INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM

Name of Employee: Maricel B. Velasquez

Angelita L. Dela Fuente
Position: Teacher I
Principal II
Review Period: November
Review: November
Bureau/Center/Service/Division: Nueva Ecija

Name of Rater:
Position:
Date Of

TO BE FILLED DURING PLANNING

TO BE FILLED DURING EVALUATION
MFOs

KRAs

Objectives

Timelin
e

Weight
per KRA

Physical
Developme
nt

a. Provide a
television to
enhance the
learning of the
students
during class
hour.

July
September
2015

30%

b. Classroom
improve by
means of
repainting to
make it
conducive to
learning

June
August
2015

c. Improve
Mapeh Garden
by Planting
flowering and
decorative
plants

July
March
2015

Performance Indicators(Quality, Efficiency,

Timeliness)
5 (130%- and above; Outstanding) Performance exceeding
targets by 30% and above of the planned targets.
4 (115-129%; Very Satisfactory) Performance exceeding
targets by 15% to 29% of the planned targets.
3 (100-114%; Satisfactory) Performance of 100% to 114%
of the planned targets.
2 (51-99%; Unsatisfactory) Performance of 51% to 99% of
the planned targets.
1 - (50% and below; Poor) Performance failing to meet the
planned targets by 50% or below.
5 (130%- and above; Outstanding) Performance exceeding
targets by 30% and above of the planned targets.
4 (115-129%; Very Satisfactory) Performance exceeding
targets by 15% to 29% of the planned targets.
3 (100-114%; Satisfactory) Performance of 100% to 114%
of the planned targets.
2 (51-99%; Unsatisfactory) Performance of 51% to 99% of
the planned targets.
1 - (50% and below; Poor) Performance failing to meet the
planned targets by 50% or below.

5 (130%- and above; Outstanding) Performance exceeding

targets by 30% and above of the planned targets.
4 (115-129%; Very Satisfactory) Performance exceeding
targets by 15% to 29% of the planned targets.
3 (100-114%; Satisfactory) Performance of 100% to 114%
of the planned targets.
2 (51-99%; Unsatisfactory) Performance of 51% to 99% of
the planned targets.
1 - (50% and below; Poor) Performance failing to meet the
planned targets by 50% or below.

Actual Results

TO BE FILLED DURING PLANNING

TO BE FILLED DURING EVALUATION
MFOs

KRAs
Students
Developme
nt

Objectives
a. Train the
students in
joining the
competition in
athletics

Timeline

Weight
per KRA

Performance Indicators(Quality, Efficiency,

Timeliness)

June
December
2015

30%

5 (130%- and above; Outstanding) Performance exceeding

targets by 30% and above of the planned targets.
4 (115-129%; Very Satisfactory) Performance exceeding
targets by 15% to 29% of the planned targets.
3 (100-114%; Satisfactory) Performance of 100% to 114% of
the planned targets.
2 (51-99%; Unsatisfactory) Performance of 51% to 99% of
the planned targets.
1 - (50% and below; Poor) Performance failing to meet the
planned targets by 50% or below.

b. Prepare
daily lesson
plan adopting
objectives to
diagnose
learners needs

June
March 2015

c. Lessen
students
absenteeism at
least 25%
every grading
period

June
March 2015

5 (130%- and above; Outstanding) Performance exceeding

targets by 30% and above of the planned targets.
4 (115-129%; Very Satisfactory) Performance exceeding
targets by 15% to 29% of the planned targets.
3 (100-114%; Satisfactory) Performance of 100% to 114% of
the planned targets.
2 (51-99%; Unsatisfactory) Performance of 51% to 99% of
the planned targets.
1 - (50% and below; Poor) Performance failing to meet the
planned targets by 50% or below.
5 (130%- and above; Outstanding) Performance exceeding
targets by 30% and above of the planned targets.
4 (115-129%; Very Satisfactory) Performance exceeding
targets by 15% to 29% of the planned targets.
3 (100-114%; Satisfactory) Performance of 100% to 114% of
the planned targets.
2 (51-99%; Unsatisfactory) Performance of 51% to 99% of
the planned targets.
1 - (50% and below; Poor) Performance failing to meet the
planned targets by 50% or below.

Actual Results

TO BE FILLED DURING PLANNING

TO BE FILLED DURING EVALUATION
MFOs

KRAs

Objectives

Timelin
e

Weight
per KRA

Community
Developme
nt

a. Encourage
students to
apply
classroom
learning to the
community like
tree planting
at least twice a
year

June
March
2015

20%

b. Visit parents
of learners
who have
disciplinary
and
absenteeism
problem at
least once a
month to
ensure
students
development
and progress
inside the
school
c. Conduct
parents
programs at
least once a
year

July
March
2015

July
March
2015

Performance Indicators(Quality, Efficiency,

Timeliness)

Actual Results

5 (130%- and above; Outstanding) Performance exceeding

targets by 30% and above of the planned targets.
4 (115-129%; Very Satisfactory) Performance exceeding
targets by 15% to 29% of the planned targets
3 (100-114%; Satisfactory) Performance of 100% to 114%
of the planned targets
2 (51-99%; Unsatisfactory) Performance of 51% to 99% of
the planned targets.
1 - (50% and below; Poor) Performance failing to meet the
planned targets by 50% or below.
5 (130%- and above; Outstanding) Performance exceeding
targets by 30% and above of the planned targets.
4 (115-129%; Very Satisfactory) Performance exceeding
targets by 15% to 29% of the planned targets
3 (100-114%; Satisfactory) Performance of 100% to 114%
of the planned targets
2 (51-99%; Unsatisfactory) Performance of 51% to 99% of
the planned targets.
1 - (50% and below; Poor) Performance failing to meet the
planned targets by 50% or below.
5 (130%- and above; Outstanding) Performance exceeding
targets by 30% and above of the planned targets.
4 (115-129%; Very Satisfactory) Performance exceeding
targets by 15% to 29% of the planned targets
3 (100-114%; Satisfactory) Performance of 100% to 114%
of the planned targets
2 (51-99%; Unsatisfactory) Performance of 51% to 99% of
the planned targets.
1 - (50% and below; Poor) Performance failing to meet the
planned targets by 50% or below.

*To
get
the
Overall Rating for accomplishment

score, the rating is multiplied to the weight assigned.

Angelita L.
Dela Fuente

Maricel B. Velasquez
Rater

Ratee

TO BE FILLED DURING PLANNING

TO BE FILLED DURING EVALUATION
MFOs

KRAs

Objectives

Timeline

Weight
per KRA

Performance Indicators(Quality, Efficiency,

Timeliness)

Curriculum
Developme
nt

a. Provide
appropriate
learning tasks
and portfolio
that support of
good study
habits

June
March 2015

20%

5 (130%- and above; Outstanding) Performance exceeding

targets by 30% and above of the planned targets.
4 (115-129%; Very Satisfactory) Performance exceeding
targets by 15% to 29% of the planned targets.
3 (100-114%; Satisfactory) Performance of 100% to 114% of
the planned targets.
2 (51-99%; Unsatisfactory) Performance of 51% to 99% of
the planned targets.
1 - (50% and below; Poor) Performance failing to meet the
planned targets by 50% or below.

b. Align the
lesson
objectives,
teaching
methods,
learning
activities and
instructional
materials or
resources
appropriate to
the learner.
c.

June
March 2015

June
March 2015

5 (130%- and above; Outstanding) Performance exceeding

targets by 30% and above of the planned targets.
4 (115-129%; Very Satisfactory) Performance exceeding
targets by 15% to 29% of the planned targets.
3 (100-114%; Satisfactory) Performance of 100% to 114% of
the planned targets.
2 (51-99%; Unsatisfactory) Performance of 51% to 99% of
the planned targets.
1 - (50% and below; Poor) Performance failing to meet the
planned targets by 50% or below.
5 (130%- and above; Outstanding) Performance exceeding
targets by 30% and above of the planned targets.
4 (115-129%; Very Satisfactory) Performance exceeding
targets by 15% to 29% of the planned targets.
3 (100-114%; Satisfactory) Performance of 100% to 114% of
the planned targets.
2 (51-99%; Unsatisfactory) Performance of 51% to 99% of
the planned targets.
1 - (50% and below; Poor) Performance failing to meet the
planned targets by 50% or below.

Actual Results