INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM

Name of Employee : Name of Rater :

Position : Position :
Review Period : Date of Review :
Bureau / Center / Service / Division : School:

TO BE FILLED UP DURING PLANNING TO BE FILLED DURING EVALUATION

WEIGHT PER ACTUAL RESULT
MFO's KRA's OBJECTIVES TIMELINE PERFORMANCE INDICATORS RATING SCORE
OBJECTIVE Q E T AVE.

QUALITY
Basic PROFESSIONAL 1. Conducts at least one 15% 5 - Effectively completed,adopted, & utilized, found to be effective
Education GROWTH AND (1) classroom based June to to remedy the problems/issues in the classroom/school.
Services DEVELOPMENT action research to March 4- Completed, adopted, & utilized, found less effective, utilized,
30% remedy problems & 2017 found less effective issues in the classroom/school.
issues in a school 3 - Completed but found not effective to remedy the problems/issues
during the year. in the classroom/school
2- Approved proposal but not conducted
1- Made proposal but not approved.
EFFICIENCY
5- Action Research had complete entries of the required contents
and neatly written
4- Action Research had 1 incomplete entry of the required contents
3- Action Research had 2 incomplete entries of the required contents 0
2- Action Research had 3 incomplete entries of the required contents
1- Action Research had 4-5 incomplete entries of the required entries.
TIMELINESS
5- Submitted an action research proposal earlier than the opening of
classes of the current school year
4- Submitted an action research proposal from June to August of the
current school year
3- Submitted an action research proposal from September to October
of the current school year
2- Submitted an action research proposal from November to December
of the current school year
1- Submitted an action research proposal from January to March of the
 TO BE FILLED UP DURING PLANNING TO BE FILLED DURING EVALUATION
WEIGHT PER ACTUAL RESULT
MFO's KRA's OBJECTIVES TIMELINE PERFORMANCE INDICATORS RATING SCORE
OBJECTIVE Q E T AVE.

2. Serves as June to QUALITY, EFFICIENCY & TIMELINESS

demonstration teacher, March 15% 5 - Served as demonstration teacher, facilitator, resource person and
facilitator, resource 2017 shared effective teaching techniques and strategies.
person within the school 4 - Served as demonstration teacher, facilitator, resource person but
year. slightly shared effective teaching techniques and strategies. 0
3 - Served as demonstration teacher, facilitator, resource person but
never shared effective teaching techniques and strategies.
2 - Just served as demonstration teacher
1 - Never served any of the the activities given and did not share anything

INSTRUCTIONAL QUALITY and EFFICIENCY

Basic COMPETENCE 1. Accounts learning outcomes June to 5- 75% to 100% met all the targets.
Education 40% vis--vis goals and targets. March 4- 65% to 74% met all the targets.
Services 2017 20% 3- 55% to 64% met all the targets.
Targets: 2- 45% to 54% met all the targets
MPS in Quarterly Test-75% 1- 44% and below met all the targets. 0.00
Participation Rate - 95% TIMELINESS
Completion Rate - 85% 5- Results submitted with analysis before target date
4- Results submitted with analysis on target date
3- Results submitted with analysis after target date
2- Results submitted with analysis but 1 month late target date
1- Results did not submit anymore

QUALITY and EFFICIENCY

2. Provides technical June to
assistance to teachers March
to increase the target 2017
MPS for every quarter.
5 - 100% of the target teachers given TA
4- 75% of the target teachers given TA
20% 3 - 50% of the target teachers given TA
2- 25% of the target teachers given TA
1- None of the target teachers given TA 0.00
TIMELINESS
5- Results submitted with analysis before the target date
4- Results submitted with analysis on target date
3- Results submitted with analysis after target date
2- Results submitted with analysis but 1 month late target date
1- Results did not submit anymore
 TO BE FILLED UP DURING PLANNING TO BE FILLED DURING EVALUATION
WEIGHT PER ACTUAL RESULT
MFO's KRA's OBJECTIVES TIMELINE PERFORMANCE INDICATORS RATING SCORE
OBJECTIVE Q E T AVE.
QUALITY
Basic INSTRUCTIONAL 1. Observes ___25_____ June to 10% 5- Teachers observed with pre and post conference, with teacher
Education SUPERVISION teachers in the school March observation reports resulting to improving teaching competencies.
Services with pre and post 2017 4- Teachers observed with pre and post conference with teacher
20% conference within the observation reports but moderately improving teaching competencies.
Year. 3- Teachers observed with pre and post conference with teacher
observation reports but slightly improving teaching competencies.
2- Teachers observed with pre and post conference but no teacher
observation reports and no improvement in teaching competencies.
1- Teachers just observed
EFFICIENCY
5- 100% of the target number of teachers was observed 0.00
4- 75% of the target number of teachers was observed
3- 50% of the target number of teachers was observed
2- 25% of the target number of teachers was observed
1- None of the target number of teachers was observed
TIMELINESS
5 - Submit observation reports before due date.
4 -Submit observation reports before due date
3 -Submit observation reports after due date.
2 - Submit observation reports after 5 days of due date.
1- Never submit observation reports

2. Conducts mentoring/ QUALITY

coaching activities June to 10% 5 - Outstandingly mentored/coached the teachers and highly
to ______ grade _____ March improve the teaching-learning process .
teachers quarterly. 2017 4 - Very satisfactorily mentored/coached the teachers and moderately
improve the teaching-learning process.
3 - Satisfactorily mentored and coached the teachers and slightly
improve the teaching-learning process.
2- Unsatisfatorily mentored/coached the teachers and no improvement 0.00
happened in teaching-learning process.
1- Never conducted mentoring and coaching activities.
EFFICIENCY & TIMELINESS
5 - Accomplished 100% of the target per quarter
4- Accomplished 75% of the target per quarter
3 - Accomplished 50% of the target per quarter
2- Accomplished 25% of the target per quarter
 1- None

TO BE FILLED UP DURING PLANNING TO BE FILLED DURING EVALUATION

WEIGHT PER ACTUAL RESULT
MFO's KRA's OBJECTIVES TIMELINE PERFORMANCE INDICATORS RATING SCORE
OBJECTIVE Q E T AVE.
QUALITY , EFFICIENCY & TIMELINESS
PLUS FACTOR 1. Receives awards and June to 5- Received special awards in National Level during the SY
recognitions within a March 5% 4- Received special awards in Regional Level during the SY
year. 2017 3- Received special awards in Division Level during the SY 0
2- Received special awards in District Level during the SY
1- Received special awards in School Level during the SY

1. Initiates programs and QUALITY , EFFICIENCY & TIMELINESS

PLUS FACTOR projects that will enhance June to 5 - Initiated programs and projects which enhanced the curriculum
the curriculum using March 5% and its delivery and lead to 100% of the teachers to use localized
localized materials every 2017 materials in teaching.
quarter. 4 - Initiated programs and projects which enhanced the curriculum
and its delivery and lead to 75% of the teachers to use localized
materials in teaching. 0
3- Initiated programs and projects which enhanced the curriculum
and its delivery and lead to 50% of the teachers to use localized
materials in teaching.
2- Initiated programs and projects which enhanced the curriculum
and its delivery and lead to 25% of the teachers to use localized
materials in teaching.
1- Initiated programs and projects which enhanced the curriculum
and its delivery and lead to 0% of the teachers to use localized
materials in teaching.
OVERALL
RATING FOR
Ratee: Rater: APPROVED: ACCOMPLISHMENTS

LUIS M. GERMINA
Master Teacher II Teacher-In-Charge District Supervisor