Individual Performance Commitment and Review Form for Teachers 1-3

2. Name Name of Rater
Position Teacher Position
Review Period April 2016 Date of Review April 2016
MFOs KRA
s
OBJECTIVES TIME
LINE
WEIGHT
Per KRA
PERFORMANCE INDICATOR
( Quality, Efficiency, Timeliness)
ACTUAL
RESULTS
RATING SCOR
E
BASICEDUCATION
SERVICES
Teaching-LearningProcess
Prepare daily
lesson logs of
activities in learning
areas handled
including
appropriate
adequate and
updated
instructional
materials
June-
March
10% Outstanding
5
INDICATORS
1. DLLs have always SMART
objectives, developing HOTS
2. Objectives are competency
based under the K+12
curriculum
3. Parts of the DLLs have
correct entries
4. With appropriate IMs
5. DLLS are 100% complete in
subj. handled
6. Submitted on time
Very
Satisfactory
4
With items no. 1 and 2 plus 3
other indicators specified
above
Satisfactory
3
With items 1 and 2 but with
instances of Non-SMART
objectives and not developing
HOTS plus 2 other indicators
Unsatisfactor
y
2
DLLs were not properly
prepared; with missing parts
and incomplete in the subjects
handled
Poor
1
None of the given indicator
was followed

3. MFOs KR
As
OBJECTIVES TIME
LINE
WEIGH
T
Per
KRA
PERFORMANCE INDICATOR
( Quality, Efficiency, Timeliness)
ACTUAL
RESULTS
RATIN
G
SCOR
E
BASICEDUCATION
SERVICES
Teaching-LearningProcess
Facilitate
learning through
appropriate and
innovative
teaching
strategies that
develop HOTS
June-
March
20%
Outstanding
5
INDICATORS
1.Learning activities provided were
always in line with the objectives
specified in the DLL
2. Utilized varied strategies and
differentiated instruction always
3. Strategies used elicited 100% class
interaction
4. All learning activities developed
HOTS
5. ICT integration was evident
Very
Satisfactory
4
With items 1,2,3 and 4 of the given
indicators with no. 3 at 75% only
Satisfactory
3
With indicator 1 plus 2 other indicators
Unsatisfactor
y
2
Indicator no. 1 was not always
observed but with another indicator
followed
Poor
1
None of the indicators was followed

4. MFOs KRAs OBJECTIVES TIMELIN
E
WEIGH
T
Per
KRA
PERFORMANCE INDICATOR
( Quality, Efficiency, Timeliness)
ACTUAL
RESULTS
RATIN
G
SCOR
E
BASICEDUCATION
SERVICES
Teaching-LearningProcess
Provide a
safe,
student-
friendly and
conducive
learning
environmen
t for
learners
June-
March
10%
Outstanding
5
INDICATORS
1.Classroom is neat and clean, well-
lighted, ventilated and with well-
maintained facilities (chairs, tables
and blackboard, windows and doors)
2. With functional drinking facilities
3. With cabinets for books and
cleaning materials neatly arranged
4. Bulletin boards are structured with
learners’ information profile and
school rules and other required
information
5. With available garbage
receptacles; evident of proper waste
segregation and disposal
Very
Satisfactory
4
With indicators 1, 2, 3, 4, and 5 but
with 2-3 instances of non-
compliance
Satisfactory
3
With any 3 of the 5 indicators
Unsatisfactor
y
2
With any 2 of the 5 indicators
Poor
1
With only 1 of the 5 indicators

5. MFOs KRA
s
OBJECTIVES TIME
LINE
WEIGH
T
Per
KRA
PERFORMANCE INDICATOR
( Quality, Efficiency, Timeliness)
ACTUAL
RESULTS
RATIN
G
SCOR
E
BASICEDUCATION
SERVICES
STUDENTS’LEARNINGOUTCOMES
Monitor
and
evaluate
students’
learning
outcomes
June-
March
15%
Outstanding
5
INDICATORS
1.Class records reflect
> students’ assessed
competencies
> date of assessment
> at least 10 recorded
assessment
> remediation assessment
conducted
2. Summative assessments reflect
the three components that serve as
bases for grading as indicated in the
TOS
3. Utilization of test results is
evident as shown in students’
portfolios in subjects handled
Very
Satisfactory
4
With indicators 1, 2, and 3 but no
students’ portfolios
Satisfactory
3
With any 2 of the 3 indicators
Unsatisfactor
y
2
With any 2 of the 3 indicators but
incomplete

6. MFOs KRA
s
OBJECTIVES TIME
LINE
WEIGH
T
Per
KRA
PERFORMANCE INDICATOR
( Quality, Efficiency, Timeliness)
ACTUAL RESULTS RATI
NG
SCO
RE
BASICEDUCATION
SERVICES
STUDENTS’LEARNINGOUTCOMES
Undertake
activities to
improve
performanc
e indicators
June-
March
15%
Outstanding
5
INDICATORS
1.100% of learners in the
subjects handled have passed
for the academic year
2. 100% of the learners handled
have completed the school year
3. Taught 100% of the required
competencies with 75% mastery
level
4. Conducted remediation for
slow and absentee learners
Very Satisfactory
4
With indicators 1,2,3 but
mastery level is not 75% but not
lower than 50%
Satisfactory
3
With indicators 1,2, and 3 but
not 100% but not lower than
75% for indicators 1 and/or 2
Unsatisfactory
2
With indicators 1,2and 3 but
below 75% but not lower than
50%
Poor
1
Only 1 of the 4 indicators but
below 50%

7. MFOs KRA
s
OBJECTIVES TIME
LINE
WEIGH
T
Per
KRA
PERFORMANCE INDICATOR
( Quality, Efficiency, Timeliness)
ACTUAL RESULTS RATI
NG
SCO
RE
BASICEDUCATION
SERVICES
STUDENTS’LEARNINGOUTCOMES
Maintain
updated
students’
school
records
June-
March
10%
Outstanding
5
INDICATORS
1.With complete profiles of students
handled including anecdotal records of
students with special needs
2. Released students’ grades (100%)
every grading period in all subjects
handled on or before the due date
3. Submitted SF 2 on time, data
reflected in SF1
4. Submitted well accomplished forms
of students like forms 138, 137, school
clearance and other forms required by
the office
5. With evidence of utilization of the
students’ school records
Very
Satisfactory
4
With indicators 1,2,3 and 4 but with
instances of not more than 2 delays
Satisfactory
3
With indicators 1and 2 plus another
indicator either 3 or 4 or 5 with
instances of not more than 5 delays
Unsatisfactory
2
With at least 1 of the indicators with
instances of not more than 5 delays
Poor
1
With at least 1 indicator but
incomplete and delayed more than 5

8. MFOs KR
As
OBJECTIVES TIME
LINE
WEIGHT
Per KRA
PERFORMANCE INDICATOR
( Quality, Efficiency, Timeliness)
ACTUAL
RESULTS
RATIN
G
SCOR
E
BASICEDUCATION
SERVICES
COMMUNITYINVOLVEMENT
Supervise
curricular
and co-
curricular
projects
and
activities
June-
March
5%
Outstanding
5
INDICATORS
1.Adviser/ Coordinator of recognized
school organization/club/program
established in the school
2. Initiated activities/projects of the
organization/ club handled as reflected
in the action plan submitted with
external funding and support
3. Accomplished
activities/projects/programs within the
scheduled date
4. Activities/projects contributed to the
improvement of performance indicators
5. Supervision, training and activities
were done as additional tasks apart
from the regular loads handled
Very
Satisfactory
4
With indicators 1,2,3,4 and 5 but
funding has been provided by the
school
Satisfactory
3
With indicators 1,2,3,4 and 5 but without
action plan submitted
Unsatisfactor
y
2
With indicator 1 plus any other indicator
from 2,3,4,5

9. MFOs KR
As
OBJECTIVES TIME
LINE
WEIGHT
Per
KRA
PERFORMANCE INDICATOR
( Quality, Efficiency, Timeliness)
ACTUAL
RESULTS
RATIN
G
SCOR
E
BASICEDUCATION
SERVICES
COMMUNITYINVOLVEMENT
Support
activities of
government
al and non-
government
al
organization
s
June-
March
5%
Outstanding
5
INDICATORS
1.Officer of a GO, NGO or PO for
the current rating
2. Participated in the
implementation and completion of
a GO,NGO or PO program, project
or activities for the current year
3. Program, project, activities have
positive impact to the welfare of
the youth or the community
Very Satisfactory
4
Any 2 of the 3 indicators given
Satisfactory
3
Any 1 of the 3 indicators given
Unsatisfactory
2
Participant to any 3 government or
non-government activities
Poor
1
Participant to less than 3
government or non-government
activities

10. MFOs KRA
s
OBJECTIVES TIMELIN
E
WEIGH
T
Per
KRA
PERFORMANCE INDICATOR
( Quality, Efficiency, Timeliness)
ACTUAL
RESULTS
RATIN
G
SCOR
E
BASICEDUCATION
SERVICES
PROFESSIONALGROWTH
Conduct
action
research in
the area of
concern/creati
ve
work/publicati
on
June-
March
5%
Outstanding
5
INDICATORS
1.Action research was in line
with the subject area/concern of
the researcher
2.Action research has been
submitted at least to the school
head for approval before
implementation
3. Action research has been
implemented with reported
results within the rating period
4. Results has been utilized in
the school
Very
Satisfactory
4
With indicators 1,2 and 3
Satisfactory
3
With indicators 1,2 and 3 but
results had been incomplete
Unsatisfactory
2
With indicators 1 and 2 but
implementation is initial only
Poor
1
With indicator 1 only

11. MFOs KRA
s
OBJECTIVES TIME
LINE
WEIGHT
Per
KRA
PERFORMANCE INDICATOR
( Quality, Efficiency, Timeliness)
ACTUAL
RESULTS
RATIN
G
SCOR
E
BASICEDUCATION
SERVICES
PROFESSIONALGROWTH
Participate
in activities
that
enhance
professional
growth
(seminar,
teachers
association)
June-
March
3%
Outstanding
5
INDICATORS
1.Had finished at least 9 units in
post graduate studies within the
rating period
2. Had 100% attendance in all
seminars required by the school
3. Had 100% attendance in school
programs and activities
4. Manifested professionalism in
dealing with colleagues, parents
and members of the community
Very
Satisfactory
4
With indicators 2, 3 and 4
Satisfactory
3
With indicators 2,3 and 4 but not
100% for indicators 2 and 3 but not
less than 75%
Unsatisfactory
2
With indicators 2, 3 and 4 but less
than 75 % in attendance to
seminars and programs
Poor
1
Failure to observe indicator no. 4

12. MFOs KR
As
OBJECTIVES TIME
LINE
WEIGH
T
Per
KRA
PERFORMANCE INDICATOR
( Quality, Efficiency, Timeliness) ACTUAL
RESULTS
RATIN
G
SCOR
E
BASICEDUCATION
SERVICES
PROFESSIONALGROWTH
Receive
special
awards/
citation/
recognition for
exemplary
performance
June-
March
2%
Outstanding
5
INDICATORS
1.Award/s received is for exemplary
performance that had contributed to
the improvement of performance
indicators for the current rating
period
2. Received at least 5 awards under
the category of outstanding with
supporting documents
Very
Satisfactory
4
With indicator 1 but only 4 awards
and only 1 or 2 under the category
of outstanding
Satisfactory
3
With indicator 1 but only 3 awards
and not in the outstanding category
Unsatisfactory
2
With indicator 1 only
Poor
1
Received award/s but did not
contribute to the improvement of
performance indicators
OVER-ALL
RATING FOR
ACCOMPLISHME
NTS
Republic of the Philippines
Department of Education
Region 02
DIVISION OF CAGAYAN
SANTA ANA FISHERY NATIONAL HIGH SCHOOL
Centro, Santa Ana, Cagayan
 To get the score, the rating is multiplied by the weight assigned
CONFORME: _______________________________________ _____________________________________
(PRINTED NAME & SIGNATURE OF RATEE) (PRINTED NAME & SIGNATURE OF RATER)