PERFORMANCE MONITORING AND COACHING FORM (Form 2)

School: ____________________________
Ratee: _____________________________
Rater: _____________________________

Signature
Date Critical Incidence Description Output Impact on Job/ Action Plan Ratee/Rater
 DIVISION OF VALENZUELA CITY
Pio Valenzuela St., Marulas, Valenzuela City
SY 2017-2018

SUMMARY OF OUTPUT (MASTER TEACHER I-IV)

FORM 3.D
Required Output Actual Result

A.1 Lesson Planning 40 Lesson Plan Complete 40/40 WEEKLY PLANS Prepared ang
Objectives, a
evaluation pr

smooth trans
conveyed ide
A.2 Teaching-Learning Process Observation Reports observation reports submitted questions, w
inclusive of t
realized

A.3 Records of Students SUBMITTED DAILY STUDENTS ATTENDANCE

Class Attendance RECORDS IN INDEX CARD AND SF 2 reports
Attendance ATTENDANCE SHEET FOR THE SCHOOL YEAR

A.4 Records of Students SUBMITTED COMPLETE GRADE

Students Grade Sheets submittted q
Attendance SHEETS / QUARTER

53.78 MPS TOTAL FOR THE

B.1 Learners Achievment 60% MPS Results SCHOOL YEAR
Submitted Su

99% Students Promotion there are 221

B.2 Promotion Rate 99% STUDENTS PROMOTED
rate completion o

Assisted Students /
B.3 Remediation and MORE THAN 100 STUDENTS REMEDIATED
remediated which result to THAT RESULTED TO COMPLETION/ Remediation
Enrichment program PROMOTION
completion

Instructional Assistance thru there are sev

C.1 observation/ conference and Conduct observation/ 17 Class observation and 2
observation f
mentoring conference/ mentoring caoaching/ mentoring sessions
given to othe

C.2 Teaching Demonstration Demo Teaching n/a n/a

C.3 Conducted Action Research Proposal/ Paper n/a n/a
Research

conducted Conducted 6 seminar/ AP History Ce

C.4 seminar/training Documentation Reports training/
workshop/competition Olympics, RC
workshops/competition

D.1 Teachers Attendance Attendance Report

incurred 9 absences incurred 9 da

D.2 Tardiness Report of Attendance

incurred 0 tardiness incurred 0 da

D.3 Seminars/ Training Attended 15 Seminars/ attended 25 seminars/ 7 faculty mee

Attended training for School Year trainings / meetings meetings and

Earthquake/F
D.4 Participated Co-Curricular 5 Reported co curricular 7 co-curricular activity Ceremony,Da
Activity activity participated participated Celebration,
Kultura Quiz

D.5 Code of Ethics No infraction reported

complied

E.1 Asissted in the 95 % got VS and 1 got

implementation of RPMS Evaluation Reports assisted in th
Outstanding rating

Produced publication/ Produce 1 creative instructional Produced Int

E.2 creative works/ Functional Instructional materials material
Instructional materials/ SIM
 CHAMPION-
Place POPU
E.3 Awards received Certificate/ Awards received 3 awards recognition received

Involvement and Community involvement as

E.4 Community
participation chairman, co-chairman or 2 Community Activity Initiated initiated Bar
member

Ratee: JULIUS D. JAYLO Rater: JONATHAN O. LAGDAMEN

Reviewed by:
PERFORMANCE REVIEW COMMITTEE

JONATHAN O. LAGDAMEN ____________________ _________________ ________________

CHAIRMAN Member Member Member
ZUELA CITY
alenzuela City

TER TEACHER I-IV)

Details / Description

Prepared ang submitted plan with SMART

Objectives, appropriate, and relevant strategies and
evaluation procedures

smooth transition of previous lesson to new,

conveyed ideas clearly, utilized HOTS/LOTS
questions, with maximum students participation
inclusive of the use of ICT and objectives are
realized

SF 2 reports

submittted quarter reports of grade

Submitted Summary report of quarter MPS results

there are 221 students promoted/ attained

completion over a total of 222.

Remediation classes/ program was initiated .

there are several formal and informal class

observation for the year and coaching/mentoring
given to other.

n/a
n/a

AP History Celebration. IHL and First Aid BLS

Olympics, RCY LDP training, RCY Summer Camp

incurred 9 days absences

incurred 0 days tardy

7 faculty meetings, 5 department meeting, 13 other

meetings and trainings/ seminar

Earthquake/Fire Drills, Moving Up, Recognition

Ceremony,Daloy dunong Maynilad, History Month
Celebration, AP POPULATION Festival, Sagisag
Kultura Quiz Bee

complied

assisted in the coaching of teachers RPMS

Produced Intstructional materials- MODIFIED CROSSWORD

GAMES
 CHAMPION- REGIONAL SAGISAG KULTURA QUIZ BEE, 2nd
Place POPULATION ESSAY WRITING and RCY ADVISERS
SERVICE AWARD

initiated Baranggay Clean Up Drive Activity as Chairman

OMMITTEE

___ ________________
Member
 DIVISION OF VALENZUELA CITY
Pio Valenzuela St., Marulas, Valenzuela City

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM (Form 4)

School Year 2015-16
Name of Employee: _____________________________ Name of Rater:
Position: Position:
Rating Period: Date of Review:

PERFORMANCE REVIEW COMMITTEE RATER

RATEE
ACTUAL ACTUAL
Chairman Member 1 Member 2 Member 3 Q E T
MFOs KRAs OBJECTIVES OUTPUT RESULTS Q E T RESULTS

□ Agree □ Agree □ Agree □ Agree

□ Disagree □ Disagree □ Disagree □ Disagree

□ Agree □ Agree □ Agree □ Agree

□ Disagree □ Disagree □ Disagree □ Disagree

□ Agree □ Agree □ Agree □ Agree

□ Disagree □ Disagree □ Disagree □ Disagree

□ Agree □ Agree □ Agree □ Agree

□ Disagree □ Disagree □ Disagree □ Disagree

□ Agree □ Agree □ Agree □ Agree

□ Disagree □ Disagree □ Disagree □ Disagree

Page 8 of 32
 PERFORMANCE REVIEW COMMITTEE RATER
RATEE

ACTUAL ACTUAL
Chairman Member 1 Member 2 Member 3 Q E T
MFOs KRAs OBJECTIVES OUTPUT RESULTS Q E T RESULTS

□ Agree □ Agree □ Agree □ Agree

□ Disagree □ Disagree □ Disagree □ Disagree

□ Agree □ Agree □ Agree □ Agree

□ Disagree □ Disagree □ Disagree □ Disagree

□ Agree □ Agree □ Agree □ Agree

□ Disagree □ Disagree □ Disagree □ Disagree

□ Agree □ Agree □ Agree □ Agree

□ Disagree □ Disagree □ Disagree □ Disagree

□ Agree □ Agree □ Agree □ Agree

□ Disagree □ Disagree □ Disagree □ Disagree

□ Agree □ Agree □ Agree □ Agree

□ Disagree □ Disagree □ Disagree □ Disagree

□ Agree □ Agree □ Agree □ Agree

□ Disagree □ Disagree □ Disagree □ Disagree

Page 9 of 32
 PERFORMANCE REVIEW COMMITTEE RATER
RATEE

ACTUAL ACTUAL
Chairman Member 1 Member 2 Member 3 Q E T
MFOs KRAs OBJECTIVES OUTPUT RESULTS Q E T RESULTS

□ Agree □ Agree □ Agree □ Agree

□ Disagree □ Disagree □ Disagree □ Disagree

□ Agree □ Agree □ Agree □ Agree

□ Disagree □ Disagree □ Disagree □ Disagree

□ Agree □ Agree □ Agree □ Agree

□ Disagree □ Disagree □ Disagree □ Disagree

□ Agree □ Agree □ Agree □ Agree

□ Disagree □ Disagree □ Disagree □ Disagree

□ Agree □ Agree □ Agree □ Agree

□ Disagree □ Disagree □ Disagree □ Disagree

Reviewed by:
PERFORMANCE REVIEW COMMITTEE
Ratee Rater

Chairman Member 1 Member 2 Member 3

Page 10 of 32
 Republic of the Philippines
DEPARTMENT OF EDUCATION
National Capital Region
Division of City Schools - VALENZUELA

Individual Performance Evaluation Form (Form 5.D)

School: _PARADA NHS__________________
Grade Level/Departme7- SOCIAL STUDIES

Name of Employee: ____________________

JULIUS D. JAYLO Name of Rater: __________________________
JONATHAN O. LAGDAMEN
Position: Master Teacher I Position: _______________________________
HEAD TEACHER III
Rating Period: June 2017 - April 2018 Date of Review: ________________________
Apr-18

A. Teaching and Learning Process (20%)

A.1 A.2 A.3 A.4 TOTAL
0.300 0.300 0.150 0.250 1.000
B. Learners' Outcome (40%)
B.1 B.2 B.3 TOTAL
0.600 0.750 0.500 1.850
C. Instructional Assistance and Research (20%)
C.1 C.2 C.3 C.4 TOTAL
0.250 0.050
0.01 0.050 0.250 0.600
D. Professionalism and Personal Growth Development (10%)
D.1 D.2 D.3 D.4 D.5 TOTAL
0.08 0.100 0.100 0.100 0.100 0.480
E. Special Task/ Plus Factor (10%)
E. 1 E.2 E.3 E.4 TOTAL
0.080 0.070 0.060 0.200 0.410

OVERALL RATING: 4.340

DESCRIPTION: Very Satisfactory

JULIUS D. JAYLO JONATHAN O. LAGDAMEN

Ratee Rater

Reviewed by:
PERFORMANCE REVIEW COMMITTEE

JONATHAN O. LAGDAMEN
Principal
Chairman
___________________________ ___________________________ ___________________________
Head Teacher Master Teacher Representative from Faculty Assoc.
Member Member Member
 Republic of the Philippines
Department of Education
National Capital Region
DIVISION OF CITY SCHOOLS - VALENZUELA
Pio Valenzuela St., Marulas, Valenzuela City

IPCRF SUMMARY FOR MASTER TEACHER I - IV (Form 6.D)

Page 1 of 1
SCHOOL: Jaena High School
District: 1

C. Professionalism, Personal
Position A. Teaching Learning Process B. Learners' Outcome D. Special Tasks/ Plus Factor
OVERALL Quantitative Growth and Development E. Special Task/ Plus Factor (10%)
No. Department Surname First Name MI (highest position Ratee's Signature (20%) (40%) (20%) (10%)
RATING Description
first)
A.1 A.2 A.3 A.4 T B.1 B.2 B.3 T C.1 C.2 C.3 C.4 T D.1 D.2 D.3 D.4 T E.1 E.2 E.3 E.4 E.5 T

1 0 #N/A 0.000 0.000 0.000 0.000 0.000

2 0 #N/A 0.000 0.000 0.000 0.000 0.000

3 0 #N/A 0.000 0.000 0.000 0.000 0.000

4 0 #N/A 0.000 0.000 0.000 0.000 0.000

5 0 #N/A 0.000 0.000 0.000 0.000 0.000

6 0 #N/A 0.000 0.000 0.000 0.000 0.000

7 0 #N/A 0.000 0.000 0.000 0.000 0.000

8 0 #N/A 0.000 0.000 0.000 0.000 0.000

9 0 #N/A 0.000 0.000 0.000 0.000 0.000

10 0 #N/A 0.000 0.000 0.000 0.000 0.000

11 0 #N/A 0.000 0.000 0.000 0.000 0.000

12 0 #N/A 0.000 0.000 0.000 0.000 0.000

13 0 #N/A 0.000 0.000 0.000 0.000 0.000

14 0 #N/A 0.000 0.000 0.000 0.000 0.000

15 0 #N/A 0.000 0.000 0.000 0.000 0.000

16 0 #N/A 0.000 0.000 0.000 0.000 0.000

17 0 #N/A 0.000 0.000 0.000 0.000 0.000

18 0 #N/A 0.000 0.000 0.000 0.000 0.000

19 0 #N/A 0.000 0.000 0.000 0.000 0.000

20 0 #N/A 0.000 0.000 0.000 0.000 0.000

**NOTHING FOLLOWS**
Raters' Signature
Name: Position Signature Reviewed by: This is to certify that the above data is true and correct.
PERFORMANCE REVIEW COMMITTEE

_____________________ ____________________ _________________ ________________

PRINCIPAL Member Member Member
CHAIRMAN
Principal
Approving Authority
 DIVISION OF VAL
Pio Valenzuela St., Maru

INDIVIDUAL PERFORMANCE COMM

School Year 2
Name of Employee: JULIUS D. JAYLO
Position: Master Teacher I
Rating Period: June 2017-April, 20187

TO BE FILLED IN DURING PLANNING

Weight
per
MFOs KRAs OBJECTIVES OUTPUT TIME LINE KRA

1. Prepared and submitted well-

developed and up-to-date weekly lesson
plans with:
a. SMART objectives
b. appropriate contents and June -
instructional materials/teaching aids Lesson Plans/DLL March
A. Teaching – c. relevant procedures/ strategies
Learning /activities
Process d. Facilitated
2. evaluative procedures/techniques
teaching-learning
(20%) processes with manifestation of the 6%
following:
a. relating lesson with previous
knowledge or skills
b. conveying ideas clearly
c. utilizing the art of questioning
Basic Education Services

to elicit higher order thinking

d. greater student participation
e. use of ICT-enhanced June -
teaching Observation
March 6%
strategies and/or instructional Reports
materials

f. objectives of the lesson realized

Ba
3. Checked attendance, initiated
effective students’ discipline and
Report of Students’
maintained clean and orderly classroom June-
Attendance / 3%
conducive to the teaching-learning March
Observation Reports
process
 4. Monitored and assessed teaching-
learning outcomes and students’
progress on regular basis focusing on
a. written exam/assessments
b. oral/ skills assessments
c. assignment/ home activities
A. Teaching- End of
Learning Process d. Periodical exam/assessments Class Records/ Records
Every 5%
(20%) e. enrichment/enhancement activities of Students’ Outputs
Quarter

f. assessment outputs
submitted on time

1. Attained an average of 60% MPS on

NAT Results School / June-
learners’ achievement of the subject 15%
Quarterly Learners' MPS March
area for the School Year

2. Achieved 99% Promotion Rate of

Promotion Report / June -
learner's in the subject area by the end 15%
Basic Education Services

SF 5 March
of School Year
B. Learner's
Outcome (40%)

3. Initiated/remediated 50 students with

subject deficiencies that resulted to Implementation Report of
June -
completion of subject requirements Remediation or 10%
March
and/or promotion. Enrichment Program

1. Assisted teachers in improving

teaching skills thorugh observation and Observation and Post-
June-
post-observation conference and Observation 5%
March
mentoring/coaching by the end of Conference Reports
C. Instructional School Year
Assistance and
Research (20%)

Documented
2. Served as demonstration teacher June-
demonstration teaching 5%
within the rating period March
activities
 3. Conducted 1 school-based action With approved Action June-
5%
research within the rating period. Research Paper March

C. Instructional
Assistance and
Research (20%)

4. Conducted 4 or more
Accomplishment/
seminars/workshop/trainings/ June-
Documentation 5%
competitions in specific learning areas March
Reports
within the rating period
Basic Education Services
 1. Attained the following attendance
records for the entire school year:
Summary Report of June-
a. reported to school for 195 school 2%
Teachers’ Attendance March
days
Basic Education Services

Summary Report of June-

2%
b. incurred 10 times or less tardy Teachers’ Attendance March

2. Attended 15 seminars /trainings

D. / workshops/ professional meetings
Professionalism , Certificate/ Certification /
within the school year June -
Personal Growth Attendance Report on 2%
and March
Professional Meetings
Development
(10%)

3. Participated in 5 co-
Accomplishments/Docum June-
curricular/school activities within 2%
entation Reports March
the rating period.

4. Abide by the Code of Ethics for Department Summary June-

2%
Professional Teachers Reports March
 1. Assisted 100% of teachers in the
department in monitoring IPCRF for the IPCRF Perfromance June-
2%
rating period Report March

2.Publishpublications/creative
Published
works for school paper /division / June-
Work/instructional 2%
professional/ educational publication/ or March
materials
functional instructional materials/SIM
Basic Education Services

E. Special Task/
Plus Factor
(10%)

Certificate/Certification
3. Received 5 or more award/recognition
of the award for June-
for exemplary performance/winning 2%
exemplary performance/ March
coach/ trainer by the end of School Year
as winning coach/ trainer

Certificate or Certification
4. Participated actively in 2 completed
from other agency with June-
community project as chairman / co- 4%
project report and/or March
chairman/member by end of School Year
documentation

JULIUS D. JAYLO JONATHAN O. LAGDAMEN

Ratee MASTER TEACHER 1 Rater
 DIVISION OF VALENZUELA CITY
Pio Valenzuela St., Marulas, Valenzuela City

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW FORM

School Year 2017-18
Name of Rater: JONATHAN O. LAGDAMEN
Position: Principal
Date of Review: April, 2018

TO BE FILLED IN DURING PLANNING

PERFORMANCE INDICATORS

Outstanding Very Satisfactory Satisfactory Unsatisfactory Poor

(5) (4) (3) (2) (1)

Prepared and submitted Prepared and

Prepared and submitted Prepared and submitted Prepared and submitted
less than 20-40 weekly submitted 1-20 weekly
40 weekly lesson plans 35-39 weekly lesson 30-34 weekly lesson
lesson plans that lesson plans that
that contain 4 of the plans that contain 4 the plans that contain 4 of
contain 3 of the contain 2 or less of the
indicated parts. indicated parts the indicated parts
indicated parts indicated parts

Facilitated teaching-
Facilitated teaching- Facilitated teaching- Facilitated teaching- Facilitated teaching-
learning processes
learning processes with learning processes with learning processes with learning processes with
with manifestation of
manifestation of manifestation of manifestation of manifestation of
consistency in 2 or
consistency in 6 of the consistency in 5 of the consistency in 4 of the consistency in 3 of the
less of the stated
stated indicators stated indicators stated indicators stated indicators
indicators
 Checking of students’ Checking of students’
Students’ attendance Students’ attendance Students’ attendance daily attendance not daily attendance not
checked daily, recorded checked daily, recorded checked daily, recorded regularly conducted, evident, recorded 10
zero incident of 1-3 incident of students’ 4-6 incident of students’ recorded 7-10 incident or more incident of
students’ misbehavior in misbehavior in class, misbehavior in class, of students’ misbehavior students’ misbehavior
class, and regularly and regularly maintained and regularly maintained in class, regular in class, regular
maintained clean and clean and orderly clean and orderly maintenance of clean maintenance of clean
orderly classroom. classroom. classroom. and orderly classroom and orderly classroom
not done. not done.
 Incomplete and un-
Complete and up-to- Incomplete and un-
Up to date records of Up to date records of updated records of
date records of updated records of
monitoring and monitoring and monitoring and
monitoring and monitoring and
assessments of all assessments of all assessments of
assessments of all assessments of
students’ progress and students’ progress and students’ progress and
students’ progress and students’ progress and
learning outcomes with learning outcomes with learning outcomes
learning outcomes for learning outcomes with
5 indicators 4 indicators with 2 or less
every quarter. 3 indicators
indicators

1. Attained an average
1. Attained an average of 1. Attained an average of 1. Attained an average of 1. Attained an average of
of 29% and below MPS
60% MPS and above on 50-59% MPS on learners’ 40-49% MPS on learners’ 30-39% MPS on
on learners’
learners’ achievement by achievement by end of achievement by end of learners’ achievement by
achievement by end of
end of School Year the School Year the School Year end of the School Year
the School Year

Achieved 99% and Achieved 95- 98% Achieved 90 -95% Achieved 85 - 89% Achieved 84% and
above Promotion Rate of Promotion Rate of Promotion Rate of Promotion Rate of below Promotion Rate
learner's in the subject learner's in the subject learner's in the subject learner's in the subject of learner's in the
area by the end of area by the end of School area by the end of School area by the end of subject area by the end
School Year Year Year School Year of School Year

50 and above students 19 and less number of

40-49 students assisted 30-39 students assisted 20-29 students assisted
assisted and students assisted and
and remediated that and remediated that and remediated that
remediated that remediated that
resulted to subject resulted to subject resulted to subject
resulted to subject resulted to subject
completion/ promotion completion/ promotion completion/ promotion
completion/ promotion completion/ promotion

Conducted 0
Conducted 10 or more Conducted 7-9 Conducted 4-6 Conducted 1-3
observation and post-
observation and post- observation and post- observation and post- observation and post-
observation
observation conference/ observation conference/ observation conference/ observation conference/
conference/
mentoring/coching of mentoring/coching of mentoring/coching of mentoring/coching of
mentoring/coching of
teachers in the teachers in the teachers in the teachers in the
teachers in the
department/ grade area department/ grade area department/ grade area department/ grade area
department/ grade area
by end of School Year by end of School Year by end of School Year by end of School Year
by end of School Year

Conducted 8 Conducted at least 5-6 Conducted 3- Conducted 1-2

Did not conduct
demonstration teaching demonstration teaching in 4demonstration teaching demonstration teaching
demonstration teaching
in the department within the department within the in the department within in the department within
within the rating period
the rating period rating period the rating period the rating period
 With approved Action
With approved/ With approved Action Submitted Action
Research Paper but No Action Research
utilized/applied Action Research Paper for Research Paper for
without proof for submitted
Research Paper application/utilization approval
application/utilization

Conducted 4 or more in
Conducted 3 school level Conducted 2 school level Conducted 1school level
the school level
seminars/workshops/train seminars/workshops/train seminars/workshops/train
seminars/workshops/train
ings/competition ings/competition ings/competition
ings/competition No seminar conducted
competitions in specific competitions in specific competitions in specific
competitions in specific
learning areas within the learning areas within the learning areas within the
learning areas within the
rating period rating period rating period
rating period
 Attained attendance of
Attained perfect Attained attendance of Attained attendance of Attained attendance of
179 and below school
attendance records 190-195 school days 185- 189 school days 180-184 school days
days

Attained 5 times or less Attained 6-10 times Attained 11-15 times Attainedmore than 16
No records of tardiness
tardy. tardy tardy times tardy.

10 or more seminars
7-9 seminars /trainings / 4-6 seminars /trainings / 1-3eminars /trainings / No seminar /training /
/trainings / workshops/
workshops/ professional workshops/ professional workshops/ professional workshop/ professional
professional meetings
meetings attended within meetings attended within meetings attended within meeting attended within
attended within the
the school year the school year the school year the school year
school year

5 or more co-
4 co-curricular/school 3 co-curricular/school 2 co-curricular/school 1 co-curricular/school
curricular/school
activities/ program activities/ program activities/ program activities/ program
activities/ program
initiated/participated/ initiated/participated/ initiated/participated/ initiated/participated/
initiated/participated/
attended with proper attended with proper attended with proper attended with proper
attended with proper
documentation documentation documentation documentation
documentation

0 instance infractions 1 instance infractions 2 instances infractions 3 instances infractions 4 instances infractions
 5 % -Outstanding and
5 % -Outstanding and 50 % -VSand 50% (S) of
100% of teachers in the 85 % -VSand 15% (S) of 95% (VS) of teachers in
95% (VS) of teachers in teachers in the
department obtained VS teachers in the the department
the department obtained department -IPCRF
- IPCRF rating department -IPCRF rating obtained rating in
rating in theIPCRF rating
theIPCRF

Published publication/
creative work published Published publication/ Published publication/
Published publication/
in National Circulation/ creative work published creative work published
creative work published
DepEd Post/ CSC in regional in division / city Unpublished work
in school publications
Newsletters and similar publications /or publications /or produced/ incomplete
/or functional
publications /or functional instructional functional instructional instructional materials
instructional materials at
functional instructional materials used at materials used at
department/grade level
materials used at regional level division/school level
national level

Received 5 or more Received 4 awards/ Received 2 awards/ Received 1 award/

Received 3 awards/
award/ recognition for recognitions for recognitions for recognition for
recognitions for
exemplary exemplary exemplary exemplary
exemplary
performance/winning performance/winning performance/winning performance/winning
performance/winning
coach/ trainer in the coach/ trainer in the coach/ trainer in the coach/ trainer in the
coach/ trainer in the
international/ national regional level by March district level by March school level by March
division by March 31
level by March 31 31 31 31

Participated actively in 2 Participated actively in 1 Participated actively as Participated actively as Participated actively
or more completed or more completed member in1 or more chairman / co-chairman as member in 1 or
community project as community project as completed community in 1 or more on-going more on-going
chairman / co-chairman chairman / co-chairman project with community project with community project
with documentation by with documentation by documentation by the documentation by the with documentation by
the end of School Year the end of School Year end of School Year end of School Year the end of School Year

JONATHAN O. LAGDAMEN BENJAMIN SAMSON, CESE

Rater Approving Authority
JONATHAN O. LAGDAMEN
Principal
April, 2018

TO BE FILLED IN DURING EVALUATION

RATING

ACTUAL
RESULTS Q E T Ave. SCORE

Complete 40/40 5 5 5 0.3

WEEKLY PLANS

observation
reports 5 5 0.3
submitted
SUBMITTED DAILY
STUDENTS
ATTENDANCE
RECORDS IN INDEX 5 5 5 0.15
CARD AND
ATTENDANCE SHEET
FOR THE SCHOOL YEAR
SUBMITTED
COMPLETE 5 5 5 0.25
GRADE SHEETS /
QUARTER

53.78 MPS
TOTAL FOR THE 4 0.6
SCHOOL YEAR

99% STUDENTS
PROMOTED
221/222 students
promoted
5 0.75

MORE THAN 100

students STUDENTS
REMEDIATED THAT
RESULTED TO 5 5 0.5
COMPLETION/
PROMOTION

Conducted 17
observation and 2
Coaching 5 0.25
activities

none 1 1 0.05
 none 1 1 0.05

AP history month
celebration, IHL /
First Aid Bls
Olympics, RCY
summer
camp,RCY LDP 5 5 0.25
training
total of 9 3 5 0.08
absences

0 times tardy 5 0.1

attended 25
trainings,
meeting, 5 0.1
seminar-
workshops

7 co-curricular
activity 5 5 5 0.1
participated

0 instance 5 0.1
infractions
1 -O, and VS the 4 0.08
rest of Teachers

SUBMITT 1 SIM
ENTITLED “
modified 2 5 0.07
crossword
games

Sagisag Kultura
Quiz Bee, Pop
Essay Writing, 3 0.06
RCY Adviser
Service Award

conducted 2
community 5 0.2
activities

OVER ALL
RATING
4.34 VS
 PART III: SUMMARY OF RATINGS FOR DISCUSSION

Final Performance Results Rating Adjectival Rating

Accomplishment of KRA's and objectives 4.724 OUTSTANDING

Rater-Ratee Agreement
The signatures below confirm that the employee and his/her superior have agreed on content of this appraisal form and performance rating.
Name of Employee: MARIVIC S. FERRER Name of Superior: EDELINA I. GOLLOSO
Signature: Signature:
Date: April 05, 2019 Date: April 05, 2019

PART IV: DEVELOPMENT PLANS

Strengths Development Needs Action Plan Timeline Resources Needed

Exercise profesionalism and Need to update in research and To attend seminar/s and Year-Round Through
ethics; demonstrate values and development, teaching workshops in in research and Maintemance and
behavior stated in RA 6713; innovation, and classroom development. other Operating
apply ethical and professional action research. Need to have Expenses (MOOE)
behaviour in actions and a good communications
decisions; maintain promptly and clearly the
professional integrity and learner's progress, needs and
honesty at work; make achievement to key
professional sacrifices for stakeholders, including the
organizational needs. parents and guardians.

NOLASCO H. SABLAN MARIVIC S. FERRER EDELINA I. GOLLOSO

Rater Ratee Approving Authority