Republic of the Philippines

Department of Education
Region IV-A CALABARZON
Division of Quezon
QUEZON NATIONAL HIGH SCHOOL
Iyam, Lucena City
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM FOR SECONDARY SCHOOL TEACHER _____

NAME OF EMPLOYEE: ___________________________________

POSITION: Secondary School Teacher _____ RATER: ABNER L. PUREZA
SCHOOL/DISTRICT: Quezon National High School/ 2ND District POSITION: HEAD TEACHER VI
DEPARTMENT: English DATE OF REVIEW: October ____, 2017
RATING PERIOD: June 1, 2017 – April 6. 2018 DEPARTMENT: English
Major Final Key Result Objectives Timeline Weight per Performance Indicators Actual Results and Rating Score
Output Areas Objective (Quality, Efficiency, Timeliness) Means of
(MFOs) (KRAs) Verification Q E T Ave

Basic Education Teaching- 1.Prepares daily lesson daily 15% 5-Prepared and submitted for checking 150 and above functional ___ checklist of
Services Learning logs with learning lesson plans/ daily logs of activities within the school year, with the Daily learning log
Process activities using most appropriate, adequate and updated instructional materials. (indicate how many
40% appropriate and 4-Prepared and submitted for checking at least 120-149 functional were checked and
updated instructional lesson plans/ daily logs of activities within the school year, with unchecked)
materials appropriate and updated instructional materials.
3-Prepared and submitted at least 90-119 functional lesson plans/ ___ copy of
daily logs of activities within the school year with updated authentic
instructional materials. instructional
2- Prepared and submitted less than 50-89 lesson plans/ daily logs materials used
of activities within a school year with instructional materials.
1-Prepared less than 50 lesson plans/ daily logs of activities within a ___ copy of
school year. innovation
introduced

Basic Education Teaching- 2. Maximizes learning Daily 15% 5 – Maximized time-on-task, with perfect attendance for the school ___ checklist/ report
Services Learning contacts with students year; and engaged students to meaningful learning experiences of attendance for
Process (time-on-tasks) for using the most updated, appropriate and functional instructional the school year
40% engaging learning materials.
experiences. 4 – Maximized time-on-task, with only 1 – 5 absences for the school
year; and engaged students to meaningful learning experiences
using the most updated, appropriate and functional instructional
materials.
3 – Maximized time-on-task, with 6 -10 absences for the school year;
and engaged students to meaningful learning experiences using
functional instructional materials.
 2 – Maximized time-on-task, with 11 -15 absences for the school
year; and engaged students to meaningful learning experiences
using functional instructional materials
1 – Time on task has not been maximized due to many unnecessary
absences.(more than 16 absences)
Basic Education Teaching- 3. Conducts thematic Monthly 10% 5 –The teacher accomplished the following classroom management ___ certificate or
Services Learning classroom structuring practices. photo-documents of
Process to engage learners,  Properly structured classroom. classroom
40% individually or in  secured a safe learning environment structuring
groups, in meaningful  provided ways for learners to access a range of resources for
exploration, discovery meaningful exploration, discovery and hands-on activities (mini-
and hands-on activities library, enriched bulletin board, monthly theme corner)
within a range of  provided access to individual and group activities
physical learning
environment.

4 -The teacher accomplished at least three out of four classroom

management practices.
3 -The teacher accomplished two out of four - classroom
management practices.

2-The teacher accomplished only one out of four classroom

management practices.

1 -The teacher did not accomplish any of the four- classroom

management practices.

Students’ 1. Monitors, quarterly 5- Fully monitored, evaluated/assessed students’ progress and ___ copy of mean,
Basic Education Outcomes evaluates/assesses and 10% prepared/conducted varied interventions for student-at-risk of MPS, sd per quarter
Services 30% profiles students’ dropping out: with item analysis
progress within the a. home visitation
grading period; b. anecdotal records ___ copy of home
accomplishes and c. record of formative and summative assessments visitation report
updates the Learning d. MPS. Mean, SD of students per quarter
Information System 4- Exhibited three of four indicators ___ copy of pre and
(LIS) of students 3- Exhibited two of four indicators post test results
regularly. 2- Exhibited only one of four indicators
1- Exhibited no interventions resulting to poor monitoring and
assessment of students’ progress.

Basic Education Students’ 2. Maintains an quarterly 10% 5 – Maintained updated students’ academic records and profiles and ___ students’
Services Outcomes updated students’ thoroughly reviewed them for at least 4 times in every quarter. anecdotal record
30% academic records and 4 – Maintained updated students’ academic records and profiles and
profiles occasionally reviewed them for at least 3 times in every quarter ___ teacher’s class
 3 – Maintained updated students’ academic records and profiles and record fully checked
rarely reviewed them for at least 2 times in every quarter by quarter
2 – Maintained updated students’ academic records and profiles and
reviewed them once in every quarter
1 – Failed to maintain updated students’ academic records and
profiles.
Basic Education Students’ 3. Conducts culminating Quarterly 10% 5 –Remediation/ Enrichment Program through FREE English Project ___ Narrative
Services Outcomes activities or is offered to 85 – 100% of students who need it, by the use of the report of
30% remediation to improve most challenging and engaging materials and methods. remediation, case
students’ performance study, or
index. 4 -Remediation/ Enrichment Program through FREE English Project is enrichment
offered to 75 to 84% of students who need it, by the use of the more activities done .
challenging and engaging materials and methods. ___ reading profile
of students
3 -Remediation/ Enrichment Program through FREE English Project is
offered to 51-74% of students who need it, by the use of the
challenging and engaging materials and methods.
2 -Remediation/ Enrichment Program through FREE English Project is
offered to 50% and below of students who need it, by the use of
available materials and methods.
1 –FREE English Project has not been carried out and no
Remediation/ Enrichment Program is offered.

Community 1.Maintains Quarterly 5% 5 – Maintained learning environments that are responsive to ___ certificate of
Basic Education Involvement learning environments community contexts by supporting actively all programs and attendance to
Services 10% that are responsive to activities of PTCA, civic organizations, LGUs and other non- community
community contexts governmental groups and acted as leader/coordinator for at least activities and
once a year. celebrations
4 – Maintained learning environments that are responsive to (Quezon day,
community contexts by supporting most programs and activities of teachers’
PTCA, civic organizations, LGUs and other non-governmental convention, etc)
groups.
3 – Maintained learning environments that are responsive to ___ certificate of
community contexts by supporting some of the programs and attendance to
activities of PTCA, civic organizations, LGUs and other non- Brigada Eskwela,
governmental groups. fire drill,
2 – Maintained learning environments that are responsive to earthquake drill, etc
community contexts by supporting few of the programs and
activities of PTCA, civic organizations, LGUs and other non-
governmental groups.
1 – Did not maintain learning environments that are responsive to
community contexts; likewise did not give support to any program
or activity of PTCA, civic organizations, LGUs and other non-
governmental groups.
Community 2. Conducts regular PTA Quarterly 5% 5 –Conducted PTA meetings regularly every quarter with full ___ narrative report
Basic Education Involvement meetings / conferences documentation and report of accomplishment, attendance, minutes of PTA meeting,
Services 10% and prepare and set agreements among parents were 100% met. attendance and
comprehensive reports 4- Conducted PTA meetings regularly every quarter with full minutes (as
on students needing documentation and report of accomplishment, attendance, minutes applicable)
academic monitoring/ and set agreements among parents were 85 -99% met.
follow-up at home. 3 - Conducted PTA meetings for at least three times in a school year
with documentation (attendance, minutes of the meeting) and 75-
84% set agreements were met
2- Conducted PTA meetings for only two times in a school year
with only 51-69% of planned agreements were met.
1- Did not conduct any PTA meeting.

Basic Education Research, 1. Conducts classroom- Once a 5% 5: Conducted and fully implemented an action research duly ___ certificate as
Services Professional based action research/ year approved by the division office; with evidence of pre and post test research presenter
Growth and surveys and students’ results. or copy of the
Development mapping to assess 4: Conducted an action research duly approved by the school action research
10% students’ needs. principal and started its implementation phase.
3: Conducted an action research for review of the principal and
division office.
2: Proposed an action research for approval of the principal and
division office
1: Did not propose/ conduct any action research.
Basic Education Research, 2. Earn academic units Year-round 5% 5: Set professional goals based on professional teaching standards ___ copy or
Services Professional in the Graduate School; through: certification of
Growth and attend relevant a. attending at least 2 trainings/seminars in a year grades (Graduate
Development training/ workshop in b. earned at least 12- 18 units in the garduate school School)
10% the division, regional or c. earned certificate of completion in a specialized training ___ certificate of
national level; or seek d. registered /sought membeship in any professional organization participation to
membership in for teachers. trainings
accredited professional 4: Exhibited three of the four indicators. ___membership ID
organization for 3: Exhibited two of the four indicators. from any
teachers. 2: Exhibited only one of four indicators. professional org. for
1: Failed to engage in any professional growth activities. teachers

Special tasks- 1. Assume the by 5% 5- Assumed committee chairmanship within a semester and ___ certificate or
Basic Education Assignments responsibility of a semester exhibited quality of outputs with accomplishment reports and memo of committee
Services (10%) leader through documentation. chairmanship
accepting tasks as
coach in competitions a. Chairperson of school/gradelevel/subject area pageants. ___ certificate of
b. Chairperson of awards committee winning as coach of
c. Chair person of seasonal themes/celebrations related to student –
the department. contestants.
d. Chairperson of the department’s INSET
e. SPJ Convocation, year level reading coordinator and
 related leadership tasks.
f. Student – contestants coach
4- Assumed two committee chairmanship within a school year and
exhibited quality of outputs with accomplishment reports and
documentation.
3-Assumed only one committee chairmanship within a school year
and exhibited quality of outputs with accomplishment reports and
documentation.
2-Assumed only one committee chairmanship within a school year
but did not exhibit quality of outputs and without accomplishment
reports / documentation.
1-No committee chairmanship was assumed.
Basic Education Special tasks- 2. Acts as by 5% 5-Acted as resource speaker/trainer in teachers’ seminar in the
Services Assignments trainer/resource semester division/regional level for at least twice in a school year with ___ certificate as
(10%) speaker in teachers’ positive participants’ feedback; OR as a cooperating teacher of OJT trainer
seminar or as students with proper report on technical assistance given; OR as a
cooperating teacher of demonstration teacher in an INSET or any seminar with certificate, ___ certificate as
student-teachers’ out DLL and feedback reports. cooperating teacher
campus OJT; or 4-Acted as resource speaker/trainer in teachers’ seminar in the
demonstration school/district level once in a school year with positive participants’ ___ demo teaching
teachers in a feedback; OR as a cooperating teacher of OJT students; OR as a certificate
seminar/INSET. demonstration teacher in an INSET or any seminar with DLL and
certificate, but no feedback report.
3-Acted as a cooperating teacher of two or more field study college
students; OR as a demonstration teacher in an INSET or any seminar
with DLL but without certificate and feedback
2-Acted as facilitator in teachers’ seminar in the departmental level
once in a school year; or a cooperating teacher of at least one field
study college students
1-Did not assume any of the aforesaid matters.

Total
Description

Rater: Ratee: Approving Authority:

ABNER L. PUREZA ______________________________ FELIZA B. QUEVADA, Ed.D.

Secondary School Head Teacher VI- English Secondary School Teacher II – English Principal IV