Department of Education

Region III
Division of Zambales
SAN GUILLERMO NATIONAL HIGH SCHOOL
Burgos, San Marcelio, Zambales
School ID: 301029

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM

Name of Employee: Name of Rater:
Position: Position:
Review Period: Date of Review:
Bureau/Center/Service/Division
:
TO BE FILLED IN DURING PLANNING TO BE FILLED IN DURING EVALUATION
WEIGHT PERFORMANCE INDICATOR
MFOs KRAs OBJECTIVES per Outstanding Very Satisfactory Satisfatory Unsatisfactory Poor MOV Q E T RATING SCORE
QET
objective 5 4 3 2 1

Showed Showed
Showed Showed
knowledge of knowledge of
knowledge of knowledge of
content and its content and its
content and its content and its No
integration integration
integration within integration within acceptable 1. Classroom observation tool
Quality within and within and
and across and across evidence (COT) rating sheet and/or
across subject across subject
subject areas as subject areas as was shown interobserver
areas as shown areas as shown
shown in MOV 1 shown in MOV 1
in MOV 1 with in MOV 1 with a agreement form about
with a rating of 7 with a rating of 4
a rating of 6 rating of 5 knowledge of content within and
across curriculum teaching areas
2. Lesson plans/modified DLLs
developed highlighting
1. Applied integration
Content Submitted at
Submitted 3 Submitted 2
of content knowledge within and
Basic knowledge of lessons using lessons using
Knowledge least 4 lessons
MOV 1 and MOV 1 and Submitted any 1
No across subject areas
Educatio content within using MOV 1 acceptable
and 7.5% Efficiency supported by supported by of the given
evidence
3. Instructional materials 0 0 0.000 0.000
n and across and supported
any 1 of the any 1 of the MOV highlighting mastery of content
Pedagogy by any 1 of the was shown
Services curriculum other given MOV
other given other given and its integration in other
(22.5%) MOV MOV
teaching areas. subject
areas
4. Performance tasks/test
material(s) highlighting
integration
of content knowledge within and
across subject areas
5. Others (Please specify and
provide annotations)
 Pedagogy
Services curriculum and its integration in other
(22.5%)
teaching areas. subject
areas
4. Performance tasks/test
material(s) highlighting
integration
of content knowledge within and
Submitted across subject areas
Submitted MOV Submitted MOV No
MOV were Submitted MOV
were distributed were distributed acceptable 5. Others (Please specify and
Timeliness distributed was completed
across 4 across 2 evidence provide annotations)
across 3 in only 1 quarter
quarters quarters was shown
quarters

Facilitated
Facilitated using using different
different teaching Facilitated using
Facilitated using
teaching strategies that different teaching
strategies that promote reading, strategies that
different teaching 1. Classroom observation tool
strategies that No (COT) rating sheet and/or
promote reading, writing promote reading,
promote reading, acceptable
writing and/or writing and/or interobserver
Quality writing and/or evidence
and/or numeracy numeracy skills numeracy skills as
numeracy skills as was shown agreement form about
skills as shown as shown in shown in MOV 1 teaching strategies that enhance
shown in MOV 1
in MOV 1 with a MOV 1 with a with a rating of 5 learner achievement in literacy
with a rating of 4
rating of 7 rating of 6
2. Used a range and numeracy skills
2. Lesson plans/modified DLLs
of teaching
used in teaching highlighting
strategies learner-centered strategies that
that enhance promote literacy and/or
7.5% 0 0.000 0.000
learner numeracy skills
Submitted at Submitted 3 3. Instructional materials
achievement in least 4 learner- Learner-centered
Submitted 2
Learner-centered highlighting learner-centered
literacy and centered lessons as
lessons as
Submitted 1 strategies that promote literacy
lessons as evidently learner-centered No
numeracy skills. evidently shown shown in MOV
evidently shown
lesson as acceptable
and/or numeracy skills
in MOV 1 and 4. Performance tasks/test
Efficiency in MOV 1 and 1 and evidently shown evidence
supported by material(s) used in teaching
supported by supported by in any of the was shown
any 1 of the
any 1 of the any 1 of the given MOV 5. Results of assessment used in
other MOV
other MOV given other MOV teaching
given
given 6. Others (Please specify and
provide annotations)
Content
Basic
Knowledge
Educatio
and Timeliness
n
Pedagogy
Services
(22.5%)
Used different Used different Used different
Used different teaching 1. Classroom observation tool
teaching strategies teaching strategies teaching strategies
strategies that develop (COT) rating sheet and/or
that develop critical that develop critical that develop critical
critical and creative No acceptable interobserver
and creative and creative and creative
Quality thinking and/or other evidence was agreement form about
thinking and/or thinking and/or thinking and/or
HOTS as shown in shown teaching strategies to develop
other HOTS as other HOTS as other HOTS as
MOV 1 with a rating of critical and creative thinking, as
shown in MOV 1 shown in MOV 1 shown in MOV 1
6 well as other higher-order
with a rating of 7 with a rating of 5 with a rating of 4
3. Applied a thinking skills
2. Lesson plans/modified DLLs
range of used in teaching highlighting
teaching different teaching strategies
thatdevelop critical and creative
creative
7.5% thinking and/or other HOTS 0 0.000 0.000
thinking, as well 3. Instructional materials
as other higher- highlighting different teaching
strategies that develop critical
order thinking and creative thinking and/or
skills. other HOTS
4. Performance tasks/test
 critical and creative thinking, as
well as other higher-order
3. Applied a thinking skills
2. Lesson plans/modified DLLs
range of used in teaching highlighting
teaching different teaching strategies
creative thatdevelop critical and creative
7.5% thinking and/or other HOTS 0 0.000 0.000
thinking, as well 3. Instructional materials
Submitted at least 4 Submitted 2 lessons
as other higher- lessons as
Submitted 3 lessons as
as evidenced by
highlighting different teaching
evidenced by MOV 1 Submitted 1 lesson No acceptable strategies that develop critical
order thinking Efficiency
evidenced by MOV
and supported by any
MOV 1 and
as evidenced by any evidence was and creative thinking and/or
1 and supported by supported by any 1
skills. any 1 of the other
1 of the other given
of the other given
1 of the given MOV shown other HOTS
MOV 4. Performance tasks/test
given MOV MOV material(s) used in
demonstration teaching
5. Results of assessment used in
teaching
6. Others (Please specify and
provide annotations)
Timeliness

4. Managed
Used
classroom Used classroom classroom
Used classroom
Used classroom
structure management
management management management
strategies that
to engage strategies that strategies that
engage learners
strategies that No
engage learners engage engage learners acceptable
learners, Quality
in activities/tasks learners in
in
in activities/tasks evidence
1. Classroom observation tool
activities/tasks (COT) rating sheet and/or
individually or in as shown in activities/tasks
as shown in
as shown in was shown
MOV 1 with a as shown in MOV 1 with a interobserver
groups, in rating of 7 MOV 1 with a
MOV 1 with a
rating of 4 agreement form about
rating of 5
meaningful rating of 6 managing classroom structure
exploration, that engages learners in various
activities
discovery
7.5% 2. Lesson plans/modified DLLs 0 0.000 0.000
and hands-on Submitted 3 highlighting various classroom
Submitted 2
activities within Submitted at lessons
lessons Submitted 1
management strategies that
least 4 lessons supported by No
a supported by MOV 1 and any 1 of
supported by lesson
acceptable
engage learners in
Efficiency MOV 1 and any 1 of supported by any of activities/tasks in different
range of MOV 1 and any 1 of the evidence
the other the
was shown
physical learning environments
physical the other other
acceptable acceptable MOV 3. Others (Please specify and
acceptable MOV acceptable
learning MOV
MOV provide annotations)
Learning environments.
Basic Environment and across
Educatio and curriculum Timeliness
n Diversity of teaching areas.
Services Learners Applied teacher
Applied teacher Applied teacher Applied teacher
(22.5%) management
management
management management
strategies of
strategies of strategies of strategies of Classroom observation tool (COT)
learner
learner behavior learner behavior learner behavior
5. Managed that promote
behavior that
that promote that promote
No rating sheet and/or inter-observer
promote acceptable agreement form about teacher
learner Quality positive and
positive and
positive and positive and
evidence management of learner behavior
non-violent non-violent non-violent
behavior discipline as
non-violent
discipline as discipline as
was shown using the following strategies:
discipline as 1. Providing motivation
constructively shown in MOV
shown in MOV
shown in MOV shown in MOV 2. Praising the learners/Giving
by submitted with a submitted with a submitted with a positive feedback
submitted with
rating of 7 rating of 5 rating of 4 3. Setting house rules/guidelines
applying positive a rating of 6
7.5% 4. Ensuring learners’ active 0 0.000 0.000
and participation
non-violent 5. Allowing learners to express
their ideas/opinions
discipline 6. Giving equal opportunities to
to ensure learners
7. Encouraging learners to ask
learning focused questions
 1. Providing motivation
constructively 2. Praising the learners/Giving
by positive feedback
3. Setting house rules/guidelines
applying positive
7.5% 4. Ensuring learners’ active 0 0.000 0.000
and participation
non-violent Submitted at
5. Allowing learners to express
Submitted at Submitted at Submitted any 1 their ideas/opinions
discipline least 4 of the
least 4 of the least 4 of the of the given
No
6. Giving equal opportunities to
given strategies acceptable
to ensure Efficiency
as observed in
given strategies given strategies strategies as
evidence
learners
as observed in as observed in observed in only 7. Encouraging learners to ask
learning focused at least 4
3 lessons 2 lessons 1 lesson
was shown
questions
lessons
environments. 8. Others (Please specify and
provide annotations)

Timeliness

Applied Applied
Applied Applied
differentiated differentiated
differentiated differentiated 1. Classroom observation tool
teaching teaching
teaching teaching No (COT) rating sheet and/or
strategies to strategies to
strategies to strategies to acceptable interobserver
6. Used Quality address learner address learner
address learner address learner evidence agreement form about
diversity as diversity as
differentiated, diversity as
shown in MOV shown in MOV
diversity as shown using differentiated,
shown in MOV 1 shown in MOV 1 developmentally appropriate
developmentally with a rating of 7
1 with a rating 1 with a rating
with a rating of 4
of 6 of 5 learning experiences
appropriate 2. Lesson plans/modified DLLs
Learning
learning developed highlighting
Environment differentiation in content, product,
experiences to Submitted at Submitted 3 Submitted 2
process, learning environment or
and least 4 differentiated differentiated
address 7.5% others according to learners’ 0 0.000 0.000
Diversity of differentiated teaching teaching Submitted any 1 No gender, needs, strengths,
learners’ teaching strategies in at strategies in 2 differentiated acceptable
Learners strategies in at least 2 lessons lessons as teaching evidence
interests and experiences
gender, needs, 3. Instructional materials developed
(22.5%) Efficiency
least 2 lessons as evidenced evidenced by strategy in only 1 shown highlighting differentiation in
strengths, as evidenced by by MOV 1 and MOV 1 and lesson as No content, product, process,
interests MOV 1 and supported by supported by evidently shown acceptable learning environment or others
supported by any 1 of the any 1 of the in any 1 of the evidence
and any 1 of the other other acceptable MOV was shown
according to learners’ gender,
needs, strengths, interests and
experiences. other acceptable acceptable acceptable
experiences
MOV MOV MOV
4. Others (Please specify and
provide annotations)

Timeliness

Basic
Educatio Planned and Planned and
Planned and
Planned and
implemented
n implemented implemented
developmentally
implemented
Services developmentally developmentally developmentally 1. Classroom observation tool
sequenced No
sequenced sequenced sequenced
teaching and acceptable (COT) rating sheet and/or
Quality teaching and teaching and learning teaching and
7. Planned, learning process process as
learning
learning process
evidence interobserver
process as was shown agreement form about
as shown in shown in MOV as shown in
managed MOV 1 with a 1 with a rating
shown in MOV
MOV 1 with a using developmentally
and 1 with a rating
rating of 7 of 6
of 5
rating of 4 sequenced teaching and
implemented learning
developmentally process
2. Lesson plans/modified DLLs
sequenced highlighting developmentally
Curriculum teaching sequenced instruction that meet
and Planning and learning 7.5% curriculum goals and varied 0 0.000 0.000
(22.5%) processes to teaching contexts
3. Instructional materials used
meet to
curriculum implement developmentally
requirements sequenced teaching and
and learning
process to meet curriculum
 managed using developmentally
and sequenced teaching and
implemented learning
developmentally process
2. Lesson plans/modified DLLs
sequenced highlighting developmentally
Curriculum teaching sequenced instruction that meet
Submitted 3
and Planning and learning 7.5% Submitted at developmentally
Submitted 2 curriculum goals and varied 0 0.000 0.000
developmentally teaching contexts
(22.5%) processes to least 4 sequenced
sequenced
Submitted 1
developmentally teaching and developmentally 3. Instructional materials used
meet sequenced learning
teaching and
sequenced to
curriculum learning No
teaching and process as teaching and implement developmentally
process as acceptable
requirements Efficiency learning process evidently learning process sequenced teaching and
evidently shown evidence
as evidently shown in MOV as evidently
and in MOV 1 and was shown learning
shown in MOV 1 1 and shown in any 1
supported by process to meet curriculum
varied teaching and supported supported by
any 1 of the
of the given
requirements and varied
by any 1 of the any 1 of the MOV
contexts. other given MOV other given
other given teaching contexts.
MOV
MOV 4. Others (Please specify and
provide annotations)

Timeliness

Consistently Frequently Occasionally

Rarely
participated in participated in participated in
participated in
LACs/FGDs/ LACs/FGDs/ LACs/FGDs/
LAC/FGD/
meetings to meetings to meetings to
meeting to No
8. Participated discuss discuss discuss
discuss acceptable 1. Personal notes of teachers on
in Quality teacher/learner teacher/learner teacher/learner
teacher/learner evidence LACs/FGDs/meetings with proof
feedback to feedback to feedback to
collegial enrich enrich enrich
feedback to was shown of attendance
enrich instruction as
discussions instruction as instruction as shown in instruction as
shown in the
2. Minutes of LAC/FGD sessions
shown in the the shown in the on
that use teacher MOV submitted
7.5% MOV submitted MOV submitted MOV submitted use of teacher and learner 0 0.000 0.000
and feedback to enrich teaching
learner feedback Participated in at Participated in practice with proof of
Participated in 2 Participated in 1
to least 4 3 LACs/FGDs/
LACs/FGDs/ LAC/FGD/ No
attendance
LACs/FGDs/ meetings as 3. Others (Please specify and
enrich teaching Efficiency meetings as evidently
meetings as meeting as acceptable
evidently shown evidently shown evidence provide annotations)
practice. evidently shown shown in any 1
in any 1 of the in any 1 of the was shown
in any 1 of the of the given
given MOV given MOV
given MOV MOV

Timeliness

Basic
Curriculum Developed and Developed and
Educatio Developed and
used varied used varied
Developed and
and Planning used varied used varied
n teaching and
teaching and teaching and
teaching and 1. Classroom observation tool
(22.5%) learning learning
Services learning
resources, resources,
learning No (COT) rating sheet and/or
resources, resources, acceptable
Quality including ICT, including ICT, to interobserver
including ICT, to including ICT, to evidence
9. Selected, address learning
to address address
address learning was shown agreement form about
learning goals learning goals using appropriate teaching and
goals as shown goals as shown
developed, in MOV 1 with a
as shown in as shown in
in MOV 1 with a learning resources, including ICT
organized MOV 1 with a MOV 1 with a
rating of 7
rating of 6 rating of 5
rating of 4 Examples:
and used * Activity sheets/task
appropriate * sheets/work sheets
* PowerPoint presentations
teaching and 7.5% * Video clips 0 0.000 0.000
learning * Module
resources, * SIMs-Strategic Intervention
including Materials
* 2. Lesson plans/modified DLLs
ICT, to address with
 using appropriate teaching and
developed, learning resources, including ICT
organized Examples:
and used * Activity sheets/task
appropriate * sheets/work sheets
Submitted at Submitted any * PowerPoint presentations
teaching and 7.5% least 4 varied
Submitted 3 varied Submitted 2 varied
varied * Video clips 0 0.000 0.000
teaching and teaching and
learning teaching and
learning learning
teaching and * Module
learning learning
resources, resources,
resources, resources,
resources,
No * SIMs-Strategic Intervention
including including ICT, as including ICT, as acceptable Materials
Efficiency including ICT, as including ICT, as
evidently shown evidently shown evidence * 2. Lesson plans/modified DLLs
ICT, to address evidently shown
in MOV 1 and in MOV 1 and
evidently shown
was shown with
in MOV 1 and in MOV 1 and
learning goals. supported by
supported by supported by
supported by appropriate instructional
any 1 of the any 1 of the
any 1 of the
acceptable MOV acceptable MOV
any 1 of the materials appended
acceptable MOV acceptable MOV 3. Others (Please specify and
provide annotations)

Timeliness

Designed,
Designed,
Designed, selected, Designed,
selected,
selected, organized and selected,
organized and
organized and used organized and 1. Classroom observation tool
used diagnostic,
used diagnostic, diagnostic, used diagnostic, (COT) rating sheet and/or
formative and
formative and formative and formative and interobserver
summative No
summative summative summative agreement form about
assessment acceptable
10. Designed, Quality assessment assessment
strategies
assessment
evidence
using diagnostic, formative and
strategies strategies strategies summative assessment
selected, consistent with consistent with
consistent with
consistent with
was shown
strategies
curriculum
organized curriculum curriculum
requirements as
curriculum 2. Prepared lesson plans/modified
requirements as requirements requirements as DLLs highlighting appropriate
and used shown in MOV 1 as shown in
shown in MOV
shown in MOV 1 use of formative assessment
1 with a rating
diagnostic, with a rating of 7 MOV 1 with a
of 5
with a rating of 4 strategies
rating of 6 3. Developed diagnostic tests: (a)
formative and
7.5% with TOS reviewed by superior; 0 0.000 0.000
summative (b) with sample accomplished
assessment questionnaire/answer sheets
4. Developed summative tests: (a)
strategies Submitted at
Submitted 3 Submitted 2 with TOS reviewed by superior;
consistent least 4 varied
varied varied Submitted 1 (b) with sample accomplished
assessment assessment assessment tool No questionnaire/answer sheets
with curriculum assessment
tools as tools as as evidently acceptable 5. Developed performance tasks:
Efficiency tools as
requirements evidently shown in
evidently evidently shown shown in any of evidence (a) with rubrics reviewed by
shown in any 1 of the in any 1 of the the acceptable was shown superior; (b) with sample
any 1 of the
acceptable acceptable MOV accomplished rubrics
acceptable MOV
MOV MOV
Basic Assessment 6. Others (Please specify and
provide annotations)
Educatio and
n Reporting
Services (22.5%) Timeliness

Consistently Frequently Occasionally Rarely

monitored and monitored and monitored and monitored and
evaluated evaluated evaluated evaluated
learner progress learner learner progress learner progress No 1. Compilation of a learner’s
and progress and and and acceptable written
11. Monitored Quality
achievement achievement achievement achievement evidence
work with summary of results
and using learner using learner using learner using learner was shown
and
attainment data attainment data attainment data attainment data
evaluated as shown in the as shown in the as shown in the as shown in the with signature of parents
learner MOV submitted MOV submitted MOV submitted MOV submitted 2. Formative/summative
assessment tools with TOS and
progress and
7.5% frequency of errors with 0 0.000 0.000
achievement identified
using least mastered skills
learner 3. Class records/grading sheets
 and
evaluated with signature of parents
learner 2. Formative/summative
assessment tools with TOS and
progress and
7.5% frequency of errors with 0 0.000 0.000
achievement Submitted a Submitted a identified
Submitted a No
using combination of
combination of combination of
Submitted 1 acceptable least mastered skills
Efficiency 3 of the 2 of the
learner at least 4 of the
acceptable acceptable
acceptable MOV evidence 3. Class records/grading sheets
acceptable MOV was shown 4. Lesson plans/modified DLLs
attainment MOV MOV
showing index of mastery
data. 5. Others (Please specify and
Submitted provide annotations)
Submitted MOV Submitted MOV No
MOV were Submitted MOV
were distributed were distributed acceptable
Timeliness distributed was completed
across 4 across 2 evidence
across 3 in only 1 quarte
quarters quarters was shown
quarters

Consistently Frequently Occasionally Rarely

showed prompt showed prompt showed prompt showed prompt
and clear and clear and clear and clear
communication communication communication communication 1. At least 3 samples of corrected
of the learners’ of the learners’ of the learners’ of the learners’ test papers of the same 3
12. needs, progress needs, needs, progress needs, progress learners in the same learning
No area with parents’ or guardians’
Communicated and progress and and and
acceptable signature and date of receipt
Quality achievement to achievement to achievement to achievement to
promptly and key key key key
evidence 2. Minutes of PTA meetings or
was shown
clearly stakeholders, stakeholders, stakeholders, stakeholders, Parent-Teacher conferences in
including including including including all quarters with proof of
the learners’ parents’/guardians’ attendance
Assessment parents/ parents/ parents/ parents/
needs, guardians as guardians as guardians as guardians as 3. Report cards with parent’s or
and guardian’s signature in all
progress and 7.5% shown in the shown in the shown in the shown in the
0 0.000 0.000
Reporting MOV submitted MOV submitted MOV submitted MOV submitted quarters supported by minutes of
achievement to meeting
(22.5%) 4. Communication with parents/
key Submitted a Submitted a guardians using various
Submitted a No
stakeholders, combination of
combination of combination of Submitted any 1
acceptable modalities
Efficiency 3 of the 2 of the of the given 5. Anecdotal record showing entries
including at least 4 of the
acceptable acceptable MOV
evidence
acceptable MOV was shown per quarter
Basic parents/guardia MOV MOV 6. Other documents showing
Educatio ns. learners’ needs, progress and
Submitted achievement submitted to other
n Submitted MOV
MOV were
Submitted MOV
Submitted MOV
No stakeholders
were distributed were distributed acceptable
Services Timeliness
across 4
distributed
across 2
was completed
evidence
across 3 in only 1 quarter
quarters quarters was shown
quarters

Frequently Occasionally Occasionally 1. Certificate of Recognition or

Consistently
performed performed performed Participation
performed
various related various related various related 2. Certificate of Training
various related
work/activities work/activities work/activities No
13. Performed work/activities
that contribute that contribute that contribute acceptable
3. Certificate of Speakership
Quality that contribute to 4. Committee involvement
various related the teaching
to the teaching to the teaching to the teaching evidence 5. Advisorship of Co-curricular
works/activities learning process
learning learning learning was shown activities
process as process as process as 6. Book or Journal
Plus Factor that as shown in the
shown in the shown in the shown in the
10.0% MOV submitted Authorship/Coauthorship/ 0 0.000 0.000
(10%) contribute to the MOV submitted MOV submitted MOV submitted Contributorship
teaching- 7. Coordinatorship/Chairpersonship
Submitted at Submitted 3 Submitted 2 No 8. Coaching and mentoring learners
learning least 4 different different kinds different kinds
Submitted any 1
acceptable in competitions
process. Efficiency of the 9. Mentoring pre-service/in-service
kinds of of acceptable of acceptable evidence
acceptable MOV teachers
acceptable MOV MOV MOV was shown
10. Others (Please specify and
provide annotations)
Timeliness

OVER-ALL RATING OF ASSESSMENT 0.000

TOTAL 100%
 TOTAL 100%
ADJECTIVAL RATING

___________________ _____________________
_________________________
Teacher III Principal
Head Teacher III
Ratee Approving Authority
Rater
Date Signed: Date Signed:
Date Signed: _________________
_________________ _________________