Republic of the Philippines

Department of Education
REGION IV - A
Division of Rizal
MONTALBAN HEIGHTS NATIONAL HIGH SCHOOL
Rodriguez, Rizal
INDIVIDUAL PERFORMANCE COMMITMENT and REVIEW FORM
Name of Employee: ELMERLYN A. DIONISIO Name of Rater CECIL Q. ALVARAN
Position: TEACHER I Position: HEAD TEACHER III
Review Period: JUNE 2016- MARCH 2017 Date of MARCH,2017
Office: MONTALBAN HEIGHTS NATIONAL HIGH SCHOOL REVIEW

TO BE FILLED IN DURING PLANNING TO BE FILLED DURING EVALUATION

Weight PERFORMANCE INDICATORS Evaluation

MFOs KRAs OBJECTIVES TIMELINE Actual Results
per KRA (Quality, Efficiency, Timeliness) QE T
1.Prepared well-constructed plans( LP)/ Daily Lesson 5-OUTSTANDING.Has met the five(5)
Log( DLL) reflecting the following characteristics characteristics of a LP/DLL
4-Very Satisfactory.Has met the
a. five parts four(4)characteristics of a LP/DLL Submitted 186
with 5 parts out of
1. Teaching Learning Process

b. SMART Objectives JUNE, 2016-MARCH, 3- Satisfactory.Has met the three(3)

10% 200 LP's from June 4 4 4
c.It has adequate nd appropriate instructional materials 2017 characteristics of a LP/DLL 2016 to March
d.Develop Higher Order Thinking Skills(HOTS) 2- UnSatisfactory.Has met the two(2) 2017
e. Developing 21st Century Skills characteristics of a LP/DLL
1-Poor.Has met the one(1) characteristics
of a LP/DLL
2.Facilitated learning through adequate:: 5-OUTSTANDING.Has met the five(5)
characteristics of Facilitated Learning
a. Teaching methods and interactive methods and 4-Very Satisfactory.Has met the four(4)
strategies elicit interaction from a class characteristics of a Facilitaed Learning ICT Integration and
b.Information and Communication Technology(ICT) 3- Satisfactory.Has met the three(3) different teaching
JUNE, 2016-MARCH, 10% strategies was 5 3 4
integration(i.e. Multimedia etc.) 2017 characteristics of Facilitated Learning observed with in
c. Contextualization/Localization of content 2- UnSatisfactory.Has met the two(2) the rating period
 ICT Integration and

1. Tea
different teaching
JUNE, 2016-MARCH, 10% strategies was 5 3 4
2017 observed with in
the rating period
d. Met the targeted skill competencies for the day characteristics of Facilitated Learning
e.Provision of individualized interaction 1-Poor.Has met one(1) characteristics of
Facilitated Learning

3. Prepared and used appropriate assessment tools with

corresponding rubrics for learners. Maintaining 71-75% of 5-OUTSTANDING. Has met 76-80% student's mastery level

Mastery indices(table) on weekly assessment. 4-Very Satisfactory. Has met 71-75% student's mastery level

Assessment Tools: JUNE, 2016-MARCH, 3-Satisfactory. Has met 66-70% student's mastery level
10% 4 4 4
2017
a. Quiz Notebook 2-Unstisfactory. Has met 61-65% studet's mastery level

b. Test Result & Questionaire 1-Poor. Has met 56-60% student's mastery level

c. Graphics, Checklist
1. Monitored attendance, ensure zero drop-out rate in 5-OUTSTANDING.Presence of all five(5)
the class and maintained student's progress evidences
Required Evidences: 4-Very Satisfactory. Presence of four(4)
a.Class Record evidences Met 5 evidences
b. Home visitation record(Students at Risk) JUNE, 2016-MARCH, 3- Satisfactory. Presence of three (3)
5% out of 6 required 5 3 3
2017
c. Updated Attendance checklist/ sheet evidences evidences
d. Students Portfolio 2- UnSatisfactory. Presence of two (2)
e. Updated School forms ( SF-2,SF-3,SF-5, etc.) evidences
f. Remedial Class/ Tutorial Class 1-Poor. Presence of one( 1)evidence
. Student's Outcome (Learners)

2. Initiated discipline of students and maintained classroom

condusive to learning daily. (diversity appreciation, safe, 5-OUTSTANDING.Presence of all five(5)
positive and motivating environment, overall physical evidences
atmosphere, cleanliness, including proper waste disposal, 4-Very Satisfactory. Presence of four(4)
orderliness) evidences
Required Evdences: 3- Satisfactory. Presence of three (3) Met 4 evidences
JUNE, 2016-MARCH, 5% out of 5 required 4 4 3
a.Inclusive/multi-cultural/accepting environment: 2017 evidences evidences
stress free classroom setting 2- UnSatisfactory. Presence of two (2)
b.Well-structured (design), well kept, orderly evidences
c. Cleanliness of the classroom 1-Poor. Presence of one( 1)evidence
 2017 evidences

2. Student's Outc
d. Well disciplined class
e. Well lighted and well ventilated classroom
3. Analyzed/ test learners' Performance
Required Evdences: 5-OUTSTANDING.Attained Above Goal/86% Above
a. Attained required General Scholastic Average, ensuring 81-85% student's
passing every year 4-Very Satisfactory. Attaned Goal 81-85%
b. Students Portfolio- gathered & recorded 81-85% student's output
Met 5 evidences
c. Performance assesssment- Attain 81-85% of students completion and JUNE, 2016-MARCH, 3- Satisfactory. Goal is under 76-80%
5% out of 7 required 4 3 4
2017
execution of practical task evidences
d. Quarterly Test Result - Maintaining 71-75% of Students on the Mastery 2- UnSatisfactory. Goal is under 71-75%
Level
e. Ensure zero Dropout providing FLO for students st risk & List of 1-Poor. Goal is under 66-70%
Intervention Activities

4. Attained an increase of 5 points in Mean Percentage for Post 5-OUTSTANDING.Attained Above Goal/Above 5 pts.
over Pre-test. increase on Post-test over Pre-test
4-Very Satisfactory. Attaned Goal/ 5 pts. increase
a. Post Test/ Pre-test Analyysis every quarter (1st - 2nd Quarter) Post-test over Pre-test
b. Post Test/ Pre-test Analyysis every quarter (3rd - 4th Quarter) JUNE, 2016-MARCH, 3-Satisfactory. Increase of 4 ts. On student's post-test
5% 4 4 3
c. Diagnostic Test / Achievement Test Analysis (Final) 2017 over pre-test
2-Unsatisfactory. Increase of 3pts. on student's post-test
over pre-test score
1-poor. Increase of 2 pts. or less on student's post-test
over pre-test score
5. Conducted remediation to Low Performing Students or
Enrichment sessions/activities to advance students capabilities. 5-OUTSTANDING. Submitted Ahead of Time (5pts.)
Requied Evidences:
a. Remediation or enrichment plan of action 4-Very Satisfactory. Submitted on Time (4pts.)
b. Appropriate Assessment Tools JUNE, 2016-MARCH, 10% 4 4 4
c. Complete sets of exercises / activities 2017 3-Satisfactory. Submitted 1 Day Late (3pts.)
d. Duly signed Parent's Consent/ Aggreement & Student's
Attendance Record 2-Unsatisfactory. Isubmitted 2 Days Late (2pts.)
 JUNE, 2016-MARCH, 10% 4 4 4
2017

e. Follow up notes/ record to the advisers and other subject

teachers 1-Poor. Submitted 3 Days Late (1pt.)
1. Organized functional Homeroom PTA and Conducted
regular/periodic PTA meetings and conference, ensuring 57% 5-Outstanding*Presence of all five(5)
parents attendance evidences
a. Notice/letter to parents/guardians 4-VS*Presence of all four(4) evidences Met 5 evidences
JUNE, 2016-MARCH,
3. Community Involment

6% out of 5 required 5
b.Agenda/Schedule 2017 3- Satisfactory. Presence of three (3) evidences
c.Minutes of the meeting/Documentation for evidences
d.Attendance Record duly signed by attendees Advisers 2-US* Presence of two (2) evidences
e.75% Parents Participation 1-P* Presence of one( 1)evidence
2.Visited parents of students needing academic monitoring
(Students at Risk)/follow-up and student with good 5-OUTSTANDING.Presence of all five(5)
schoolastic standing evidences
Required Evidences: 4-Very Satisfactory. Presence of four(4)
a. Letter to Parents/ Guardians & Principal's evidences Met 3 evidences
Permission for home visitation JUNE, 2016-MARCH, 3- Satisfactory. Presence of three (3)
7% out of 5 required 3
2017
b.Anecdotal Records evidences evidences
for
c.Home Visitation Form Non 2- UnSatisfactory. Presence of two (2)
d. Attendance record -Advisers evidences
e.Feedback/ Progress Report with documentation 1-Poor. Presence of one( 1)evidence

3. Accomplished atleast two Homeroom PTA Projects 5. OUTSTANDING. Fully accomplished & utilized two HR PTA

/ Club or Department Project Project

a. Minutes of the meeting and agreement 4. Very Satisfactory.Fully accomplished & utilized one HR PTA

b. Narrative and pictorial report Project

c. Financial Report JUNE, 2016-MARCH, 3. Satisfactory.Partially accomplished / on-going 2 HR PTA
7% 5
2017
Project
for
2.Unsatisfactory.Partially accomplished / on-going 1 HR PTA
Non
-Advisers Project
1. Poor.With proposed & approved HR PTA Project

5. O* Conducted one ( 1) duly approved and

1. Conducted Action Research Classroom-based focusing on
Negative learning environment/Learning Behavior adopted action research by the whole

Conducted 1
action research
JUNE, 2016-MARCH,
 Division/District/Cluster
Evidences needed: 4. VS* Conducted one(1) duly approved action
a. Action Research Output research by the whole school. Conducted 1
3. S* Conducted two(2) duly approved action action research
b.Narrative and Pictorial Report JUNE, 2016-MARCH, 2% but no approval 1 1 1
c. Certificate 2017 researches by the Schools Division Office from June 2016 to
(classroom) March 2017
2. US* Conducted one(1) duly approved
4.Professional Development

action research by the Schools Division

Office.(Classroom)
1. P* Never conducted any action
2.A-Earned units or Graduate from a higher Relevant degree 5-OS*Earned MA degree
4-VS*Earned MA degree - CAR
3% 3-S*Earned MA degree - 18 units MA Units 4
2-US*Earned at least 9 units in MA degree
1-P*No units earned in the Graduate Study
2.B- Earned Relevant Profesional Trainings/ National Certificates JUNE, 2016-MARCH,
2017

2% 3

3. Attended trainings, seminars,workshops , or

conferences
Required Evidences: Attended
international
a. Certificate of Appearance/Participation JUNE, 2016-MARCH, seminar in the
3%
b.Memorandum, Travel order & Official Receipt 2017 division and 5 days 5
c. Narrative & Pictorial Report / Official Documentation seminars in
Regional
 4. Served as demonstration teacher, discassant/trainer/facilitator
(organizer) of such as trainings, seminars, conferences and
workshops/ Curriculum writers.
Required Evidences: served as
JUNE, 2016-MARCH, discussant in
a. Certificate of Apperance/Participation 2% 3 2 3
2017 school based in
b. Memorandum, Travel Order & Official Receipt SHS Forum
c. Narrative & Pictorial Report / Official Documentation

5. Demonstrated Punctuality and correctness in accomplishing

and submitting School Report and school task
A. School Forms - Class Advisers
4.Professional Development

1. SF 1 School Register, SF 2 Daily Attendance, SF 3 Book Issued, SF 5 Promotional

2. Form 138, Form 137, Grading Sheets, Class Record 5-OUTSTANDING: Submitted Ahead of Time & Correct
3. Home Room Guidance 4-Very Satisfactory: Submitted On Time & Correct
JUNE, 2016-MARCH, 3% 3-Satisfactory: Submitted OnTime but with Correction 5 5 5
2017
2-Unsatisfactory: Submitted 1 Day Late but Correct
B. School Task - for non - adviser or teacher with special task 1-Poor: Submitted late 1 day or more with correction
1. Narrative Report/ Accomplishment Report of Dept. Activity /ICL
2. Financial Report Deprt. / Club / org.
3. Minutes of the meeting - Department / Club / org.
4. Schedule of Activities - Department / Club / org.
5-OUTSTANDING: No unofficial absences or tardiness incurred
6. Attained Zero absent and zero late during the rating period as reflected on the CSC Form 48
4-Very Satisfactory: Has 1-3 absences(offset /not) and incurred
a total of 10 minutes late as reflected on the CSC Form 48
JUNE, 2016-MARCH, 3-Satisfactory: Has 4-5 absences(offset/not) and incurred
2017 3% 1 1 1
a total of 20-30 minutes as reflected on the CSC Form 48
2-Unsatisfactory: Has 6-7 absences(offset/not) and incurred
a total of 30-40 minutes late as reflected on the CSC Form 48
1-Poor: Has 8 or more absences(offset/not) and incurred
a total of more than 40 minutes late as reflected on the CSC Form 48

7. Received special awards/citation/recognation for exemplary performance

within the year as teacher coach, club adviser, and other academic and non-
academic, publication/creative work for school paper/division publication
a. Certificate of Appearance/Recognition
JUNE, 2016-MARCH,
b. Memorandum 2% 0 0 0
2017
c. Travel Order/ Authority to Travel
 JUNE, 2016-MARCH, 2% 0 0 0
2017

d. Pictures/Official Documentation

1. A Perform One Special Assigned School Task

a. Property Custodian
b. Canteen Managers/Fund Holders
c. Liason Officer
d. Record-In-Charge/Registrar
Plus Factors
j. Year Level Chairman 5-OUTSTANDING: Perform Task beyond expectation
k. Prefect of Discipline 4-Very Satisfactory: Perform Task as prescribed
l. Club/Organization Adviser 3-Satisfactory: Perform task accordingly/ regularly
JUNE, 2016-MARCH,
m. DRRM 2.5% 2-Unsatisfactory: Perform task with difficulty 4 4 4
2017

e. LIS/ICT Coordinator n. School Paper Adviser 1-Poor: Poor performance of task

f. Guidance Counselor o. Senior High Coordinator
g. Librarian p. Adapt-a-School
h. School Clinic Coordinator q. LRMDS Coordinator
i. Department Chairman r. Brigada
1.B Perform Two Special School Task 5-OUTSTANDING: Perform Task beyond expectation
a. CI Team/ ESIP/ SBM 4-Very Satisfactory: Perform Task as prescribed
b. Committee on Program - Chairperson JUNE, 2016-MARCH, 3-Satisfactory: Perform task accordingly/ regularly
2.5% 4 4 4
c. Committee on Program - Member (Div., District, Regional Level) 2017 2-Unsatisfactory: Perform task with difficulty
d. Examiner/ Proctor on National Examination 1-Poor: Poor performance of task
e. Building Coordinator

45 37 38
* To get the score, the Weighted
rating is multiplied by Average
the weight assigned Mean

TOTAL (Excluding Plus Factor) 100% OVER-ALL RATING OF ASSESSMENT

PLUS FACTOR 5% ADJECTIVAL RATING

 CECIL Q. ALVARAN GENEVIEVE B. SUAYBAGUIO ELVIRA Q. PAHATI
Head Teacher III Dept. Chairman Principal II
Rater Ratee Aproving Authority

Adjectival Rating Scale

Outstanding 4.500 - 5.000
Very Satisfactory 3.500 - 4.499
Satisfactory 2.500 - 3.499
Unsatisfactory 1.500 - 2.499
Poor 1.000 - 1.499
RATING SCORE

4.00 0.400

4.00 0.400
4.00 0.400

4.00 0.400

3.67 0.184

3.67 0.184
3.67 0.184

3.67 0.184

4.00 0.400
4.00 0.400

5.00 0.300

3.00 0.210

5.00 0.350
1.00 0.020

4.00 0.120

5.00 0.150
2.67 0.053

5.00 0.150

1.00 0.030

0.00 0.000
 0.00 0.000

4.00 0.100

4.00 0.100

70.35 3.919

70.35

3.919
Very Satisfactory
AHATI
II
hority