Republic

Departm
Region IV
Divis
INDIVIDUAL PERFORMANCE CO
Name of Employee: JENSEN RYAN T. LIM
Position: SHST-II
School LOPEZ NATIONAL COMPREHENSIVE HIGH SCHOOL
Rating Period: JUNE-MARCH
TO BE FILLED DURING PLANNING
WEIGHT PER
MFO KRA OBJECTIVES TIMELINE P
KRA

BASIC EDUCATION 1. Teaching Learning 1. Follow the 5

SERVICES Process (30%) implementation of SBM 96-100% of the individual
Plan / AIP through AIP for the rating period
regular guidance and Q 5% were implemented and
followed
assistance of
Department Head.
5
All of the contents of the
AIP were implemented,
June -March 10% followed and assessed
E 3% using M&E tool by the
department head

5
Submitted the SBM Plan/
T AIP ahead of the target
2% date

2. Prepare daily lesson 5

logs with appropriate Prepared 96-
contextualized activities 100%of DLL with relevant,
updated, timebounded, and
and localized
Q 5% varied actitivies and
instructional materials instructional materials

5
Preapred daily lessons
which was utilized with
SMART Objectives,
Significant Activities,
June-March 10%
Contexualized Learning
E Materials, & Relevant
3% Assessment Tools

5
 Updated and Submitted
T
Daily Lesson Logs
2% everyday

WEIGHT PER
MFO KRA OBJECTIVES TIMELINE P
KRA

3. Impose discipline 5
including classroom 96-100% of the students
rules, guidelines and were given correct
individual/group tasks instructions, guidelines,
that is manifested in the classroom rules and
behavior of the students Q policies including the
5% use of toilets and waste
disposal

5
96-100% of the students
June-March 10% strictly adhered to the
classroom policies set in
accordance to the rules
and regulation of the
E 3% Department of Education

5
Imposed classroom
T 2% discipline on daily basis

2. Students Outcomes 1. Monitor evaluate and 5

(30%) maintain student's
progress
96-100% of the required
Q evidences showed that
5% assessments used
matched the student's
needs, abilitites and
learning styles.

Year Round 10%

E 3%
 Year Round 10% 96-100% of the
E 3% compiled outputs in the
students portfolio were
reflected in the class
record.

5
Evaluated student's
progress at the end of
every lesson.
T 2%

WEIGHT PER
MFO KRA OBJECTIVES TIMELINE P
KRA

2. Conduct 4 or more 5
remediation program Conducted 4 or more
within a month remediation programs to
Q improve students'
performance within a
5%
month

5
Evidences shows that
81-90% Index of
Mastery was achieved
E after the remediation
Year Round 10% program has been
3%
conducted

5
Conducted remediation
program right after
T assessing the student's
2% needs

3. Attain 5% quarterly 5
increase in the MPS of Attained 5% increase in
the students. the MPS of students in
Q all classes every quarter
5%
 5
96-100% of the classes
handled attained 5%
increase in the MPS of
students every quarter
E 3%
Quarterly 10%

Evaluation of the MPS

result based on
requiared criteria was
T 2% done a week after the
quarterly examination.

WEIGHT PER
MFO KRA OBJECTIVES TIMELINE P
KRA

3. Learning Environment 1. Maintain a classroom 5

and Special Tasks (10%) which is safe, clean and
conducive to learning
Maintained a classroom
Q which is safe, clean and
conducive to learning at
1% all times.

5
96-
100% of the students
E 1% were safe and motivated
June-March 3% to learn.

Cleanliness is
maintained to provide
safe and conducive
T 1% place for the students 5
days a week

2. Maintain a properly 5
structured classroom.
 2. Maintain a properly
structured classroom.
Maintained an organize
and orderly classroom
where periodicals,
bullittens and all other
Q teaching and non
1% teaching resources are
in proper place all the
time.

June-March 3% 5
96-
E 100% of the items in the
1% FTA checklist were
present

Maintained an organize
T and orderly classroom 5
1% days a week.

WEIGHT PER
MFO KRA OBJECTIVES TIMELINE P
KRA

3. Learning Environment 3. Provide a learning 5

and Special Tasks environment that
promotes the use of
technology among Q 96-100% of the lessons
learners were integrated with ICT
2% in the actual learning
process

E 2% Used ICT Integration 5

June-March 4% times a month

T 1%
 Performed ICT
integration as indicated
T 1% in the instructional plan,
utilized and maximized
learning resources
within the target time

4. Parents Involvement 1. Conduct 4 or more 5

and Community conferences with the Conducted 4 or more
Partnership (10%) parent/guardian to conferences with
report students progress parent/guardian for
within the year Q 1% student's progress and
behavior within the year

An average of
90-100% attendance of
June-March 3% E parents/guardian was
1% attained in all
conferences held to
report students' progress
and behavior

5
Parent conferences and
assemblies were done
T on the target date.
1%

WEIGHT PER
MFO KRA OBJECTIVES TIMELINE P
KRA

2. Participate actively in 5
all school and 96-100% participation in
community activities all community activities
within the year. Q 1% were attained.

E
1%
 Actively participated and
contributed to the
success of the school
and community activities
E with proper
1% documentation
June-March 3%

5
All community activities
were attended and went
to the venue/ area
T before the scheduled
time and left after the
1% scheduled time

3. Conduct home 5
visitations regularly for
students who need Conducted 4 home
academic monitoring visitations for students
and intervention who need academic
Q 2% monitoring and
intervention

5
95-100%
E accomplishment of
June-March 4% academic monitoring
1% and follow up

5
Conducted home
visitation right after
T assessing the students
1% needs

WEIGHT PER
MFO KRA OBJECTIVES TIMELINE P
KRA

5. Professional Growth 1. Conduct one 5

and Development (20%) classroom-based action
research.

Q 5%
5. Professional Growth 1. Conduct one
and Development (20%) classroom-based action Action Research
research. conducted and utilized
school based action
Q 5% research supported by
evidences

5
96-100% compliance on
the required evidences
were submitted and
E
approved by the
June -March 10%
department head
3%

5
Conducted and
submitted a completed
T Action Research ahead
2% of time

2. Attend in all required 5

seminars/ trainings/ 96-100% of the required
conferences seminars/ trainings/
conferences were
Q attended with proper
2% documentation

5
Adopted the concepts of
the trainings attended in
classroom setting with
96-100%
June -March 5% E compliance to its goals
2% and objectives

5
Implemented the
concepts of the trainings
T attended all throughout
the school year
1%
 WEIGHT PER
MFO KRA OBJECTIVES TIMELINE P
KRA

3. Participate in all the 5

activities of the 96-100% of the activities
association within the of the association within
year the year were
Q 2% participated

5
96-100% compliance
with the Financial
E Obligations were settled
June -March 5% at the end of the school
2% year

5
All the activities and
obligations were
T attended to within the
1% scheduled time

Ratee: Rater:

JENSEN RYAN T. LIM CLEMENC

SHST-II
 Republic of the Philippines
Department of Education
Region IV-A CALABARZON
Division of Quezon
NCE COMMITMENT AND REVIEW FORM (IPCRF)
Name of Rater: CLEMENCIA V. CALUBAYAN
Position: DEPARTMENT HEAD, TLE
Date of Review:

G TO BE FILLED DURING REVIEW

RATING
PERFORMANCE INDICATOR (Quality, Efficiency, Timeliness) ACTUAL
RESULTS Q E T AVE
4 3 2 1
91-95% of the individual 80-90% of the individual 71-79% of the individual 70% and below of the
AIP for the rating period AIP for the rating period AIP for the rating individual AIP for the rating
were implemented and were implemented and periodwere implemented period were implemented
followed followed and followed and followed 3 0.15

4 3 2 1
Lacked 1 indicator in the Lacked 2 indicators in the Lacked 3 indicators in the Lacked 4 or more
AIP checking and AIP checking and AIP checking and indicators in the AIP
assessment using M&E tool assessment using M&E tool assessment using M&E tool checking and assessment
by the department head by the department head by the department head using M&E tool by the 3 0.09
department head

4 3 2 1
Submitted the SBM Plan/ Submitted the SBM Plan/ Submitted the SBM Plan/ Did not submit SBM Plan/
AIP on the scheduled date AIP two days after the AIP 5 days later than the AIP 5 0.10
target date target date

4 3 2 1 117/138 =
Prepared 91- Prepared 80- Prepared Prepared 70% and below 85%
95% DLL with relevant, 90% of DLL with relevant, 71-79 % of daily lesson log daily lesson log with
updated, and timebounded, updated, and varied with relevant, and varied relevant, and varied
actitivies and instructional actitivies and instructional instructional materials instructional materials
3 0.15
materials materials

4 3 2 1
Preapred daily lessons Preapred daily lessons Preapred daily lessons Preapred daily lessons
which was utilized which was utilized which was utilized which was utilized
effectively and effiently but effectively and effiently but effectively and effiently but effectively and effiently but
lacking one of the key lacking two of the key lacking three of the key lacking four or more of the
indicators indicators indicators key indicators
4 0.12

4 3 2 1
Updated and Submitted Updated and Submitted Updated and Submitted Updated and Submitted
Daily Lesson Logs every Daily Lesson Logs once a Daily Lesson Logs twice a Daily Lesson Logs 4 0.08
other day week month occassionaly

RATING
ACTUAL
PERFORMANCE INDICATOR (Quality, Efficiency, Timeliness)
RESULTS Q E T AVE

4 3 2 1
91-95% of the students 80-90% of the students 71-79 % of the students 70% and below of the
were given correct were given correct were given correct students were given
instructions, guidelines, instructions, guidelines, instructions, guidelines, correct instructions,
classroom rules and classroom rules and classroom rules and guidelines, classroom
policies including the use policies including the use policies including the use rules and policies
of toilets and waste of toilets and waste of toilets and waste including the use of 5 0.25
disposal disposal disposal toilets and waste
disposal

4 3
91-95% of the students 80-90% of the students
strictly adhered to the strictly adhered to the
classroom policies set in classroom policies set in
accordance to the rules accordance to the rules
and regulation of the and regulation of the
Department of Education Department of Education
2 1
71-79 % of the students 70% and below of the
strictly adhered to the students strictly adhered
classroom policies set in to the classroom policies
accordance to the rules set in accordance to the
and regulation of the rules and regulation of
Department of Education the Department of 2 0.06
Education

4 3 2 1
Imposed classroom Imposed classroom Imposed classroom Unable to impose
discipline on weekly discipline every 2 weeks discipline on monthly classroom discipline 5 0.10
basis basis

4 3 2 1

71-79 % of the 70% and below of the

91-95% of the required 80-90% of the required
required evidences required evidences
evidences showed that evidences showed that
showed that showed that 3 0.15
assessments used assessments used
assessments used assessments used
matched the student's matched the student's
matched the student's matched the student's
needs, abilitites and needs, abilitites and
needs, abilitites and needs, abilitites and
learning styles. learning styles.
learning styles. learning styles.

4 3 2 1

4 0.12
 71-79 % of the 70% and below of the
91-95% of the compiled 80-90% of the compiled
compiled outputs in the compiled outputs in the 4 0.12
outputs in the students outputs in the students
students portfolio were students portfolio were
portfolio were reflected in portfolio were reflected in
reflected in the class reflected in the class
the class record. the class record.
record. record.

4 3 2 1
Evaluated student's Evaluated student's Evaluated student's
progress at the end of progress at the end of progress at the end of
every lesson except in 2- every lesson except in 6- every lesson except in Evaluated student's
5 instances 10 instances 11-15 instances progress at the end of 5 0.10
every lesson except in
16 or more instances

RATING
ACTUAL
PERFORMANCE INDICATOR (Quality, Efficiency, Timeliness)
RESULTS Q E T AVE

4 3 2 1
Conducted 3 remediation Conducted 2 remediation Conducted 1 Unable to conducted any
programs to improve programs to improve remediation program to remediation programs to
students' performance students' performance improve students' improve students'
within a month within a month performance within a performance within a 2 0.10
month month

4 3 2 1
Evidences shows that Evidences shows that Evidences shows that Evidences shows that
71-80% Index of Mastery 61-70% Index of Mastery 51-60% Index of Mastery 50% and below Index of
was achieved after the was achieved after the was achieved after the Mastery was achieved
remediation program has remediation program has remediation program has after the remediation
been conducted been conducted been conducted program has been 4 0.12
conducted

4 3 2 1
Conducted remediation Conducted remediation Conducted remediation Unable to conduct a
program 2 days late after program a week late program 2 weeks late remediation session
assessing the student's after assessing the after assessing the
needs student's needs student's needs 5 0.10

4 3 2 1
Attained 4% increase in Attained 3% increase in Attained 2% increase in did not attain an
the MPS of students in the MPS of students in the MPS of students in increase in the MPS of
all classes every quarter all classes every quarter all classes every quarter students in all classes
5 0.25
every quarter
 4 3 2 1
91-95%of the classes 80-90% of the classes 71-79 % of the classes 70% and below of the
handled attained 5% handled attained 5% handled attained 5% classes handled attained
increase in the MPS of increase in the MPS of increase in the MPS of 5% increase in the MPS
students every quarter students every quarter students every quarter of students every quarter
5 0.15

4 3 2 1

Evaluation of the MPS Evaluation of the MPS Evaluation of the MPS Unable to evaluate the
result based on result based on result based on quarterly MPS result.
requiared criteria was requiared criteria was requiared criteria was
done 2 weeks after the done 3 weeks after the done a month after the 5 0.10
quarterly examination. quarterly examination. quarterly examination.

RATING
ACTUAL
PERFORMANCE INDICATOR (Quality, Efficiency, Timeliness)
RESULTS Q E T AVE

4 3 2 1

Maintained a classroom Maintained a classroom Maintained a classroom Unable to maintain a

which is safe, clean and which is safe, clean and which is safe, clean and classroom which is safe,
conducive to learning conducive to learning conducive to learning clean and conducive to 3 0.03
most of the time. often time. some of the time. learning.

4 3 2 1
80- 71- 70%
91-95% of the students 90% of the students 79 % of the students and below of the
were safe and motivated were safe and motivated were safe and motivated students were safe and 3 0.03
to learn. to learn. to learn. motivated to learn.

4 3 2 1
Unable
Cleanliness is Cleanliness is Cleanliness is to maintain cleanliness
maintained to provide maintained to provide maintained to provide to provide safe and
safe and conducive safe and conducive safe and conducive conducive place for the
place for the students 4 place for the students 3 place for the students 2 students. 3 0.03
days a week. days a week. days a week.

4 3 2 1
 Maintained an organize Maintained an organize Maintained an organize Unable to maintain an
and orderly classroom and orderly classroom and orderly classroom organize and orderly
where periodicals, where periodicals, where periodicals, classroom.
bullittens and all other bullittens and all other bullittens and all other
teaching and non teaching and non teaching and non
teaching resources are in teaching resources are in teaching resources are 3 0.03
proper place most of proper place often time. in proper place some of
time. the time.

4 3 2 1 86%, 94% =
91- 80- 71-
95% of the items in the 90% of the items in the 79 % of the items in the 70% and below of the 90%
FTA checklist were FTA checklist were FTA checklist were items in the FTA 3 0.03
present present present checklist were present

4 3 2 1

Maintained an organize Maintained an organize Maintained an organize Unable to maintaine an

and orderly classroom 4 and orderly classroom 3 and orderly classroom 2 organize and orderly
2 0.02
days a week. days a week. days a week. classroom.

RATING
ACTUAL
PERFORMANCE INDICATOR (Quality, Efficiency, Timeliness)
RESULTS Q E T AVE

4 3 2 1

91-95% of the lessons 80-90%of the lessons 71-79 % of the lessons 70% and below of the
were integrated with ICT were integrated with ICT were integrated with ICT lessons were integrated 5 0.10
in the actual learning in the actual learning in the actual learning with ICT in the actual
process process process learning process

4 3 2 1

Used ICT Integration 4 Used ICT Integration 3 Used ICT Integration 2 Used ICT Integration 5 0.10
times a month times a month times a month once a month

4 3 2 1

5 0.05
 Performed ICT Performed ICT
integration as indicated integration as indicated Performed ICT
in the instructional plan, in the instructional plan, integration as indicated 5 0.05
Unable to perform ICT
utilized and maximized with minimal utilization of in the instructional plan,
integration
learning resources learning resources within the adjusted
within the adjusted within the adjusted schedule
schedule schedule

4 3 2 1
Conducted 3 Conducted 2 Conducted 1 Did not conduct
conferences with conferences with conferences with conferences with
parent/guardian for parent/guardian for parent/guardian for parent/guardian for
student's progress and student's progress and student's progress and student's progress and 5 0.05
behavior within the year behavior within the year behavior within the year behavior within the year

4 3 2 1

An average of An average of An average of An average of 50% and

80-89% attendance of 70-79% attendance of 50-69% attendance of below attendance of
parents/guardian was parents/guardian was parents/guardian was parents/guardian was 3 0.03
attained in all attained in all attained in all attained in all
conferences held to conferences held to conferences held to conferences held to
report students' progress report students' progress report students' progress report students' progress
and behavior and behavior and behavior and behavior

4 3 2 1
Parent conferences and Parent conferences Parent conferences and Parent conferences
assemblies were done 2 and assemblies were assemblies were done 5 and assemblies were
days late based on the done 4 days late based days late based on the done 10 days late based
target date. on the target date. target date. on the target date.
5 0.05

RATING
ACTUAL
PERFORMANCE INDICATOR (Quality, Efficiency, Timeliness)
RESULTS Q E T AVE

4 3 2 1
91-95% participation in 80-90% participation in 71-79 % participation in 70% and below
all community activities all community activities all community activities participation in all
were attained. were attained. were attained. community activities 5 0.05
were attained.

4 3 2 1

5 0.05
 Actively participated to Participated in all school Attended in all school Unable to Participate in
the success of the school and community activities and community activities school and community
and community activities with proper with proper activities
with proper documentation documentation
documentation
5 0.05

4 3 2 1
Community activities Community activities Community activities Did not attend to any
were attended and went were attended and went were attended and went community activity
to the venue/ area on to the venue/ area 10 to the venue/ area 30
time and left on time minutes late than the minutes late than the
scheduled time and left scheduled time and left 5 0.05
on time early

4 3 2 1
Conducted 3 home Conducted 2 home Conducted 1 home Unable to conduct home
visitations for students visitations for students visitation for students visitations.
who need academic who need academic who need academic
monitoring and monitoring and monitoring and 5 0.1
intervention intervention intervention

4 3 2 1
91-95% accomplishment 80-90% accomplishment 71-79% accomplishment 70% and below
of academic monitoring of academic monitoring of academic monitoring accomplishment of
and follow up and follow up and follow up academic monitoring 4 0.04
and follow up

4 3 2 1
Conducted home Conducted home Conducted home Unable to conduct home
visitation 2 days after visitation a week after visitation 2 weeks after visitations.
assessing the students assessing the students assessing the students 3 0.03
needs needs needs

RATING
ACTUAL
PERFORMANCE INDICATOR (Quality, Efficiency, Timeliness)
RESULTS Q E T AVE

4 3 2 1

3 0.15
 Submitted a completed Submitted an approved Submitted statement of No Action Research
school based action research proposal the problem for research conducted
research
3 0.15

4 3 2 1
91-95% compliance on 80-90% compliance on 71-79 % compliance on 70% and below
the required evidences the required evidences the required evidences compliance on the
were submitted and were submitted and were submitted but not required evidences were
approved by the approved by the fully utilized made.
department head department head
2 0.06

4 3 2 1
Conducted and Conducted and Conducted an Action Unable to conduct an
submitted an Action submitted an Action Research within the Action Research within
Research within the Research proposal after rating period but unable the rating period
rating period the rating period to submit the required 3 0.12
documents

4 3 2 1
91-95% of the required 80-90% of the required 71-79 % of the required 70% and below of the
seminars/ trainings/ seminars/ trainings/ seminars/ trainings/ required seminars/
conferences were conferences were conferences were trainings/ conferences
attended with proper attended with proper attended with proper were attended with
documentation documentation documentation proper documentation
5 0.1

4 3
Adopted the concepts of Adopted the concepts of
the trainings attended in the trainings attended in
classroom setting with classroom setting with
91-95% 80-90%
compliance to its goals compliance to its goals
and objectives and objectives
2 1
Adopted the concepts of Adopted the concepts of
the trainings attended in the trainings attended in
classroom setting with classroom setting with
71-79 % 70% and below
compliance to its goals compliance to its goals 3 0.06
and objectives and objectives

4 3 2 1
Implemented the Implemented the Implemented the No implementation was
concepts of the trainings concepts of the trainings concepts of the trainings made
attended within the last attended within the last attended within the last
3 quarters 2 quarters quarters 5 0.05
 RATING
ACTUAL
PERFORMANCE INDICATOR (Quality, Efficiency, Timeliness)
RESULTS Q E T AVE

4 3 2 1
91-95% of the activities 80-90% of the activities 71-79 % of the activities 70% and below of the
of the association within of the association within of the association within activities of the
the year were the year were the year were association within the
participated participated participated year were participated 5 0.1

4 3 2 1
91-95% compliance with 80-90% compliance with 71-79 % compliance with 70% and below
the Financial Obligations the Financial Obligations the Financial compliance with the
were settled at the end were settled at the end Obligations were settled Financial Obligations
of the school year of the school year at the end of the school were settled at the end 5 0.1
year of the school year

4 3 2 1
Some the activities and Some the activities and Most the activities and Did not comply and
obligations were obligations were obligations were attend to the activities of
attended to within the attended to after the attended to after the the Association 5 0.05
scheduled time scheduled time scheduled time

OVERALL RATING FOR

ACCOMPLISHMENT

Approving Authority:

CLEMENCIA V. CALUBAYAN SIONY A. GABOTERO, Ed.D

SSHT-III SSP-IV
EMENCIA V. CALUBAYAN
PARTMENT HEAD, TLE

TO BE FILLED DURING REVIEW

SCORE

0.34
0.35

SCORE

0.41
0.37

SCORE

0.32
0.50

SCORE

0.09
0.08

SCORE

0.25
0.25

0.13

SCORE
0.15

0.17

SCORE
0.33

0.21
 SCORE

0.25

3.95

proving Authority:

SIONY A. GABOTERO, Ed.D