IN

Name of Employee : RYAN O. CABIGON

Position : Secondary School Teacher I
Review Period : June 2016 - March 2017
Bureau/Center/Service/DivDepartment of Education

TO BE FILLED DURING PLANNING

WEIGHT
MFO KRA OBJECTIVES TIMELINE PER
KRA

June 2016-
1. Prepared and executed 180 daily
March 2017
logs/lesson logs of activities with
20%
complete parts (Including ICT integration
in some lesson plans)

Teaching- 2. Monitored students attendance, and

Basic Learning ensure classrooms safety,
Education Process June 2016-
Services cleanliness/orderliness, discipline and 5%
March 2017
implement risk reduction management
(30%) policy
 Teaching-
Basic Learning
Education Process
Services

(30%)

3. Maintained the landscape, vegetable

June 2016-
garden and zero-garbage in the 5%
March 2017
assigned area

RYAN O. CABIGON
SST - I
Ratee
 1. Monitored, evaluated and maintained June 2016-
10%
students progress/performance March 2017

2. Conducted remediation/enrichment/
June 2016 -
intervention program to improve 5%
March 2017
2. Students' performance of students
Outcomes
(30%)

3. Attains the required MPS/GSA for June 2016- March

5%
grade level and learning areas 2017

4. Attained zero drop-out rate, at least June 2016 -

10%
1% faiure, 99% promotion rate March 2017

1. Conducted regular meetings/

conferences with parents

Quarterly 5%

2. Maintained a harmonious relatonship

with the fellow teachers and other 5%
school personnel including parents and Year round
students

3. Community
Involvement 3. Visited parents of students neeeding
(20%) academic monitoring / follow-up
Quarterly 5%

4. Initiated/implemented projects,
programs, activities through the support
Year round 5%
3. Community
Involvement
(20%)

4. Initiated/implemented projects,
programs, activities through the support
Year round 5%
of the stakeholders and not through
school funds/MOOE

RYAN O. CABIGON
SST - I
Ratee
 Year round 5%
1. Prepared at least One (1) action plan
related to the subjects
handled/advisory/ancillary services
within the school year

2. Attended and applied learnings in the

INSET/Demonstration Year round 5%
Teacher/Resource Person
4. Professional
Growth and
Development
(20%)

3. Received special
awards/citations/recognition for Year round 5%
exemplary performance

4. Conducted School-based Action

Year round 5%
Research at least once in a school year.

1. Maintained organized and sequential

reports for supervisory checking.

5. Plus Factor Year round

2. Serves as coordinator in subjects /
special programs / projects in school.

Total
RATING ADJECTIVAL
NUMERICAL Outstanding
4.500-5.000 Very Satisfactory
3.500-4.499 Satisfactory
2.500-3.499 Unsatisfactory
1.500-2.499 Poor
Below 1.499

RYAN O. CABIGON
SST - I
Ratee
 INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FO
For Teachers I - III
Name of Rater : JUANITO C. CUIZON
Position : School Head / TIC
Date of Review : June 2016 - March 2017

NING TO BE FILLED DURING EVALUATIO

PERFORMANCE INDICATORS

QUALITY EFFICIENCY TIMELINESS

Prepared daily lesson logs with correct

competencies, related activities and
extends classes with new technology
for teachers and students which
simplifies the learning process.
70-80% of Lesson Plans and Daily
100% lesson plan / dll
Lesson Logs w/ appropriate / low cost preapred during the day
instructional materials prepared

Reports of students
attendance were submited on
100% implementation of classroom Classroom rules/ guidelines / policies set deadline, discipline were
rules and regulations were prepared / installed within 1 month enforced daily for harmony
inside and outside the
classroom.
 100% management of classroom Proper documentation of
routines during the school year (safe
Classroom routines installed and activities conducted for
and orderly classrooms and toilets,
observed within a month from the start of maintaining the cleanliness of
systematic checking of attendance,
updated classroom structuring, and the school year. the environment are
proper waste disposal are maintained) submitted on set date.

Approving Authority:
JUANITO C. CUIZON LELANIE T. CABRERA,
SST - I / School Head Assistant Schools Division Sup
Rater
 Records of learners progress
tracked, evaluated and maintained
Records were properly labeled for easy Reports are submitted on due
including class records, learners's
access. date
portfolio, anecdotal records, ORV
records.

Proper communication/s was/were

Remediation / Enrichment Program Remediation / enrichment
forwarded through the school heads and
conducted to 70% identified conducted on scheduled
parents of identified learners needing
learners. time.
remediation / enrichment program.

Results of qurarterly
2-3% increase of GSA / MPS per Records of quarterly exams are readily examinations per subject per
quarter in every grade level. availbale for analysis and proper action. year level is submitted in
scheduled time.

Records of follow-up counseling/home

At least 1% recorded drop-out for Proper and timely
visitations to help students who are
the school year, at least 1% failure intervention to help adrress
identified as SARDOs and failing are
recorded, and 99% promotion rate. the concerned learner.
readily available for reference.

Conducted Homeroom PTA

80-90% accomplishments with set Proper documentation/s is/are readily
conferences/meeting on
agreements met available for reference and access.
scheduled date every quarter

Transparency in all transactions

Proper documentation/s is/are readily
and dealings with parents, Within the given school year.
available for reference and access.
stakeholders and fellow teachers.

70-80% of identified SARDOs Proper documentation/s is/are readily Conducted visitation on

visited available for reference and access. scheduled date.

At least 1-2 activitieswith necessary

documentation of Proper documentation/s is/are readily Activity/event/project is on
At least 1-2 activitieswith necessary
documentation of Proper documentation/s is/are readily Activity/event/project is on
project/event/activity with external available for reference and access. scheduled date.
funding.

Approving Authority:

JUANITO C. CUIZON LELANIE T. CABRERA,

SST - I / School Head Assistant Schools Division Sup
Rater
At least one action plan prepared
Proper documentation/s is/are readily Action Plan is implemented
and noted by the school head for
available for reference and access. on scheduled time.
approval.

Attends all INSETs with

Attended and completed the required no. Attendance per
accomplishment report, certificate
of hours in seminars/workshops and training/workshops/seminars.
of recognition (demonstration
training with accompaniying proof or No recorded late/escapes on
teacher) and certificate of
documents. activities conducted
participation.

Participation in
activities/seminars/events helped in
Proper documentation/s is/are readily
the professional development of Within the given school year.
available for reference and access.
teacher and can help other
teachers too.

At least one action research Action Research submitted

partially prepared and noted by the Proper documentation/s is/are readily for approval to the school
principal/school head/department available for reference and access. head before the school year
head. ends.

Served in any four or more related tasks

Served with evidences of
with full documentation/action
accomplishments on the assigned Within the given school year.
plan/program of activities and
objectives.
accomplishment report/certification.
 Approving Authority:

JUANITO C. CUIZON LELANIE T. CABRERA,

SST - I / School Head Assistant Schools Division Sup
Rater
D REVIEW FORM

DURING EVALUATION

ACTUAL RESULTS RATING

QUALITY EFFICIENCY TIMELINESS Q E T Ave.

Lesson plans prepared were

with correct competencies in all Only 60% of LPs and Lesson plans were
grade levels but no LPs were DLLs were with Ims submitted a 2-3 after 4.00 3.00 3.00 3.33
submitted in the months of Jan- prepared. the deadline.
April, only DLLs.

SF2 were submitted 1-2

Classroom rules days on the set deadline.
/guidelines / policies Classroom's safety,
Implements set classroom rules and cleanliness/orderliness,
were prepared two and other disciplinary 5.00 5.00 5.00 5.00
regulations 90-100%
weeks after the start of measures were strictly
class observed for a
harmonious relationship.
 Systematic management of Classroom routines Proper documentation of
classroom routines are observed. were given and the activities for the
cleanliness of the
Classroom structuring is not observed within a environment are 5.00 4.50 4.00 4.50
updated because of classroom month from the start of submitted 1-2 days of
condition. the school year. the set date.

E T. CABRERA, CESE
hools Division Superintendent
Records of learners' progress were Records were
tracked, evaluated and maintained meticulously kept for Records of the learners
(learner's portfolio, anecdotal easy retrieval and were submitted on time. 5.00 5.00 4.00 4.67
records, ORV records, etc) access.

Remediation were only conductetd

to only 40% of the identified Proper communication Remediation were
learners who needs were not sent to all and usually conducted late 3.00 3.00 3.00 3.00
improvemement in their academic not in its proper channel on the set dates.
performance.

Records of quarterly Results of quarterly

Less than 1% increase of MPS
exam are readily exam per subject per
were seen in every grade level per
available but without grade level were 3.00 3.00 4.00 3.33
quarter submitted on time.
analysis

Dropped out rate is in 3-4%, zero Only 40% of the Proper and timely
intervention were
failure rate, and with 100% identified SARDOs were conducted a bit late esp. 3.00 2.00 2.00 2.33
promotion rate. saved. to identified SARDOs.

100% Conduct of
Proper documentation/s
100% accomplishments was Homeroom PTA
is/are readily available
recorded based on the set conferences/meeting on 4.00 4.00 5.00 4.33
for reference and
agreements per quarter scheduled date every
access.
quarter

100% transparent in all transactions

Proper documentation/s
and dealings with parents, Reports were submitted
is/are readily available
stakeholders and fellow teachers
for reference and
ahead of scheduled 4.00 4.00 4.00 4.00
like liquadation of all financial deadline
access.
dealings

Only 30% of the

Late interventions were
identified SARDOs are
Only 40% of the identified SARDOs given thus unable to 2.00 2.00 2.00
were saved.
with proper
saved 2 of the identified
2.00
documentation and
SARDOs
intervention

Activity / project were

Only 2 activities were conducted to
done behind the
help gain external funding Documentations lack
expected schedule due to 4.00 4.00 4.00 4.00
 Activity / project were
Only 2 activities were conducted to
done behind the
help gain external funding Documentations lack
expected schedule due to 4.00 4.00 4.00 4.00
(Graduation donation project and deed of donation
financial constraints of
Brigada Eskwela)
the the stakeholders

E T. CABRERA, CESE
hools Division Superintendent
 80% of the action plan were Documentation is readily Actin plan is
prepared for every ancillary service/ available for esay implemented on the 3.00 3.00 3.00 3.00
designations access and retrieval scheduled timeline

Attended and completed

Attendance per
the required no. of hours
training/workshops/semin
All required activities/events were in seminars/workshops
ars. No recorded 5.00 5.00 4.00 4.67
participated and training with
late/escapes on activities
accompaniying proof or
conducted
documents.

100% participation in Documentation in these

Participated in these
activities/seminars/events were activities were properly
activities based on the 5.00 5.00 5.00 5.00
participated and have observed recorded for easy
given timeline
proper decorum retrieval

No available Action research was not

Only identified problem for research documentation for conducted this school 1.00 1.00 1.00 1.00
reference year

Shows leadeship and

efficiency of delegated
Acts as chairman /coordinator of
responsibilty with
school program/s or projects By July to April 4 4 3
documentation and
supported by printed documents
accomplishment
reports / certification.

3.81
E T. CABRERA, CESE
hools Division Superintendent
SCORE

1.14
1.14
1.02

0.72
0.72
0.68

0.25

VS
0.6667

0.25
0.225
0.4667

0.15

0.1667

0.23

0.2167

0.2

0.1

0.2
 0.15

0.23333

0.25

0.05
 COMPETENCIES

CORE BEHAVIORAL COMPETENCIES to improve performance. Examples may include doing something
faster, at a lower cost, more effeciently; or improving quality, custo
satisfaction, morale, without setting any specific goal.
Self Management

1. Sets personal goals and direction, needs and

development
2. Undertakes personal Teamwork
actions and behaviors that are clear and purposive and takes into account personal
goals and values congruent to that of the organization. 1. Willingly do
3. Displays emotional share of responsibility.
maturity and enthusiasm for an is challenged by higher goals.
2. Promotes collaboration, and removes barr
4. For prioritize work tasks and schedules(through graph charts,checklists and etc.) to teamwork and goal accomplishment across the organization.
achieve goals. 3. A
5.Sets high quality, challenging, realistic goals for self and 4 negotiation principles in arriving at win-win agreements.
others.
4. Drives consensus and team owner
decisions.

5. Works constructively and collaboratively with others and across

organizations to accomplish organizational goals and objectives.
Professional and Ethics Service Orientation

1.Demonstrates the values and behavior enshrined in the 1. Can explain and
Norms of Conduct and Ethical Standards for public officials and employees(RA 6713). organizational directions, issues and problems.

2. Practices ethical and professional 2. Takes personal responsibility for dealing with an/or
behavior and conduct taking into account the impact of his/her actions and decisions. customers service issues and concerns.
3. Maintains a 4 3. Initiates acti
professional image: being trustworthy, regularity of attendance and punctuality, good promotes advocacy for men and women impowerment.
grooming and communication.
4. Makes personal sacrifices to meet the 4. Participates in updating of office vision, mission, m
organization's needs. and strategies based on Dep Ed strategies and directions.
5. Acts with a sense 5. Develops an
of urgency and responsibility to meet the organization's needs, improves systems and service improvement programs through simplified procedures that
help others improve their effectiveness. further enhance service delivery.

Result Focus: Innovation

1. Achieves results with optimal use of time and resources 1. Examines the
most of the time. of problems and suggests effective solutions. Fosters new ideas, pr
2. Avoids rework, mistakes and wastage through and suggest better ways to do things( cost and /or operational effe
effective work methods by placing organizational needs before personal needs. 4
3. Delivers error-free outputs most of
the time by conforming to standard operating procedurescorrectly and consistently. 2. Demonstrates an ability to
Able to produce very satisfactory quality of work in terms of usefulness/ acceptability think"beyond the box", continiously focuses on improving persona
and completeness with no supervision required. productivity to create higher value and results.
4. Expresses a 3. Promotes a creative climate and inspires co-worker
desire to do better and may express frustration at waste or ineffeciency. May focus on develop original ideas or solutions.
you or more precise ways of meeting goals set. 4. Translat
5. Makes specific changes in the system or in creative thinking into tangible changes and solutions that improve
own work methods unit and organization.
5. Uses ingenious methods to accomplish
responsibilities. Demonstrates resourcefulness and the ability to su
with minimal resources.

5-Role Model; 4-Consistently demonstrates; 3- Most of the time demonstrates; 2- Sometimes demonstrates 1-Rarely demonstrates
s may include doing something better,
ently; or improving quality, customer CORE SKILLS
g any specific goal.
Achievement

1. Enjoys working hard.

4
2. Is action-oriented and full of energy for the things he/she sees as challenging.
1. Willingly does his/her 3. Not fearful of acting with a minimum of
planning.
4.
collaboration, and removes barriers to Seizes more opprtunities than others.
nt across the organization.
3. Applies Managing Diversity 5. Strategic thinker.
win-win agreements. 4
1. Respects all
ives consensus and team ownership of kinds and classes of people.

2. Deals effectively with all races, nationalities, cultures, 4

oratively with others and across disabilities, ages and both sexes.
zational goals and objectives. 3. Support equal and fair
treatment and opportunity for all.
1. Can explain and articulate 4. Applies equal standards and criteria to all classes.
d problems.
5. Manifests cultural and gender
onsibility for dealing with an/or correcting sensitivity when dealing with people.
erns. Accountability
3. Initiates activities that 4
omen impowerment. 1. Can be counted on to exceed goals
successfully. 4
dating of office vision, mission, mandates 2.
ategies and directions. Steadfastly pushes self and others towards results.
5. Develops and adapts
ough simplified procedures that will 3. Gets things done on time and optimum use
of resources.
4. Builds
team spirit.

5. Transacts with transparency.

1. Examines the root cause

solutions. Fosters new ideas, processes,
gs( cost and /or operational effeciency). 5-Role Model; 4-Consistently demonstrates; 3- Most of the time demonstrates; 2- Sometimes
4 demonstrates 1-Rarely demonstrates

2. Demonstrates an ability to
y focuses on improving personal
and results.
e climate and inspires co-workers to

4. Translates
nges and solutions that improve the work
Note: These ratings can be used for the developmental plans of the employee.
nious methods to accomplish
ourcefulness and the ability to succeed

AVERAGE 4.0
4
 PART III: SUMMARY OF RATINGS FOR
Final Performance Results

Accomplishments of KRAs and Objectives

Rater-Ratee Agreement
The signatures below confirm that the employee and his/her superior have agreed on content of this appraisal form and the performance ratin

Name of Employee: RYAN O. CABIGON

Signature:

Date: APRIL 2017

PART IV: DEVELOPMENTAL P

Action Plan
Strengths Development Needs
(Recommended Developmental Interv
1. Makes personal sacrifices to meet the 1. Initiates activities that promotes the 1. Encouraged to attain post graduate studies to imp
organization's needs. advocacy for men/women empowerment

2. Avoids reworks, mistakes, and wastage 2. Displays emotional maturity and 2. Needs to practice extensive use of strategies in th
through effective work methods by placing enthusiasm and is challenged by higher instruction and at the same time improve the percen
organizational needs before personal goals MPS / quarter per grade level
needs.

3. Willingly does her share of 3. Translates creative thinking into tangible 3. Encouraged to develop / make at least 1 action re
responsibility changes and solutions that improve the work on identified problem inside the classroom or in the
unit and organization

4. Not fearful of acting with minimum of 4. Applies negotiation principles in arriving 4. Encourage to design developmentally appropriate
planning. win-win agreements materials.

RYAN O. CABIGON JUANITO C. CUIZON

SST - I SST - I / School Head
Ratee Rater
ARY OF RATINGS FOR DISCUSSION
Numerical Adjectival
ce Results
Rating Rating
As and Objectives 3.81 Very Satisfactory

praisal form and the performance rating.

Name of Superior: JUANITO C. CUIZON

Signature:

Date: APRIL 2017

V: DEVELOPMENTAL PLANS
Action Plan
Timeline Sources Needed
mmended Developmental Intervention)
d to attain post graduate studies to improve one's self All Year Round 1. Personal

actice extensive use of strategies in the delivery of All Year Round 2. Technical Assistance or one-on-one mentoring from the sc
d at the same time improve the percentage rate of
per grade level

d to develop / make at least 1 action research based All Year Round 3. Technical assisstance from resource persons or conduct
roblem inside the classroom or in the whole school of own research through the internet

to design developmentally appropriate remediation All Year Round 4. In making/ developing remediation materials, these can
be charged to the school MOOE or any available school
fund subject to usual accounting and auditing

Approving Authority:
LELANIE T. CABRERA, CESE
Assistant Schools Division Superintendent