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DIVISION OF VALENZUELA CITYPio Valenzuela St., Marulas, Valenzuela City
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORMSchool Year 2016-2017
Name of Employee: Name of Teacher Name of Rater: Roderick D. De LeonPosition: Master Teacher I-III Position: Principal IRating Period: June 2016-April 2017 Date of Review: April, 2016
TO BE FILLED IN DURING PLANNING TO BE FILLED IN DURING EVALUATION
MFOs KRAs OBJECTIVES OUTPUT TIME LINERATING
SCOREQ E T Ave.
Basi
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Serv
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6% ### #DIV/0!
6% ### #DIV/0!
### #DIV/0!
Weight perKRA
PERFORMANCE INDICATORSACTUAL RESULTSOutstanding
(5)Very Satisfactory
(4)Satisfactory
(3)Unsatisfactory
(2)Poor(1)
A. Teaching – Learning Process(20%)
1. Prepared and submitted well-developed and up-to-date daily lesson plans with:a. SMART objectivesb. appropriate contents andinstructional materials/teaching aidsc. relevant procedures/ strategies /activitiesd. evaluative procedures/techniques
Lesson PlansJune - March
Prepared and submitted 202 daily lesson plans that contain 4 of the indicated parts.
Prepared and submitted 195-201 daily lesson plans that contain 4 the indicated parts
Prepared and submitted 170-194 daily lesson plans that contain 4 of the indicated parts
Prepared and submitted 150-169 daily lesson plans that contain 4 of the indicated parts
Prepared and submitted 149 and below daily lesson plans that contain 4 or less of the indicated parts
2. Facilitated teaching-learning processes with manifestation of the following:a. relating lesson with previous knowledge or skillsb. conveying ideas clearlyc. utilizing the art of questioning to elicit higher order thinkingd. greater student participation e. use of ICT-enhanced teaching strategies and instructional materials f. objectives of the lesson realized
ObservationForms/ Checklists
June - March
Facilitated teaching-learning processes with manifestation of consistency in 6 of the stated indicators
Facilitated teaching-learning processes with manifestation of consistency in 5 of the stated indicators
Facilitated teaching-learning processes with manifestation of consistency in 4 of the stated indicators
Facilitated teaching-learning processes with manifestation of consistency in 3 of the stated indicators
Facilitated teaching-learning processes with manifestation of consistency in 2 or less of the stated indicators
3. Checked attendance, initiated effective students’ discipline and maintained clean and orderly classroom conducive to the teaching-learning process
SF 2/ Observation Reports
June-March 3%
Students’ attendance checked daily, recorded zero incident of students’ misbehavior in class, and regularly maintained clean and orderly classroom.
Students’ attendance checked daily, recorded 1-3 incident of students’ misbehavior in class, and regularly maintained clean and orderly classroom.
Students’ attendance checked daily, recorded 4-6 incident of students’ misbehavior in class, and regularly maintained clean and orderly classroom.
Checking of students’ daily attendance not regularly conducted, recorded 7-10 incident of students’ misbehavior in class, regular maintenance of clean and orderly classroom not done.
Checking of students’ daily attendance not evident, recorded 10 or more incident of students’ misbehavior in class, regular maintenance of clean and orderly classroom not done.
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TO BE FILLED IN DURING PLANNING TO BE FILLED IN DURING EVALUATION
MFOs KRAs OBJECTIVES OUTPUT TIME LINERATING
SCOREQ E T Ave.
Weight perKRA
PERFORMANCE INDICATORSACTUAL RESULTSOutstanding
(5)Very Satisfactory
(4)Satisfactory
(3)Unsatisfactory
(2)Poor(1)
Bas
ic E
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tion
Serv
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5% ### #DIV/0!
15% ### #DIV/0!
10% ### #DIV/0!
10% ### #DIV/0!
5% ### #DIV/0!
5% ### #DIV/0!
A. Teaching- Learning Process (20%)
4. Monitored and assessed teaching- learning outcomes and students’ progress on regular basis focusing ona. written exam/assessmentsb. oral/ skills assessmentsc. assignment/ home activitiesd. Periodical exam/assessmentse. enrichment/enhancement activities f. assessment outputs submitted on time
Class Records/ Records of Students’ Outputs
End of Every Quarter
Complete and up-to-date records of monitoring and assessments of all students’ progress and learning outcomes for every quarter.
Up to date records of monitoring and assessments of all students’ progress and learning outcomes with 5 indicators
Up to date records of monitoring and assessments of all students’ progress and learning outcomes with 4 indicators
Incomplete and un-updated records of monitoring and assessments of students’ progress and learning outcomes with 3 indicators
Incomplete and un-updated records of monitoring and assessments of students’ progress and learning outcomes with 2 or less indicators
B. Learner's Outcome (40%)
1. Attained an average of 60% MPS on learners’ achievement of the subject area for the School Year
NAT Results School / Quarterly Learners' MPS
June- March
1. Attained an average of 60% MPS and above on learners’ achievement by end of School Year
1. Attained an average of 58-59% MPS on learners’ achievement by end of the School Year
1. Attained an average of 56-57% MPS on learners’ achievement by end of the School Year
1. Attained an average of 54-55% MPS on learners’ achievement by end of the School Year
1. Attained an average of 53% and below MPS on learners’ achievement by end of the School Year
2. Achieved 100% Promotion Rate of learner's in the subject area by the end of School Year
Promotion Report / SF 5
June - March
Achieved 100% and above Promotion Rate of learner's in the subject area by the end of School Year
Achieved 95- 99% Promotion Rate of learner's in the subject area by the end of School Year
Achieved 90 -95% Promotion Rate of learner's in the subject area by the end of School Year
Achieved 85 - 89% Promotion Rate of learner's in the subject area by the end of School Year
Achieved 84% and below Promotion Rate of learner's in the subject area by the end of School Year
3. Assisted/remediated 50 students with subject deficiencies that resulted to completion of subject requirements and/or promotion.
Implementation Report of Remediation
June - March
50 and above students assisted and remediated that resulted to subject completion/ promotion
40-49 students assisted and remediated that resulted to subject completion/ promotion
30-39 students assisted and remediated that resulted to subject completion/ promotion
20-29 students assisted and remediated that resulted to subject completion/ promotion
19 and less number of students assisted and remediated that resulted to subject completion/ promotion
4. Conducted 20 Parent Meetings or Conferences to monitor/follow-up/assist/report students’academic/behavioral/progress status and other concerns that resulted to 90% resolution of the issues/concerns.
Summary Report ofParent-Teacher Meetings/ Conferences
June - March
Conducted 20 or more Parent Meetings or Conferences to monitor/ follow-up/ assist/report students’ academic/ behavioral/progress status and other concerns that resulted to 100% resolution of the issues/concerns.
Conducted 15-19 Parent Meetings or Conferences to monitor/follow-up/assist/ report students’ academic/behavioral/ progress status and other concerns that resulted to 90% resolution of the issues/concerns.
Conducted 10-14 Parent Meetings or Conferences to monitor/follow-up/assist/report students’ academic/behavioral/ progress status and other concerns that resulted to 80% resolution of the issues/concerns.
Conducted 5-9 Parent Meetings or Conferences to monitor/follow-up/assist/report students’ academic/behavioral/ progress status and other concerns that resulted to 80% resolution of the issues/concerns.
Conducted 5 or less Parent Meetings or Conferences to monitor/follow-up/assist/report students’ academic/behavioral/ progress status and other concerns that resulted to 85% and below resolution of the issues/concerns.
C. Instructional Assistance and Research (20%)
1. Assisted teachers in improving teaching skills through observation and post-observation conference and mentoring/coaching by the end of School Year
Observation Forms Conference Reports and Mentor-Mentee Program
June- March
Conducted 10 or more class observations and post conferences/ mentoring/coaching of teachers in the grade level by end of School Year
Conducted 7-9 class observations and post conferences/ mentoring/coaching of teachers in the grade level by end of School Year
Conducted 4-6 class observations and post conferences/ mentoring/coaching of teachers in the grade level by end of School Year
Conducted 1-3 class observation and post conferences/ mentoring/coaching of teachers in the grade level by end of School Year
Conducted 0 observations and post conferences/ mentoring/coching of teachers in the grade level by end of School Year
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TO BE FILLED IN DURING PLANNING TO BE FILLED IN DURING EVALUATION
MFOs KRAs OBJECTIVES OUTPUT TIME LINERATING
SCOREQ E T Ave.
Weight perKRA
PERFORMANCE INDICATORSACTUAL RESULTSOutstanding
(5)Very Satisfactory
(4)Satisfactory
(3)Unsatisfactory
(2)Poor(1)
Bas
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tion
Serv
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5% ### #DIV/0!
Bas
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tion
Serv
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5% ### #DIV/0!
5% ### #DIV/0!
4% ### #DIV/0!
4% ### #DIV/0!
3% ### #DIV/0!
C. Instructional Assistance and Research (20%)
2. Served as demonstration teacher within the rating period
Documented demonstration teaching activities
June-March
Served as demonstration teacher in the regional level within the rating period
Served as demonstration teacher in the division level within the rating period
Served as demonstration teacher in the district within the rating period
Served as demonstration teacher in the school within the rating period
Did not conduct demonstration teaching within the rating period
C. Instructional Assistance and Research (20%)
3. Conducted 1 school-based action research within the rating period.
Approved Action Research Paper
June-March
1 Approved/ Accepted Action Research Paper conducted with full documentation on completion duly approved by Division CBAR Committee by March 31
Submitted Action Research Paper with full documentation pending approval from authority or Division CBAR Committee by March 31
Action Research completed, for evaluation in the school level, pending submission to the Division CBAR Committee by March 31
Conducted Action Research, research paper, documentation and results incomplete by March 31
Action Research proposal, problem to work on identified, no documentation or data gathered by March 31
4. Assisted in the conduct of 1 seminar/workshop/training/ competition in specific learning area within the rating period
Accomplishment/ Documentation Report
June-March
Assisted in the conduct of national/ regional seminars/ workshop/ trainings/ competitions in specific learning areas within the rating period
Assisted in the conduct of division seminars/ workshop/ trainings/ competitions in specific learning areas within the rating period
Assisted in the conduct of district seminars/ workshop/trainings / competitions in specific learning areas within the rating period
Assisted in the conduct of school seminars/ workshop/ competitions in specific learning areas within the rating period
Did not assist in the conduct of seminars/workshop/ competitions in specific learning areas within the rating period
D. Professionalism, Personal Growth and Development (14%)
1. Attained the following attendance records for the entire school year:a. reported to school for 202 school days b. incurred 10 times or less tardy
Summary Report of Teachers’ Attendance
June- March
Attained perfect attendance records
Attained attendance of 197-202 school days and 5 times or less tardy.
Attained attendance of 191-196 school days and 6-10 times tardy
Attained attendance of 185-190 school days and 11-15 times tardy
Attained attendance of 184 and below school days and more than 16 times tardy.
2. Submitted 50 relevant school reports and required documents/ data on time
Summary of Submitted Required Reports/ Documents
June- March
50 relevant school reports and required documents/ data submitted accurately on or before the required time
45-49 relevant school reports and required documents/ data submitted accurately on or before the required time
40-44 relevant school reports and required documents/ data submitted accurately on or before the required time
35-39 relevant school reports and required documents/ data submitted with less inaccuracies on or before the required time
34 and below relevant school reports and required documents/ data submitted with many inaccuracies on or before the required time
3. Attended 100% of required seminars /trainings/ workshops/ professional meetings within the school year
Certificate/ Certification / Attendance Report on Professional Meetings
June - March
100% seminars /trainings / workshops/ professional meetings attended within the school year
95-99% seminars /trainings / workshops/ professional meetings attended within the school year
90-94% seminars /trainings / workshops/ professional meetings attended within the school year
85-89 seminars /trainings / workshops/ professional meetings attended within the school year
84 or less seminars /trainings / workshops/ professional meetings attended within the school year
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TO BE FILLED IN DURING PLANNING TO BE FILLED IN DURING EVALUATION
MFOs KRAs OBJECTIVES OUTPUT TIME LINERATING
SCOREQ E T Ave.
Weight perKRA
PERFORMANCE INDICATORSACTUAL RESULTSOutstanding
(5)Very Satisfactory
(4)Satisfactory
(3)Unsatisfactory
(2)Poor(1)
Bas
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Serv
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3% ### #DIV/0!
Basi
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Serv
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2% ### #DIV/0!
2% ### #DIV/0!
2% ### #DIV/0!
Master Teacher I-III
#DIV/0!
Ratee Evaluated by:
Rosalie B. Emaas John Louie C. Co Exerill T. Cruz
D. Professionalism, Personal Growth and Development (14%)
4. Initiated/participated in 10 co- curricular/school activities within the school year
Accomplishment/ Documentation Reports
June-March
5 or more co-curricular/school activities/ program initiated/participated/ attended with proper documentation
4 co-curricular/school activities/ program initiated/participated/ attended with proper documentation
3 co-curricular/school activities/ program initiated/participated/ attended with proper documentation
2 co-curricular/school activities/ program initiated/participated/ attended with proper documentation
1 co-curricular/school activities/ program initiated/participated/ attended with proper documentation
E. Special Task/ Plus Factor (6%)
1. Assisted in the implementation of Result-based Performance Management System (RPMS) following the RPMS cycle (Planning and Commitment, Coaching and Mentoring, Review and Evaluation and Development Planning)
Accomplished Teachers’ Evaluation Report
June-March
100% of teachers in the grade level assisted in the implementation of RPMS
80-99% of teachers in the grade level assisted in the implementation of RPMS
60-79% of teachers in the grade level assisted in the implementation of RPMS
40-59% of teachers in the grade level assisted in the implementation of RPMS
39% and below of teachers in the grade level assisted in the implementation of RPMS
2. Produced publications/creative works for school paper /division / professional/ educational publication/ or functional instructional materials/SIM
Published Work/instructional materials
June-March
Produced publication/ creative work published in National Circulation/ DepEd Post/ CSC Newsletters and similar publications /or functional instructional materials used at national level
Produced publication/ creative work published in regional publications /or functional instructional materials used at regional level
Produced publication/ creative work published in division / city publications /or functional instructional materials used at division/school level
Produced publication/ creative work published in school publications /or functional instructional materials at department/grade level
Unpublished work produced/ incomplete instructional materials
3. Received 1 award/recognition for exemplary performance/winning coach/ trainer by the end of School Year
Certificate/Certification of the award for exemplary performance/ as winning coach/ trainer
June-March
Received 1 or more award/ recognition for exemplary performance/winning coach/ trainer in the international/ national level by the end of the school year
Received 1 award/ recognition for exemplary performance/winning coach/ trainer in the regional level by the end of the school year
Received 1 award/ recognition for exemplary performance/winning coach/ trainer in the division/district by the end of the school year
Received 1 award/ recognition for exemplary performance/winning coach/ trainer in the school level by end of the school year
Did not received any award/ recognition for exemplary performance/winning coach/ trainer in the school level by the end of the school year
OVER ALL
RATING
DIVISION OF VALENZUELA CITYPio Valenzuela St., Marulas, Valenzuela City
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORMSchool Year 2016-2017
Name of Employee: Name of TeacherPosition: Teacher I-IIIRating Period: June 2016-April 2017
TO BE FILLED IN DURING PLANNING TO BE FILLED IN DURING EVALUATION
MFOs KRAs OBJECTIVES OUTPUTRATING
Q E T Ave.
Basi
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0 0 0 ###
0 0 0 ###
0 0 0 ###
ACTUAL RESULTS
A. Teaching – Learning Process(25%)
1. Prepared and submitted well-developed and up-to-date daily lesson plans with:a. SMART objectivesb. appropriate contents andinstructional materials/teaching aidsc. relevant procedures/ strategies /activitiesd. evaluative procedures/techniques
Lesson Plans
2. Facilitated teaching-learning processes with manifestation of the following:a. relating lesson with previous knowledge or skillsb. conveying ideas clearlyc. utilizing the art of questioning to elicit higher order thinkingd. greater student participation e. use of ICT-enhanced teaching strategies and instructional materials f. objectives of the lesson realized
ObservationForms/ Checklists
3. Checked attendance, initiated effective students’ discipline and maintained clean and orderly classroom conducive to the teaching-learning process
SF 2/ Observation Reports
Basi
c Ed
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ion
Serv
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0 0 0 ###
0 0 0 ###
0 0 0 ###
0 0 0 ###
0 0 0 ###
0 0 0 ###
Basi
c Ed
ucat
ion
Serv
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0 0 0 ###
A. Teaching- Learning Process (25%)
4. Monitored and assessed teaching- learning outcomes and students’ progress on regular basis focusing ona. written exam/assessmentsb. oral/ skills assessmentsc. assignment/ home activitiesd. Periodical exam/assessmentse. enrichment/enhancement activities f. assessment outputs submitted on time
Class Records/ Records of Students’ Outputs
B. Learner's Outcome (47%)
1. Attained an average of 60% MPS on learners’ achievement of the subject area for the School Year
NAT Results School / Quarterly Learners' MPS
2. Achieved 100% Promotion Rate of learner's in the subject area by the end of School Year
Promotion Report / SF 5
3. Assisted/remediated 50 students with subject deficiencies that resulted to completion of subject requirements and/or promotion.
Implementation Report of Remediation
4. Conducted 20 Parent Meetings or Conferences to monitor/follow-up/assist/report students’academic/behavioral/progress status and other concerns that resulted to 90% resolution of the issues/concerns.
Summary Report ofParent-Teacher Meetings/ Conferences
C. Professionalism, Personal Growth and Development (22%)
1. Attained the following attendance records for the entire school year:a. reported to school for 202 school days b. incurred 10 times or less tardy
Summary Report of Teachers’ Attendance
C. Professionalism, Personal Growth and Development (22%)
2. Submitted 50 relevant school reports and required documents/ data on time
Summary of Submitted Required Reports/ Documents
Basi
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ion
Serv
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0 0 0 ###
0 0 0 ###
0 0 0 ###
0 0 0 ###
0 0 0 ###
#DIV/0!
Teacher I-IIIRatee Rosalie B. Emaas John Louie C. Co
Committee Chairman Committee ChairmanLeadership and Governance Curriculum and Learning
C. Professionalism, Personal Growth and Development (22%)
3. Attended 100% of required seminars /trainings/ workshops/ professional meetings within the school year
Certificate/ Certification / Attendance Report on Professional Meetings
4. Initiated/participated in 10 co- curricular/school activities within the school year
Accomplishment/ Documentation Reports
D. Special Tasks/ Plus Factor (6%)
1. Produced publications/creative works for school paper /division / professional/ educational publication/ or functional instructional materials/SIM
Published Work/instructional materials
2. Conducted 1 school-based action research within the rating period.
Approved Action Research Paper
3. Received 1 award/recognition for exemplary performance/winning coach/ trainer by the end of School Year
Certificate/Certification of the award for exemplary performance/ as winning coach/ trainer
OVER ALL
RATING
DIVISION OF VALENZUELA CITYPio Valenzuela St., Marulas, Valenzuela City
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORMSchool Year 2016-2017
Name of Rater:Position:Date of Review:
TO BE FILLED IN DURING EVALUATION PERFORMANCE REVIEW COMMITTEE RATER
SCOREChairman Member 1 Member 2 Member 3 RATING
Q E T
#DIV/0!
#DIV/0!
#DIV/0!
ACTUAL RESULTS
□ Agree □ Disagree
□ Agree □ Disagree
□ Agree □ Disagree
□ Agree □ Disagree
Prepared and submitted 43 weekly lesson plans
□ Agree □ Disagree
□ Agree □ Disagree
□ Agree □ Disagree
□ Agree □ Disagree
Facilitated teaching-learning processes in 4 of the stated indicators
specifically items b, c , d and f.
□ Agree □ Disagree
□ Agree □ Disagree
□ Agree □ Disagree
□ Agree □ Disagree
0 incident of students’ misbehavior in class with well maintained
classroom.
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
□ Agree □ Disagree
□ Agree □ Disagree
□ Agree □ Disagree
□ Agree □ Disagree
Records of students show 4 indicators -
specifically items a, c, d and e.
□ Agree □ Disagree
□ Agree □ Disagree
□ Agree □ Disagree
□ Agree □ Disagree
Attained an average of 45% MPS
□ Agree □ Disagree
□ Agree □ Disagree
□ Agree □ Disagree
□ Agree □ Disagree
Achieved 97% Promotion Rate.
□ Agree □ Disagree
□ Agree □ Disagree
□ Agree □ Disagree
□ Agree □ Disagree
Assisted 11 students which resulted to
passing the subject
□ Agree □ Disagree
□ Agree □ Disagree
□ Agree □ Disagree
□ Agree □ Disagree
Conducted 7 Parent Meetings / Home Visits
□ Agree □ Disagree
□ Agree □ Disagree
□ Agree □ Disagree
□ Agree □ Disagree
Attained attendance of 194 school days.
□ Agree □ Disagree
□ Agree □ Disagree
□ Agree □ Disagree
□ Agree □ Disagree
Submitted 13 relevant school reports on time
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0! #DIV/0!
John Louie C. Co Exerill T. CruzCommittee Chairman Committee ChairmanCurriculum and Learning Accountability and Continuous Improvement
□ Agree □ Disagree
□ Agree □ Disagree
□ Agree □ Disagree
□ Agree □ Disagree
Attended 0 training/ seminar within the
school year
□ Agree □ Disagree
□ Agree □ Disagree
□ Agree □ Disagree
□ Agree □ Disagree
Participaetd 1 co-curricular/school
activities.
□ Agree □ Disagree
□ Agree □ Disagree
□ Agree □ Disagree
□ Agree □ Disagree
Produced unpublished scholarly work
□ Agree □ Disagree
□ Agree □ Disagree
□ Agree □ Disagree
□ Agree □ Disagree
1 Approved / Accepted Action Research Paper
□ Agree □ Disagree
□ Agree □ Disagree
□ Agree □ Disagree
□ Agree □ Disagree
Received 1 award in the division level
DIVISION OF VALENZUELA CITYPio Valenzuela St., Marulas, Valenzuela City
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORMSchool Year 2016-2017
RATER
RATINGSCORE
Ave.
### #DIV/0!
### #DIV/0!
### #DIV/0!
PERFORMANCE MONITORING AND COACHING FORM (Form 2)School: ____________________________Ratee: _____________________________Rater: _____________________________
Date Critical Incidence Description Output Impact on Job/Action Plan Signature Ratee/Rater
DIVISION OF VALENZUELA CITYPio Valenzuela St., Marulas, Valenzuela City
SY 2016-2017
SUMMARY OF OUTPUT (TEACHER I-III)FORM 3.E
Required Output Actual Result Details / Description
A.1 Lesson Planning
A.2
A.3
A.4
B.1 Learners' Outcome
B.2 Promotion
B.3 Remediation
B.4
C.1
C.2
C.3
C.4
D.1 Publication
D.2
D.3 Awards Received
Teacher I RODERICK D. DE LEONRatee Rater
Lesson Plan Prepared and Submitted
Observation - Teaching Learning Process
Observation Reports
Checking of Student's Attendance
SF2/Class Attendance/ Observation Reports
Recording of Students' Outputs
Class Record/Composite Grades
Quarterly Learners' MPS
Report on Promotion/SF5
Documentation/Report of Implementation
Parent-Teacher Meetings/ Conferences
Summary Report on Parents-Teachers Conference/Minutes
Teacher's Attendance/ Punctualilty
Teachers' Attendance Report/Certificate of Attendance
On-Time Submission of School Reports
Compilation of Submitted Reports
Attendance to Seminars, Workshops, and Professional Meetings
Certificate/ Certification / Attendance Report on Professional Meetings
Participation to Co-Curricular Activities
Accomplishment/Documentation Reports/Certificate of Participations
Published Works/ Instructional Materials
School-Based Action Research
Approved Action Research Paper
Certificate/Certification of the award for exemplary performance/ as winning coach/ trainer
Reviewed by:PERFORMANCE REVIEW COMMITTEE
_____________________ ____________________ _________________ ________________ PRINCIPAL Member Member Member CHAIRMAN
Noted:
EDNA L. LLANERA, Ph.DDistict Supervisor
Reviewed by:PERFORMANCE REVIEW COMMITTEE
_____________________ ____________________ _________________ ________________ PRINCIPAL Member Member Member CHAIRMAN
Republic of the PhilippinesDEPARTMENT OF EDUCATION
National Capital RegionDivision of City Schools - VALENZUELA
Individual Performance Evaluation Form (Form 5.E)
School: Antonio M. Serapio Elementary SchoolGrade Level/Department:
Name of Employee: Name of Rater: RODERICK D. DE LEONPosition: Position: PRINCIPAL II
A. Teaching and Learning Process (25%)A.1 A.2 A.3 A.4 TOTAL
#DIV/0! #DIV/0! ### #DIV/0! #DIV/0!
B. Learners' Outcome (45%)B.1 B.2 B.3 B.4 TOTAL
#DIV/0! #DIV/0! ### #DIV/0! #DIV/0!
C. Professionalism, Personal Growth and Development (20%)
C.1 C.2 C.3 C.4 TOTAL#DIV/0! #DIV/0! ### #DIV/0! #DIV/0!
D. Special Tasks/ Plus Factor (10%)D.1 D.2 D.3 TOTAL
#DIV/0! ### #DIV/0! #DIV/0!
OVERALL RATING: #DIV/0!DESCRIPTION: #DIV/0!
RODERICK D. DE LEONTeacher I Principal II
Ratee Rater
Reviewed by:PERFORMANCE REVIEW COMMITTEE
___________________________Principal Chairman
___________________________ ___________________________ ___________________________ Teacher Teacher TeacherMember Member Member
Noted:
EDNA L. LLANERA, Ed.D.
Rating Period: June 2016 - March 2017 Date of Review: April, 2017
Republic of the PhilippinesDepartment of EducationNational Capital Region
DIVISION OF CITY SCHOOLS - VALENZUELAPio Valenzuela St., Marulas, Valenzuela City
IPCRF SUMMARY FOR TEACHER I - III (Form 6.E)Page 1 of 1
No. Department Surname First Name MI Ratee's SignatureB. Learners' Outcome (45%) D. Special Tasks/ Plus Factor (10%)
A.1 A.2 A.3 A.4 T B.1 B.2 B.3 B.4 T C.1 C.2 C.3 C.4 T D.1 D.2 D.3 D.4 D.5 T
1 0 #N/A 0.250 0.300 0.250 0.150 0.950 0.150 0.600 0.100 0.100 0.950 0.200 0.150 0.050 0.050 0.450 0.020 0.100 0.060 0.100 0.100 0.380
2 0 #N/A 0.000 0.000 0.000 0.000
3 0 #N/A 0.000 0.000 0.000 0.000
4 0 #N/A 0.000 0.000 0.000 0.000
5 0 #N/A 0.000 0.000 0.000 0.000
6 0 #N/A 0.000 0.000 0.000 0.000
7 0 #N/A 0.000 0.000 0.000 0.000
8 0 #N/A 0.000 0.000 0.000 0.000
9 0 #N/A 0.000 0.000 0.000 0.000
10 0 #N/A 0.000 0.000 0.000 0.000
11 0 #N/A 0.000 0.000 0.000 0.000
12 0 #N/A 0.000 0.000 0.000 0.000
13 0 #N/A 0.000 0.000 0.000 0.000
14 0 #N/A 0.000 0.000 0.000 0.000
15 0 #N/A 0.000 0.000 0.000 0.000
16 0 #N/A 0.000 0.000 0.000 0.000
17 0 #N/A 0.000 0.000 0.000 0.000
18 0 #N/A 0.000 0.000 0.000 0.000**NOTHING FOLLOWS**
Raters' SignatureName: Position Signature This is to certify that the above data is true and correct.
RODERICK D. DE LEONPrincipal I
Noted: Approving Authority
NIEVES M. RODRIGUE, Ph.DDistrict Supervisor
SCHOOL: Antonio M. Serapio Elementary SchoolDistrict: II
Position (highest position
first)
OVERALL RATING
Quantitative Description
A. Teaching Learning Process (25%)
C. Professionalism, Personal Growth and Development (20%)
Reviewed by:PERFORMANCE REVIEW COMMITTEE
_____________________ ____________________ _________________ ________________ PRINCIPAL Member Member Member CHAIRMAN