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Individual Performance Commitment and Review Form



Name of Employee: Arlene E. Mendoza
Position: Elementary School Teacher I
Review Period:
Bureau/Center/Service/Division: Division of Malabon City
Name of Rater: Riza G. Andrade
Position: Elementary School Principal IV
Date of Review:

TO BE FILLED IN DURING PLANNING
TO BE FILLED DURING
EVALUATION
MFOs KRAs OBJECTIVES TIMELINE
Weight
per KRA
PERFORMANCE INDICATORS
(Quality, Efficiency,
Timeliness)
ACTUAL
RESULTS
RATING SCORE*

Teaching-
Learning Process
(40%)
Prepared daily lesson plans including
appropriate, adequate and updated
instructional materials







June 2014
to
March 2015







20%
5 - All daily lesson plans had the
following: objective, subject
matter, learning tasks and
assignment
4- Had three of the four parts of
lesson plan
3 - Had two of the four parts
2 - Had 1 of the four parts
1 - No daily lesson plan
prepared

Facilitated learning in class through
functional lesson plans, daily logs and
innovative teaching strategies

June 2014
to
March 2015
15%
5 - The teacher established
challenging and measurable
goal/s for student learning that is
aligned with the Philippine
Elementary Learning
Competencies (PELC)
curriculum with the use
innovative teaching aids like
Laptop & LCD Projectors
4 - The teacher developed a
measurable goal for student
learning that is aligned with the
Philippine Elementary Learning
Competencies (PELC)
curriculum with the use
3 - The teacher clearly
communicated a focus for

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student learning that is
appropriate for students and is
aligned with the Philippine
Elementary Learning
Competencies (PELC)
curriculum.
2 - The teacher did not have a
clear focus for student learning.
1 - The teacher did not have a
clear focus for student learning
or the objective is too general to
guide lesson planning or the
objective is inappropriate for
students.
Monitored the attendance of the students
in the subject area taught
June 2014
to
March 2015

5%
5 - Attendance checking is
systematically carried out daily,
reasons for absent were noted
and follow-up was made
4 - Attendance checking was
systematically carried out daily
and reasons for absences were
noted
3 - Attendance checking was
systematically carried out daily
2 - Attendance checking was
carried out twice a week
1 - Attendance checking was
carried out once


Student
Outcomes
(40%)
Evaluated 95% of students at the end of
every lesson / unit (summative test)
June 2014
to
March 2015



20%
5 - Class record reflected the
bases 100% of the students
were evaluated and monitored.
4 - Class record reflected the
bases of 98% of the students
were evaluated
3 - Class record reflected the
bases of 95% of the students
were evaluated
2 - Class record reflected the
bases of 93% of the students

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were evaluated
1 - Class record reflected the
bases of 90% and below of the
students were evaluated
Conducted remediation program once a
week for absentee of Science 5 pupils.
June 2014
to
March 2015



5%
5 - Remediation program is
offered to 90% and above of
students who need it based on
the weekly attendance.
4 - Remediation program is
offered to 85% of students who
need it based on the weekly
attendance.
3 - Remediation program is
offered to 80% of students who
need it based on the weekly
attendance.
2 - Remediation program is
offered to 75% of students who
need it based on the weekly
attendance.
1 - Reading remediation
program is offered to 70% and
below of students who need it
based on the weekly attendance.

Ensured promotion of 95% student
promoted in subject are taught
June 2014
to
March 2015


15%
5- 100% of students are
promoted in the subject are
taught
4 - 98% of students are
promoted in the subject are
taught
3 - 95% of students are
promoted in the subject are
taught
2 - 75% of students are
promoted in the subject are
taught
2 - 50% of students are
promoted in the subject are
taught

Community Visited parents of students needing June 2014
1%
5 - Visited parents trice a month

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Involvement
(5%)
academic monitoring / follow up to
January 2015
4 - Visited parents twice a month
3 - Visited parents once a month
2 - Visited parents once every
two month.
1 - No parent visited.
Participated in events/activities conducted
in the community
June 2014
to
March 2015

1%
5 - Attended 4 or more
events/activities.
4 - Attended 3 events/activities.
3 - Attended 2 events/activities.
2 - Attended 1 event/activity.
1 - No event/activity attended.

Conduct regular/ periodic PTA
meetings/conferences

June 2014
to
March 2015

3%
5- 130% and above
accomplishment with set
agreements met
4- 115-129% of planned
meetings conducted producing
only set agreements and partial
accomplishment of these
3- 100-114% of planned
meetings conducted producing
only set agreements
2- 51-99% of planned meetings
conducted with minimal results
1- 50% and below of planned
meetings conducted with no
results


Professional
Growth and
Development

15%
Participated with the General Parent-
Teachers Association (PTA) of the school
in their programs/activities as a board
member
June 2014
to
March 2015



5%
5 - Attended 5
activities/programs conducted by
the General PTA activities in
school
4 - Attended 4
activities/programs conducted by
the General PTA activities in
school
3 Attended3
activities/programs conducted by
the General PTA activities in
school
2 - Attended 2

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activities/programs conducted by
the General PTA activities in
school
1 - Attended 1
activities/programs conducted by
the General PTA activities in
school

Submitted given reports on SBM
(Management and Resources)
June 2014
to
March 2015

5%
5 - Submit report 3 days ahead
of time.
4 - Submit report 2 days ahead
of time.
3 - Submit report on time.
2 - Submit report 1 or more days
after the deadline.
1 - No report made.

Attended 3 seminars/ SLAC Session/
meeting in school, district, division etc.
June 2014
to
March 2015



5%
5 - Attend 5 seminars/ LAC
Session/ meeting in school,
district, division etc., with proper
documentation.
4 - Attend 4 seminars/ LAC
Session/ meeting in school,
district, division etc., with proper
documentation.
3 - Attend 3 seminars/ LAC
Session/ meeting in school,
district, division etc., with proper
documentation.
2 - Attend 2 seminars/ LAC
Session/ meeting in school,
district, division etc., with proper
documentation.
1 - Attend 1 seminar/ LAC
Session/ meeting in school,
district, division etc., with proper
documentation.

* To get the score, the rating is multiplied by the weight assigned

OVERALL
RATING FOR
ACCOMPLISH-
MENTS


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RIZA G. ANDRADE ARLENE E. MENDOZA
Rater Ratee


DEPED RPMS Form Teachers I

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