Individual Work Plan- Form # 3

_____January_____ TO ____December ___2012

Name : ________________________ Section : ______________________

Position : _____________________ Rating Period : ______________________

Actual/ % of
Program/Projects/Activity Duties & Responsibilities Physical Plan
Accomplishment Accomplishment
Outputs

Prepared & Submitted by: Recommended for Approval:

______________________________________
Employee Section Head
 Remarks
Daily Transaction
Quarterly
Remarks
Weekly
End of the month
 PERFORMANCE EVALUATION REPORT

_____January_____ TO ________June_________, 2012

PART 1 - PERFORMANCE (70%)

PERFORMANCE TARGETS
DUTIES AND RESPONSIBILITIES QUANTITY QUALITY TIME REMARKS RATING
PLANNED ACTUAL PLANNED ACTUAL PLANNED ACTUAL QN QL Time

TOTAL 0 0 0

I agree to achieve these targets for the rating I agree to assist the employee achieve his/her targets GRAND 0
period _________ to ________________ for the said rating period. AVERAGE POINT SCORE 0.00
EQUIVALENT PT. SCORE 0.00

___________________________ ___________________________
Signature of Employee Signature of Rater
___________________________ ___________________________
Date Date
PART II - BEHAVIORAL DIMENSION (30%) Equivalent Point Score:

Point score: Part I - Ave. Point Score x 70% (.7)

Part II - Ave. Point Score x 30% (.3)
A. Courtesy
B. Human Relationships
C. Punctuality & Attendance Overall Point Equivalent Equivalent
D. Initiative Score Numerical Numerical
Total Rating Rating
Ave. Point Score
Equivalent Point Score 9.4 - 10.0 10 Outstanding
Overalll Point Score (I & II) 7.6 - 9.3 8 Very Satisfactory
Equivalent Numerical Rating 4.6 - 7.5 6 Satisfactory
Equivalent Adjectival Rating 2.8 - 4.5 5 Unsatisfactory
2.0 - 2.7 2 Poor

Employees's Comments & Remarks:

CSC MC No. 12, s. 1993 - Guidelines in the Establishment and

Implementation of Performance Evaluation System.
Rater's Comments & Remarks:

Discussed Rating with:

Name & Signature of Ratee Date

Name & Signature of Rater Date

Schools Division Superintendent Date
A. Timeline

10 - Task completed within 1/2 of the time required to finish it.

8 - Task completed within 2/3 of the time required to finish it.
6 - Task completed at the deadline.
4 - Task partially completed at the deadline
2 - Task not yet begun at expected date of completion

B. Quality of Written Work

10 - No mistakes or deficiency; every aspect of work assignment well covered;

clearly presented; well oragnized.
8 - One or two minors errors or deficiencies; work in accordance with insturctions;
clearly presented; well oragnized.
6 - More than two minor errors or deficiencies; partial minor deficiency needed
4 - One or two minors errors or deficiencies; major revision needed
2 - Work not acceptable; needs total revision.

C. Quality of Non-written Assignment

10 - Excellent results; all aspects of work assignment thoroughly covered

8 - One or two minor errors in the eexecution of work assignment; results still very
good
6 - More than two minor errors or deficiencies in the execution of work assigment;
results are acceptable
One major error or deficiency that can be overcome with the help from
4 - supervisor
2 - Haphazard or careless execution of work assignment; unacceptable result.

D. Volume of Work

10 - Target or quota exceed by 50% or more.

8 - Target or quota exceed by 10 - 45%.
6 - Tarrget or quota accomplished as exxpected.
4 - Only 60 - 95% of target or quota accomplished.
2 - Less than 60% of quota or target accomplished.