Name of Employee: _______________________________ Rater: F

Position: Position: Teacher ___ Position: Principal II

Rating Period: June 2016 March 2017 Date of Review: April 2017
Division: CITY OF DASMARIAS

Individual Performance Commitment and Review FormFor Regular Teachers

MFO KRA OBJECTIVES WT PER ACTUAL RESULTS RATING
KRA Q E T AR
Basic Education A.TEACHING LEARNING 1. Prepared and utilized localized and 10
Services PROCESS contextualized lesson plan (DLL/LP) with
(30%) appropriate Instructional Materials (IMs) every
month which contributed to 3% to 4 % increase in
Common KRA
students GSA from First Quarter to Second
Quarter and Third Quarter to Fourth Quarter
2. Prepared and used appropriate assessment tools 10
with corresponding rubrics for learners,
maintaining 80% of mastery indices on weekly
assessments
3. Monitored and evaluated students progress 10
quarterly, with proper supporting documents
B. STUDENTS 1. Attained an increase of 5% of the Diagnostic Test 10
OUTCOMES result on Achievement Test
(30 %) 2. Attained for 100% passing rate for students on all 10
subjects handled at the end of the Second Quarter
Common KRA and Fourth Quarter for SY 2015-2016
3. Conducted remediation to poor performing or 10
enrichment sessions to advanced students with
accompanying proof or documents
C. COMMUNITY 1. Conducted Four PTC meetings and sustained 5
INVOLVEMENT 75% attendance (_____ out of _____) within the
(15%) SY 2016-2017.
2. Accomplished one (1) homeroom PTA Project by 10
Optional KRA the end of October 2016.
3. Joined in civic activities such as Alay Lakad, Fun (5)
Run or as member in any civic organization
D. PROFESSIONAL 1. Attended seminars/workshops and trainings 10
GROWTH (school, district, division, regional, national level)
(15%) 2. Demonstrated punctuality in accomplishing and 4
submitting report and in involvement on official
Common in 1 and 2 school tasks.
3. Recipient of award/s 1
3 is optional

E. PLUS FACTOR 1. Served with evidences in any four (4) of 7

(10%) accomplishments on the following:

a) Committee or Program Chairman or

Common KRA Coordinator with project/accomplishment like
Gender and Development or Adopt-A-School
b) District Key Teacher
c) Facilitator, Documenters in SLAC or INSET
d) Committee member division, district,
regional level
e) Guidance Teacher
f) ICT/LIS Coordinator
g) Canteen Manager
h) Clinic Teacher
 i) Club or Organization Adviser such as SPA,
SSG, etc.
j) Property Custodian
k) Librarian
l) Officer in any Academic Organization
m) Winning Coach or Trainer
n) Resource Person
o) Research Focal Person
p) Research Presenter
q) Demonstration Teacher
r) Examiner/Proctor in any National
Examination
s) Corridor Duty (if applicable)
t) Other special task such as Curriculum Writer,
Test Constructor, MOOE Assistant, and
SDRRM
2. Attained zero absent and zero late from June 2016 3
to March 2017.
TOTAL Overall Rating for Assessment
Description

Adjectival Rating Scale

4.500 5.000 - Outstanding
3.500 4.499 - Very Satisfactory
2.500 3.499 - Satisfactory
1.500 2.499 - Unsatisfactory
1.000 1.499 - Poor
 PART III: SUMMARY OF RATINGS FOR
DISCUSSION
Final Performance Result Rating Adjectival Rating

Accomplishment of KRAs and Objectives

RATER- RATE E AGREEMENT

The signatures below confirm that the employee and his/her superior have agreed to the content of this appraisal form and the performance rating.
Name of Employee Name of Superior

Signature Signature

Date Date
 PART IV: DEVELOPMENT PLANS

Strengths Developmental Needs Action Plan Timeline Resources Needed

Name of Teacher FRANCIS KENNETH D. HERNANDEZ, CAR-PhD MANUELA S.TOLENTINO, Ed.D.

Teacher 1 Principal II OIC, Schools Division Superintendent
 Individual Performance Commitment and Review Form

Name of Employee: _______________________________ Rater: FRANCIS KENNETH D. HERNANDEZ, CAR-PhD

Position: Position: Teacher 1
Rating Period: July April 2016
Division: CITY OF DASMARIAS
Category
A.TEACHING AND
LEARNING PROCESS
1. Prepared and utilized
localized and
contextualized lesson plan
(DLL/LP) with appropriate
Instructional Materials
(IMs) every month which
contributed to 3% increase
in students GSA from First
Quarter to Second Quarter
and from Third Quarter to
FourthQuarter.
Position: Principal 1
Date of Review: April 8,2016
5 4 3 2 1 Output
Utilized 100% Utilized 86% to 99% Utilized 76 to 85% Utilized 60% to 75% Utilized less than 60% DLL/LP
localized and localized and localized and localized and localized and
contextualized DILP contextualized DILP contextualized DILP contextualized DILP contextualized DILP Curriculum
Quality with complete Ims with complete Ims with complete Ims with complete Ims with complete Ims Review
based on based on Curriculum based on Curriculum based on Curriculum based on Curriculum
Curriculum Review Review of Review of Review of Review of List of Actual or
of Competencies Competencies which Competencies which Competencies which Competencies which Pictures of
which contributed to contributed to 4-5% contributed to % and contributed to 1% to did not contribute to Instructional
6% and above and above increase above increase 2% and above any increase Materials
increase in students GSA from students GSA from increase in students students GSA from
students GSA from First Quarter to First Quarter to GSA from First First Quarter to
First Quarter to Second Quarter and Second Quarter and Quarter to Second Second Quarter and
Second Quarter from Third Quarter to from Third Quarter to Quarter and from from Third Quarter to
and from Third FourthQuarter. FourthQuarter. Third Quarter to FourthQuarter.
Quarter to FourthQuarter.
FourthQuarter.

Timeliness By March By March By December By October By August

 1. Prepared and used 50% authentic and 40% authentic and 30% authentic and 20% authentic and 10% authentic and Report on
appropriate 50% traditional 60% traditional 70% traditional 80% traditional 90%traditional Indices of
assessment tools Quality assessments based assessments based on assessments based on assessments based assessments based Mastery (tables)
with corresponding
on total count of total count of recorded total count of recorded on total count of on total count of
rubrics for
learners, recorded assessments made assessments made recorded recorded Authentic
maintaining 80% assessments made assessments made assessments used. Assessment
of mastery indices Tools
on weekly
assessments. Quiz Notebooks

Checklist

Graphs

Timeliness By March By March By December By October By August

3. Monitored and evaluated Five indicators were Four indicators were Three indicators were Two indicators were One or none of the Class Records
students progress. met. met. met. met. indicators was met.
- with complete, updated Duly signed
class records Quality IPPR
- with graphs and analyses
- with duly signed IPPR Quiz Notebook
- with quiz notebooks
- with complete records of Graphs and
mastery indices Analyses of
Mean per
Subject Handled
by each teacher
 Indices of
Mastery

Every Grading Every Grading Period Every Grading Period Every Grading Period Every Grading Period
Timeliness Period

C. PUPIL/STUDENT 9% and above 6% to 8% increase on 4 to 5% increase on 2 to 3% e increase on 0 to 1% increase on Comparative

OUTCOMES Quality increase on students posttest over students posttest over students posttest students posttest Analyses of
1. Attained an increase of students posttest pre-test scores pre-test scores over pre-test scores over pretest scores Pretest and
4% to 5% of the Diagnostic over pretest scores Posttest Scores
Test versus Achievement
Test.
Note: averages of
percentages of
achievement in all
subjects handled

Timeliness By March By March By March By March By March

2. Attained for 100% 100% of students 95% to 99% of 90% to 95% of 50% to 89% of Less than 50% of SF5
passing rate for students passed and students passed and students passed and students passed and students passed and
on all subjects handled at Efficiency attained a GSA of attained a GSA of 78% attained a GSA of 77% attained a GSA of attained a grade of Summary Report
the end of the SY 2015- 80% and above on to 79% on all subjects to 76% on all subjects 75% on all subjects 75% on all subjects
2016. all subjects taught taught or handled taught or handled taught or handled taught and handled.
or handled
 Timeliness By March By March By March By March By March
3. Conducted remediation 6 or more indicators 5 to 6 indicators are 3 to 4 indicators are 1 to 2 indicators are No indicator is met Plan of action
to poor performing Efficiency are met met met met
students or enrichment Assessment tool
sessions to advanced
students Complete set of
- with remediation or exercises
enrichment plan of action
- with appropriate Attendance
assessment tools
- with complete sets of Parental
exercises Consent
- with attendance of
student participants Follow-up notes
- with parental consent to the advisers
- with follow up notes to the or the other
advisers or other teachers teachers
- with Home Visitation
forms
Timeliness By March By March By March By March By March
D. Community _____parents _____parents _____parents attended _____parents _____parents Minutes of the
Involvement Efficiency attended the 4 attended the 4 PTCs the 4 PTCs with all attended less than 4 attended less than 4 meeting
1. .Conducted 4 PTC PTCs with all with all evidences. evidences. PTCs with all PTCs with incomplete
meetings and sustained evidences. evidences. evidences. Attendance
75% attendance (____ out
of ___) within the SY 2015- Pictures
2016.
- with minutes of meetings
- with attendance Timeliness Every Quarter Every Quarter Every Quarter Every Quarter Every Quarter
- with pictures
- others
For Advisers only
2.Accomplished 1 Fully accomplished Fully accomplished 1 Partially accomplished With proposed and No PTA Project Financial Report
Homeroom PTA project Efficiency and utilized 1 PTA PTA project with or on-going 1 PTA approved 1 PTA
project with documentation, project project. Minutes of the
For Advisers only documentation, financial reports, etc. Meeting
financial reports,
etc. Pictures of the
Project

Timeliness By March By March By March By March By March

3.Joined in civic activities Joined in 3 or more Joined in 2 activities Joined in 1 activity Planned but did not No plan to attend any Attendance
such as Alay Lakad, Fun Efficiency activities join the activity activity
Run, mapping , etc Picture

Timeliness Year round Year round Year round Year round Year round

D. PROFESSIONAL Attended and Attended and Attended and Attended and Attended and
GROWTH AND completed 176 completed 132 hours completed 106 hours completed 88 hours completed less than Memorandum
DEVELOPMENT hours and above in seminars/workshops seminars/workshops seminars/workshops 88 hours or had not
seminar/workshop and trainings with and trainings with and trainings with participated in any Matrix,
1.Attended and training with accompanying proof or accompanying proof or accompanying proof seminar at all.
seminars/workshops and Efficiency accompanying proof documents. documents. or documents. Program
trainings (school, district, or documents.
division , regional, national Certificates of
level) Recognition
 Timeliness July to March July to March July to March July to March July to March
2. Demonstrated Submitted 100% Submitted 100% Submitted 95% to 99% Submitted 90% to Submitted less than Checklist on
punctuality in complete and error- complete reports/tasks complete and error- 94% complete and 90% complete or submission of
accomplishing and free reports/tasks with minimal error free reports/tasks 1-2 error-free reports incomplete needed forms
submitting reports and on Efficiency on or before the due time including all days late including all /tasks 3-4 days late reports/tasks 4 or and school
involvement on school date including all required required including all required more days late documents
tasks such as, required documents/papers for documents/papers for documents/papers for including all required
1. PTC Narrative documents/papers submission submission submission documents/papers for
Report/HRPTA Project for submission submission
Financial Report in every
quarter.
2. IPPR(Grading Sheet) in
every quarter
3. SF 2 (Monthly)
4. Operation Linis
5. Individual Room
Development Plans
6. SF5
7. SF1
8. SF3
9. Clinic Forms
10. MOV Checklist
11. Room Inventory Forms
12. SALN
13. Accomplishment
Reports
14. Urinalysis and X-ray
15. Lesson plans
16 Behavioral
Computations

Timeliness By July to March By July to March By July to March By July to March By July to March
3.Recipient of Award/s Quality Recipient of Recipient of regional Recipient of school or Nominated in any No nomination Plaque or
national or or division award district award level Certificates
Optional KRA international award
By March By March By March By March By March Pictures

4.Undertaken 1 action Action research Action research was Action research was Action research was No action research Letter
research and its Efficiency intervention was completed but partially completed. proposed and undertaken. Request
intervention was used in fully utilized and intervention was approved.
the class. presented on partially utilized Action Research
CDREAMS or in
Optional if not targeted any research forum Intervention
and agreed
Proof of
Achievement

Timeliness By December By December By December By December By December

4.Enrolled in Graduate Earned 18 units for Earned 18 units for the Earned 9 units for the Earned 9 units for the Failed to enrol in Class Cards
Studies for the SY 2015- Efficiency the SY 2015-2016 SY 2015-2016 with a SY 2015-2016 with a SY 2015-2016 with a Masters Degree. Permit to Study
2016. with a grade of 1.00 grade of 1.2-1.5. grade of 1.5 grade of 2.0

Optional KRA

Timeliness By March By March By March By March By March

D.PLUS FACTOR Served in any 4 or Served in any 3 Served in any 2 related Served in any 1 No involvement in any
more related tasks related tasks with the tasks with the full related tasks with the related task. Action Plan or
1.Served with evidences in with the full full documentation/ documentation/ full documentation/ Work Plan
any four (4) of documentation/ artifacts , action plan, artifacts , action plan, artifacts , action plan,
accomplishments on the artifacts, action program of activities program of activities program of activities Program of
following: Efficiency plan, program of and accomplishment and accomplishment and accomplishment Activities
activities, and report/certification report/certification report/certification
a) Committee or accomplishment Accomplishment
Program Chairman or report/certification. Report
Coordinator with
project/accomplishme Certification
nt like Gender and
Development or
Adopt-A-School
b) District Key Teacher
c) Facilitator,
documenters in SLAC Timeliness By July to March By July to March By July to March By July to March By July to March
or INSET
d) Committee member
division, district,
regional level
e) Guidance Teacher
f) ICT/LIS Coordinator
g) Canteen Manager
h) Clinic Teacher
i) Club or Organization
Adviser such as SPA,
SSG,etc
j) Property Custodian
k) Librarian
l) Officer in any
Academic
Organization
m) Winning Coach or
Trainer
n) Resource Person
o) Demonstration
Teacher
p) Research Focal
Person
q) Research Presenter
r) Examiner/Proctor in
any National
Examination
s) Corridor Duty (if
applicable)
t) Other special task
such as Curriculum
Writer, Test
Constructor, and
MOOE Assistant, and
SDRRM
Common KRA
2. Attained zero absent No unofficial Has 1 to 3 absences Has 4 or 5 absences Has 6 to 7 absences Has 8 or more 5 Summary of
and zero late from June Efficiency absences or (off set or not) and (off set) and incurred a (off set or not) and absences (off set or Attendance
2015 to March 2016. tardiness incurred incurred a total of 10 total of 20 to 30 incurred a total of 30 not) and a total of Report
as reflected in the minutes late as minutes late. to 40 minutes late as more than 40 minutes
Note, should be common CSC Form 48. reflected in the CSC reflected in the CSC or more late as
to all. Form 48. Form 48. reflected in the CSC
Absences and tardiness Form 48.
incurred due to Official
Business will not be
computed against
performance.

Timeliness June 2015 to March June 2015 to March June 2015 to March June 2015 to March June 2015 to March
2016. 2016. 2016. 2016. 2016.