Republic of the Philippines

Department of Education
p Schools Division Office I of Pangasinan
District of Lingayen II
DOMALANDAN CENTER INTEGRATED SCHOOL
SY 2015- 2016

Individual Performance Commitment and Review Form

Name of Employee: BELLA M. RIVERA Name of Rater: MA.THERESA S. AQUINO
Position: Master Teacher I Position: Principal II
Review Period: ___________ _ Date of Review:_____________________
Bureau/Center/Service/Division: Domalandan Center Integrated School, Lingayen II District, Pangasinan I

TO BE FILLED IN DURING PLANNING TO BE FILLED DURING EVALUATION

Weight PERFORMANCE INDICATORS
MFOs KRAs OBJECTIVES TIMELINE per KRA (Currency, Efficiency, Timeliness ACTUAL RESULTS RATING SCORE

Teaching 1. Prepare daily lesson logs June 2015 30 5- All daily lesson logs have objective/s, subject matter, Daily lesson logs with
Learning and visual aids related to the to March procedures, evaluation and assignment with corresponding corresponding visual
lesson. 2016 visual aids aids.
Opportunities
4 – lacks 1 indicator
3 – lacks 2 indicators
2- lacks 3 indicators
1 – lacks 4 indicators

2. Carry regular teaching June 2015

load for the grade.
5 - 130% and above required teaching load handled for the
– March year Handled 130% and above
2016 4 - 115-129% required teaching load handled for the year required teaching load for
3 - 100-114% required teaching load handled for the year the year
2 - 51-99% required teaching load handled for the year
1 - 50% and below of required teaching loads handled for the
year
 Weight PERFORMANCE INDICATORS
MFOs KRAs OBJECTIVES TIMELINE per KRA (Currency, Efficiency, Timeliness ACTUAL RESULTS RATING SCORE
Teaching Learning
Opportunities 3. 3. Initiate Year 5 – 100% of the indicators on classroom task are observed
discipline of pupils round 4 – 99-85% of the indicators on classroom task are observed
including establishing 3- 79-84% of the indicators on classroom task are observed
classroom rules and 2 – 74-83% of the indicators on classroom task are observed
guidelines in both 1 – 64%- below of the indicators on classroom task are
individual and/or observed
group task.

4. Monitor Year 5 – 100% of the pupils’ attendance are monitored and

attendance diversity round automated every load day of the month
appreciation, safe, 4- 99-85% of the pupils’ attendance are monitored and
positive and automated every load day of the month
motivating 3 – 79-84% of the pupils’ attendance are monitored and
environment. automated every load day of the month
2 – 74-83% of the pupils’ attendance are monitored and
automated every load day of the month
1 – 64%- below of the pupils’ attendance are monitored and
automated every load day of the month

5. Check regularly the June 2015 5 – checked 8- 9 daily lesson log of teachers in the assigned checked 6 – 7 daily
daily lesson log of to March grade. lesson log in the
teachers in the 2016 4 – checked 6 – 7 daily lesson log in the assigned grade assigned grade
assigned grade. 3 – checked 4 – 5 daily lesson log of teachers in the assigned
grade
2 – checked 2-3 daily lesson log of teachers in the assigned
grade.
1 – checked only 1 daily lesson log in the assigned grade.
Pupils’ Outcomes 1. Achieve at least June 2015 30 5 – 75% level of mastery is achieved 70 – 74% level of
75% level of mastery to March 4 – 70 – 74% level of mastery is achieved mastery in the year
in the year 2016 3- 65 – 69% level of mastery is achieved summative test was
summative test in 2 – 60 – 64% level of mastery is achieved achieved
- English 1 – 55 – 59%level of mastery is achieved
- Mathematics
- Filipino
- Mother Tongue
- Araling Panlipunan
- ESP
MAPEH

2. Conduct remedial July 2015 5 – conducted remedial instruction for 10 slow learners conducted remedial
episode classes for to March 4 – conducted remedial instruction for 8 slow learners classes for 10 slow
slow learners. 2016 3 – conducted remedial classes for 6 slow learners learners
2 – conducted remedial classes for 4 slow learners
1 – conducted remedial instruction for 2 slow learners

3. Update parents on Year 5- updated 100 % of all parents on children’s progress and updated 100% of all
children’s progress round problem/s. parents on children’s
and problem/s 4 – updated 80% parents on children’s progress and progress and
through dialogues, problem/s. problem/s
conferences and PTA 3 – updated 60% parents on children’s progress and
meetings. problem/s.
2- updated 40% parents on children’s progress and
problem/s.
1- updated 20% parents on children’s progress and
problem/s.

rendered 100%
4.Render assistance June 2015 5- rendered 100% assistance to the guidance counselor assistance to the
to the guidance to 4- rendered 80% assistance to the guidance counselor guidance counselor
counselor in handling March 3 – rendered 60% assistance to the guidance counselor.
 pupils with problems. 2016 2-rendered 40% assistance to the guidance counselor.
1- rendered 20% assistance to the guidance counselor.

initiated 80%
5. Initiate projects June 2015 5 – initiated 100% programs and projects programs and
and programs that to March 4- initiated 80% programs and projects projects
will enhance the 2016 3- initiated 60% programs and projects
curriculum and its 2 – initiated 40% programs and projects
delivery. 1 –initiated 20% programs and projects.

Professional Growth 1. Attend Year 40 5 – attended 5 professional activities attended 5

and Development / professional round 4 – attended 4 professional activities professional activities
Community meetings, in-service 3 – attended 3 professional activities
Involvement trainings and related 2 – attended 2 professional activities
activity for self- 1 – attended 1 professional activity
growth and
assessment,
2. Observe proper 5 – always in proper uniform frequently in proper
decorum. Year 4 – frequently in proper uniform uniform
round 3 – sometimes in proper uniform
2 – seldom in proper uniform
3. Coordinate with 1 – never in proper uniform
the grade chairman
in disseminating 5 – always coordinated with the grade chairman frequently
information about June 2015 4 – frequently coordinated with the grade chairman coordinated with the
school problem. to March 3 – sometimes coordinated with the grade chairman grade chairman
2016 2 – seldom coordinated with the grade chairman
4. Guide the 1 – never coordinated with the grade chairman
discipline between
teacher and learner.
5 – always guided the discipline between teacher and learner always guided the
June 2015 4 – frequently guided the discipline between teacher and discipline between
5. Maintain to March learner teacher and learner
harmonious 2016 3 – sometimes guided the discipline between teacher and
 relationship with learner
superiors, pupils, 2 – seldom guided the discipline between teacher and learner
local and public 1 – never guided the discipline between teacher and learner
officials and co-
teachers. June 2015 5 – have 100%harmonious relationship with superiors, pupils, have 100%
to March local and public official and co-teachers. harmonious
2016 4 – have 80% harmonious relationship relationship with
3 – have 60% harmonious relationship superiors, pupils,
2 – have 40% harmonious relationship local and public
1 – have 20% harmonious relationship official and co-
teachers.

BELLA M. RIVERA
Ratee

Rater: Recommending Approval: Approved:

MA. THERESA S. AQUINO NITA C. CAOLBOY, Ed.D TEODORA V. NABOR, D.A. MARIA CELIA JUNIO FERNANDEZ, Ed.D
Principal II Monitoring Supervisor Assistant Schools Division Superintendent Schools Division Superintendent