Department of Education

Region III
Division of Pampanga
TELESFORO AND NATIVDAD ALFONSO HIGH SCHOOL
Sta. Maria, Sta. Ana, Pampanga

Individual Performance Commitment and Review Form

Name of Employee : REMEDIOS D. BALAJADIA Name of Rater : NOLANDA N. REYES, Ph.D

Position : TEACHER I Position : Principal II
Review Period : SY 2017-2018 Date of Review : April 2018
Bureau/Center/Service/Division : DepEd PAMPANGA

To be filled in during planning To be filled during evaluation

Weight PERFORMANCE INDICATOR

MFO’s KRA’s Objectives Timeline Actual Rating Rating Score
per KRA (Quality, Efficiency, Timeliness)
Q E T Average
Teaching – 1. Prepared lesson plans (DLL/exemplar) June 2017 10% Outstanding (5) – Has met the four characteristics of
Learning reflecting the following; to March DLL/Exemplar
Process a. Learning Competency/ies 2018 Very Satisfactory (4) – Has met the three characteristics
(30%) b. References of DLL/Exemplar
c. Attached copy of activity/ies if Satisfactory (3) – Has met two characteristics of
necessary DLL/Exemplar
d. Has adequate and appropriate Unsatisfactory (2) – Has met 1 characteristic of
instructional materials DLL/Exemplar
Poor (1) – Characteristics of DLL/Exemplar were not
evident.
2. Produced 1 project in Mathematics that June 2017 10% Outstanding (5) – 4 learning activities conducted per
enabled learners to reach their full to March grading period
potential for a better teaching-learning 2018 Very Satisfactory (4) – 3 learning activities conducted
process: per grading period per grading period
Satisfactory (3) – 2 learning activities conducted per
grading period
Unsatisfactory (2) – 1 learning activity conducted per
grading period
Poor (1) – 0 learning activity conducted per grading

3. Monitored students’ daily attendance.
4. Provide home visitation for students’
needing academic monitoring/follow-up.
Student 1. Increased 2 points in MPS in
Development Mathematics per grading period
(20%)
2. Monitored, evaluated and maintained
students’ progress.
Required Evidences:
a. Class Record/E-Class Record
b. Updated School forms ( SF1,SF-
2,SF-3 SF5 etc.)
3. Structured and maintained a classroom
that is conducive to learning.
period
June 2017 5% Outstanding (5) - Completely detected/monitored record
to March students daily attendance.
2018 Very Satisfactory (4) - Generally updated record
students daily attendance
Satisfactory (3) – Nearly updated record students daily
attendance
Unsatisfactory (2) – Daily updated record students daily
attendance
Poor (1) - Not updated records outputs daily attendance
June 2016- 5% Outstanding (5) - Visited parents of 4 student needing
March academic monitoring/follow-up
2017 Very Satisfactory (4) - Visited parents of 3 student
needing academic monitoring/follow-up
Satisfactory (3) – Visited parents of 2 student needing
academic monitoring/follow-up
Unsatisfactory (2) – Visited parents of student needing
academic monitoring/follow-up
Poor (1) – did not visit at all
June 2016- 5% Outstanding (5) – 2.0 points increase using First
March Quarter Result as baseline
2017 Very Satisfactory (4) – 1.5 points increase using First
Quarter Result as baseline
Satisfactory (3) – 1.0 points increase using First
Quarter Result as baseline
Unsatisfactory (2) - 0.5 points increase using First
Quarter Result as baseline
Poor (1) - 0.4 points increase using First Quarter Result
as baseline
June 2016- 10% Outstanding (5) – Complete, accurate, updated &
March presentable class record and school forms
2017 Very Satisfactory (4) – One of the criteria is missing
Satisfactory (3) – Two of the criteria are missing
Unsatisfactory (2) – Three of the criteria are missing
Poor (1) – No evidence of record keeping
June 2017 5% Outstanding (5) – Always maintained a well-organized
to March classroom that is conducive to learning with complete
2018 bulletin boards and decoration.
Very Satisfactory (4) – Well-organized classroom that
is conducive to learning with classroom walls fully painted
but no decorations and bulletin boards
 Satisfactory (3) – Well-organized classroom that is
conducive to learning
Unsatisfactory (2) – Organized classroom with poor
ventilation
Poor (1) – Classroom with poor amenities
Professional 1. Attended 3 INSETS/SLAC for School June 2017 10% Outstanding (5) – Attended 3 or more INSETS/SLAC
Growth Year 2016-2017 to March for the whole school year with documentation
(20%) 2018 Very Satisfactory (4) - Attended 3 or more
INSETS/SLAC for the whole school year without
documentation
Satisfactory (3) - Attended 2 INSET/SLAC for the whole
school year.
Unsatisfactory (2) - Attended 1 INSET/SLAC for the
whole school year.
Poor (1) – No INSET/SLAC attended for the whole
school year.
1. Initiated/Participated in co- June 2017 10% Outstanding (5) - Initiated at least 2 co-curricular/ school
curricular/school activities within the rating to March activities with documented results
period 2018 Very Satisfactorily (4) - initiated and participated in
cocurricular/school activities with documented results
Satisfactorily (3) - participated in most of cocurricular/
school activities with documented results
Unsatisfactorily (2) - Participation only without
documented results
Poor (1) - Not participated in school activities
Community 1. Conducted periodic PTA June 2017 10% Outstanding (5) – 4 Meetings with 91-100%
Partnership meetings/conferences to March accomplishment of set agreements of Homeroom Projects
(20%) 2018 Very Satisfactory (4) – 3 meetings with 81-90%
accomplishment of set agreements of Homeroom Project
Satisfactory (3) – 3 meetings with 71-80%
accomplishment of set agreements of Homeroom Project
Unsatisfactory (2) – 3 meetings with 61-70%
accomplishment of set agreements of Homeroom Project
Poor (1) – No accomplishment of set agreements of
Homeroom Projects
2. Participated in the following activities; June 2017 10% Outstanding (5) - participated in all activities with
a. Tree Planting to March documentation
b. Fun Run 2018 Very Satisfactory (4) – participated in 2 activities with
c. Feeding Program documentation
Satisfactory (3) – participated in 1 activity with
documentation
 Unsatisfactory (2) - no evidence of record keeping
Poor (1) - did not participate in any activity

*To get the score, the rating is multiplied by the weight assigned. OVERALL
RATING FOR
ACCOMPLISH-
NOLANDA N. REYES, Ph.D REMEDIOS D. BALAJADIA MENTS
Rater Ratee

Recommending Approval:

NOLANDA N. REYES, Ph.D

Principal II
Approved by:

ROWENA T. QUIAMBAO, CESE___

OIC – Assistant Schools Division Superintendent
 PART III: SUMMARY OF RATINGS FOR DISCUSSION

Final Performance Results

Accomplishments of KRAs and
Objectives

Employee-Superior
Agreement
The signatures below confirm that the employee and his/her superior have agreed to the contents of the performance as captured in this form.

Name of Employee: 0 Name of Superior: 0

Signature: Signature:

Date: Date:

PART IV: DEVELOPMENT PLANS

Action Plan (Recommended

Strengths Development Needs Resources Needed
Developmental Intervention)

NOLANDA N. REYES, Ph.D REMEDIOS D. BALAJADIA

Rater Ratee

Recommending Approval:

NOLANDA N. REYES, Ph.D

Principal II Approved by:
ROWENA T. QUIAMBAO, CESE___
OIC – Assistant Schools Division Superintendent