Individual Performance Commitment Form

Name
Name of
of employee:
employee:
Position:
Position:
Review
Review Period:
Period:
Bureau/Center/Service/Division:
Bureau/Center/Service/Division:

MT-I
MT-I

AIDA
C. LITARGO
MICHELLE
A. ATANACIO

BAYOG
ELEMENTARY SCHOOL
SCHOOL
LOPEZ ELEMENTARY

Name
Name of
of Rater:
Rater:
Position:
Position:
Date
Date of
of Review:
Review:

TO BE FILLED DURING PLANNING

KRAs

OBJECTIVES

OUTPUT

MFOs

KRAs

OBJECTIVES

OUTPUT

1. Conducted at least one action

4. Conducted at least one action plan
research related to school or
research every year
classroom concerned every year.
5. Participated in district/division
2. Participated in seminars, workshop
seminar//workshop within a year
training for teachers within a year.
6. Served as facilitator/trainer in
INSET done within a year.
3. Participated in co- curricular/
school activities such as teachers
E. Instructional
4. Carried regular teaching load for
association, Alay Lakad, Teachers
Competence
the designed grade level.
Day, Dep-Ed Night, Brigada within
5. Initiated improvement of the pupils
B. Instructional
a year.
performance thru formative tests,
Competence
1. Carried regular teaching load for
weekly/unit tests, quizzes of at
the designed grade level.
least __ % every quarter.
2. Prepared lesson plans and visual
6. Helped increase NAT result by __%
aids related to the lesson.
by using different interventions.
3. Achieved above 75 % of the end of
the school year.
4. Performed __% class monitoring of
F. Instructional
teachers by observing/checking
Supervision
lesson plans once a week.
C. Instructional
1. Checks regularly lesson plans of
5. Provided technical
Supervision
teachers in the assigned grade/
assistance/coaching activities to at
subject area.
least __ teachers every quarter
6. Helped in the evaluation of
2. Assist the school selection
teachers performance within a
committee in the evaluation of
year.
credentials when hiring new
teachers.
* To get the score, the rating is multiplied
by the weight assigned
3. Helped in the evaluation of
teachers performance within a
year.

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

TO BE FILLED DURING
TO BE FILLED DURING
EVALUATION
EVALUATION

Individual Performance Commitment Form

MFOs

A. Professional Growth
D. Professional Growth
and Development
and Development

MARICAR
A. AFUANG Ed.D.
LUCIA F. PAGALANAN,
OICPrincipal
I
Principal III

Action
Action
Research
Research
Seminar/
Seminar/
workshops/
workshops/
trainings
trainings
Participation
Teaching
Load
Teaching
Annual
Load
student
performance
Lesson plans
Annual
NAT
pupils
Performance
performance
Accomplishe
d Monitoring
Accomplishe
Form
d monitoring
form
Documented
Submitted
coaching
credentials
activities
of applicants

Weight
Weight
per
per
KRA
KRA
15%
15%
15%
15%
10%
10%
5%
10%
5%
10%
5%
5%
10%
10%
15%
15%
15%

TIMELIN
TIMELIN
E
E

PERFORMANC
PERFORMANCE ACTUAL
ACTUA
E INDICATORS
RESULTS
INDICATORS
L
(Quality,
(Quality,
RESUL
Efficiency,
Efficiency,
TS
Timeliness)
Timeliness)

RATING
RATING
SCORE*
SCORE*

July 2014
to
March
July 2014
2015
to
March
2015
July 2014
to
March
2015
July 2014
to
March
2015
July 2014
to
March
July 2014
2015
to
March
2015

15%
OVERALL
RATING
FOR
ACCOMPLI
SHMENTSMARICAR
AIDA
A. AFUANG
C. LITARGO
OVERALL
RATING FOR
Rater Ratee
ACCOMPLISHM
ENTS

Individual Performance Commitment Form

Name of employee:
ELLEN
TESSIEB.E.ANCAJAS
RAMILO
Position:
MT-I
Review Period:
Bureau/Center/Service/Division: LOPEZ ELEMENTARY SCHOOL

Name of Rater:
Position:
Date of Review:

LUCIA F. PAGALANAN, Ed.D.

Principal III

TO BE FILLED DURING PLANNING

TO BE FILLED DURING PLANNING

MFOs

KRAs

OBJECTIVES

MFOs

KRAs

OBJECTIVES

TO BE FILLED DURING
EVALUATION

OUTPUT

PERFORMANCE
Weight TIMELIN
ACTUA RATING
Weight
INDICATORS
SCORE*
per
E
L
TIMELIN
Individual
Performance
Form
(Quality,Commitment
OUTPUT
per
KRA
RESUL
E
Efficiency,
KRA
TS
Timeliness)

a. Professional Growth
and Development

b. Instructional
Competence

c. Instructional
Supervision

1. Conducted at least one action plan

research every year
2. Participated in district/division
seminar//workshop within a year
3. Served as facilitator/trainer in
INSET done within a year.
4. Carried regular teaching load for
the designed grade level.
5. Initiated improvement of the pupils
performance thru formative tests,
weekly/unit tests, quizzes of at
least __ % every quarter.
6. Helped increase NAT result by __%
by using different interventions.
7. Performed __% class monitoring of
teachers by observing/checking
lesson plans once a week.
8. Provided technical
assistance/coaching activities to at
least __ teachers every quarter
9. Helped in the evaluation of
teachers performance within a
year.

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

Action
Research
Seminar/
workshops/
trainings
Teaching
Load
Annual
student
performance

15%
15%
10%
5%
10%

July 2014
to
March
2015

July 2014
to
March
2015

5%

NAT
Performance

10%

Accomplishe
d Monitoring
Form

15%

July 2014
to
March
2015

15%

Documented
coaching
activities
OVERALL

RATING F. PAGALANAN, Ed.D.

LUCIA
FOR
ACCOMPLI
SHMENTS

Rater
MICHELLE
ELLEN
TESSIE
B.A.
ANCAJAS
E. RAMILO
ATANACIO
Ratee