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DIVISION OF VALENZUELA CITYPio Valenzuela St., Marulas, Valenzuela City

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORMSchool Year 2016-2017

Name of Employee: Name of Teacher Name of Rater: Roderick D. De LeonPosition: Master Teacher I-III Position: Principal IRating Period: June 2016-April 2017 Date of Review: April, 2016

TO BE FILLED IN DURING PLANNING TO BE FILLED IN DURING EVALUATION

MFOs KRAs OBJECTIVES OUTPUT TIME LINERATING

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PERFORMANCE INDICATORSACTUAL RESULTSOutstanding

(5)Very Satisfactory

(4)Satisfactory

(3)Unsatisfactory

(2)Poor(1)

A. Teaching – Learning Process(20%)

1. Prepared and submitted well-developed and up-to-date daily lesson plans with:a. SMART objectivesb. appropriate contents andinstructional materials/teaching aidsc. relevant procedures/ strategies /activitiesd. evaluative procedures/techniques

Lesson PlansJune - March

Prepared and submitted 202 daily lesson plans that contain 4 of the indicated parts.

Prepared and submitted 195-201 daily lesson plans that contain 4 the indicated parts

Prepared and submitted 170-194 daily lesson plans that contain 4 of the indicated parts

Prepared and submitted 150-169 daily lesson plans that contain 4 of the indicated parts

Prepared and submitted 149 and below daily lesson plans that contain 4 or less of the indicated parts

2. Facilitated teaching-learning processes with manifestation of the following:a. relating lesson with previous knowledge or skillsb. conveying ideas clearlyc. utilizing the art of questioning to elicit higher order thinkingd. greater student participation e. use of ICT-enhanced teaching strategies and instructional materials f. objectives of the lesson realized

ObservationForms/ Checklists

June - March

Facilitated teaching-learning processes with manifestation of consistency in 6 of the stated indicators




Facilitated teaching-learning processes with manifestation of consistency in 2 or less of the stated indicators

3. Checked attendance, initiated effective students’ discipline and maintained clean and orderly classroom conducive to the teaching-learning process

SF 2/ Observation Reports

June-March 3%

Students’ attendance checked daily, recorded zero incident of students’ misbehavior in class, and regularly maintained clean and orderly classroom.

Students’ attendance checked daily, recorded 1-3 incident of students’ misbehavior in class, and regularly maintained clean and orderly classroom.

Students’ attendance checked daily, recorded 4-6 incident of students’ misbehavior in class, and regularly maintained clean and orderly classroom.

Checking of students’ daily attendance not regularly conducted, recorded 7-10 incident of students’ misbehavior in class, regular maintenance of clean and orderly classroom not done.

Checking of students’ daily attendance not evident, recorded 10 or more incident of students’ misbehavior in class, regular maintenance of clean and orderly classroom not done.

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(4)Satisfactory

(3)Unsatisfactory

(2)Poor(1)

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15% ### #DIV/0!

10% ### #DIV/0!

10% ### #DIV/0!

5% ### #DIV/0!

5% ### #DIV/0!

A. Teaching- Learning Process (20%)

4. Monitored and assessed teaching- learning outcomes and students’ progress on regular basis focusing ona. written exam/assessmentsb. oral/ skills assessmentsc. assignment/ home activitiesd. Periodical exam/assessmentse. enrichment/enhancement activities f. assessment outputs submitted on time

Class Records/ Records of Students’ Outputs

End of Every Quarter

Complete and up-to-date records of monitoring and assessments of all students’ progress and learning outcomes for every quarter.

Up to date records of monitoring and assessments of all students’ progress and learning outcomes with 5 indicators

Up to date records of monitoring and assessments of all students’ progress and learning outcomes with 4 indicators

Incomplete and un-updated records of monitoring and assessments of students’ progress and learning outcomes with 3 indicators

Incomplete and un-updated records of monitoring and assessments of students’ progress and learning outcomes with 2 or less indicators

B. Learner's Outcome (40%)

1. Attained an average of 60% MPS on learners’ achievement of the subject area for the School Year

NAT Results School / Quarterly Learners' MPS

June- March

1. Attained an average of 60% MPS and above on learners’ achievement by end of School Year

1. Attained an average of 58-59% MPS on learners’ achievement by end of the School Year



1. Attained an average of 53% and below MPS on learners’ achievement by end of the School Year

2. Achieved 100% Promotion Rate of learner's in the subject area by the end of School Year

Promotion Report / SF 5

June - March

Achieved 100% and above Promotion Rate of learner's in the subject area by the end of School Year

Achieved 95- 99% Promotion Rate of learner's in the subject area by the end of School Year

Achieved 90 -95% Promotion Rate of learner's in the subject area by the end of School Year

Achieved 85 - 89% Promotion Rate of learner's in the subject area by the end of School Year

Achieved 84% and below Promotion Rate of learner's in the subject area by the end of School Year

3. Assisted/remediated 50 students with subject deficiencies that resulted to completion of subject requirements and/or promotion.

Implementation Report of Remediation

June - March

50 and above students assisted and remediated that resulted to subject completion/ promotion

40-49 students assisted and remediated that resulted to subject completion/ promotion



19 and less number of students assisted and remediated that resulted to subject completion/ promotion

4. Conducted 20 Parent Meetings or Conferences to monitor/follow-up/assist/report students’academic/behavioral/progress status and other concerns that resulted to 90% resolution of the issues/concerns.

Summary Report ofParent-Teacher Meetings/ Conferences

June - March

Conducted 20 or more Parent Meetings or Conferences to monitor/ follow-up/ assist/report students’ academic/ behavioral/progress status and other concerns that resulted to 100% resolution of the issues/concerns.

Conducted 15-19 Parent Meetings or Conferences to monitor/follow-up/assist/ report students’ academic/behavioral/ progress status and other concerns that resulted to 90% resolution of the issues/concerns.

Conducted 10-14 Parent Meetings or Conferences to monitor/follow-up/assist/report students’ academic/behavioral/ progress status and other concerns that resulted to 80% resolution of the issues/concerns.

Conducted 5-9 Parent Meetings or Conferences to monitor/follow-up/assist/report students’ academic/behavioral/ progress status and other concerns that resulted to 80% resolution of the issues/concerns.

Conducted 5 or less Parent Meetings or Conferences to monitor/follow-up/assist/report students’ academic/behavioral/ progress status and other concerns that resulted to 85% and below resolution of the issues/concerns.

C. Instructional Assistance and Research (20%)

1. Assisted teachers in improving teaching skills through observation and post-observation conference and mentoring/coaching by the end of School Year

Observation Forms Conference Reports and Mentor-Mentee Program

June- March

Conducted 10 or more class observations and post conferences/ mentoring/coaching of teachers in the grade level by end of School Year

Conducted 7-9 class observations and post conferences/ mentoring/coaching of teachers in the grade level by end of School Year

Conducted 4-6 class observations and post conferences/ mentoring/coaching of teachers in the grade level by end of School Year

Conducted 1-3 class observation and post conferences/ mentoring/coaching of teachers in the grade level by end of School Year

Conducted 0 observations and post conferences/ mentoring/coching of teachers in the grade level by end of School Year

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(4)Satisfactory

(3)Unsatisfactory

(2)Poor(1)

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5% ### #DIV/0!

4% ### #DIV/0!

4% ### #DIV/0!

3% ### #DIV/0!


2. Served as demonstration teacher within the rating period

Documented demonstration teaching activities

June-March

Served as demonstration teacher in the regional level within the rating period

Served as demonstration teacher in the division level within the rating period

Served as demonstration teacher in the district within the rating period

Served as demonstration teacher in the school within the rating period

Did not conduct demonstration teaching within the rating period


3. Conducted 1 school-based action research within the rating period.

Approved Action Research Paper

June-March

1 Approved/ Accepted Action Research Paper conducted with full documentation on completion duly approved by Division CBAR Committee by March 31

Submitted Action Research Paper with full documentation pending approval from authority or Division CBAR Committee by March 31

Action Research completed, for evaluation in the school level, pending submission to the Division CBAR Committee by March 31

Conducted Action Research, research paper, documentation and results incomplete by March 31

Action Research proposal, problem to work on identified, no documentation or data gathered by March 31

4. Assisted in the conduct of 1 seminar/workshop/training/ competition in specific learning area within the rating period

Accomplishment/ Documentation Report

June-March

Assisted in the conduct of national/ regional seminars/ workshop/ trainings/ competitions in specific learning areas within the rating period

Assisted in the conduct of division seminars/ workshop/ trainings/ competitions in specific learning areas within the rating period

Assisted in the conduct of district seminars/ workshop/trainings / competitions in specific learning areas within the rating period

Assisted in the conduct of school seminars/ workshop/ competitions in specific learning areas within the rating period

Did not assist in the conduct of seminars/workshop/ competitions in specific learning areas within the rating period

D. Professionalism, Personal Growth and Development (14%)

1. Attained the following attendance records for the entire school year:a. reported to school for 202 school days b. incurred 10 times or less tardy

Summary Report of Teachers’ Attendance

June- March

Attained perfect attendance records

Attained attendance of 197-202 school days and 5 times or less tardy.

Attained attendance of 191-196 school days and 6-10 times tardy

Attained attendance of 185-190 school days and 11-15 times tardy

Attained attendance of 184 and below school days and more than 16 times tardy.

2. Submitted 50 relevant school reports and required documents/ data on time

Summary of Submitted Required Reports/ Documents

June- March

50 relevant school reports and required documents/ data submitted accurately on or before the required time

45-49 relevant school reports and required documents/ data submitted accurately on or before the required time

40-44 relevant school reports and required documents/ data submitted accurately on or before the required time

35-39 relevant school reports and required documents/ data submitted with less inaccuracies on or before the required time

34 and below relevant school reports and required documents/ data submitted with many inaccuracies on or before the required time

3. Attended 100% of required seminars /trainings/ workshops/ professional meetings within the school year

Certificate/ Certification / Attendance Report on Professional Meetings

June - March

100% seminars /trainings / workshops/ professional meetings attended within the school year

95-99% seminars /trainings / workshops/ professional meetings attended within the school year

90-94% seminars /trainings / workshops/ professional meetings attended within the school year

85-89 seminars /trainings / workshops/ professional meetings attended within the school year

84 or less seminars /trainings / workshops/ professional meetings attended within the school year

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(4)Satisfactory

(3)Unsatisfactory

(2)Poor(1)

Bas

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3% ### #DIV/0!

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2% ### #DIV/0!

2% ### #DIV/0!

2% ### #DIV/0!

Master Teacher I-III

#DIV/0!

Ratee Evaluated by:

Rosalie B. Emaas John Louie C. Co Exerill T. Cruz

D. Professionalism, Personal Growth and Development (14%)

4. Initiated/participated in 10 co- curricular/school activities within the school year

Accomplishment/ Documentation Reports

June-March

5 or more co-curricular/school activities/ program initiated/participated/ attended with proper documentation

4 co-curricular/school activities/ program initiated/participated/ attended with proper documentation




E. Special Task/ Plus Factor (6%)

1. Assisted in the implementation of Result-based Performance Management System (RPMS) following the RPMS cycle (Planning and Commitment, Coaching and Mentoring, Review and Evaluation and Development Planning)

Accomplished Teachers’ Evaluation Report

June-March

100% of teachers in the grade level assisted in the implementation of RPMS

80-99% of teachers in the grade level assisted in the implementation of RPMS



39% and below of teachers in the grade level assisted in the implementation of RPMS

2. Produced publications/creative works for school paper /division / professional/ educational publication/ or functional instructional materials/SIM

Published Work/instructional materials

June-March

Produced publication/ creative work published in National Circulation/ DepEd Post/ CSC Newsletters and similar publications /or functional instructional materials used at national level

Produced publication/ creative work published in regional publications /or functional instructional materials used at regional level

Produced publication/ creative work published in division / city publications /or functional instructional materials used at division/school level

Produced publication/ creative work published in school publications /or functional instructional materials at department/grade level

Unpublished work produced/ incomplete instructional materials

3. Received 1 award/recognition for exemplary performance/winning coach/ trainer by the end of School Year

Certificate/Certification of the award for exemplary performance/ as winning coach/ trainer

June-March

Received 1 or more award/ recognition for exemplary performance/winning coach/ trainer in the international/ national level by the end of the school year

Received 1 award/ recognition for exemplary performance/winning coach/ trainer in the regional level by the end of the school year

Received 1 award/ recognition for exemplary performance/winning coach/ trainer in the division/district by the end of the school year

Received 1 award/ recognition for exemplary performance/winning coach/ trainer in the school level by end of the school year

Did not received any award/ recognition for exemplary performance/winning coach/ trainer in the school level by the end of the school year

OVER ALL

RATING



Name of Employee: Name of TeacherPosition: Teacher I-IIIRating Period: June 2016-April 2017


MFOs KRAs OBJECTIVES OUTPUTRATING

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0 0 0 ###

0 0 0 ###

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ACTUAL RESULTS

A. Teaching – Learning Process(25%)

1. Prepared and submitted well-developed and up-to-date daily lesson plans with:a. SMART objectivesb. appropriate contents andinstructional materials/teaching aidsc. relevant procedures/ strategies /activitiesd. evaluative procedures/techniques

Lesson Plans

2. Facilitated teaching-learning processes with manifestation of the following:a. relating lesson with previous knowledge or skillsb. conveying ideas clearlyc. utilizing the art of questioning to elicit higher order thinkingd. greater student participation e. use of ICT-enhanced teaching strategies and instructional materials f. objectives of the lesson realized

ObservationForms/ Checklists

3. Checked attendance, initiated effective students’ discipline and maintained clean and orderly classroom conducive to the teaching-learning process

SF 2/ Observation Reports

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0 0 0 ###

0 0 0 ###

0 0 0 ###

0 0 0 ###

0 0 0 ###

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0 0 0 ###

A. Teaching- Learning Process (25%)

4. Monitored and assessed teaching- learning outcomes and students’ progress on regular basis focusing ona. written exam/assessmentsb. oral/ skills assessmentsc. assignment/ home activitiesd. Periodical exam/assessmentse. enrichment/enhancement activities f. assessment outputs submitted on time

Class Records/ Records of Students’ Outputs

B. Learner's Outcome (47%)

1. Attained an average of 60% MPS on learners’ achievement of the subject area for the School Year

NAT Results School / Quarterly Learners' MPS

2. Achieved 100% Promotion Rate of learner's in the subject area by the end of School Year

Promotion Report / SF 5

3. Assisted/remediated 50 students with subject deficiencies that resulted to completion of subject requirements and/or promotion.

Implementation Report of Remediation

4. Conducted 20 Parent Meetings or Conferences to monitor/follow-up/assist/report students’academic/behavioral/progress status and other concerns that resulted to 90% resolution of the issues/concerns.

Summary Report ofParent-Teacher Meetings/ Conferences

C. Professionalism, Personal Growth and Development (22%)

1. Attained the following attendance records for the entire school year:a. reported to school for 202 school days b. incurred 10 times or less tardy

Summary Report of Teachers’ Attendance


2. Submitted 50 relevant school reports and required documents/ data on time

Summary of Submitted Required Reports/ Documents

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0 0 0 ###

0 0 0 ###

0 0 0 ###

0 0 0 ###

#DIV/0!

Teacher I-IIIRatee Rosalie B. Emaas John Louie C. Co

Committee Chairman Committee ChairmanLeadership and Governance Curriculum and Learning


3. Attended 100% of required seminars /trainings/ workshops/ professional meetings within the school year


4. Initiated/participated in 10 co- curricular/school activities within the school year

Accomplishment/ Documentation Reports

D. Special Tasks/ Plus Factor (6%)

1. Produced publications/creative works for school paper /division / professional/ educational publication/ or functional instructional materials/SIM

Published Work/instructional materials

2. Conducted 1 school-based action research within the rating period.


3. Received 1 award/recognition for exemplary performance/winning coach/ trainer by the end of School Year


OVER ALL

RATING

Roderick D. De LeonApproving Authority



Name of Rater:Position:Date of Review:

TO BE FILLED IN DURING EVALUATION PERFORMANCE REVIEW COMMITTEE RATER

SCOREChairman Member 1 Member 2 Member 3 RATING

Q E T

#DIV/0!

#DIV/0!

#DIV/0!

ACTUAL RESULTS

□ Agree □ Disagree




Prepared and submitted 43 weekly lesson plans





Facilitated teaching-learning processes in 4 of the stated indicators

specifically items b, c , d and f.





0 incident of students’ misbehavior in class with well maintained

classroom.

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!





Records of students show 4 indicators -

specifically items a, c, d and e.





Attained an average of 45% MPS





Achieved 97% Promotion Rate.





Assisted 11 students which resulted to

passing the subject





Conducted 7 Parent Meetings / Home Visits





Attained attendance of 194 school days.





Submitted 13 relevant school reports on time

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0! #DIV/0!

John Louie C. Co Exerill T. CruzCommittee Chairman Committee ChairmanCurriculum and Learning Accountability and Continuous Improvement





Attended 0 training/ seminar within the

school year





Participaetd 1 co-curricular/school

activities.





Produced unpublished scholarly work





1 Approved / Accepted Action Research Paper





Received 1 award in the division level

Roderick D. De LeonApproving Authority



RATER

RATINGSCORE

Ave.

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PERFORMANCE MONITORING AND COACHING FORM (Form 2)School: ____________________________Ratee: _____________________________Rater: _____________________________

Date Critical Incidence Description Output Impact on Job/Action Plan Signature Ratee/Rater


SY 2016-2017

SUMMARY OF OUTPUT (TEACHER I-III)FORM 3.E

Required Output Actual Result Details / Description

A.1 Lesson Planning

A.2

A.3

A.4

B.1 Learners' Outcome

B.2 Promotion

B.3 Remediation

B.4

C.1

C.2

C.3

C.4

D.1 Publication

D.2

D.3 Awards Received

Teacher I RODERICK D. DE LEONRatee Rater

Lesson Plan Prepared and Submitted

Observation - Teaching Learning Process

Observation Reports

Checking of Student's Attendance

SF2/Class Attendance/ Observation Reports

Recording of Students' Outputs

Class Record/Composite Grades

Quarterly Learners' MPS

Report on Promotion/SF5

Documentation/Report of Implementation

Parent-Teacher Meetings/ Conferences

Summary Report on Parents-Teachers Conference/Minutes

Teacher's Attendance/ Punctualilty

Teachers' Attendance Report/Certificate of Attendance

On-Time Submission of School Reports

Compilation of Submitted Reports

Attendance to Seminars, Workshops, and Professional Meetings


Participation to Co-Curricular Activities

Accomplishment/Documentation Reports/Certificate of Participations

Published Works/ Instructional Materials

School-Based Action Research



Reviewed by:PERFORMANCE REVIEW COMMITTEE

_____________________ ____________________ _________________ ________________ PRINCIPAL Member Member Member CHAIRMAN

Noted:

EDNA L. LLANERA, Ph.DDistict Supervisor



Republic of the PhilippinesDEPARTMENT OF EDUCATION

National Capital RegionDivision of City Schools - VALENZUELA

Individual Performance Evaluation Form (Form 5.E)

School: Antonio M. Serapio Elementary SchoolGrade Level/Department:

Name of Employee: Name of Rater: RODERICK D. DE LEONPosition: Position: PRINCIPAL II

A. Teaching and Learning Process (25%)A.1 A.2 A.3 A.4 TOTAL

#DIV/0! #DIV/0! ### #DIV/0! #DIV/0!

B. Learners' Outcome (45%)B.1 B.2 B.3 B.4 TOTAL

#DIV/0! #DIV/0! ### #DIV/0! #DIV/0!


C.1 C.2 C.3 C.4 TOTAL#DIV/0! #DIV/0! ### #DIV/0! #DIV/0!

D. Special Tasks/ Plus Factor (10%)D.1 D.2 D.3 TOTAL

#DIV/0! ### #DIV/0! #DIV/0!

OVERALL RATING: #DIV/0!DESCRIPTION: #DIV/0!

RODERICK D. DE LEONTeacher I Principal II

Ratee Rater


___________________________Principal Chairman

___________________________ ___________________________ ___________________________ Teacher Teacher TeacherMember Member Member

Noted:

EDNA L. LLANERA, Ed.D.

Rating Period: June 2016 - March 2017 Date of Review: April, 2017

District Supervisor

Republic of the PhilippinesDepartment of EducationNational Capital Region

DIVISION OF CITY SCHOOLS - VALENZUELAPio Valenzuela St., Marulas, Valenzuela City

IPCRF SUMMARY FOR TEACHER I - III (Form 6.E)Page 1 of 1

No. Department Surname First Name MI Ratee's SignatureB. Learners' Outcome (45%) D. Special Tasks/ Plus Factor (10%)

A.1 A.2 A.3 A.4 T B.1 B.2 B.3 B.4 T C.1 C.2 C.3 C.4 T D.1 D.2 D.3 D.4 D.5 T

1 0 #N/A 0.250 0.300 0.250 0.150 0.950 0.150 0.600 0.100 0.100 0.950 0.200 0.150 0.050 0.050 0.450 0.020 0.100 0.060 0.100 0.100 0.380

2 0 #N/A 0.000 0.000 0.000 0.000

3 0 #N/A 0.000 0.000 0.000 0.000

4 0 #N/A 0.000 0.000 0.000 0.000

5 0 #N/A 0.000 0.000 0.000 0.000

6 0 #N/A 0.000 0.000 0.000 0.000

7 0 #N/A 0.000 0.000 0.000 0.000

8 0 #N/A 0.000 0.000 0.000 0.000

9 0 #N/A 0.000 0.000 0.000 0.000

10 0 #N/A 0.000 0.000 0.000 0.000

11 0 #N/A 0.000 0.000 0.000 0.000

12 0 #N/A 0.000 0.000 0.000 0.000

13 0 #N/A 0.000 0.000 0.000 0.000

14 0 #N/A 0.000 0.000 0.000 0.000

15 0 #N/A 0.000 0.000 0.000 0.000

16 0 #N/A 0.000 0.000 0.000 0.000

17 0 #N/A 0.000 0.000 0.000 0.000

18 0 #N/A 0.000 0.000 0.000 0.000**NOTHING FOLLOWS**

Raters' SignatureName: Position Signature This is to certify that the above data is true and correct.

RODERICK D. DE LEONPrincipal I

Noted: Approving Authority

NIEVES M. RODRIGUE, Ph.DDistrict Supervisor

SCHOOL: Antonio M. Serapio Elementary SchoolDistrict: II

Position (highest position

first)

OVERALL RATING

Quantitative Description

A. Teaching Learning Process (25%)




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