EMPLOYEE FEEDBACK FORM

Rating Period: June 2018- March 2019

Action Plan (Recommended

Strengths Development Needs Timeline Resources Needed
Developmental Intervention)
Self-Management Peoples Training for employee Oct. & May Budget for the training
Result Focus Development development INSET
Teamwork
People Performance Innovation Promotes a creative Year-round Teachers’ cooperation
Management climate among co-
workers
Leading People Exercise a strong Year-round Teachers’ cooperation
personality towards
subordinates
Leadership training on May INSET Budget for the training
how to manage hard
headed teachers

Employee Feedback

Continues learning through seminars/trainings are needed to all employees.

 Part III. SUMMARY OF RATINGS FOR DISCUSSION

Rating Adjectival
Final Performance Results
Rating
Accomplishments of KRAs and Objectives 4.416 VS

Employee-Superior Agreement

The signature below confirms that the employee and his/her superior have agreed to the contents of the performance as capture in this form.

Name of Employee Name of Superior

DOMITILLA S. GUTIERREZ NERISSE R. LOMEDA
Signature Signature

Date Date

Part IV. DEVELOPMENT PLANS

Action Plan (Recommended

Strengths Development Needs Timeline Resources Needed
Developmental Intervention)
 Self-management  People  Training on long term  June,  Teacher’s
 Result Focus Development coaching & mentoring 2019 to Cooperation
 Team Work  Leading People  Leadership training March, 2020  Budget for
 People Performance  Innovation  Promotes creative  June, training
climate & inspires co- to
Management
workers to develop Aug.,2019
original ideas or
solutions

DR. CECILLE G. CARANDANG, CESO VI NERISSE R. LOMEDA DOMITILLA S. GUTIERREZ

Assistant schools Division Superintendent Officer-In-Charge Ratee
Officer-In-Charge Office of the Assistant Schools Division Superintendent
Office of the Schools Division Superintendent Rater
Approving Authority DEPED RPMS form – For Head of Office I 3
 PERFORMANCE MONITORING AND COACHING FORM

DATE CRITICAL INCIDENCE OUTPUT IMPACT ON JOB/ SIGNATURE

DESCRIPTION ACTION PLAN (RATER/RATEE)