PERFORMANCE MONITORING AND COACHING FORM (FORM 2)

School:
Ratee:
Rater:

Date

Critical Incidence Description

Output

Impact on Job/Action Plan

Signature
Ratee/Rater

Signature
Ratee/Rater

DepEd Division of City Schools-Valenzuela

Valenzuela North District
PASOLO ELEMENTARY SCHOOL

INDIVIDUAL PERFROMANCE COMMITMENT AND REVIEW FORM (FORM 1.6)

School Year 2015-16
Name of Employee:
Position:

EDITHA T. HONRADEZ

Name of Rater:

Teacher II

Rating Period:

Position:

June 2015 - March 2016

Date of Review:

Basic Education Services

MFOs

RATEE
KRAs

OBJECTIVES

1. Prepared and Submitted well

developed and up-to-date weekly
lesson plans with:
A.Smart
Objectives
B.appropriate
contents and instructional
materials/teaching aids
C.relevant
procedures/strategies/activities
D.evaluative procedures/techniques

2. Faciltated teaching-learning
A. Teaching
Learning Process processes with manifestation of
the ff:
(25%)

OUTPUT

Lesson Plan

A.relating lesson with

previous knowledge or skills
Observation
B.conveying
Reports
ideas clearly
C.utilizing
the art of questioning to higher
order thinking
D.greater student participation
E.use of ICT-enchanced
startegies and/or
3.teaching
Checked attendance,
initiated
effective students
discipline and
instructional
materials
Attendance
maintainedF.objectives
clean and orderly
classroom
of the
lesson Observation
conductive torealized
the teaching-learning
Reports
process

ACTUAL RESULTS

PERFORMANCE REVIEW COMMITTEE

Q

Chairman

Member 1

Member 2

Member 3

c Agree

c Agree

c Agree

c Agree

c Disagree

c Disagree

c Disagree

c Disagree

c Agree

c Agree

c Agree

c Agree

c Diagree

c Diagree

c Diagree

c Diagree

c Agree

c Agree

c Agree

c Agree

c Disagree

c Disagree

c Disagree

c Disagree

3. Checked attendance, initiated

effective students discipline and
maintained clean and orderly classroom
conductive to the teaching-learning
process

Attendance
Observation
Reports

KRAs

OBJECTIVES

OUTPUT

A. Teaching
Learning Process
(25%)

4. Conducted 20 Parent Meeting of

Conferences to monitor/followup/assist/report students
academic/behavioral/progress status
and pther concerns that resulted to
90% resolution of the issues/concerns

Class record
Output

1. Attained an average of 60%

MPS on Learners achievement of
the subject area for the school
year

NAT result
school/quarte
rly learner
MPS

2. Achieved 99% Promotion Rate

of learners in the subject area by
the end of school year

Promotion
Report/ SF5

c Disagree

Basic Education Services

MFOs

RATEE

B. Learners
Outcome (45%)

Implementation
3. Remediated 50 students with subject
report of
deficiencies that resulted to completion
remediation or
of subject requirements and/or
enrichment
promotion
program

summary
4. Conducted 20 Parent Meeting of
report of
Conferences to monitor/followparentup/assist/report students
academic/behavioral/progress status
teacher
and pther concerns that resulted to
meeting/confe
90% resolution of the issues/concerns
rence

C. Professionalism,
Personal Growth and
Development (20%)

1. attained the following

attendance records for the entire
school year a.repored to school for
195 school days b.incurred 10
times or less tardy

summary
report of
teachers
attendance

ACTUAL RESULTS

c Disagree

c Disagree

c Disagree

PERFORMANCE REVIEW COMMITTEE

Q

Chairman

Member 1

Member 2

Member 3

c Agree

c Agree

c Agree

c Agree

c Disagree

c Disagree

c Disagree

c Disagree

c Agree

c Agree

c Agree

c Agree

c Disagree

c Disagree

c Disagree

c Disagree

c Agree

c Agree

c Agree

c Agree

c Disagree

c Disagree

c Disagree

c Disagree

c Agree

c Agree

c Agree

c Agree

c Disagree

c Disagree

c Disagree

c Disagree

c Agree

c Agree

c Agree

c Agree

c Disagree

c Disagree

c Disagree

c Disagree

c Agree

c Agree

c Agree

c Agree

c Disagree

c Disagree

c Disagree

c Disagree

C. Professionalism,
Personal Growth and
Development (20%)

1. attained the following

attendance records for the entire
school year a.repored to school for
195 school days b.incurred 10
times or less tardy

summary
report of
teachers
attendance

c Disagree

MFOs

RATEE
KRAs

OBJECTIVES

OUTPUT

2. Submitted 20 relevant
school reports and required
documents data on time

summary of
submitted
required
reports/docu
ments

3. Attained 15
C.
Seminars/Trainings/Workshops/ Certificate/att
Professionalism,
Professionals meetings with
endance
Personal Growth
report on
the school year
and
professional
Development
meeting
(20%)

4. Initiated/participated in 5 accomplishme
co-curricular/schoool activities nt/documenta
tion reports
within the rating period

Basic Education Services

1. Produced publications/creative
published
works for school
works/instruct
paper/diviosn/professionals/educat
ional
ional/publication or functional
materials
instructional materials/SIM

D. Special
Tasks/Plus Factor
(10%)

2. Conducted 1 school based

action reasearch within the
rating period

approved
action
research
paper

3.Received 1
certificate of the
award/recognition for
award for
examplary performance/winnig
exemplary
trainer by the endof the school performance as
year
winning
coach/trainer

ACTUAL RESULTS

c Disagree

c Disagree

c Disagree

PERFORMANCE REVIEW COMMITTEE

Q

Chairman

Member 1

Member 2

Member 3

c Agree

c Agree

c Agree

c Agree

c Disagree

c Disagree

c Disagree

c Disagree

c Agree

c Agree

c Agree

c Agree

c Disagree

c Disagree

c Disagree

c Disagree

c Agree

c Agree

c Agree

c Agree

c Disagree

c Disagree

c Disagree

c Disagree

c Agree

c Agree

c Agree

c Agree

c Disagree

c Disagree

c Disagree

c Disagree

c Agree

c Agree

c Agree

c Agree

c Disagree

c Disagree

c Disagree

c Disagree

c Agree

c Agree

c Agree

c Agree

Basic Educatio

3.Received 1
certificate of the
award/recognition for
award for
examplary performance/winnig
exemplary
trainer by the endof the school performance as
year
winning

c Disagree

coach/trainer

Basic Education Services

MFOs

RATEE
KRAs

OBJECTIVES

OUTPUT

ACTUAL RESULTS

4. Participated actively in 2 Certificate/Cert

completed community project ification from
other agency
as chairman/cowith project
chairman/member by end of report and/or
school year
documentation
D. Special
Tasks/Plus Factor
(10%)

(name, position)
Ratee

5. Generated resources for the

school amounting through
legitimate procedures
amounting to P2000 with
documentation and utilization
report

EDITHA T. HONRADEZ (Teacher II)

(name, position)
Rater

c Disagree

c Disagree

PERFORMANCE REVIEW COMMITTEE

Report of
the
generated
resources

c Disagree

Chairman

Member 1

Member 2

Member 3

c Agree

c Agree

c Agree

c Agree

c Disagree

c Disagree

c Disagree

c Disagree

c Agree

c Agree

c Agree

c Agree

c Disagree

c Disagree

c Disagree

c Disagree

WILMER S. ABALOS (Master Teacher I)

Assessed by:
AZUCENA P. OCASLA

RUBEN F. ESTILLERO

LOLITA M. PIO RODA

Chairman

Member 1

Member 2

WILMER S. ABALOS
Master Teacher I
April 27, 2016
RATER
ACTUAL RESULT

RATER
ACTUAL RESULT

RATER
ACTUAL RESULT

RATER
ACTUAL RESULT

M. PIO RODA

ember 2

MELROSE G. MENDIOLA

Member 3

DepEd Division of City Schools-Valenzuela

Valenzuela North District
PASOLO ELEMENTARY SCHOOL
Pasolo, Valenzuela City
Email: pasolo.elemenstaryschool@gmail.com

Telefax: (02) 293-30-83

Name of
Teacher

Lesson
Plan

Implement Summary
Certificate/
NAT
Summary
Class
ation
Repot
of
Certificatio
Published
Result
Summary
of
Accomplish
Approved
Observati Report of Records/
Promotion Report of
Parentn/
Worksv/
School/
Repot of Submitted
ment/Docu
Action
Attendance
Instruction
on
Student's Record of
Report/ Remediatio Teacher
Teacher's Required
mentation
Research
Quarterly
n or
Meetings/
Report on
al
Reports Attendace Student's
SF5
Attendance Reports/
Report
Paper
Learner's
Enrichment Conference
Professiona
Materials
Output
Documents
MPS
Program
s
l Meetings

Abalos, Wilmer S.
Asistio, Elisa E.
Bacula, Kristine C.
Bagorio, Merelda G.
Barraca, John Darwin D.
Butin, Anabelle P.
Calisin, Lilibeth C.
Calixto, Merly P.
Caputero, Dolores S.
Carmona, Gladys F.

Page 13 of 20

Schools-Valenzuela
h District
ARY SCHOOL
uela City

yschool@gmail.com

93-30-83

Certificate
Certificate
or
/
Certificatio
Certificatio
n from
n of the
other
Report of
award for
agency
the
OVER ALL
exemplary
with
generated
RATING
performan
project
resources
ce as
report and/
winning
or
coach/train
documenta
er
tion

0
0
0
0
0
0
0
0
0
0

Page 14 of 20

Name of
Teacher

Lesson
Plan

Implement Summary
Certificate/
NAT
Summary
Class
ation
Repot
of
Certificatio
Published
Result
Summary
of
Accomplish
Approved
Observati Report of Records/
Promotion Report of
Parentn/
Worksv/
School/
Repot of Submitted
ment/Docu
Action
Attendance
Instruction
on
Student's Record of
Report/ Remediatio Teacher
Teacher's Required
mentation
Research
Quarterly
n or
Meetings/
Report on
al
Reports Attendace Student's
SF5
Attendance Reports/
Report
Paper
Learner's
Enrichment Conference
Professiona
Materials
Output
Documents
MPS
Program
s
l Meetings

De Jesus, Joana May B.

De Lara, Merlina I.
De Ramos, Melissa B.
Diaz, Dolorosa S.
Dizon, Elsa B.
Erlano, Rica Angela O.
Fajardo, Esperanza B.
Fermase, Marysol E.
Hernandez, Chrystalyn Jane B.
Honradez, Editha T.
Macalinao, Stephanie U
Mendiola, Melrose G.
Mendoza, Julius L.
Ollanda, Nelda DC.
Ortiz, Marites B.
Pacistol, Raquel C.
Pasion, Lydia G.
Pio Roda, Lolita M.

Page 15 of 20

Certificate
Certificate
or
/
Certificatio
Certificatio
n from
n of the
other
Report of
award for
agency
the
OVER ALL
exemplary
with
generated
RATING
performan
project
resources
ce as
report and/
winning
or
coach/train
documenta
er
tion

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Page 16 of 20

Name of
Teacher

Lesson
Plan

Implement Summary
Certificate/
NAT
Summary
Class
ation
Repot of
Certificatio
Published
Result
Summary
of
Accomplish
Approved
Observati Report of Records/
Promotion Report of
Parentn/
Worksv/
School/
Repot of Submitted
ment/Docu
Action
Attendance
Instruction
on
Student's Record of
Report/ Remediatio Teacher
Teacher's Required
mentation
Research
Quarterly
n or
Meetings/
Report on
al
Reports Attendace Student's
SF5
Attendance Reports/
Report
Paper
Learner's
Enrichment Conference
Professiona
Materials
Output
Documents
MPS
Program
s
l Meetings

Querol, Rowena U.
Quimpo, Sonia R.

Page 17 of 20

Certificate
Certificate
or
/
Certificatio
Certificatio
n from
n of the
other
Report of
award for
agency
the
OVER ALL
exemplary
with
generated
RATING
performan
project
resources
ce as
report and/
winning
or
coach/train
documenta
er
tion

0
0

Page 18 of 20

Name of
Teacher

Lesson
Plan

Implement Summary
Certificate/
NAT
Summary
Class
ation
Repot of
Certificatio
Published
Result
Summary
of
Accomplish
Approved
Observati Report of Records/
Promotion Report of
Parentn/
Worksv/
School/
Repot of Submitted
ment/Docu
Action
Attendance
Instruction
on
Student's Record of
Report/ Remediatio Teacher
Teacher's Required
mentation
Research
Quarterly
n or
Meetings/
Report on
al
Reports Attendace Student's
SF5
Attendance Reports/
Report
Paper
Learner's
Enrichment
Conference
Professiona
Materials
Output
Documents
MPS
Program
s
l Meetings

Ramos, Sherilyn A.
Raz, Marivic R.
Rodriguez, Randolph P.
San Juan, Meri Grace P.
Santos, Mecheco A.
Sebastian, Mary Ina C.
Supremo, Maria Leana O.
Tardio, Maria Karen O.
Torres, Mercelina R.

MELROSE G. MENDIOLA
PRC, Member

LOLITA M. PIO RODA

PRC, Member

Page 19 of 20

RUBEN F. ESTILLERO
PRC, Member

AZUCEN
Approvi

Certificate
Certificate
or
/
Certificatio
Certificatio
n from
n of the
other
Report of
award for
agency
the
OVER ALL
exemplary
with
generated
RATING
performan
project
resources
ce as
report and/
winning
or
coach/train
documenta
er
tion

0
0
0
0
0
0
0
0
0

AZUCENA P. OCASLA
Approving Authority

Page 20 of 20