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
MFOs KRAs OBJECTIVES TIMELINE
Weight
per KRA
PERFORMANCE
INDICATORS
(uality! Efficiency!
"imeless#
ACTUAL
RESULTS
RATING SCORE*
"eac$in% and
&earnin% Process
'( Prepared updated daily lesson plan and
instructional materials in C(E(! En%lis$!
)ilipino! *at$ and Science(
+une,-'. /
*arc$ ,-'0
,-1
,( *onitored daily attendance t$rou%$
Sc$ool )orm , (S) ,#
+une /
2u%ust ,-'.
'01
3( *onitored t$e readin% a4ility of pupils
from instructional level to independent
level
+une /
2u%ust ,-'.
01
Pupils/Students
5utcomes
'( Prepared updated records li6e S),!
class records(
+une /
2u%ust ,-'. '-1
,( Evaluated pupils7 pro%ress t$rou%$
formative! summative wit$ ,0 out of 38
pupils reac$ed t$e mastery level(
+une /
2u%ust ,-'. '01
3( Conducted remedial instruction of 0
pupils every day(
+une /
2u%ust ,-'. '01
SUSAN G. JAVIER
TEACHER I
DEPED LAGUNA, PILA District
ROSA ROSAL S. SIQUINIA, Ed. D.
PRINCIPAL II
Community
9nvolvement
'( *aintained functional $omeroom P"2
+une /
2u%ust ,-'.
.1
,( Conducted P("(2( meetin%s every
%radin% periods
+une /
2u%ust ,-'.
31
3( *onitored 0 $ome visitation / follow up(
+une /
2u%ust ,-'.
31
Professional
:rowt$
'( Su4scri4ed educational ma%a;ines(
+une /
2u%ust ,-'.
.1
,( 2ttended in<set trainin%s and seminar
wor6s$ops
+une /
2u%ust ,-'.
31
3( Practiced t$e Code of Et$ics for
professional %rowt$
+une /
2u%ust ,-'.
31
"o %et t$e score! t$e ratin% is multiplied 4y t$e wei%$t assi%ned
5=ER2&&
R2"9N: )5R
2CC5*P&9<
S>*EN"S
______________________________ ______________________________
Rater Ratee
DEPED RP*S form / )or Staff (4elow S: '?# 3
ROSAL ROSAL S. SIQUINIA, Ed. SUSAN G.
JAVIER