INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR)

I, SHERYLYN KARESSA R. DUCUSINENRICO S. DEL ROSARIO of the DON MARIANO MARCOS MEMORIAL STATE UNIVERSITY – SOUTH LA UNION CAMPUS,
COLLEGE OF COMMUNITY HEALTH AND ALLIED MEDICAL SCIENCES, commit to deliver and agree to be rated on the attainment of the following targets in accordance with
the indicated measures for the period AUGUST – DECEMBER 2019..

__________________ _________
Signature of Employee

Date: _________________________

APPROVED BY:

Name: FLORIBETH P. CUISON

Position: CHANCELLOR,DMMMSU-SLUC
Date:

MAJOR FINAL OUTPUT SUCCESS INDICATORS Actual Accomplishments Rating Remarks

(Note: Please add rows to (Targets + Measures)
MFOs if necessary) (Note: Please add rows for success
indicators if necessary)
CORE FUNCTIONS (90%) Q E T Ave
1. Instruction
1.1 MFO 1 – Higher Education Services
A. Instructional Imperatives
(50%)
Submit updated clinical teaching plan on
scheduled date.
Submit rotational Related Learning Experience
(RLE) grade on scheduled date.
Conduct Related Learning Experience (RLE)
activities of assigned courses effectively and
efficiently to attain at least 80% of the learners
passing.
Prepare the necessary documents and standards
for accreditation and quality assurance
evaluation.
Provide opportunities for students in decision
making.
Solicit comments and suggestions of faculty
members in the planning of activities.
II. SUPPORT FUNCTIONS
1. Required Activities (as per
CNA)
2. Other Activities
Attends the Monday flag raising ceremony.
Attendance in FAD sanctioned activities
Coordinate one wellness activity in the
college/campus
Wear prescribed uniform and ID
Support cost saving measures adopted by the
campus/university
Participate in the meetings/ activities of assigned
special committees

Attend conferences, trainings and other similar

activities
TOTAL RATING
FINAL AVERAGE RATING

Rater’s Comments and Recommendations for Development Purposes or Rewards/Promotion:

The above rating has been discussed with me by my Immediate Supervisor:

Name & Signature of Rate: ENRICO S. DEL ROSARIOTIMOTHY

Name & Signature of Rater: GABRIEL O. BACUNGAN GLENN C. SUBITO
Position: CHAIRPERSON, NURSING Position: FACULTY
Date Date

Final Rating by Official Head: OFELIA O. VALDEHUEZA

Position: DEAN, CCHAMS
Date: