Republic of the Philippines

Region VIII
Division of Samar
GANDARA II - MATUGUINAO
PINAPLATA INTEGRATED SCHOOL

INDIVIDUAL PERFORMANCE COMMITMENT and REVIEW FORM

Name of Employee: MA. MAGDALENA P. FERRER Name of Rater MA. ELENA C. RESUELLO
Position: TEACHER II Position: PRINCIPAL 1
Review Period: SEPTEMBER 2016 - APRIL 2017 Date of APRIL 2017
Office: PINAPLATA INTEGRATED SCHOOL REVIEW

TO BE FILLED IN DURING PLANNING TO BE FILLED DURING EVALUATION

Weight PERFORMANCE INDICATORS ACTUAL RESULTS

MFOs KRAs OBJECTIVES TIMELINE RATING
per KRA (Quality, Efficiency, Timeliness) Q E T
1. Teaching 1.Prepared well-constructed plans( LP)/ Daily Lesson 5-OUTSTANDING.Has met the five(5)
Learning ProceLog( DLL) reflecting the following characteristics of a LP/DLL
characteristics: 4-Very Satisfactory.Has met the
a. five parts 15% four(4)characteristics of a LP/DLL 4 4 4 4.00
b.Objective is SMART,based on the desired learning SEPTEMBER201 3- Satisfactory.Has met the three(3)
competencies 6- APRIL 2017 characteristics of a LP/DLL
c.It has adequate nd appropriate instructional 2- UnSatisfactory.Has met the two(2)
materials characteristics of a LP/DLL
d.Develop Higher Order Thinking Skills(HOTS) 1-Poor.Has met the one(1) characteristics
e. Developing 21st Century Skills of a LP/DLL
2.Facilitated learning in the school as shown by: 5-OUTSTANDING.Has met the five(5)
a. Teaching methods and interactive methods and characteristics of Facilitated Learning
strategies elicit interaction from a class 4-Very Satisfactory.Has met the four(4)
b.Participative learning-project-based characteristics of a Facilitaed Learning
c.Cooperative Learning strategies SEPTEMBER201 15% 3- Satisfactory.Has met the three(3) 4 4 4 4
d.Information and Communication Technology(ICT) 6-APRIL 2017 characteristics of Facilitated Learning
integration(i.e. Multimedia etc.) 2- UnSatisfactory.Has met the two(2)
e.Provision of individualized interaction characteristics of Facilitated Learning
1-Poor.Has met one(1) characteristics of
Facilitated Learning
2.Learners 1. Monitored evaluated and maintained pupils 5-OUTSTANDING.Presence of all five(5)
Outcomes progress evidences
Required Evidences: 4-Very Satisfactory. Presence of four(4)
a.Class Record/E-Class Record SEPTEMBER evidences
b.Learners Portfolio 2016-APRIL 10% 3- Satisfactory. Presence of three (3) 4 4 4 4
c.Table of Specificatios (TOS) of Test Questions(TQ) 2017 evidences
d.Assessment Tools and Analysis Reports 2- UnSatisfactory. Presence of two (2)
e.Test Bank evidences
f.Updated School forms ( SF-2,SF-3 etc.) 1-Poor. Presence of one( 1)evidence
2.Monitored attendance,diversity appreciation,safe, 5-OUTSTANDING.Presence of all five(5)
positive and motivating environment,overall physical evidences
atmosphere, cleanliness and orderliness of 4-Very Satisfactory. Presence of four(4)
classrooms including proper waste disposal. evidences
Required Evdences: SEPTEMBER 3- Satisfactory. Presence of three (3)
a.Inclusive/multi-cultural/accepting environment: 2016- APRIL 10% evidences 4 3 4 3.66666667
stress free classroom setting 2017 2- UnSatisfactory. Presence of two (2)
b.Well-structured well kept,orderly, and well evidences
vintilated classroom 1-Poor. Presence of one( 1)evidence
c.Presence of bins for waste segregation
d.Updated attentance chart
3. Analyzed/ test learners' Performance 5-OUTSTANDING.Presence of all five(5)
Required Evdences: evidences
a. RRE/ICL program`& schedule 4-Very Satisfactory. Presence of four(4)
b.Individual case discription SEPTEMBER evidences
c.Program and schedule of RRE/ICL 2016- APRIL 10% 3- Satisfactory. Presence of three (3) 4 4 3 3.67
d.Attendance duly signed by students,department 2017 evidences
heads & principal 2- UnSatisfactory. Presence of two (2)
e.List of intervention Activities and Materials evidences
f.Evaluation Report(see D.O. no. 8,-s.2015) 1-Poor. Presence of one( 1)evidence
3. Community 1. Conducted regular/periodic PTA meetings and 5-Outstanding*Presence of all five(5)
Involvement conferences: evidences
a. Notice/letter to parents/guardians SEPTEMBER 4-VS*Presence of all four(4) evidences
b.Agenda/Schedule 2016- APRIL 10% 3- Satisfactory. Presence of three (3) 3 3 3 3
c.Minutes of the meeting 2017 evidences
d.Attendance Record duly signed by attendees 2-US* Presence of two (2) evidences
e.Documentation 1-P* Presence of one( 1)evidence
2.Visited parents of students needing academic 5-OUTSTANDING.Presence of all five(5)
monitoring/ follow -up evidences
Required Evidences 4-Very Satisfactory. Presence of four(4)
 a. Letter to Parents/ Guardians & Principal's SEPTEMBER evidences
Permission for home visitation 2016- APRIL 3- Satisfactory. Presence of three (3)
b.Anecdotal Records 2017 10% evidences 3 3 4 3.33333333
c.Home Visitation Form 2- UnSatisfactory. Presence of two (2)
d. Attendance record evidences
e.Feedback/ Progress Report with documentation 1-Poor. Presence of one( 1)evidence

4.Professional 1. Earned relevant professional trainings, earned units 5-OS*Earned at least 30 units in MA degree
Growth and or graduated from a higher relevant degree. SEPTEMBER 4-VS*Earned at least 27 units in MA degree
Development 2016-APRIL 10% 3-S*Earned at least 18 units in MA degree 4 4 4 4
2017 2-US*Earned at least 9 units in MA degree
1-P*Earned at least 6 units in MA degree
2. Attended trainings, seminars,workshops , or 5-Oustanding.Atleast one(1) training /
conferences seminar abroad
Required Evidences: 4-Very Satisfactory. At least one(1) national
a. Certificate of Appearance/Participation and Regional seminar/training/conference
b.Official Receipt SEPTEMBER 3-Satisfactory. Atleast one(1) school
c.Memorandum 2016- APRIL 10% seminar/training/conference 3 3 3 3.00
d.Travel Order/Authority to travel 2017 2-Unsatisfactory. At least one (1) school
e.Pictures/Official Documentation seminar/training/conference
f. Narrative report 1-Poor. No Seminar/training/conference
e.Echo Seminar attended
33 32 33 32.6666667
* To get the score, the Weighted
rating is multiplied by Average 32.67
the weight assigned Mean

TOTAL (Excluding Plus Factor) 100% OVER-ALL RATING OF ASSESSMENT 3.67

PLUS FACTOR 5% ADJECTIVAL RATING Very Satisfactory

MA. MAGDALENA P. FERRER

Ratee MA. ELENA C. RESUELLO
Approving Authority Rater

FRANCIS ANGELO S. GELERA

Asst. Schools Division Superintendent
ATION

SCORE

0.6

0.6
 0.4

0.366667

0.37

0.3
 0.333333

0.4

0.30

3.67

32.67

3.67
Very Satisfactory