3 3 3.33 0.17


Submitted one action plan. 4
but no MOVs presented. within the rating period.

Attended INSET
Compiled Certificate of trainings,GAD
Recognition and Seminar,Seminar-
Submitted accomplishment 5 4 4.67 0.23
Participation in the Workshop on SBM Level 5
report with MOVs.
different trainings of Practice and applied
attended. learnings in the whole
year round.

The planning and title


Research is up to planning Research Title is not 2 2 2.00 0.10
making is done within the 2
and title making only. final.
rating period.

TOTAL 3.72

LELANIE T. CABRERA, CESE


Assistant Schools Division Superintendent
COMPETENCIES

CORE BEHAVIORAL COMPETENCIES to improve performance. Examples may include doing something better,
faster, at a lower cost, more effeciently; or improving quality, customer CORE SKILLS
satisfaction, morale, without setting any specific goal.
Achievement
Self Management
1. Enjoys working hard.
1. Sets personal goals and direction, needs and development

2. Undertakes personal actions and behaviors that Teamwork 2. Is action-oriented and full of energy for the things he/she
are clear and purposive and takes into account personal goals and values congruent to sees as challenging.
that of the organization. 1. Willingly does his/her 3. Not fearful of acting
3. Displays emotional maturity and enthusiasm for an is share of responsibility. with a minimum of planning.
challenged by higher goals.
4. For prioritize work tasks and 2. Promotes collaboration, and removes barriers to 4. Seizes more opprtunities than others.
schedules(through graph charts,checklists and etc.) to achieve goals. teamwork and goal accomplishment across the organization.
5.Sets high 3. Applies Managing Diversity 5. Strategic
quality, challenging, realistic goals for self and others. 4 negotiation principles in arriving at win-win agreements. 5 thinker.
1.
4. Drives consensus and team ownership of Respects all kinds and classes of people.
decisions.
2. Deals effectively with all races,
5. Works constructively and collaboratively with others and across nationalities, cultures, disabilities, ages and both sexes.
organizations to accomplish organizational goals and objectives.
Professional and Ethics Service Orientation 3. Support equal and fair treatment and opportunity for all.
1.Demonstrates the values and behavior enshrined in the Norms of 1. Can explain and articulate 4. Applies equal standards and
Conduct and Ethical Standards for public officials and employees(RA 6713). organizational directions, issues and problems. criteria to all classes.
2. Practices ethical and professional behavior and conduct 2. Takes personal responsibility for dealing with an/or correcting 5. Manifests cultural and gender sensitivity when dealing with
taking into account the impact of his/her actions and decisions. customers service issues and concerns. Accountability
people.
3. Maintains a professional image: being 4 3. Initiates activities that 4
trustworthy, regularity of attendance and punctuality, good grooming and promotes advocacy for men and women impowerment. 1. Can be counted on to
communication. exceed goals successfully.
4. Makes personal sacrifices to meet the organization's needs. 4. Participates in updating of office vision, mission, mandates
and strategies based on Dep Ed strategies and directions. 2. Steadfastly pushes self and others towards results.
5. Acts with a sense of urgency and responsibility 5. Develops and adapts
to meet the organization's needs, improves systems and help others improve their service improvement programs through simplified procedures that will 3. Gets things done
effectiveness. further enhance service delivery. on time and optimum use of resources.

4. Builds team spirit.

Result Focus: Innovation 5. Transacts


with transparency.
1. Achieves results with optimal use of time and resources most of 1. Examines the root cause
the time. of problems and suggests effeective solutions. Fosters new ideas, processes,
2. Avoids rework, mistakes and wastage through effective work and suggest better ways to do things( cost and /or operational effeciency). 5-Role Model; 4-Consistently demonstrates; 3- Most of the time demonstrates; 2- Sometimes
methods by placing organizational needs before personal needs. 4 3 demonstrates 1-Rarely demonstrates
3. Delivers error-free outputs most of the time by
conforming to standard operating procedurescorrectly and consistently. Able to produce 2. Demonstrates an ability to
very satisfactory quality of work in terms of usefulness/ acceptability and completeness think"beyond the box", continiously focuses on improving personal
with no supervision required. productivity to create higher value and results.
4. Expresses a desire to do better and 3. Promotes a creative climate and inspires co-workers to
may express frustration at waste or ineffeciency. May focus on you or more precise ways develop original ideas or solutions.
of meeting goals set. 4. Translates
5. Makes specific changes in the system or in own work methods creative thinking into tangible changes and solutions that improve the work
unit and organization.
5. Uses ingenious methods to accomplish
responsibilities. Demonstrates resourcefulness and the ability to succeed
with minimal resources.
Result Focus: Innovation

1. Achieves results with optimal use of time and resources most of 1. Examines the root cause
the time. of problems and suggests effeective solutions. Fosters new ideas, processes,
2. Avoids rework, mistakes and wastage through effective work and suggest better ways to do things( cost and /or operational effeciency).
methods by placing organizational needs before personal needs.
3. Delivers error-free outputs most of the time by
conforming to standard operating procedurescorrectly and consistently. Able to produce 2. Demonstrates an ability to
very satisfactory quality of work in terms of usefulness/ acceptability and completeness think"beyond the box", continiously focuses on improving personal
with no supervision required. productivity to create higher value and results.
4. Expresses a desire to do better and 3. Promotes a creative climate and inspires co-workers to
may express frustration at waste or ineffeciency. May focus on you or more precise ways develop original ideas or solutions.
of meeting goals set. 4. Translates
5. Makes specific changes in the system or in own work methods creative thinking into tangible changes and solutions that improve the work
unit and organization. Note: These ratings can be used for the developmental plans of the employee.
5. Uses ingenious methods to accomplish
responsibilities. Demonstrates resourcefulness and the ability to succeed
with minimal resources.

5-Role Model; 4-Consistently demonstrates; 3- Most of the time demonstrates; 2- Sometimes demonstrates 1-Rarely demonstrates
AVERAGE 4.3
5

5-Role Model; 4-Consistently demonstrates; 3- Most of the time demonstrates; 2- Sometimes


demonstrates 1-Rarely demonstrates
Note: These ratings can be used for the developmental plans of the employee.
PART III: SUMMARY OF RATINGS FOR DISCUSSION

Numerical Adjectival
Final Performance Results
Rating Rating
Accomplishments of KRAs and Objectives
3.72 VS

Rater-Ratee Agreement
The signatures below confirm that the employee and his/her superior have agreed on content of this appraisal form and the performance rating.

Name of Employee: BABETH JANE B. PARBA Name of Superior: EDFEL V. CABAG

Signature: Signature:

Date: 5/09/2017 Date: 5/09/2017

PART IV: DEVELOPMENTAL PLANS


Action Plan
Strengths Development Needs Timeline Sources Needed
(Recommended Developmental Intervention)
Teamwork Innovation Attend training/seminars to develop and promote innovative skills. June-March 2017 DepEd
Achievement Other concern agencies on innovation
Managing Diversity
Accountability

Approved:

BABETH JANE B. PARBA EDFEL V. CABAG LELANIE T. CABRERA, CESE


Ratee Rater/School Principal II Assistant Schools Division Superintendent
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM
For Teachers I - III
Name of Employee : JULIETA A.ALTUBAR Name of Rater : EDFEL V. CABAG
Position : SST-1 Position : SSP - II
Review Period : JUNE 2016-MARCH 2017 Date of Review : APRIL 17, 2017
Bureau/Center/Service/Division: NEGROS ORIENTAL

TO BE FILLED DURING PLANNING TO BE FILLED DURING EVALUATION


WEIGHT
PERFORMANCE INDICATORS
MFO KRA OBJECTIVES TIMELINE PER
KRA QUALITY EFFICIENCY TIMELINESS
Teaching- 1. Prepared and executed 180 daily
Learning logs/lesson June 2016- 25% 100% of lesson plans have
Process complete parts with SMART
logs of activities with complete parts March 2017 100% of lesson plans have objectives and 100% of lesson plans are
complete parts. submitted on time.
40% checklist/related teaching
materials.
Basic
Education 2. Facilitated four engaged lessons June 2016- 5%
Services using ICT within the rating period March 2017 Compiled lesson plans with ICT Engaged lessons using ICT
Engaged lessons using ICT.
integration and portfolio. within the rating period.
100% of students' attendance
100% of students' attendance
100% of students' and classroom's safety,
3. Monitored students attendance, and and classroom safety,
attendance and classroon cleanliness/orderliness are
ensure classrooms safety, June 2016- cleanliness/orderliness are
5% safety, cleanliness and monitored and evaluated using
cleanliness/orderliness, discipline and March 2017 completely monitored and
orderliness are completely attendance notebook, checklist,
implement risk reduction management policy evaluated within the rating
monitored and evaluated. evaluation sheet, and posted
period.
security and safety plan.

With garbage receptacle,no Maintained the landscape,


Maintained the cleanliness in
4. Maintained the landscape, vegetable plastic/waste in the assigned ornamental and vegetable
June 2016- the assigned area and take
garden and zero-garbage in the assigned 5% area,with ornamental plants garden, and cleanliness in
March 2017 care the ornamental plants and
area and with at least 5 variety of nthe assigned area the whole
vegetables.
vegetable planted. year round.

2. Students' 1. Monitored, evaluated and maintained


Outcomes students progress/performance
(30%) 100% submission of Submitted class record,grade
Completely monitored,
complete and accurate sheet,compilation of
evaluated and maintained
June 2016- TQs,students' profile,frequency
March 2017
10% students' of responses report,quarterly
students'
progress/performance/gr progress/performance within
summary of final ratings, and
ade. the school year.
table of specifications.
2. Conducted remediation/enrichment/
intervention program to improve performance
of students

100% implementation of Compiled lesson plans in


June 2016 - the prepared remediation classes, Conducted remedial classes
5%
March 2017 remediation/enrichment/i portfolio,records of students' within the rating period.
ntervention program. taking remedial classes.

Compiled and updated


Maintined updated students'
June 2016- 100% submission of school SF1,SF2,Form 137,Nutritional
3. Maintained updated stuents' school record 5% school record from June
March 2017 forms. Status, Psa Birth Certificate-All
2016-March 2017.
in one porfolio.

Zero drop-out,at least 1% With certification from school Attained the required drop-
4. Attained zero drop-out rate, at least 1% June 2016 -
10% failure, and 99% promotion statistician for drop-out and out and promotion rate within
faiure, 99% promotion rate March 2017
rate. promotion rate. the rating period.

1. Conducted regular meetings/ 100% of regular


Compiled minutes of the
conferences with parents Quarterly 5% meetings/conferences were Conducted regular meetings
meetings and attendance of
actively participated by with parents quarterly.
parents.
parents.

3. Community 2. Maintained a harmonious relatonship with


Involvement the fellow teachers and other school Year round 5% With zero complaint or With certification from the
15% personnel including parents and students conflict with the fellow Office of the Guidance Service
Zero complaint/conflict in the
teachers, other school Specialist and School
whole year round.
personnel, parents and Grievance for zero complaint or
students. conflict.

3. Initiated/implemented projects, programs,

100% documentation of Compiled deed of donations of Initiated projects in the whole


activities through the support of the stakeholder 5% 100% documentation of Compiled deed of donations of Initiated projects in the whole
Year round
tangible projects acquired. the projects acquired. year round.

and not through school funds/MOOE


1. Prepared at least One (1) action plan
related to the subjects Submitted one action plan
Year round 5% 100% implementation of the Implemented the project
handled/advisory/ancillary services within the with 100% project
project with MOVs. within the rating period.
4. Professional school year implementation.
Growth and
2. Attended and applied learnings in the
15% INSET/Demonstration Teacher/ 5%
Compiled Certificate of
Attended trainings and
Submitted accomplishment Recognition and Participation
Year round applied learnings in the whole
report with certificates. in the different trainings
year round.
attended.

Resource Person
3. Conducted School-based Action
Conducted School-Based Submitted Approved Action Conducted Action Research
Year round 5%
Action Research. Research. within the rating period.
Research at least once in a school year

RATING
NUMERICAL ADJECTIVAL
4.500-5.000 Outstanding
3.500-4.499 Very Satisfactory
2.500-3.499 Satisfactory
1.500-2.499 Unsatisfactory
Below 1.499 Poor
Approved:

JULIETA A. ALTUBAR EDFEL V. CABAG


Ratee Rater/School Principal II Assistant Schools
T AND REVIEW FORM

TO BE FILLED DURING EVALUATION


ACTUAL RESULTS RATING
SCORE
QUALITY EFFICIENCY TIMELINESS Q E T Ave.

95% of lesson plans have Had made 140 LPs and


complete parts. DLL. Daily 4 2 3 3.00 0.75

Had engage lessons using Slide Shown as the


ICT Slide Show Created by students output inm 3 3 3.00 0.15
Third Quarter 3
nthe Students in MUsic music and ar5ts by
and Arts Area group.
Daily attendance is MOVs, attendance
checked and classroom sheet, monitorial work,
safety/cleanliness/orderline security plan posted in Year round 4 4 4 4.00 0.20
ss were monitored and the classroom,
anecdotal
evaluated everyday.

With 3 garbage
receptacle,no plastic/waste
Presented all the MOVs
in the assigned area,with Year round 4 3 3.67 0.18
to support the different 4
ornamental plants and with
indicators.
many variety of vegetable
planted.

MOVs, E-class
Had submitted 98% of records,grade
complete and accurate sheets,compilation of
students TQs, students profile, Quarterly 5 4 4 4.33 0.43
progress/performance/ MPS, quarterly
grades. summary of final ratings,
TOS
0% implementation of the
Not conducte4d
prepared remediation/ Year round 2 2 2.00 0.10
Remediation/rnrichment/ 2
enrichment/ intervention
intervention
program

MOVs SF 1 and 2, Form


Had submitted 100% of `137, complete Birth March 2017, Ebd of
5 5 5.00 0.25
School Year 5
School Forms. Cert. and Nutritional
status, Pre and Post

4% Dropped-out, 0% June 2016- March 2017 5 5 4.67 0.47


4
failure, 100% promoted

75% of Regular Meetings/


conference were actively MOVs, no complete Conducted five meetings 2 3 2.67 0.13
3
participated by parents attendance of meetings. within the school year.
witin the school year.

With certification from


With zero complaint or
the Office of the
conflict with the fellow
Guidance Service Zero complaint/conflict in 5 5 5.00 0.25
teachers, other school 5
Specialist and School the whole year round.
personnel, parents and
Grievance for zero
students.
complaint or conflict.

Acquired 5,000 project for


Acquired 5,000 project for
ceiling replacement for 75% DOCUMENTATION Jasn 2017-March 2017 3 3 3 3.00 0.15
labor alone.

Implemented the project Implemented the project 4 4 4.00 0.20


Submitted one action plan. 4
but no MOVs presented. within the rating period.

Attended INSET
Compiled Certificate of trainings,GAD
Recognition and Seminar,Seminar-
Submitted accomplishment 4 4 4.00 0.20
Participation in the Workshop on SBM Level 4
report with MOVs.
different trainings of Practice and applied
attended. learnings in the whole
year round.

Had not conducted School- 2 2 2.00 0.10


No Action Research Year round 2
Based Action Research

TOTAL 3.57

LELANIE T. CABRERA, CESE


Assistant Schools Division Superintendent
COMPETENCIES

CORE BEHAVIORAL COMPETENCIES to improve performance. Examples may include doing something better,
faster, at a lower cost, more effeciently; or improving quality, customer CORE SKILLS
satisfaction, morale, without setting any specific goal.
Achievement
Self Management
1. Enjoys working hard.
1. Sets personal goals and direction, needs and development

2. Undertakes personal actions and behaviors that Teamwork 2. Is action-oriented and full of energy for the things he/she
are clear and purposive and takes into account personal goals and values congruent to sees as challenging.
that of the organization. 1. Willingly does his/her 3. Not fearful of acting
3. Displays emotional maturity and enthusiasm for an is share of responsibility. with a minimum of planning.
challenged by higher goals.
4. For prioritize work tasks and 2. Promotes collaboration, and removes barriers to 4. Seizes more opprtunities than others.
schedules(through graph charts,checklists and etc.) to achieve goals. teamwork and goal accomplishment across the organization.
5.Sets high 3. Applies Managing Diversity 5. Strategic
quality, challenging, realistic goals for self and others. 5 negotiation principles in arriving at win-win agreements. 5 thinker.
1.
4. Drives consensus and team ownership of Respects all kinds and classes of people.
decisions.
2. Deals effectively with all races,
5. Works constructively and collaboratively with others and across nationalities, cultures, disabilities, ages and both sexes.
organizations to accomplish organizational goals and objectives.
Professional and Ethics Service Orientation 3. Support equal and fair treatment and opportunity for all.
1.Demonstrates the values and behavior enshrined in the Norms of 1. Can explain and articulate 4. Applies equal standards and
Conduct and Ethical Standards for public officials and employees(RA 6713). organizational directions, issues and problems. criteria to all classes.
2. Practices ethical and professional behavior and conduct 2. Takes personal responsibility for dealing with an/or correcting 5. Manifests cultural and gender sensitivity when dealing with
taking into account the impact of his/her actions and decisions. customers service issues and concerns. Accountability
people.
3. Maintains a professional image: being 4 3. Initiates activities that 4
trustworthy, regularity of attendance and punctuality, good grooming and promotes advocacy for men and women impowerment. 1. Can be counted on to
communication. exceed goals successfully.
4. Makes personal sacrifices to meet the organization's needs. 4. Participates in updating of office vision, mission, mandates
and strategies based on Dep Ed strategies and directions. 2. Steadfastly pushes self and others towards results.
5. Acts with a sense of urgency and responsibility 5. Develops and adapts
to meet the organization's needs, improves systems and help others improve their service improvement programs through simplified procedures that will 3. Gets things done
effectiveness. further enhance service delivery. on time and optimum use of resources.

4. Builds team spirit.

Result Focus: Innovation 5. Transacts


with transparency.
1. Achieves results with optimal use of time and resources most of 1. Examines the root cause
the time. of problems and suggests effeective solutions. Fosters new ideas, processes,
2. Avoids rework, mistakes and wastage through effective work and suggest better ways to do things( cost and /or operational effeciency). 5-Role Model; 4-Consistently demonstrates; 3- Most of the time demonstrates; 2- Sometimes
methods by placing organizational needs before personal needs. 4 3 demonstrates 1-Rarely demonstrates
3. Delivers error-free outputs most of the time by
conforming to standard operating procedurescorrectly and consistently. Able to produce 2. Demonstrates an ability to
very satisfactory quality of work in terms of usefulness/ acceptability and completeness think"beyond the box", continiously focuses on improving personal
with no supervision required. productivity to create higher value and results.
4. Expresses a desire to do better and 3. Promotes a creative climate and inspires co-workers to
may express frustration at waste or ineffeciency. May focus on you or more precise ways develop original ideas or solutions.
of meeting goals set. 4. Translates
5. Makes specific changes in the system or in own work methods creative thinking into tangible changes and solutions that improve the work
unit and organization.
5. Uses ingenious methods to accomplish
responsibilities. Demonstrates resourcefulness and the ability to succeed
with minimal resources.
Result Focus: Innovation

1. Achieves results with optimal use of time and resources most of 1. Examines the root cause
the time. of problems and suggests effeective solutions. Fosters new ideas, processes,
2. Avoids rework, mistakes and wastage through effective work and suggest better ways to do things( cost and /or operational effeciency).
methods by placing organizational needs before personal needs.
3. Delivers error-free outputs most of the time by
conforming to standard operating procedurescorrectly and consistently. Able to produce 2. Demonstrates an ability to
very satisfactory quality of work in terms of usefulness/ acceptability and completeness think"beyond the box", continiously focuses on improving personal
with no supervision required. productivity to create higher value and results.
4. Expresses a desire to do better and 3. Promotes a creative climate and inspires co-workers to
may express frustration at waste or ineffeciency. May focus on you or more precise ways develop original ideas or solutions.
of meeting goals set. 4. Translates
5. Makes specific changes in the system or in own work methods creative thinking into tangible changes and solutions that improve the work
unit and organization. Note: These ratings can be used for the developmental plans of the employee.
5. Uses ingenious methods to accomplish
responsibilities. Demonstrates resourcefulness and the ability to succeed
with minimal resources.

5-Role Model; 4-Consistently demonstrates; 3- Most of the time demonstrates; 2- Sometimes demonstrates 1-Rarely demonstrates
AVERAGE 4.3
5

5-Role Model; 4-Consistently demonstrates; 3- Most of the time demonstrates; 2- Sometimes


demonstrates 1-Rarely demonstrates
Note: These ratings can be used for the developmental plans of the employee.
PART III: SUMMARY OF RATINGS FOR DISCUSSION

Numerical Adjectival
Final Performance Results
Rating Rating
Accomplishments of KRAs and Objectives
3.57 VS

Rater-Ratee Agreement
The signatures below confirm that the employee and his/her superior have agreed on content of this appraisal form and the performance rating.

Name of Employee: JULIETA A. ALTUBAR Name of Superior: EDFEL V. CABAG

Signature: Signature:

Date: 4/17/2017 Date: 4/17/2017

PART IV: DEVELOPMENTAL PLANS


Action Plan
Strengths Development Needs Timeline Sources Needed
(Recommended Developmental Intervention)
Self-Management Innovation Attend training/seminars to develop and promote innovative skills. June-March 2017 DepEd
Teamwork Other concern agencies on innovation
Accountability

Approved:

JULIETA A. ALTUBAR EDFEL V. CABAG LELANIE T. CABRERA, CESE


Ratee Rater/School Principal II Assistant Schools Division Superintendent

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