INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM

Name of Employee: BELINDA G. CAPARAL

Position: Teacher I
Bureau/Center/Service/Division: Northern Samar
Rating Period: SY 2015 - 2016
TO BE FILLED IN DURING THE PLANNING
MFOs

I ACCESS

KRAs

Teaching
Learning
Process
(30%)

OBJECTIVES

TIMELINE

Prepared daily
lesson plans
including
appropriate,
adequate and
updated instructional
materials

June 2015 to
March 2016

Facilitated learning
in class through
functional lesson
plans, daily logs and
innovative teaching
strategies

June 2015 to
March 2016

Weig
ht
per
KRA
10%

10%

PERFORMANCE
INDICATORS
5 - All daily lesson
plans had the
following: objective,
subject matter,
learning tasks,
evaluation and
assignment
4- Had 4 of the 5
parts of lesson plan
3 - Had 3 of the 5
parts
2 - Had 2 of the 5
parts
1 had 1 of the 5
parts

5 The teacher
established
challenging and
measurable goal/s
for student learning
that is aligned with
the K -12 Curriculum
Guides with the use
of innovative
teaching aids like
Laptop & LCD

Name of Rater: FRANCIS C. ACEDERA

Position: Teacher In-Charge
Date of Review:

ACTUAL
RESULT

TO BE FILLED DURING THE

EVALUATION
RATING
SCORE
E
T
Ave

 Monitored the
attendance of the
students in the
subject area taught

June 2015 to
March 2016

10%

Projectors
4 The teacher
developed a
measurable goal for
student learning
that is aligned with
the K -12 Curriculum
Guides with the use
of innovative
teaching aids like
Laptop & LCD
Projectors
3 The teacher
clearly
communicated a
focus for student
learning that is
appropriate for
students and is
aligned with the K
-12 Curriculum
Guides.
2 The teacher did
not have a clear
focus for student
learning.
1 The teacher did
not have a clear
focus for student
learning or the
objective is too
general to guide
lesson planning or
the objective is
inappropriate for
students.
5 Attendance
checking is
systematically
carried out daily,
reasons for
absence/s were

noted and follow-up

was made
4 Attendance
checking was
systematically
carried out daily and
reasons for
absences were
noted
3 Attendance
checking was
systematically
carried out daily
2 Attendance
checking was
carried out twice a
week
1 Attendance
checking was
carried out once

II. QUALITY

Pupils
Outcomes
30%

Monitored, evaluated
and tracked pupils
progress.

June 2015 to
March 2016

10%

5 - Evidences showed
that
the
teacher
purposely
plans
assessments and varies
assessment choices to
match
the
different
student needs, abilities,
and learning styles. Class
record reflected the basis
of
ratings
in
all
classes/subject
areas
handled. Pupils portfolio
contained all of their
accomplishments.
Remediation/enrichment
program was offered to
all pupils who need it.
4 - lacked 1 indicator
3 lacked 2 indicators
2 lacked 3 indicators
1 lacked 4 indicators

Conducted remedial
instruction to nonreaders twice a
week for
intermediate
grades/daily for
primary grades.

June 2015 to
March 2016

10%

5 Remedial
instruction was
offered to 100% of
the total nonreaders
4 Remedial
instruction was
offered to 85% 99% of the total
non-readers
3 Remedial
instruction was
offered to 70% 84% of the total
non-readers
2 Remedial
instruction was
offered to 55% -

69% of the total

non-readers
1 Remedial
instruction was
offered to 54% and
below of the total
non-readers

III.
GOVERNANCE

Communi
ty
Involvem
ent
20%

Maintained an
updated records/
school forms

June 2015 to
March 2016

10%

Visited parents of
pupils needing
academic monitoring /
follow up of pupils at
risk of dropping out

June 2015 to
March 2016

5%

Participated in
events/activities
conducted in the
community

June 2015 to
March 2016

5%

5 - Has updated SF
1, SF 2, Form 137E,
Form 138, Class
Record.
4 - lacked 1
indicator
3 - lacked 2
indicators
2 - lacked 2
indicators
1 - lacked 4
indicators.
5 - Visited parents
four times during
the school year.
4 - Visited parents
thrice during the
school year.
3 - Visited parents
twice during the
school year.
2 - Visited parents
once during the
school year.
1 - No parent visited
during the school
year.
5 - Participated in 4
or more
events/activities.
4 - Participated in 3

Conducted regular/ 4
periodic PTA
meetings/conferences

Profession Participated in
activities such as
al Growth
teachers association,
and
and other
Developm
professional
ent
organizations.
20%

June 2015 to
March 2016

5%

June 2015 to
March 2016

5%

events/activities.
3 - Participated in 2
events/activities.
2 - Participated in 1
event/activity.
1 - No event/activity
attended.
5- meeting
conducted with
100% of planned
accomplishments/ag
reements met
4- meeting
conducted with 8599% of planned
accomplishments/ag
reements met
3- meeting
conducted with 7084% of planned
accomplishments/ag
reements met
2- meeting
conducted with 5569% of planned
accomplishments/ag
reements met
1- meeting
conducted with 54%
and below of
planned
accomplishments/ag
reements met
5 Participated in 5
school activities.
4 - Participated 4
school activities.
3 Participated 3
school activities.
2 Participated 2
school activities.

1 - Participated 1
school activities.
Attended seminars/
SLAC Session/
meeting in school,
district, division etc.

June 2015 to
March 2016

5%

5 - Attend 5
seminars/ LAC
Session/ meeting in
school, district,
division etc., with
proper
documentation.
4 - Attend 4
seminars/ LAC
Session/ meeting in
school, district,
division etc., with
proper
documentation.
3 - Attend 3
seminars/ LAC
Session/ meeting in
school, district,
division etc., with
proper
documentation.
2 - Attend 2
seminars/ LAC
Session/ meeting in
school, district,
division etc., with
proper
documentation.
1 - Attend 1
seminar/ LAC
Session/ meeting in
school, district,
division etc., with
proper
documentation.

 Attended
seminar/training on
ICT

IV PLUS
FACTOR

June 2015 to
March 2016

5%

5 Attended 5
INSETS on ICT
4 Attended 4
INSETS on ICT
3 Attended 3
INSETS on ICT
2 Attended 2
INSETS on ICT
1 Attended 1
INSETS on ICT

day
day
day
day
day

10%
OVERALL
RATING
FOR
ACCOMPLI
SH-MENT

BELINDA G. CAPARAL

FRANCIS C. ACEDERA

Ratee

Rater
APROVED BY:
SILVANO S. PINCA
Principal In-Charge