INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM

Name of Employee: DARYL A. PERALTA Name of Rater:

Position: Teacher III Position:
Review Period: Date of Review:
Bureau/Centre/Division: Bureau of Secondary Education – DepEd Laguna

TO BE FILLED DURING PLANNING TO BE FILLED DURING EVALUATION

WEIGHT PER PERFORMANCE INDICATORS ACTUAL RESULT

MFO'S KRA'S OBJECTIVES TIMELINE RATING SCORE
OBJECTIVE
QUALITY Q E T AVE.
Basic 1. Teaching-learning 1. Prepares lesson plans JUNE 2015- 10% 5- had all parts of DLP/ DLL with very
Education Process (40%) and Daily logs of MARCH appropriate, adequate and updated instructional
Services activities including 2016 materials.
appropriate, adequate
and updated 4- had all parts of DLP/ DLL with very appropriate
instructional materials. and adequate instructional materials

3- had all parts of DLP/ DLL with appropriate and

adequate instructional materials

2- had incomplete parts of DLP/ DLL with

inappropriate and inadequate instructional
materials.
1- had incomplete parts of DLL/ DLP with no
instructional, materials.

EFFICIENCY
5- utilized 5 or more instructional materials

4- utilized 3 to 4 instructional materials

3- utilized 1-2 instructional materials

2- with instructional materials but were not utilized

1- no instructional materials was used

 TIMELINESS
5- exhibited promptness in the submission of
DLP/DLL daily.
4- exhibited promptness in the submission of
DLP/DLL 4 times a week.
3- exhibited promptness in the submission of
DLP/DLL 3 times a week.
2- exhibited promptness in the submission of
DLP/DLL t w i c e a week.
1- exhibited promptness in the submission of
DLP/DLL once a week.
Basic 1. Teaching-learning 2. Facilitates the learning JUNE 2015- 10% QUALITY
Education Process (40%) of learners through MARCH 5- Delivered accurate and updated content
Services functional daily lesson 2016 knowledge using appropriate approaches and
logs and innovative cooperative learning is highly evident.
teaching strategies and
cooperative learning is 4- Delivered updated content knowledge using
evident. appropriate approaches and strategies and
cooperative learning is satisfactory evident.

3- Delivered updated content knowledge using

appropriate approaches and strategies and
cooperative learning is fairly evident.

2- Delivered updated content knowledge

using appropriate approaches and strategies
and cooperative learning is less evident.

1- Delivered updated content knowledge using

appropriate approaches and strategies and
cooperative learning is not evident.

EFFICIENCY
5- The teacher established challenging and
measurable goals for learners learning that is
aligned with the competencies.
 4- The teacher developed measurable goals for
the learners learning that is aligned with the
competencies.

3- The teacher clearly communicated a focus and

learning is appropriate for learners and is
aligned with the competencies.

2- The teacher did not have a clear focus for

learners learning.
1- The teacher did not have a clear focus for
learners learning and the objectives are too
general to guide lesson planning or the objectives
are inappropriate for learners.

TIMELINESS
5- facilitated functional DLP/DLL d a i l y .
4- facilitated functional DLP/DLL 4 times a week.

3- facilitated functional DLP/DLL 3 times a week.

2- facilitated functional DLP/DLL twice a week.

1- facilitated functional DLP/DLL once a week.

Basic 1. Teaching-learning 3. Maintains discipline of 10% QUALITY

Education Process (40%) learners inside the
Services classroom guided by the
5- discipline in the classroom was highly evident
rules and regulations.
4- discipline in the classroom was satisfactorily
evident
3- discipline in the classroom was fairly evident

2- discipline in the classroom was less evident

1- discipline in the classroom was not evident
EFFICIENCY
5- 100% of the learners maintained discipline
guided by the classrooms rules regulations and
guidelines
4- 75-99% of the learners maintained discipline
guided by the classrooms rules regulations and
guidelines
3- 50-74% of the learners maintained discipline
guided by the classrooms rules regulations and
guidelines
2- 25-49% of the learners maintained discipline
guided by the classrooms rules regulations and
guidelines
1- 24% and below of the learners maintained
discipline guided by the classrooms rules
regulations and guidelines
TIMELINESS
5- Maintained discipline of learners daily.
4- Maintained discipline of learners 4 out of 5
days.
3- Maintained discipline of learners 3out of 5
days.
2- Maintained discipline of learners 2 out of 5
days.
1- Maintained discipline of learners 1 out of 5
days.
 Basic 1. Teaching-learning 4. Monitors daily 10% QUALITY
Education Process (40%) attendance and 5- Monitored daily attendance and maintained a
Services maintained a safe and safe and orderly environment with respect to all
orderly environment with learners all the time
respect to all learners
4- Frequently monitored and maintained daily
attendance and maintained a safe and orderly
environment with respect to all learners

3- Fairly monitored and maintained daily

attendance and maintained a safe and orderly
environment with respect to all learners

2- Seldom monitored and maintained daily

attendance and maintained a safe and orderly
environment with respect to all learners

1- did not monitor and maintain

EFFICIENCY
5- 100% of the learners’ attendance was
monitored; safety orderliness and cleanliness were
maintained in all areas of the classroom
4- 75-99% of the learners’ attendance was
monitored; safety orderliness and cleanliness were
maintained in all areas of the classroom including
its surroundings.
3- 50-74% of the learners’ attendance was
monitored; safety orderliness and cleanliness were
maintained in all areas of the classroom including
its surroundings.
2- 25-49% of the learners’ attendance was
monitored; safety orderliness and cleanliness were
maintained in all areas of the classroom including
its surroundings.
1- 24% of the learners’ attendance was monitored;
safety orderliness and cleanliness were maintained in
all areas of the classroom including
its surroundings.

TIMELINESS
Basic Student's 1. Keeps accurate JUNE 2015- 10% QUALITY
Education Outcome (30%) records of MARCH 5- Complied the complete and accurate records
Services grade/performance in 2016 of grades and student's performance in a
every grading period portfolio, neatly, in order with data and
: Class Record documentation
: Portfolio :
School Forms : 4- Keep records of grades and students’
Form 137 : performance neatly and in order
Form 38 3- Keep records of grades and students’
performance
2- Keep records of grades only or performance
only
1- Keeps no record at all
EFFICIENCY
5- All records and school forms indicated were
submitted.
4- Only 4 of the records and school forms
indicated were submitted.
3- Only 3 of the records and school forms
indicated were submitted.
2- Only 2 of the records and school forms
indicated were submitted.
1- Only 1 of the records and school forms
indicated was submitted.
 TIMELINESS
5- Submitted records of students two days earlier
than the target date

4- Submitted records of students a day earlier

than the target date

3- Submitted records of students 1-2 days after

the target date
2- Submitted records of students 3-4 days after
the target date
1- Submitted records of students 5 days after the
target date

Basic Student's Outcome 2. Monitors, evaluates JUNE 2015- 10% QUALITY

Education and maintains MARCH
5- 96% - 100% of the students’ progress were
Services Class/Student's progress 2016
monitored, evaluated and maintained
: Portfolio
: Journal 4- 85% - 95% of the students’ progress were
: Test Results monitored, evaluated and maintained
: Outputs
3- 75% - 84% of the students’ progress were
monitored, evaluated and maintained

2- 65% - 74% of the students’ progress were

monitored, evaluated and maintained
1- below 65% of the students’ progress were
monitored, evaluated and maintained
EFFICIENCY
5- All outputs indicated were monitored,
evaluated and maintained
4- Only 4 of the outputs were monitored,
evaluated and maintained.

3- Only 3 of the outputs indicated were

monitored, evaluated and maintained.

2- Only 2 of the outputs records indicated were

monitored, evaluated and maintained.

1- Only 1 of the output indicated was monitored,

evaluated and maintained.
TIMELINESS
5- Outputs were monitored, evaluated and
maintained daily.
4- Outputs were monitored, evaluated and
maintained weekly.
3- Outputs were monitored, evaluated and
maintained quarterly

2- Outputs were monitored, evaluated and

maintained at the end of the semester
1- Outputs were not monitored, evaluated and
maintained.
 Basic Student's Outcome 3. Accounts learning 10% QUALITY
Education outcomes vis-à-vis goals 5- 85% to 100% proficiency level
Services and targets
: NAT/Achievement Test 4- 71%-84% proficiency level
: Drop-Out :
Promotion : 3- 61%-70% proficiency level
Pre- Post Test
2- 41%-60% proficiency level

1- 40% below proficiency level

EFFICIENCY
5- 0 dropped out for the year, 100% rate of
promotion, 50% increase or more over the pretest

4- 1%-2% dropped out/year, 95-99% rate of

promotion, 40%-49% increase or more over the
pretest
3- 3%-4% dropped out/year, 90-94% rate of
promotion, 30%-39% increase or more over the
pretest
2- 5%-8% dropped out/year, 85-89% rate of
promotion, 20%-29% increase or more over the
pretest

1- 10% dropped out/year, 84% rate of promotion,

19% increase or more over the pretest

TIMELINESS
 Basic Professional Growth 1. Attends seminars, JUNE 2015- 3% QUALITY 5-
Education and workshops and trainings MARCH Participated in regional/national/international
Services Development (10%) for teacher during the 2016 seminars, workshops, GAD
rating period
4-Participated in division level seminars,
workshops, GAD, or training

3- Participated in district/ cluster level seminar,

workshop, GAD, or training

2- Participated in school level seminar, workshop,

GAD or training.
1- No participation
EFFICIENCY
5-Participated in 3 or more seminars/
workshops/ GAD, with documented results
4-Participated actively in 2 seminars/
workshops/ GAD, with documented results

3-Participated in one seminar/ workshops/

GAD, with documented results

2-Participated but did not finish the seminar/

workshops/ GAD

1- did not participate in any

seminar/workshop/GAD
TIMELINESS

Basic Professional Growth 2. Conducts problem/ JUNE 2015- 3% QUALITY

Education and Development classroom based action MARCH
5- Action Research conducted with full
Services research 2016
documentation on completion of interventions

4- Action research conducted with incomplete

documentation on completion of intervention

3-Proposed an action research

2- Identified classroom / learner problems and

submitted title for approval

1- Identified classroom/ learning issues

EFFICIENCY
5- Action Research had complete entries of the
required contents and neatly written

4- Action Research had 1 incomplete entry of the

required contents

3- Action Research had 2 incomplete entries of

the required contents

2- Action Research had 3 incomplete entries of

the required contents

1- Action Research had 3-4 incomplete entries of

the required contents
TIMELINESS
5- Submitted an action research proposal earlier
than the opening of classes of the current school
year
4- Submitted an action research proposal from
June to August of the current school year

3- Submitted an action research proposal from

September to October of the current school year

2- Submitted an action research proposal from

November to December of the current school
year

1- Submitted an action research proposal from

January to March of the following year.
 Basic Professional Growth 3 Participates actively in 2% QUALITY
Education and Development any professional or civic 5- 100% accomplishment with complete
Services organization documentation
4- 100% accomplishment with incomplete
documentation
3- 75% accomplishment with complete
documentation
2- 50% accomplishment with complete
documentation
1- 25% accomplishment with complete
documentation
EFFICIENCY
5- Active member of at least 3 associations/
organizations
4- Member of at least 3 associations/
organizations
3- Active Member of at least 2 associations/
organizations
2- Member of at least 2 associations/
organizations
1- Active member of at least 1 association/
organization
TIMELINESS

Basic Professional Growth 4. Renders the following 2% QUALITY

Education and Development technical assistance: 5- Initiated at least 3 co-curricular/ school
Services *provided assistance to activities with documented results
co-teachers in improving
4- Initiated and participated in at least 2 co-
their teaching
curricular/ school activities with documented
competence
results
*assisted school
administrators in 3-Participated in a co-curricular/school activity
planning and managing with documented results
in-service training
2- Participated in co-curricular activities without
documented results
1- Did not participate in any co-curricular
activities.
 EFFICIENCY
5- When 5 services were rendered

4- When 4 services were rendered

3- When 3 services were rendered

2- When 2 services were rendered.

1- When at least 1 service was rendered

TIMELINESS

Basic School, Home and 1. Conducts quarterly JUNE 2015- 4% QUALITY

Education Community PTA meetings/ MARCH 5- 100% accomplishment with set agreements
Services Involvement(10%) conferences/ 2016 met
consultations
4- 100% of planned meetings conducted
producing only set agreements and partial
accomplishments of these

3- 75% of planned meetings conducted producing

only set agreements

2- 50% of planned meetings conducted with

minimal results
1- 25% and below of planned meetings
conducted with no results.
 EFFICIENCY
5- 5 or more PTA meetings/ conferences were
conducted

4- 4 PTA meetings/ conferences were conducted

3- 3 PTA meetings/ conferences were conducted

2-2 PTA meetings/ conferences were conducted

1-1 PTA meetings/ conferences were conducted

TIMELINESS

Basic School, Home and 2. Conducts home JUNE 2015- 3% QUALITY

Education Community visitation of 3 % of the MARCH 5- more than 100% accomplishment with set
Services Involvement students in his class 2016 visits

4- 76-99% accomplishment of visits with partial

success in implementation of interventions

3- 51- 75% accomplishment of visits with

suggested planned interventions

2- 25%-50% accomplishment of visits with

planned interventions

1- below 25% accomplishment of visits with no

interventions
 EFFICIENCY
5- more than 5% of the assigned students were
visited

4- 5% of the assigned students were visited

3- 3%-4% of the assigned students were visited

2- 2% of the assigned students were visited

2- 1% of the assigned students were visited

TIMELINESS

Basic 3. Participates in at least JUNE 2015- 3% QUALITY

Education 1 outreach programs MARCH
5- 100% programs/ activities accomplishment
Services (such as gift- giving, 2016
with full documentation report
feeding program, tree
planting, fun run etc.) 4- 76%- 99% programs/ activities
accomplishment with incomplete documentation
report

3- 50%- 75% programs/ activities

accomplishment with no completion report
2- 25%- 49% programs/ activities
accomplishment with no completion report
1- below 25% programs /activities with no
completion report
 EFFICIENCY
5- 3 or more outreach programs were
accomplished

4- 2 outreach programs were accomplished

3- 1 outreach program were partially

accomplishing

2- outreach program was planned and

conceptualized but did not push through

1- no outreach program was accomplished

TIMELINESS

PLUS FACTOR 10%

100%