Republic of the Philippines

Region I
Schools Division Office I Pangasinan
Lingayen
BANI EAST INTEGRATED SCHOOL
Bani
INDIVIDUAL PERFORMANCE COMMITMENT and REVIEW FORM
Name of Employee: ARLENE B. CORTEZ Name of Rater MARY GRACE V. SUYAT
Position: TEACHER I Position: Head Teacher I
Review Period: JUNE 2017- APRIL 2018 Date of
Office: BANI EAST INTEGRATED SCHOOL REVIEW

TO BE FILLED IN DURING PLANNING TO BE FILLED DURING EVALUATION

Weight PERFORMANCE INDICATORS ACTUAL RESULTS

MFOs KRAs OBJECTIVES TIMELINE RATING SCORE
per KRA (Quality, Efficiency, Timeliness) Q E T
1. Teaching 1. Teaching Process : 5-OUTSTANDING.Has met the five(5)
objectives in Teaching Process
Learning Process a. Prepared daily lesson log
b.Mastered subject matter 4-Very Satisfactory.Has met the
c.Attained/Implemented the required learning com 15% four(4) objectives in Teaching Process
petencies effectively and effficiently for the students JUNE, 2017- 3- Satisfactory.Has met the three(3)
every quarter MARCH, 2018 objectives in Teaching and Process
d.Implemented the teaching loads and used varied 2- UnSatisfactory.Has met the two(2)
methods and strategies objectives in Teaching and Learning Process
e.Prepared instructional materials for interactive and 1-Poor.Has met the one(1) objective in Teaching
innovative learning Process
2. Learning process 5-OUTSTANDING.Has met the five(5)
a.Active participation of the students objectives in the Learning Process
b. Innovative learning 4-Very Satisfactory.Has met the four(4)
b.Participative learning-project-based objectives in the Learning Process
c.Cooperative Learning strategies 15% 3- Satisfactory.Has met the three(3)
JUNE, 2017-
d. Information and Communication Technology MARCH, 2018 objectives in the Learning Process
integration 2- UnSatisfactory.Has met the two(2)
e.Independent and collaborative learning objectives in the Learning Process
 JUNE, 2017-
MARCH, 2018

1-Poor.Has met one(1) objective in the Learning

Process

2.Learners 1. Monitored evaluated students' progress 5-OUTSTANDING.Presence of all five(5)

evidences
Outcomes
Required Evidences: 4-Very Satisfactory. Presence of four(4)
a.Class Record/E-Class Record evidences
b.Learners Journal JUNE, 2017- 3- Satisfactory. Presence of three (3)
10%
MARCH, 2018
c.Test Questions(TQ) evidences
d. Attendance record 2- UnSatisfactory. Presence of two (2)
e.Updated School forms (SF-1, SF-2,SF-3 and SF5) evidences
1-Poor. Presence of one( 1)evidence
2.Monitored attendance,diversity appreciation,safe, 5-OUTSTANDING.Presence of all five(5)
evidences
positive and motivating environment,overall physical
atmosphere, cleanliness and orderliness of 4-Very Satisfactory. Presence of four(4)
classrooms including proper waste disposal. evidences
Required Evidences: 3- Satisfactory. Presence of three (3)
a.Inclusive/multi-cultural/accepting environment: JUNE, 2017- evidences
10%
MARCH, 2018
stress free classroom setting 2- UnSatisfactory. Presence of two (2)
b.Well-structured well kept,orderly, and well evidences
vintilated classroom 1-Poor. Presence of one( 1)evidence
c.Presence of bins for waste segregation

d. Organized classroom and classroom environment

3. Analyzed/ Learners' Performance 5-OUTSTANDING.Presence of all five(5)
evidences
Required Evidences:
a. Culminating activity (classroom- based and school- 4-Very Satisfactory. Presence of four(4)
based) evidences
b. Individual projects JUNE, 2017- 3- Satisfactory. Presence of three (3)
10%
MARCH, 2018
c.Attendance duly signed by students,department evidences
heads & principal 2- UnSatisfactory. Presence of two (2)
d.List of intervention Activities and Materials evidences
 MARCH, 2018

1-Poor. Presence of one( 1)evidence

3. Community 1. Conducted regular/periodic PTA meetings and 5-Outstanding*Presence of all five(5)

Involvement evidences
conferences:
a. Notice/letter to parents/guardians 4-VS*Presence of all four(4) evidences
b.Agenda/Schedule JUNE, 2017- 3- Satisfactory. Presence of three (3)
10%
MARCH, 2018
c.Minutes of the meeting evidences
d.Attendance Record duly signed by attendees 2-VS* Presence of two (2) evidences
e.Documentation 1-P* Presence of one( 1)evidence
2.Visited parents of students needing academic 5-OUTSTANDING.Presence of all five(5)
evidences
monitoring/ follow -up
Required Evidences 4-Very Satisfactory. Presence of four(4)
a. Letter to Parents/ Guardians & Principal's evidences
Permission for home visitation JUNE, 2017- 3- Satisfactory. Presence of three (3)
MARCH, 2018
b.Anecdotal Records 10% evidences
c.Home Visitation Form 2- UnSatisfactory. Presence of two (2)
d. Attendance record evidences
1-Poor. Presence of one( 1)evidence
4.Professional 1. Participated in activities such as Teacher's Association 5-OS* Conducted one ( 1) duly
Growth and and other organizations . approved and adopted action research by
Development 2. Professed an honest effort to understand and support the whole Division/District/Cluster
the legitimate school policies 4-VS*Conducted one(1) duly approved
. action research by the whole school.
3.Maintained professional image,being honest,trusworthy, 5% 3-S*Conducted two(2) duly approved action
JUNE, 2017-
and possessed dignity with high moral values. MARCH, 2018 researches by the Schools Division Office
. (classroom)
. 2.-US*Conducted one(1) duly approved
 JUNE, 2017-
MARCH, 2018

action research by the Schools Division

Office.(Classroom)
1-P* Never conducted any action

All year 5-OS*Earned at least 30 units in MA degree

4. Earned relevant professional trainings, earned units round
or graduated from a higher relevant degree. 4-VS*Earned at least 27 units in MA degree

5% 3-S*Earned at least 18 units in MA degree

2-US*Earned at least 9 units in MA degree
1-P*Earned at least 6 units in MA degree
5. Attended trainings, seminars,workshops , or 5-Oustanding.Atleast one(1) training /
conferences seminar abroad
Required Evidences: 4-Very Satisfactory. At least one(1) national
a. Certificate of Appearance/Participation
and Regional seminar/training/conference
b.Official Receipt 3-Satisfactory. Atleast one(1) school
JUNE, 2017-
c.Memorandum MARCH, 2018 10% seminar/training/conference
d.Travel Order/Authority to travel 2-Unsatisfactory. At least one (1) school
e.Pictures/Official Documentation seminar/training/conference
f. Narrative Report 1-Poor. No Seminar/training/conference
attended

* To get the score, the Weighted

rating is multiplied by Average
the weight assigned Mean

TOTAL 100% OVER-ALL RATING OF ASSESSMENT

ADJECTIVAL RATING
 Adjectival Rating Scale MARY GRACE V. SUYAT
ARLENE B. CORTEZ
Outstanding 4.500 - 5.000 Rater
Ratee
Very Satisfactory 3.500 - 4.499 NOTED:
Satisfactory 2.500 - 3.499 DARWIN C. NAZARENO
Unsatisfactory 1.500 - 2.499 Principal II
Poor 1.000 - 1.499
 PART II: COMPETENCIES
CORE BEHAVIORAL COMPETENCIES CORE SKILLS
Self - Management Teamwork
Sets personal goal and direction, needs and development Willingly does his/her share of responsibility. Oral Communication
Undertakes personal actions and behaviors that are clear and Promotes collaboration and removes barriers to teamwork and Follows instruction accurately.
purposive and takes into account personal goals and values goal accomplishment across the organization Expresses self clearly, fluently and articulately.
congruent to that of the organization. Applies negotiation principles in arriving at win-win agreements. Uses appropriate medium for message.
Displays emotional maturity and enthusiasm for and is challenged by Drives consensus and team ownership of decisions. Adjust comminication style to others .
higher goals. Works constructively and collaboratively with others and across Guides discussions between and among peers to meet an objective.
Priorities work tasks and schedules (through Gantt charts, checklists, organizations to accomplish organizational goals and objectives. Written Communication
etc) to achieve goals Service Orientation Knows the different written business communication formats
Sets high quality, challenging, realistic goals for self and others Can explain and articulate organizational directions, issues and used inthe DepEd.
Professionalism and Ethics problems. Write routine correspondence/communications, narrative and
Demonstrates the values and behavior enshrined in the Norms of Conduct Takes personal responsibility for dealing with and/or correcting descriptive report based on readily available information data with
and Ethical Standards for public officials and employees (RA 6713)\ customer sevice issues and concerns. minimal spelling or grammatical errors(e.g. memos, minutes, etc.).
Practice ethical and professional behavior and conduct taking into Initiates activities that promotes advocacy for men and women Secures information from required references (i.e. Directories,
account the impact of his/her actions and decisions. empowerment schedules, notices, instructions) for specific purposes.
Maintains a professional image: being trustworthy, regularity of Participates in updating office vision, mission, mandaates and Self-edits words, numbers, phonetic notation, and content, if
attendance and punctuality, good frooming and communication. strategies based on DepEd strategies and directions. necessary.
Makes personal sacrifices to meet the organization's needs. Develops and adopts service improvement, programs through Demonstrates clarity, fluency, impact, conciseness and
Acts with sense of urgency and responsibility to meet the organization's simplified procedures that will further enhance service delivery. effectiveness in his/her written communications.
needs, improve systems and help others improve their effectiveness. Innovation Computer/ICT Skills
Result Focus Examines the root cuase of the problems and suggests effective Prepares basic compositions (e.g. letters, reports, spreadsheets
Achieve results with optimal use of time and resources most of the time solutions. Foster new ideas, processes and suggests better and graphic presentatin using Word Processing and Excel.
Avoids rework, mistakes and wastage through effective work methods by ways to do things (cost and/or operational efficiency). Identifies different computer parts, turns the computer on/off,
placing organizational needs before personal needs Demonstrates an ability to think "beyond the box". Continuously and work on a given tasks with acceptable speed and accuracy
Delivers error free outputs most of the time by conforming to standard focuses on improving personal productivity to create higher and connects computer peripherals (e.g. printers, modems,
operating procedures correctly and consistently. Able to produce very value and results. multimedia projectors etc.)
satisfactory quality of work in terms of usefulness/acceptability and Promotes a creative climate and inspires co-workers to Prepares simple presentation using Powerpoint.
completenesswith no supervision required. develop original ideas and solutions. Utilizes technologies to access informaton to enhance
Expresses desire to do better and may express frustration at waste or Translates creative thinking into tangible changes and solutions professional productivity, assist in conducting research and
inefficiency. May focus on new or more precise ways of meeting goals set. that improve the work unit and organization. communicate through local and global professional networks.
Makes specific changes in the system or in own work methods to improve Uses ingenious methods to accomplish responsibilities. Recommend appropriate and updated technology to enhance
performance. Examples may include doing something better, faster, at a Demonstrates resourcefulness and the ability to succeed with productivity and professional practice.
lower cost, more efficiently; or improving quality, costumer satisfaction, minimal resources OVERALL COMPETENCY RATINGS
morale, without setting any specific goal. CORE BEHAVIORAL COMPETENCIES
CORE SKILLS
OVERALL RATING
 PART III : SUMMARY OF RATINGS FOR DISCUSSION

Final Performance Result Rating Adjectival Rating

Accomplisments of KRAs and Objectives

Rater - Ratee Agreement

The signatures below confirm that the employee and his/her superior have agreed on content of this appraisal form and the performance rating

Name of Employee Name of Superior

ARLENE B. CORTEZ DARWIN C. NAZARENO

Signature Signature

Date April 10,2018 Date April 10,2018

PART IV : DEVELOPMENT PLANS

Action Plan
Strengths Development Needs Timeline Resources Needed
(Recommended Developmental Intervention)

MARY GRACE V. SUYAT ARLENE B. CORTEZ DARWIN C. NAZARENO

Head Teacher I Teacher I Principal II
Rater Ratee Approving Authority