Republic of the Philippines
Department of Education
Name of Employee:
Position:
Review Period:
Review Period: May 2016-April 2017
WEIGHT PER
MFOs KRAs OBJECTIVES
1. Facilitates learning through
functional daily lesson logs
(DLL) with appropriate,
adequate and updated
instructional materials (IM).
2. Maintains daily routine.
( classroom cleanliness,
classroom management,
overall physical atmosphere)
3. Counseled/Guided pupils
Region_____
Division
District
Name of School
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM
TO BE FILLED DURING PLANNING
TIME
LINE
PERFORMANCE INDICATORS (Quality, Efficiency, Timelines)
KRA
5 Prepares 100% or 150 lesson logs with IMs
4 prepares 87-99% or 130-149 lesson logs with IMs
3 prepares 67-86% or 100-129 lesson logs with IMs
20%
2 50-.66% or 75-99 lesson logs with IMs
1 prepares 49% and below or 75 lesson logs with IMs.
5-classroom is 100% clean , safe and orderly.
4 classroom is 90-99% clean, safe and orderly.
Year 3 classroom is 85-89% clean, safe and orderly.
10%
Round 2 classroom is 71-84% clean, safe and orderly.
1- classroom is 70% and below clean, safe and orderly
5 Counseled/Guided 100% pupils as evident in the
interventions done.
4 80-89% of pupils progress is reflected in the class record.
10%
3 75-79% of pupils progress is reflected in the class record.
2 70-74% of pupils progress is reflected in the class record.
1 below 70% of pupils progress is reflected in the class record.
Sub- Rating for Accomplishments
 WEIGHT PER TIME
MFOs KRAs OBJECTIVES LINE
PERFORMANCE INDICATORS (Quality, Efficiency, Timelines)
KRA
5 90-100% of pupils progress is reflected in the class
record.
4 - 80-89% of pupils progress is reflected in the class
record.
1. Monitors, evaluates and 3 75-79% of pupils progress is reflected in the class
maintains students progress 10%
within the rating period. record.
2 70-74% of pupils progress is reflected in the class
record.
1 below 70% of pupils progress is reflected in the class
record.
5- Zero dropout rate and/or retention rate

4- 1-5% dropout rate and/or retention rate

B. Students 3- 6-10% dropout rate and/or retention rate

5% Year
Outcomes
Round
20% 2- 11-15% dropout rate and/or retention rate
2. Undertaken activities to
improve performance 1- 16-20% dropout rate and/or retention rate
indicators.

5 90-100% updated pupils school records

4 80-89% updated pupils school records

3. Maintains updated pupils

5% 3 75-79% updated pupils school records
school records.

2 50-74% updated pupils school records

1 below 50% updated pupils school records


WEIGHT PER
MFOs KRAs OBJECTIVES
1. Updated parents on pupils
progress regularly.
C.
Community 2. Supported activities of
Involvemen governmental and non-
t 30 % governmental organizations.
3. Does related works
(undertaken/ initiated projects/
events/ activities with external
funding/ sponsorship within the
target date)
Sub- Rating for Accomplishments
TIME
LINE
PERFORMANCE INDICATORS (Quality, Efficiency, Timelines)
KRA
5-90-100% parents were updated as evident in the attend-
ances made during conference.
4 80-89% parents were updated as evident in the attend-
ances made during conference.
15% 3 75-79% parents were updated as evident in the attend-
ances made during conference.
2 50-74% parents were updated as evident in the attend-
ances made during conference.
1 below 50% parents were updated as evident in the attend-
ances made during conference.
5 Has joined 5 or 100% government and non-
governmental organizations activities.
4 Has joined 3-4 or 80-99% government and non-
governmental organizations activities.
Year Round
5% 3 Has joined2 or 40-79% government and non-
governmental organizations activities.
2 Has joined 1 or 20-39% government and non-
governmental organizations activities.
1 Has not joined government and non-
governmental organizations activities.
5 90-100% of project accomplishment with full
documentation report on completion.
4 80-89% of project accomplishment with partial
completion.
10%
3 75-79% of project initiative only with no
report on completion.
2 50-74% of project initiative only with no
 (undertaken/ initiated projects/
events/ activities with external 10%
funding/ sponsorship within the
target date)

report on completion.
1 - No project or activity initiated.
Sub- Rating for Accomplishments

WEIGHT PER TIME

MFOs KRAs OBJECTIVES LINE
PERFORMANCE INDICATORS (Quality, Efficiency, Timelines)
KRA

5 Maintained 90-100% harmonious relationship with

fellow teachers, and other school personnel, parents
and stakeholders.

4 - Maintained 80-89% harmonious relationship with

fellow teachers, and other school personnel, parents
and stakeholders.
D.
Professional Maintained harmonious
Growth and relationship with fellow 3- Maintained 75-79% harmonious relationship with
Year
Developme teachers and other school 10% fellow teachers, and other school personnel, parents
Round
nt personnel, parents and other and stakeholders.
(10%) stakeholders.
2 - Maintained 50-74% harmonious relationship with
fellow teachers, and other school personnel, parents
and stakeholders.

1 - Maintained below 50% harmonious relationship with

fellow teachers, and other school personnel, parents
and stakeholders.

Sub- Rating for Accomplishments

OVERALL RATING FOR ACCOMPLISHMENTS

Overall rating for Accomplis

Adjectival Rating:
___________________________________________ ________________________
Master Teacher Teacher
Rater Ratee
Name of Rater:___________________________
Position: ________________________________
Date of Review:

TO BE FILLED DURING EVALUATION

Date of Review:
ACTUAL
RATING SCORE
RESULTS
ACTUAL
RATING SCORE
RESULTS
ACTUAL
RATING SCORE
RESULTS
 ACTUAL
RATING SCORE
RESULTS

all rating for Accomplishments:

Rating:
_______________________
School Head
Approving Authority