DIVISION OF VALENZUELA CITY

Pio Valenzuela St., Marulas, Valenzuela City

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM

School Year 2016-2017
Name of Employee: Name of Teacher Name of Rater:
Position: Master Teacher I-III Position:
Rating Period: June 2016-April 2017 Date of Review:

TO BE FILLED IN DURING PLANNING

PERFORMANCE INDICATORS
Weight
MFOs KRAs OBJECTIVES OUTPUT TIME LINE per
KRA Outstanding Very Satisfactory Satisfactory Unsatisfactory
(5) (4) (3) (2)

1. Prepared and submitted well-

developed and up-to-date daily lesson
plans with: Prepared and
Prepared and submitted Prepared and submitted Prepared and submitted
a. SMART objectives submitted 202 daily
June - 195-201 daily lesson 170-194 daily lesson 150-169 daily lesson
b. appropriate contents and 6% lesson plans that
A. Teaching – 2. Facilitatedmaterials/teaching
teaching-learning aids Lesson Plans March plans that contain 4 the plans that contain 4 of plans that contain 4 of
instructional contain 4 of the
Learning Process processes
c. relevant with manifestation
procedures/ of the
strategies indicated parts the indicated parts the indicated parts
indicated parts.
(20%) following:
/activities
a.
d. relating
evaluativelesson with previous
procedures/techniques
knowledge or skills
b. conveying ideas clearly
c. utilizing the art of questioning
to elicit higher order thinking
d. greater student participation
Basic Education Services

e. use of ICT-enhanced
teaching Facilitated teaching- Facilitated teaching- Facilitated teaching- Facilitated teaching-
strategies and instructional June - learning processes learning processes with learning processes with learning processes with
Observation
materials March 6% with manifestation of manifestation of manifestation of manifestation of
Forms/ Checklists
consistency in 6 of the consistency in 5 of the consistency in 4 of the consistency in 3 of the
stated indicators stated indicators stated indicators stated indicators

f. objectives of the lesson realized

Page 1 of 37
Roderick D. De Leon
Principal I
April, 2016

TO BE FILLED IN DURING EVALUATION

RATING
ACTUAL SCORE
RESULTS
Poor
Q E T Ave.
(1)

Prepared and submitted

149 and below daily
lesson plans that contain ### #DIV/0!
4 or less of the indicated
parts

Facilitated teaching-
learning processes with
manifestation of ### #DIV/0!
consistency in 2 or less
of the stated indicators

Page 2 of 37
 Basic Educatio TO BE FILLED IN DURING PLANNING
PERFORMANCE INDICATORS
Weight
MFOs KRAs OBJECTIVES OUTPUT TIME LINE per
KRA Outstanding Very Satisfactory Satisfactory Unsatisfactory
(5) (4) (3) (2)

3. Checked attendance, initiated
effective students’ discipline and
maintained clean and orderly classroom SF 2/ Observation
conducive to the teaching-learning
process
Checking of students’
Students’ attendance
Students’ attendance Students’ attendance daily attendance not
checked daily,
checked daily, recorded checked daily, recorded regularly conducted,
June- recorded zero incident
3% 1-3 incident of students’ 4-6 incident of students’ recorded 7-10 incident
Reports March of students’
misbehavior in class, misbehavior in class, of students’ misbehavior
misbehavior in class,
and regularly maintained and regularly maintained in class, regular
and regularly
clean and orderly clean and orderly maintenance of clean
maintained clean and
classroom. classroom. and orderly classroom
orderly classroom.
not done.

Page 3 of 37
 TO BE FILLED IN DURING EVALUATION
RATING
ACTUAL SCORE
RESULTS
Poor Q E T Ave.
(1)

Checking of students’
daily attendance not
evident, recorded 10 or
more incident of
students’ misbehavior in ### #DIV/0!
class, regular
maintenance of clean
and orderly classroom
not done.

Page 4 of 37
 TO BE FILLED IN DURING PLANNING
PERFORMANCE INDICATORS
Weight
MFOs KRAs OBJECTIVES OUTPUT TIME LINE per
KRA Outstanding Very Satisfactory Satisfactory Unsatisfactory
4. Monitored and assessed teaching- (5) (4) (3) (2)
learning outcomes and students’
progress on regular basis focusing on
a. written exam/assessments Complete and up-to- Incomplete and un-
b. oral/ skills assessments Up to date records of Up to date records of
date records of updated records of
c. assignment/ home activities monitoring and monitoring and
A. Teaching- End of monitoring and monitoring and
Learning Process d. Periodical exam/assessments Class Records/ Records assessments of all assessments of all
Every 5% assessments of all assessments of
(20%) e. enrichment/enhancement activities of Students’ Outputs students’ progress and students’ progress and
Quarter students’ progress and students’ progress and
learning outcomes with learning outcomes with
learning outcomes for learning outcomes with
5 indicators 4 indicators
every quarter. 3 indicators

f. assessment outputs
submitted on time
1. Attained an average
1. Attained an average of 1. Attained an average of 1. Attained an average of
1. Attained an average of 60% MPS on of 60% MPS and above
NAT Results School / June- 58-59% MPS on learners’ 56-57% MPS on learners’ 54-55% MPS on
learners’ achievement of the subject 15% on learners’
Quarterly Learners' MPS March achievement by end of achievement by end of learners’ achievement by
area for the School Year achievement by end of
the School Year the School Year end of the School Year
School Year

Achieved 100% and Achieved 95- 99% Achieved 90 -95% Achieved 85 - 89%
2. Achieved 100% Promotion Rate of above Promotion Rate Promotion Rate of Promotion Rate of Promotion Rate of
Promotion Report / June -
learner's in the subject area by the end 10% of learner's in the learner's in the subject learner's in the subject learner's in the subject
SF 5 March
of School Year subject area by the end area by the end of School area by the end of School area by the end of
of School Year Year Year School Year
Basic Education Services

B. Learner's
Outcome (40%) 3. Assisted/remediated 50 students with 50 and above students
40-49 students assisted 30-39 students assisted 20-29 students assisted
subject deficiencies that resulted to assisted and
Implementation Report of June - and remediated that and remediated that and remediated that
completion of subject requirements 10% remediated that
Remediation March resulted to subject resulted to subject resulted to subject
and/or promotion. resulted to subject
completion/ promotion completion/ promotion completion/ promotion
completion/ promotion

Page 5 of 37
 TO BE FILLED IN DURING EVALUATION
RATING
ACTUAL SCORE
RESULTS
Poor Q E T Ave.
(1)

Incomplete and un-

updated records of
monitoring and
assessments of ### #DIV/0!
students’ progress and
learning outcomes with 2
or less indicators

1. Attained an average of
53% and below MPS on ### #DIV/0!
learners’ achievement by
end of the School Year

Achieved 84% and below

Promotion Rate of
learner's in the subject ### #DIV/0!
area by the end of School
Year

19 and less number of

students assisted and
remediated that ### #DIV/0!
resulted to subject
completion/ promotion

Page 6 of 37
 B. Learner's

Basic Education Ser

Outcome (40%)
TO BE FILLED IN DURING PLANNING
PERFORMANCE INDICATORS
Weight
MFOs KRAs OBJECTIVES OUTPUT TIME LINE per
KRA Outstanding Very Satisfactory Satisfactory Unsatisfactory
Conducted (3)
10-14 Parent Conducted(2)5-9 Parent
Conducted 20 or more Conducted (4)
(5) 15-19
Meetings or Meetings or
Parent Meetings or Parent Meetings or
Summary Report of Conferences to Conferences to
Conferences to Conferences to
4. Conducted 20 Parent Meetings or Parent-Teacher monitor/follow- monitor/follow-
monitor/ follow-up/ monitor/follow-up/assist/
Conferences to monitor/follow- Meetings/ Conferences up/assist/report up/assist/report
assist/report students’ report students’
up/assist/report students’academic/ June - students’ students’
5% academic/ academic/behavioral/
behavioral/progress status and other March academic/behavioral/ academic/behavioral/
concerns that resulted to 90% resolution
behavioral/progress progress status and
progress status and progress status and
of the issues/concerns. status and other other concerns that
other concerns that other concerns that
concerns that resulted resulted to 90%
resulted to 80% resulted to 80%
to 100% resolution of resolution of the
resolution of the resolution of the
the issues/concerns. issues/concerns.
issues/concerns. issues/concerns.
Conducted 10 or more Conducted 7-9 class Conducted 4-6 class Conducted 1-3 class
1. Assisted teachers in improving class observations and observations and post observations and post observation and post
teaching skills through observation and Observation Forms post conferences/ conferences/ conferences/ conferences/
June-
post-observation conference and Conference Reports and 5% mentoring/coaching of mentoring/coaching of mentoring/coaching of mentoring/coaching of
March
mentoring/coaching by the end of Mentor-Mentee Program teachers in the grade teachers in the grade teachers in the grade teachers in the grade
C. Instructional School Year level by end of School level by end of School level by end of School level by end of School
Assistance and Year Year Year Year
Research (20%)

Served as Served as demonstration

Documented Served as demonstration Served as demonstration
2. Served as demonstration teacher June- demonstration teacher teacher in the division
demonstration teaching 5% teacher in the district teacher in the school
within the rating period March in the regional level level within the rating
activities within the rating period within the rating period
within the rating period period

1 Approved/ Accepted
Action Research
Action Research Paper Submitted Action
completed, for Conducted Action
conducted with full Research Paper with full
evaluation in the school Research, research
3. Conducted 1 school-based action Approved Action June- documentation on documentation pending
5% level, pending paper, documentation
research within the rating period. Research Paper March completion duly approval from authority
submission to the and results incomplete
approved by Division or Division CBAR
Division CBAR by March 31
CBAR Committee by Committee by March 31
C. Instructional Committee by March 31
March 31
Assistance and
Research (20%)

Page 7 of 37
 TO BE FILLED IN DURING EVALUATION
RATING
ACTUAL SCORE
RESULTS
Poor
Conducted (1)
5 or less Q E T Ave.
Parent Meetings or
Conferences to
monitor/follow-
up/assist/report
students’ ### #DIV/0!
academic/behavioral/
progress status and
other concerns that
resulted to 85% and
below resolution of the
issues/concerns.
Conducted 0
observations and post
conferences/
mentoring/coching of ### #DIV/0!
teachers in the grade
level by end of School
Year

Did not conduct

demonstration teaching ### #DIV/0!
within the rating period

Action Research
proposal, problem to
work on identified, no ### #DIV/0!
documentation or data
gathered by March 31

Page 8 of 37
 TO BE FILLED IN DURING PLANNING
PERFORMANCE INDICATORS
Weight
MFOs KRAs OBJECTIVES OUTPUT TIME LINE per
C. Instructional KRA Outstanding Very Satisfactory Satisfactory Unsatisfactory
Assistance and (5) (4) (3) (2)
Research (20%)
Assisted in the conduct
Assisted in the conduct of Assisted in the conduct of
of national/ regional Assisted in the conduct
4. Assisted in the conduct of 1 division seminars/ district seminars/
Accomplishment/ seminars/ workshop/ of school seminars/
seminar/workshop/training/ competition June- workshop/ trainings/ workshop/trainings /
Documentation 5% trainings/ competitions workshop/ competitions
in specific learning area within the rating March competitions in specific competitions in specific
Report in specific learning in specific learning areas
period learning areas within the learning areas within the
areas within the rating within the rating period
rating period rating period
period

1. Attained the following attendance

Attained attendance of
Basic Education Services

records for the entire school year: Attained attendance of Attained attendance of
Summary Report of June- Attained perfect 197-202 school days
a. reported to school for 202 school 4% 191-196 school days 185-190 school days
Teachers’ Attendance March attendance records and 5 times or less
days and 6-10 times tardy and 11-15 times tardy
b. incurred 10 times or less tardy tardy.

50 relevant school 45-49 relevant school 40-44 relevant school 35-39 relevant school
reports and required reports and required reports and required reports and required
2. Submitted 50 relevant school Summary of Submitted
June- documents/ data documents/ data documents/ data documents/ data
reports and required documents/ data Required Reports/ 4%
March submitted accurately on submitted accurately on submitted accurately on submitted with less
on time Documents
or before the required or before the required or before the required inaccuracies on or before
D. Professionalism , time time time the required time
Personal Growth
and Development 100% seminars 95-99% seminars 90-94% seminars 85-89 seminars
3. Attended 100% of required /trainings / workshops/ /trainings / workshops/ /trainings / workshops/ /trainings / workshops/
(14%)
seminars /trainings/ workshops/ Certificate/ Certification / professional meetings professional meetings professional meetings professional meetings
professional meetings within the school Attendance Report on June -
3% attended within the attended within the attended within the attended within the
year March
Professional Meetings school year school year school year school year

Page 9 of 37
 TO BE FILLED IN DURING EVALUATION
RATING
ACTUAL SCORE
RESULTS
Poor Q E T Ave.
(1)

Did not assist in the

conduct of
seminars/workshop/ ### #DIV/0!
competitions in specific
learning areas within the
rating period

Attained attendance of
184 and below school ### #DIV/0!
days and more than 16
times tardy.

34 and below relevant

school reports and
required documents/ data ### #DIV/0!
submitted with many
inaccuracies on or before
the required time

84 or less seminars
/trainings / workshops/
professional meetings
attended within the school ### #DIV/0!
year

Page 10 of 37
 D. Professionalism ,
Personal Growth
and Development
(14%) TO BE FILLED IN DURING PLANNING
PERFORMANCE INDICATORS
Weight
MFOs KRAs OBJECTIVES OUTPUT TIME LINE per
KRA Outstanding Very Satisfactory Satisfactory Unsatisfactory
(5) (4) (3) (2)

5 or more co-
4 co-curricular/school 3 co-curricular/school 2 co-curricular/school
curricular/school
4. Initiated/participated in 10 co- activities/ program activities/ program activities/ program
Accomplishment/ June- activities/ program
curricular/school activities within the 3% initiated/participated/ initiated/participated/ initiated/participated/
Documentation Reports March initiated/participated/
school year attended with proper attended with proper attended with proper
attended with proper
documentation documentation documentation
documentation

1. Assisted in the
implementation of Result-based
100% of teachers in 80-99% of teachers in the 60-79% of teachers in 40-59% of teachers in
Performance Management System
Accomplished Teachers’ June- the grade level assisted grade level assisted in the grade level assisted the grade level assisted
(RPMS) following the RPMS cycle 2%
Evaluation Report March in the implementation of the implementation of in the implementation of in the implementation of
(Planning and Commitment, Coaching
RPMS RPMS RPMS RPMS
and Mentoring, Review and Evaluation
and Development Planning)

Produced publication/
Basic Education Services

creative work
Produced publication/ Produced publication/
published in National Produced publication/
creative work published creative work published
2. Produced publications/creative Circulation/ DepEd creative work published
E. Special Task/ works for school paper /division / Published in regional in division / city
June- Post/ CSC Newsletters in school publications
Plus Factor (6%) professional/ educational publication/ or Work/instructional 2% publications /or publications /or
March and similar /or functional
materials functional instructional functional instructional
functional instructional materials/SIM publications /or instructional materials at
materials used at materials used at
functional instructional department/grade level
regional level division/school level
materials used at
national level

Received 1 or more
Received 1 award/ Received 1 award/ Received 1 award/
award/ recognition for
recognition for recognition for recognition for
Certificate/Certification exemplary
3. Received 1 award/recognition for exemplary exemplary exemplary
of the award for June- performance/winning
exemplary performance/winning coach/ 2% performance/winning performance/winning performance/winning
exemplary performance/ March coach/ trainer in the
trainer by the end of School Year coach/ trainer in the coach/ trainer in the coach/ trainer in the
as winning coach/ trainer international/ national
regional level by the end division/district by the school level by end of
level by the end of the
of the school year end of the school year the school year
school year

Page 11 of 37
 TO BE FILLED IN DURING EVALUATION
RATING
ACTUAL SCORE
RESULTS
Poor Q E T Ave.
(1)

1 co-curricular/school
activities/ program
initiated/participated/ ### #DIV/0!
attended with proper
documentation

39% and below of

teachers in the grade ### #DIV/0!
level assisted in the
implementation of RPMS

Unpublished work
produced/ incomplete ### #DIV/0!
instructional materials

Did not received any

award/ recognition for
exemplary
performance/winning ### #DIV/0!
coach/ trainer in the
school level by the end
of the school year

Page 12 of 37
 TO BE FILLED IN DURING PLANNING
PERFORMANCE INDICATORS
Weight
MFOs KRAs OBJECTIVES OUTPUT TIME LINE per
KRA Outstanding Very Satisfactory Satisfactory Unsatisfactory
(5) (4) (3) (2)

Master Teacher I-III

Ratee Evaluated by:

Rosalie B. Emaas John Louie C. Co Exerill T. Cruz

Page 13 of 37
 TO BE FILLED IN DURING EVALUATION
RATING
ACTUAL SCORE
RESULTS
Poor Q E T Ave.
(1)

OVER
ALL #DIV/0!
RATING

Page 14 of 37
 DIVISION OF VALENZUEL
Pio Valenzuela St., Marulas, Valenzuel

INDIVIDUAL PERFORMANCE COMMITMENT

School Year 2016-2017
Name of Employee: Name of Teacher
Position: Teacher I-III
Rating Period: June 2016-April 2017

TO BE FILLED IN DURING PLANNING TO BE FILLED IN DURING EVALUATION

RATING
ACTUAL
MFOs KRAs OBJECTIVES OUTPUT RESULTS
Q E T Ave.

1. Prepared and submitted well-

developed and up-to-date daily lesson
plans with:
a. SMART objectives
A. Teaching – b. appropriate contents and 0 0 0 ###
Learning instructional materials/teaching aids Lesson Plans
Process 2. Facilitated
c. relevant teaching-learning
procedures/ strategies
(25%) processes
/activities with manifestation of the
following:
d. evaluative procedures/techniques
a. relating lesson with previous
knowledge or skills
b. conveying ideas clearly
c. utilizing the art of questioning
to elicit higher order thinking
Basic Education Services

d. greater student participation

e. use of ICT-enhanced
teaching
strategies and instructional Observation 0 0 0 ###
materials Forms/ Checklists

f. objectives of the lesson realized

3. Checked attendance, initiated

effective students’ discipline and
maintained clean and orderly classroom SF 2/ Observation
conducive to the teaching-learning Reports 0 0 0 ###
process
 4. Monitored and assessed teaching-
learning outcomes and students’
progress on regular basis focusing on
a. written exam/assessments
b. oral/ skills assessments
c. assignment/ home activities
A. Teaching-
Learning Process d. Periodical exam/assessments Class Records/ Records 0 0 0 ###
(25%) e. enrichment/enhancement activities of Students’ Outputs

f. assessment outputs
submitted on time
1. Attained an average of 60% MPS on
NAT Results School / 0 0 0 ###
learners’ achievement of the subject
Quarterly Learners' MPS
area for the School Year

2. Achieved 100% Promotion Rate of

Promotion Report / 0 0 0 ###
learner's in the subject area by the end
Basic Education Services

SF 5
of School Year

3. Assisted/remediated 50 students with

subject deficiencies that resulted to
Implementation Report of 0 0 0 ###
completion of subject requirements
B. Learner's Remediation
and/or promotion.
Outcome (47%)

Summary Report of
4. Conducted 20 Parent Meetings or Parent-Teacher
Conferences to monitor/follow- Meetings/ Conferences
up/assist/report students’academic/ 0 0 0 ###
behavioral/progress status and other
concerns that resulted to 90% resolution
of the issues/concerns.

C.
1. Attained the following attendance
Professionalism ,
records for the entire school year:
Personal Growth Summary Report of 0 0 0 ###
a. reported to school for 202 school
and Teachers’ Attendance
days
Development
b. incurred 10 times or less tardy
(22%)
 2. Submitted 50 relevant school Summary of Submitted
reports and required documents/ data Required Reports/ 0 0 0 ###
on time Documents

C. 3. Attended 100% of required

Professionalism ,
seminars /trainings/ workshops/ Certificate/ Certification /
Personal Growth professional meetings within the school Attendance Report on 0 0 0 ###
and year Professional Meetings
Development
(22%)

4. Initiated/participated in 10 co-
Accomplishment/
curricular/school activities within the 0 0 0 ###
Documentation Reports
school year
Basic Education Services

1. Produced publications/creative
Published
works for school paper /division / 0 0 0 ###
Work/instructional
professional/ educational publication/ or
materials
functional instructional materials/SIM

D. Special Tasks/
Plus Factor (6%) 2. Conducted 1 school-based action Approved Action 0 0 0 ###
research within the rating period. Research Paper

Certificate/Certification
3. Received 1 award/recognition for
of the award for 0 0 0 ###
exemplary performance/winning coach/
exemplary performance/
trainer by the end of School Year
as winning coach/ trainer
 OVER
ALL #DIV/0!
RATING

Teacher I-III
Ratee Rosalie B. Emaas John Louie C. Co
Committee Chairman Committee Chairman
Leadership and Governance Curriculum and Learning

Roderick D. De Leon
Approving Authority
SION OF VALENZUELA CITY
o Valenzuela St., Marulas, Valenzuela City

ORMANCE COMMITMENT AND REVIEW FORM

School Year 2016-2017
Name of Rater:
Position:
Date of Review:

DURING EVALUATION PERFORMANCE REVIEW COMMITTEE RATER

ACTUAL
Chairman Member 1 Member 2 Member 3 RATING
RESULTS
SCORE
Q E T Ave.

□ Agree Prepared and

#DIV/0! □ Agree □ Agree □ Agree ###
□ submitted 43 weekly
□ Disagree □ Disagree □ Disagree
Disagree lesson plans

Facilitated teaching-
learning processes in 4
#DIV/0! □ Agree □ Agree □ Agree □ Agree of the stated indicators ###
□ Disagree □ Disagree □ Disagree □ Disagree specifically items b, c ,
d and f.

0 incident of students’
#DIV/0! □ Agree □ Agree □ Agree □ Agree misbehavior in class ###
□ Disagree □ Disagree □ Disagree □ Disagree with well maintained
classroom.
 Records of students
#DIV/0! □ Agree □ Agree □ Agree □ Agree show 4 indicators - ###
□ Disagree □ Disagree □ Disagree □ Disagree specifically items a, c,
d and e.

#DIV/0! □ Agree □ Agree □ Agree □ Agree Attained an average of ###

□ Disagree □ Disagree □ Disagree □ Disagree 45% MPS

#DIV/0! □ Agree □ Agree □ Agree □ Agree Achieved 97% ###

□ Disagree □ Disagree □ Disagree □ Disagree Promotion Rate.

Assisted 11 students
#DIV/0! □ Agree □ Agree □ Agree □ Agree which resulted to ###
□ Disagree □ Disagree □ Disagree □ Disagree passing the subject

#DIV/0! □ Agree □ Agree □ Agree □ Agree Conducted 7 Parent ###

□ Disagree □ Disagree □ Disagree □ Disagree Meetings / Home Visits

#DIV/0! □ Agree □ Agree □ Agree □ Agree Attained attendance of ###

□ Disagree □ Disagree □ Disagree □ Disagree 194 school days.
#DIV/0! □ Agree □ Agree □ Agree □ Agree Submitted 13 relevant ###
□ Disagree □ Disagree □ Disagree □ Disagree school reports on time

Attended 0 training/
#DIV/0! □ Agree □ Agree □ Agree □ Agree seminar within the ###
□ Disagree □ Disagree □ Disagree □ Disagree school year

Participaetd 1 co-
#DIV/0! □ Agree □ Agree □ Agree □ Agree curricular/school ###
□ Disagree □ Disagree □ Disagree □ Disagree activities.

#DIV/0! □ Agree □ Agree □ Agree □ Agree Produced unpublished ###

□ Disagree □ Disagree □ Disagree □ Disagree scholarly work

#DIV/0! □ Agree □ Agree □ Agree □ Agree 1 Approved / Accepted ###

□ Disagree □ Disagree □ Disagree □ Disagree Action Research Paper

#DIV/0! □ Agree □ Agree □ Agree □ Agree Received 1 award in ###

□ Disagree □ Disagree □ Disagree □ Disagree the division level
 #DIV/0! #DIV/0!

John Louie C. Co Exerill T. Cruz

Committee Chairman Committee Chairman
Curriculum and Learning Accountability and Continuous Improvement

Roderick D. De Leon
Approving Authority
SCORE

#DIV/0!

#DIV/0!

#DIV/0!
#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!
#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!
#DIV/0!
 PERFORMANCE MONITORING AND COACHING FORM (Form 2)
School: ____________________________
Ratee: _____________________________
Rater: _____________________________

Signature
Date Critical Incidence Description Output Impact on Job/Action Plan Ratee/Rater
 DIVISION OF VALENZUELA CITY
Pio Valenzuela St., Marulas, Valenzuela City
SY 2016-2017

SUMMARY OF OUTPUT (TEACHER I-III)

FORM 3.E
Required Output Actual Result Details / Description
Lesson Plan
A.1 Lesson Planning Prepared and
Submitted

A.2 Observation - Teaching Observation

Learning Process Reports

SF2/Class
A.3 Checking of Student's Attendance/
Attendance Observation
Reports

of Students' Class
A.4 Recording Record/Composit
Outputs e Grades
Quarterly
B.1 Learners' Outcome Learners' MPS
Report on
B.2 Promotion Promotion/SF5
Documentation/R
B.3 Remediation eport of
Implementation

Summary Report
on Parents-
B.4 Parent-Teacher
Meetings/ Conferences Teachers
Conference/Minu
tes

Teachers'
Teacher's Attendance/ Attendance
C.1 Punctualilty Report/Certificat
e of Attendance

Compilation of
C.2 On-Time Submission of Submitted
School Reports Reports

Certificate/
Attendance to Certification /
C.3 Seminars, Workshops, Attendance
and Professional Report on
Meetings Professional
Meetings

Accomplishment/
Documentation
C.4 Participation to Co- Reports/Certificat
Curricular Activities e of
Participations

Published Works/
D.1 Publication Instructional
Materials

D.2 School-Based Action Approved Action

Research Research Paper
 Certificate/Certifi
cation
of the award for
D.3 Awards Received exemplary
performance/ as
winning coach/
trainer

Teacher I RODERICK D. DE LEON

Ratee Rater

Reviewed by:
PERFORMANCE REVIEW COMMITTEE

_____________________ ____________________ _________________ ________________

PRINCIPAL Member Member Member
CHAIRMAN

Noted:

EDNA L. LLANERA, Ph.D

Distict Supervisor
Details / Description
_____
 Republic of the Philippines
DEPARTMENT OF EDUCATION
National Capital Region
Division of City Schools - VALENZUELA

Individual Performance Evaluation Form (Form 5.E)

School: Antonio M. Serapio Elementary School
Grade Level/Department:

Name of Employee: Name of Rater: RODERICK D. DE LEON

Position: Position: PRINCIPAL II
Rating Period: June 2016 - March 2017 Date of Review: April, 2017

A. Teaching and Learning Process (25%)

A.1 A.2 A.3 A.4 TOTAL
#DIV/0! #DIV/0! ### #DIV/0! #DIV/0!
B. Learners' Outcome (45%)
B.1 B.2 B.3 B.4 TOTAL
#DIV/0! #DIV/0! ### #DIV/0! #DIV/0!
C. Professionalism, Personal Growth and Development (20%)
C.1 C.2 C.3 C.4 TOTAL
#DIV/0! #DIV/0! ### #DIV/0! #DIV/0!
D. Special Tasks/ Plus Factor (10%)
D.1 D.2 D.3 TOTAL
#DIV/0! ### #DIV/0! #DIV/0!

OVERALL RATING: #DIV/0!

DESCRIPTION: #DIV/0!

RODERICK D. DE LEON
Teacher I Principal II
Ratee Rater

Reviewed by:
PERFORMANCE REVIEW COMMITTEE

___________________________
Principal
Chairman

___________________________ ___________________________ ___________________________

Teacher Teacher Teacher
Member Member Member
 Noted:

EDNA L. LLANERA, Ed.D.

District Supervisor
 Republic of the Philippines
Department of Education
National Capital Region
DIVISION OF CITY SCHOOLS - VALENZUELA
Pio Valenzuela St., Marulas, Valenzuela City

IPCRF SUMMARY FOR TEACHER I - III (Form 6.E)

SCHOOL: Antonio M. Serapio Elementary School
District: II

Position A. Teaching Learning Process

OVERALL Quantitative B. Learners' Outc
No. Department Surname First Name MI (highest position Ratee's Signature (25%)
RATING Description
first)
A.1 A.2 A.3 A.4 T B.1 B.2

1 0 #N/A 0.250 0.300 0.250 0.150 0.950 0.150 0.600

2 0 #N/A 0.000

3 0 #N/A 0.000

4 0 #N/A 0.000

5 0 #N/A 0.000

6 0 #N/A 0.000

7 0 #N/A 0.000

8 0 #N/A 0.000

9 0 #N/A 0.000

10 0 #N/A 0.000

11 0 #N/A 0.000

12 0 #N/A 0.000
13 0 #N/A 0.000

14 0 #N/A 0.000

15 0 #N/A 0.000

16 0 #N/A 0.000

17 0 #N/A 0.000

18 0 #N/A 0.000
**NOTHING FOLLOWS**
Raters' Signature Reviewed by:
Name: Position Signature PERFORMANCE REVIEW COMMITTEE

_____________________ ____________________ _________________ _______________

PRINCIPAL Member Member Member
CHAIRMAN

Noted:

NIEVES M. RODRIGUE, Ph.D

District Supervisor
E)
Page 1 of 1

C. Professionalism, Personal
Learners' Outcome (45%) D. Special Tasks/ Plus Factor (10%)
Growth and Development (20%)

B.3 B.4 T C.1 C.2 C.3 C.4 T D.1 D.2 D.3 D.4 D.5 T

0.100 0.100 0.950 0.200 0.150 0.050 0.050 0.450 0.020 0.100 0.060 0.100 0.100 0.380

0.000 0.000 0.000

0.000 0.000 0.000

0.000 0.000 0.000

0.000 0.000 0.000

0.000 0.000 0.000

0.000 0.000 0.000

0.000 0.000 0.000

0.000 0.000 0.000

0.000 0.000 0.000

0.000 0.000 0.000

0.000 0.000 0.000

 0.000 0.000 0.000

0.000 0.000 0.000

0.000 0.000 0.000

0.000 0.000 0.000

0.000 0.000 0.000

0.000 0.000 0.000

This is to certify that the above data is true and correct.

_____________
r

RODERICK D. DE LEON
Principal I
Approving Authority

.D