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Individual Performance Commitment and Review Form

Name of Employee:
Position:
Rating Period:
Bureau/Center/Service/Division:

RICHEL L. OCAA
TEACHER 1

Name of Rater: RODULFO C. VILLAROSA


Position: SECONDARY SCHOOL PRINCIPAL 1
Date of Review:

DepEd - Lanao del Norte


TO BE FILLED IN DURING PLANNING

TO BE FILLED IN DURING EVALUATION


Rating

PERFORMANCE INDICATORS
KRA
MFO
s

OBJECTIVES

TIMELINE

Weight per
KRA

ACTUAL
RESULTS

To use ICT tools/ equipment in


the conduct of at least 8 lesson
presentation

uction

To have 5 classroom
observations a year

October 2015 March 2016


October 2015 March 2016

To Atain a 100% passing rate


for my students making them
acquire a final rating between
75% and 80% in my subject at
the end of the current school
year.

October 2015 - March 2016

Strategic Planning

To Pepared Lesson Plans


within the reting period

October - March2016

Quality

13%

15%

2%

15%

Efficiency

Timelines

Objectives were
specific,attainable,
measurable,result-oriented and
time bounded

has mastered the lesson and attained


100% of the lesson objectives

accomplished three days before the subjects taught

Objectives were stated with 1


behavioral indicator missing

has mastered the lesson and attained


95% of the lesson objectives

accomplished two days before the subjects taught

Objectives were stated with 2- 3


behavioral indicator missing

has mastered the lesson and attained


90% of the lesson objectives

accomplished a day before the subjects taught

Objectives were stated with 3-4


behavioral indicator missing

has mastered the lesson and attained


80% of the lesson objectives

accomplished during the day the subjects taught

Objectives were stated

has mastered the lesson and attained


75% of the lesson objectives

No Lesson Plan

Had 0 students acquired below 75%

4
3

Had 1 students acquired below 75%


Had 2 students acquired below 75%

Had 3 students acquired below 75%

Had 4 students acquired below 75%

Had Presented more than 5 lessons with ICT integration

4
3
2

Had Presented 4 lessons with ICT integration


Had Presented 3 lessons with ICT integration
Had Presented 2 lessons with ICT integration

No evidence presented

Observed 6-7 times, had pre & post conferences and star documented

Demonstrated within the scheduled time of class


observation

Observed 4-5 times, had pre & post conferences and star documented

Demonstrated 2 days after the scheduled time of class


observation observation

Observed 3 times, had pre & post conferences and star documented

Demonstrated 5 days after the scheduled time of class

To enrol in the Masters


Degree Program for
professional growth and
development

To received Special awards


for exemplary performance

To Facilitate Clean-up Drive

October 2015 October-March 2016


October-March 2016
October 2015 - March 2016

To attend at least two


seminars.

October 2015 March 2016

Human Resource Development Management

To submit atleast two


instructional materials for
LRMDS

October 2015
- March 2016

To prepare TOS every


graidng period.

- March 2016

Curriculum & Instruction

To have 5 classroom
observations a year

15%

13%

2%

9%

3%

3%

Observed 2 times, had pre& post conferences and star documented

Demonstrated one week after the scheduled time of


class observation

Observed 1, had pre & post conferences and star documented

Demonstrated with no definite scheduled time of class


observation.

Preapred 3 sets of TOS

accomplished 7 days before the exam

Preapred 2 sets of TOS

accomplished 5 days before the exam

Preapred 1 set of TOS

accomplished 3 days before the exam

Preapred 1 set of TOS but not complete

accomplished a day before the exam

No TOS

No TOS

2 and above seminars attended


with certificates.

Presented certificate of Participation and


Appearance

Signed the attendance sheet 30 minutes before the


seminar started

1 seminar attended with


certificate of Participation

Presented certificate of Participation

Signed the attendance sheet 20 minutes before the


seminar started

1 seminar attended with


certificate of Apperance

Presented certificate of Appearance

Signed the attendance sheet 15 minutes before the


seminar started

1 seminar attended without


supporting documents

Presented nothing

Signed the attendance sheet 10 minutes before the


seminar started

Did not attend any seminars

No evidence

Has earned at least 36 units in Masters Degree

4
3

Has earned at least 27 units in Masters Degree


Has earned at least 18 units in Masters Degree

Has earned at least 9 units in Masters Degree

Has no units earned in Masters Degree

5
4

Received awards as coach with Certificates of Recognation Regional Level


Received awards as coach with Certificates of Recognation Division Level

3
2

Received awards as coach with Certificates of Recognation District Level


Received awards as coach with Certificates of Recognation School Level

6%

Not an awardee
Facilitate with letter of intent,
memorandum and Facilitator
Certificate

Presented 4 pictures as evidence

5 Presented the evidence right after the activity

To facilitate Feeding Program


in the community

Special Task

To assist/facilitate school
activities like program or any
related activities.

To participate 2 co-curricular
school activities within the
school year

Total

October 2015 - March 2016


October 2015 - March 2016

6%

3%

Facilitate with letter of intent,

Presented 3 pictures as evidence

4 Presented the evidence 1 day after the activity

Facilitate with facilitator certificate

Presented 2 pictures as evidence

3 Presented the evidence 3 days after the activity

Facilitate without letter of intent


and facilitator certificate

Presented 1 pictures as evidence

2 Presented the evidence 7 days after the activity

Did not facilitate

no picture presented

6%

Participated 2 times or more in the community activities with attendance sheet presented

Participated 2 times or more in the community activities with attendance sheet presented

Participated 1 times or more in the community activities with no attendance sheet presented

Participated once in the community activities with attendance sheet presented

Presented 4 pictures as evidence

5 Presented the evidence right after the activity

Facilitate with letter of intent,

Presented 3 pictures as evidence

4 Presented the evidence 1 day after the activity

Facilitate with facilitator certificate

Presented 2 pictures as evidence

3 Presented the evidence 3 days after the activity

Facilitate without letter of intent


and facilitator certificate

Presented 1 pictures as evidence

2 Presented the evidence 7 days after the activity

Did not facilitate

no picture presented

2%

Serve as member of working committees of at least 3 activities or school programs.

Serve as member of working committees of at least 2 activities or school programs.

Serve as member of working committees of at least 1 activities or school programs.


Served as Chairman Committee in Brgy. Activities with letter of invitation from Brgy.
No evidence
presented
Chairman, Minutes of the Meeting, Program of activities, and
Program Invitation
Submitted narrative reports with attendance sheets and
pictures
10 days after the program conducted
Participated in 2 or more co-curricular activities with supporting
documents

1 -2 times serve as Chairman/ member of working committees of at least 4 activities or school programs.

No participation in any community activities


Facilitate with letter of intent,
memorandum and Facilitator
Certificate

5
6%

October 2015 - March 2016

To participate at least two


times in any community
activities

October 2015 October 2015 October 2015


- March 2016 - March 2016 - March 2016

Resource Management

To Facilitate Clean-up Drive


in the community

Participated in 1 co-curricular activity with supporting documents

Participated in 2 or more co-curricular activities without supporting documents

Participated in 1 co-curricular activity without supporting documents

No participation

5
4
2%

3
2
1

100%

* To get the score, the rating is multiplied by the weight assigned.


OVERLALL RATING
FOR ACCOMPLISHMENTS

OVERLALL RATING
FOR ACCOMPLISHMENTS

RICHEL L. OCAA
Ratee

RODULFO C. VILLAROSA
Rater

EMMALINDA E. DUHAYLUNGSOD,CESO VI
Approving Authority

FILLED IN DURING EVALUATION


Rating

Ave

SCORE

0.6

0.02

0.75

2.667 0.3466667

0.75

0.65

0.02

3.667

0.33

0.025

0.025

0.18

0.18

0.12

0.24

0.3

0.02

0.02

3.6466667

3.6466667

Individual Performance Commitment and Review Form


Name of Employee:
Position:
Rating Period:
Bureau/Center/Service/Division:

RICHEL L. OCAA
TEACHER 1
2016-2017
DepEd - Lanao del Norte

Name of Rater: BEVERLY T. SUSON


Position: DEPARTMENT HEAD
Date of Review:

TO BE FILLED IN DURING PLANNING

PERFORMANCE INDICATORS
KRA
MFO
s

OBJECTIVES

TIMELINE

Weight
per KRA

To use ICT tools/ equipment


in the conduct of at least 5
lesson presentation

truction

To prepare TOS every


grading period.

June 2016March 2016


June 2016March 2016

To attain a 100% passing rate


for my students making them
acquire a final rating between
75% and 80% in my subject at
the end of the current school
year.

October-March 2016

Strategic Planning

To Prepare Lesson Plans


within the rating period

October - March2016

Quality

10%

20%

10%

10%

Efficiency

Timelines

Objectives were specific,


attainable, measurable, resultoriented and time bounded

has mastered the lesson and attained 100% of the


lesson objectives

accomplished three days before the subjects taught

Objectives were stated with 1


behavioural indicator missing

has mastered the lesson and attained 95% of the


lesson objectives

accomplished two days before the subjects taught

Objectives were stated with 2- 3


behavioural indicator missing

has mastered the lesson and attained 90% of the


lesson objectives

accomplished a day before the subjects taught

Objectives were stated with 3-4


behavioural indicator missing

has mastered the lesson and attained 80% of the


lesson objectives

accomplished during the day the subjects taught

Objectives were stated

has mastered the lesson and attained 75% of the


lesson objectives

Had 0 students acquired below 75%

Had 1 students acquired below 75%

3
2

Had 2 students acquired below 75%


Had 3 students acquired below 75%

Had 4 students acquired below 75%

Had Presented more than 4-5 lessons with ICT integration

4
3

Had Presented 3 lessons with ICT integration


Had Presented 2 lessons with ICT integration

Had Presented 1 lesson with ICT integration

No evidence presented

No Lesson Plan

Prepared 4 sets of TOS

accomplished 7 days before the exam

Prepared 3 sets of TOS

accomplished 5 days before the exam

Prepared 2 set of TOS

accomplished 3 days before the exam

To initiate discipline to 80%


of students including
classroom rules, guidelines
and individual and group
task within the rating period.

October-March
June 2016- March 2016

To have 15 classroom
observations in a year

June 2016March 2016

Curriculum & Instruction

To prepare TOS every


grading period.

10%

5%

5%

Prepared 1 set of TOS

No TOS

Observed 13-15 times, had pre & post conferences and star documented

Observed 10-12 times, had pre & post conferences and star documented

Observed 7-9 times, had pre & post conferences and star documented

Observed 4-6 times, had pre& post conferences and star documented

Observed 1-3, had pre & post conferences and star documented

To conduct 4 home
visitations to parents of
students needing
academic/behavioural
monitoring/ follow-up

June 2016- March 2016


October 2015 March 2016
October 2015 - March 2016

Human Resource Development Management

Basic Education Services

To enrol in the Master's


Degree Program for
professional growth and
development

10%

15%

No TOS
Demonstrated within the scheduled time of class
observation.
Demonstrated 2 days after the scheduled time of class
observation.
Demonstrated 5 days after the scheduled time of class
observation.
Demonstrated one week after the scheduled time of class
observation.
Demonstrated with no definite scheduled time of class
observation.

80-100% were guided in the observation of classroom rules, guidelines andindividual and group task

4
3

60-79% were guided in the observation of classroom rules, guidelines andindividual and group task

20--39% were guided in the observation of classroom rules, guidelines andindividual and group task

40-59% were guided in the observation of classroom rules, guidelines andindividual and group task

To attend at least two


seminars/ training for
professional growth

accomplished a day before the exam

0-19% were guided in the observation of classroom rules, guidelines andindividual and group task

2 and above seminars attended


with certificates.

Presented certificate of Participation and Appearance

Signed the attendance sheet 30 minutes before the seminar


started

1 seminar attended with


certificate of Participation

Presented certificate of Participation

Signed the attendance sheet 20 minutes before the seminar


started

1 seminar attended with


certificate of Appearance

Presented certificate of Appearance

Signed the attendance sheet 15 minutes before the seminar


started

1 seminar attended without


supporting documents

Presented nothing

Signed the attendance sheet 10 minutes before the seminar


started

Did not attend any seminars

No evidence

Has earned at least 18 units in Master's Degree

4
3

Has earned at least 15 units in Master's Degree


Has earned at least 12 units in Master's Degree

Has earned at least 9 units in Master's Degree

Has no units earned in Master's Degree

Coducted 4 or more home


visitations to parents of students
needing academic/behavioural
monitoring/ follow-up

Has presented documents such as home visitation


form signed by the parent, noted by the principal
attested by the guidance counselor and with at least 4
pictures.

Has conducted the home visitation 4 days after the problem


has been determined.

Coducted 3 home visitations to


parents of students needing
academic/behavioural monitoring/
follow-up

Has presented documents such as home visitation


form signed by the parent, noted by the principal
attested by the guidance counselor and with at least 3
pictures.

Has conducted the home visitation 1 week after the problem


has been determined.

Coducted 2 home visitations to


parents of students needing
academic/behavioural monitoring/
follow-up

Has presented documents such as home visitation


form signed by the parent, noted by the principal
attested by the guidance counselor and with at least 2
pictures.

Has conducted the home visitation 2 weeks after the


problem has been determined.

5%

October 201

academic/behavioural
monitoring/ follow-up

To conduct quarterly HPTA


meetings/conferences.

To assist/facilitate school
activities like program or any
related activities.

Coducted 1 home visitations to


parents of students needing
academic/behavioural monitoring/
follow-up

Has presented documents such as home visitation


form signed by the parent, noted by the principal
attested by the guidance counselor and with at least 1
pictures.

Never conducted home visitation.

No document presented

June 2016- March 2016

5%

October 2015 - March 2016

Resource Management

To Facilitate community
service.

Has conducted the home visitation 3 weeks after the


problem has been determined.

Conducted 4 quarterly HPTA meeting with attendance presented

Conducted 3 quarterly HPTA meeting with attendance presented

3
2

Conducted 2 quarterly HPTA meeting with attendance presented


Conducted 1 quarterly HPTA meeting with attendance presented

Never conducted

Facilitate with letter of intent,


memorandum and Facilitator
Certificate

Presented 4 pictures as evidence

5 Presented the evidence right after the activity

Facilitate with letter of intent,

Presented 3 pictures as evidence

4 Presented the evidence 1 day after the activity

Facilitate with facilitator certificate

Presented 2 pictures as evidence

3 Presented the evidence 3 days after the activity

Facilitate without letter of intent


and facilitator certificate

Presented 1 pictures as evidence

2 Presented the evidence 7 days after the activity

Did not facilitate

no picture presented

3%

2%

1 -2 times serve as Chairman/ member of working committees of at least 4 activities or school programs.

Serve as member of working committees of at least 3 activities or school programs.

Serve as member of working committees of at least 2 activities or school programs.

Serve as member of working committees of at least 1 activities or school programs.

No evidence presented

Total
100%
* To get the score, the rating is multiplied by the weight assigned.

TO BE FILLED IN DURING EVALUATION


Rating

ACTUAL
RESULTS

Ave

SCORE

0.300

0.800

0.400

0.500

0.500

0.250

0.150

0.400

0.750

0.250

OVERLALL RATING
FOR ACCOMPLISHMENTS

0.250

0.150

0.100

4.000

Individual Performance Commitment and Review Form


Name of Employee:
Position:
Rating Period:
Bureau/Center/Service/Division:

RICHEL L. OCAA
TEACHER 1
2016-2017
DepEd - Lanao del Norte

Name of Rater: BEVERLY T. SUSON


Position: DEPARTMENT HEAD
Date of Review:

TO BE FILLED IN DURING PLANNING

PERFORMANCE INDICATORS
KRAs

OBJECTIVES

TIMELINE

Weight per
KRA

To use ICT tools/ equipment


in the conduct of at least 5
lesson presentation

To prepare TOS every


grading period.

June 2016- March 2016


June 2016March 2016

To attain a 100% passing rate


for my students making them
acquire a final rating between
75% and 80% in my subject at
the end of the current school
year.

June 2016- March


2016

Strategic Planning

To Prepare Lesson Plans


within the rating period

June 2016- March 2016

Quality

truction

MFO

10%

20%

10%

10%

Efficiency

Timelines

Objectives were specific, attainable,


measurable, result-oriented and time
bounded

has mastered the lesson and attained 100% of the


lesson objectives

accomplished three days before the subjects taught

Objectives were stated with 1


behavioural indicator missing

has mastered the lesson and attained 95% of the


lesson objectives

accomplished two days before the subjects taught

Objectives were stated with 2- 3


behavioural indicator missing

has mastered the lesson and attained 90% of the


lesson objectives

accomplished a day before the subjects taught

Objectives were stated with 3-4


behavioural indicator missing

has mastered the lesson and attained 80% of the


lesson objectives

accomplished during the day the subjects taught

Objectives were stated

has mastered the lesson and attained 75% of the


lesson objectives

Had 0 students acquired below 75%

Had 1 students acquired below 75%

Had 2 students acquired below 75%

Had 3 students acquired below 75%

Had 4 students acquired below 75%

Had Presented more than 4-5 lessons with ICT integration

Had Presented 3 lessons with ICT integration

3
2

Had Presented 2 lessons with ICT integration


Had Presented 1 lesson with ICT integration

No evidence presented

No Lesson Plan

Prepared 4 sets of TOS

accomplished 7 days before the exam

Prepared 3 sets of TOS

accomplished 5 days before the exam

Prepared 2 set of TOS

accomplished 3 days before the exam

Prepared 1 set of TOS

accomplished a day before the exam

To conduct 4 home
visitations to parents of
students needing
academic/behavioural
monitoring/ follow-up

To enrol in the Master's


Degree Program for
professional growth and
development

To conduct quarterly HPTA


meetings/conferences.

June 20162016
June 2016- March 2016
June 2016March 2016
June 2016- March 2016

Human Resource Development Management

To attend at least two


seminars/ training for
professional growth

June 2016- March 2016

Basic Education Services

To initiate discipline to 80%


of students including
classroom rules, guidelines
and individual and group
task within the rating
period.

June 2016March 2016

To have 15 classroom
observations in a year

June 2016March 2016

Curriculum & Instruction

To prepare TOS every


grading period.

10%

5%

5%

No TOS

No TOS

Observed 13-15 times, had pre & post conferences and star documented

Demonstrated within the scheduled time of class


observation.

Observed 10-12 times, had pre & post conferences and star documented

Demonstrated 2 days after the scheduled time of class


observation.

Observed 7-9 times, had pre & post conferences and star documented

Observed 4-6 times, had pre& post conferences and star documented

Observed 1-3, had pre & post conferences and star documented

80-100% were guided in the observation of classroom rules, guidelines andindividual and group task

60-79% were guided in the observation of classroom rules, guidelines andindividual and group task

3
2

40-59% were guided in the observation of classroom rules, guidelines andindividual and group task
20--39% were guided in the observation of classroom rules, guidelines andindividual and group task

10%

0-19% were guided in the observation of classroom rules, guidelines andindividual and group task

2 and above seminars attended with


certificates.

Presented certificate of Participation and Appearance

Signed the attendance sheet 30 minutes before the seminar


started

1 seminar attended with certificate of


Participation

Presented certificate of Participation

Signed the attendance sheet 20 minutes before the seminar


started

1 seminar attended with certificate of


Appearance

Presented certificate of Appearance

Signed the attendance sheet 15 minutes before the seminar


started

1 seminar attended without supporting


documents

Presented nothing

Signed the attendance sheet 10 minutes before the seminar


started

Did not attend any seminars

No evidence

Coducted 4 or more home visitations to


parents of students needing
academic/behavioural monitoring/ follow-up

Has presented documents such as home visitation


form signed by the parent, noted by the principal
attested by the guidance counselor and with at least 4
pictures.

Has conducted the home visitation 4 days after the problem


has been determined.

Coducted 3 home visitations to parents of


students needing academic/behavioural
monitoring/ follow-up

Has presented documents such as home visitation


form signed by the parent, noted by the principal
attested by the guidance counselor and with at least 3
pictures.

Has conducted the home visitation 1 week after the problem


has been determined.

Coducted 2 home visitations to parents of


students needing academic/behavioural
monitoring/ follow-up

Has presented documents such as home visitation


form signed by the parent, noted by the principal
attested by the guidance counselor and with at least 2
pictures.

Has conducted the home visitation 2 weeks after the


problem has been determined.

Coducted 1 home visitations to parents of


students needing academic/behavioural
monitoring/ follow-up

Has presented documents such as home visitation


form signed by the parent, noted by the principal
attested by the guidance counselor and with at least 1
pictures.

Has conducted the home visitation 3 weeks after the


problem has been determined.

Never conducted home visitation.

15%

5%

5%

Demonstrated 5 days after the scheduled time of class


observation.
Demonstrated one week after the scheduled time of class
observation.
Demonstrated with no definite scheduled time of class
observation.

No document presented

Has earned at least 18 units in Master's Degree

4
3

Has earned at least 15 units in Master's Degree


Has earned at least 12 units in Master's Degree

2
1

Has earned at least 9 units in Master's Degree


Has no units earned in Master's Degree
5

Conducted 4 quarterly HPTA meeting with attendance presented

Conducted 3 quarterly HPTA meeting with attendance presented

To assist/facilitate school
activities like program or
any related activities.

Total

June 2016March 2016


June 2016- March 2016

To Facilitate community
service.

June 2016March 2016

Resource Management

To conduct quarterly HPTA


meetings/conferences.

5%

3%

2%

Conducted 2 quarterly HPTA meeting with attendance presented

Conducted 1 quarterly HPTA meeting with attendance presented

Never conducted

Facilitate with letter of intent,


memorandum and Facilitator
Certificate

Facilitate with letter of intent,

Presented 4 pictures as evidence

5 Presented the evidence right after the activity

Presented 3 pictures as evidence

4 Presented the evidence 1 day after the activity

Facilitate with facilitator certificate

Presented 2 pictures as evidence

3 Presented the evidence 3 days after the activity

Facilitate without letter of intent and


facilitator certificate

Presented 1 pictures as evidence

2 Presented the evidence 7 days after the activity

Did not facilitate

no picture presented

5
4

1 -2 times serve as Chairman/ member of working committees of at least 4 activities or school programs.
Serve as member of working committees of at least 3 activities or school programs.

3
2

Serve as member of working committees of at least 2 activities or school programs.


Serve as member of working committees of at least 1 activities or school programs.

No evidence presented

100%

* To get the score, the rating is multiplied by the weight assigned.

RICHEL L. OCAA
Ratee

BEVERLY T. SUSON
Rater

RODULFO C. VILLAROSA
Approving Authority

TO BE FILLED IN DURING EVALUATION


Rating

ACTUAL
RESULTS

Average

SCORE

OVERLALL RATING
FOR ACCOMPLISHMENTS

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